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SC Authorization Letter

The document is an authorization letter from a social pension recipient allowing their child/relative or authorized representative to claim their stipend. The recipient provides their name, address, contact number, and authorizes their relationship or named representative, including the representative's address, to claim the recipient's ₱3,000 semi-annual stipend payments on their behalf, due to reasons of being bedridden, sick, or affected by lockdown restrictions. The recipient and representative sign to confirm the authorization.

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St. Veronica Learning Center
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162 views1 page

SC Authorization Letter

The document is an authorization letter from a social pension recipient allowing their child/relative or authorized representative to claim their stipend. The recipient provides their name, address, contact number, and authorizes their relationship or named representative, including the representative's address, to claim the recipient's ₱3,000 semi-annual stipend payments on their behalf, due to reasons of being bedridden, sick, or affected by lockdown restrictions. The recipient and representative sign to confirm the authorization.

Uploaded by

St. Veronica Learning Center
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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_____________________

Date

AUTHORIZATION LETTER

I, __________________________________________, recipient of Social Pension stipend, of legal


age,
(Name of Social Pensioner)

presently under the custody of my child/relative, ________________________________________,


at
(Name of Custodian)

______________________________________________, with contact number


__________________
(Complete Address) (Contact Number)

authorizes my ___________________________, __________________________________________,


(Relationship to Beneficiary) (Name of Authorized Representative)

who is presently residing at __________________________________________________, to claim


my
(Complete Address of Authorized Representative)

stipend in the amount of:


- 1st Semester CY 2023 ______________________ ₱ 3, 000.00
- 1st Semester CY 2023 ______________________ ₱ 3, 000.00

due to reason stated below:


- Bedridden₱ 3, 000.00
- Sick₱ 3, 000.00
- With Physical Ability₱ 3, 000.00
- Lockdown in other areas₱ 3, 000.00
Please specify the area ₱ _______________________

That I am fully aware that he/she will affix his/her signature in the payroll for and in my behalf.

Thank you.

______________________________________
(Signature over printed name of Beneficiary)

Conformed by:

________________________________________________
Signature over printed name of Authorized Representative

Attested by:

_______________________________________________
Signature over printed name of SC Brgy. Chapter President

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