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Republic of the Philippines
Department of Labor and Employment
Region V - Bicol Region
Request for Certificate of No Pending Cases
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Application Details
Apply As:
Establishment
Apply for Certificate of No Pending Case as an Establishment
Individual
Apply for Certificate of No Pending Case as an Individual
Bus Company
Apply for Certificate of No Pending Case as a Bus Company
Establishment Details
Name of Company/Establishment:
Email:
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Contact Number:
Floor/ Bldg. No./ Street/ Subdivision/ Barangay
Please do not include the city and province
in this field
Male Workers
Female Workers
Region:
Province:
City:
Establishment Industry
Establishment Industry Division
Establishment Type
Principal
Contractor / Agency (e.g.) Security Agency,Manpower Agency, Other service providers
Name of Owner / Manager
Designation of Person Requesting / Solicitant
Purpose for Applying for Clearance
Employee Name
Attachments
Rule 1020 Control Number
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Approved Registration of Establishment under Rule 1020 of OSHS
Attach PDF or Image or PDF File with a maximum upload file size of 5MB
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Compensation Scheme
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PCAB License
(for Construction)
Image File or PDF with a maximum upload file size of 5MB
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Registration Certificate under DO 174
(for Contractors)
New applicants applying for Certificate under DO 174 may attach the stamped received application in lieu of Certificate under DO 174
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Certificate of Membership from PADPAO or other associations recognized by PNP-CSG-SOSIA
(for Security Industry)
Image or PDF File with a maximum upload file size of 5MB
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Certificate of Pending OR No Pending Labor Standards violation Case issued by NLRC
(for Security Industry)
Image or PDF File with a maximum upload file size of 5MB
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Company Details
Company Name:
Company / Establishment Email:
Contact Number:
Company Address:
Region:
Province:
City / Municipality:
Owner Name:
Male Workers:
Female Workers:
Industry:
Industry Division:
Establishment Type:
Purpose for application:
Attachments
Certificate of Registration of Establishment (Rule 1020):
PCAB License:
DO 174:
I hereby certify that all the information provided by me in this application are true and correct to the best of my knowledge. I understand that all the information I provided will form part of the public record, which may be used for any legal processes of the government. Thus, any misrepresentation of facts may subject my application to denial and myself to possible administrative and/or criminal action.
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