AUTHORIZATION LETTER

September 27, 2018

TO WHOM IT MAY CONCERN:

I, _______________, previously a government employee. I want to

change/update my membership status in the PhilHealth from employee (formal
economy) to self-employed/earning (informal economy ) category.

In this connection, I hereby authorize______________, to act on my behalf in

all manners relating to all dealings with my PhilHealth Membership updating in
order to file , process the documents, receive the documents, pay the necessary
payments and to include the signing of all documents relating to these matters.
Any and all acts carried by _______________on my behalf shall have the same
effects as acts of my own.

I am attaching my valid Identification Card for ready reference and verification.

Hoping for favorable consideration.

Sincerely,