Republic of the Philippines

Department of Labor and Employment

Displaced and Temporarily Laid-off Workers (including DOT Tour Guides)

For OFW Applicants, please apply using this link:DOLE OWWA AKAP
(Please indicate address Current Address)

Republic of the Philippines

DEPARTMENT OF LABOR AND EMPLOYMENT

Intramuros, Manila

ESTABLISHMENT REPORT

A. Establishment Data
Name of Establishment:
Floor/Bldg/No/Street/Subdivision:
Barangay/City/Municipality:
Kind of Business/Economic Activity/Principal Product:
Number of Workers:
Male: Managerial:
Female: Supervisory:
Rank and File:
Total: Total:

CERTIFICATION

This is to certify as to the accuracy of the data provided in this report.

Name and Signature of Owner/Company Representative:
Designation:
Fax No:
Contact No:
Email Address:


Republic of the Philippines

DEPARTMENT OF LABOR AND EMPLOYMENT

Intramuros, Manila

LIST OF AFFECTED WORKERS DUE TO COVID-19

No. Name of Worker Birthdate Sex Home Address Contact No. Designation Employment Status Salary