CHECKLIST ON:

1. Payment of salary differential regarding underpayment of wages.

2. Payment of salary differential of Overtime Pay.
3. Payment of salary differential of Regular Holiday Pay.
4. Payment of salary differential for non-availment of Service Incentive Leave
5. Payment of salary differential of 13th month pay
6. Proof of coverage and remittance on SSS, PhilHealth and PAG-IBIG
7. Registration under DO 174
8. Service Contract
9. Registration under Rule 1020
10. Fire Safety Inspection Certificate
11. Organization Composition of Safety and Health Committee
12. Certificate of BOSH trained safety officer
13. Certificate of Red Cross trained first aider
14. Admin reports on Health and Safety

1. PAYMENT ON SALARY DIFFERENTIAL REGARDING UNDERPAYMENT

OF WAGES

1.1. payrolls and/or

1.2. vouchers

2. PAYMENT OF SALARY DIFFERENTIAL OF OVERTIME PAY

2.1. payrolls and/or

2.2. vouchers

3. PAYMENT OF SALARY DIFFERENTIAL OF REGULAR HOLIDAY PAY

3.1. payrolls and/or

3.2. vouchers

4. PAYMENT OF SALARY DIFFERENTIAL FOR NON-AVAILMENT OF

SERVICE INCENTIVE LEAVE

4.1. payrolls and/or

4.2. vouchers

5. PAYMENT OF SALARY DIFFERENTIAL OF 13TH MONTH PAY

5.1. payrolls and/or

5.2. vouchers
6. PROOF OF COVERAGE AND REMITTANCE ON SSS, PHILHEALTH, AND
PAG-IBIG

6.1. Coverage and Remittance on SSS

6.1.1. Let the employee sign SSS Form R5 – Employer Contributions

Payment Return.

It looks like a bank deposit slip where you will need to write all the
information like the following:

Employer No.
Business Name
Business Address
Business Tin
Applicable Reporting Period
Type of Payor
Form of Payment (If cash or check)
Total Amount of Payment

6.1.2. Submit Form R5 together with form R3.

SSS Form R3 – Contribution Collection List is submitted monthly

or quarterly before the 10th of the following month. If the due date falls
on weekend or Holiday it must be submitted by the first working day
after.

The purpose of this form is to submit names of employees and employer

contributions to SSS.

6.1.3. After the employer paid the contribution, the bank or the SSS Office will
put a stamp on the R5 form that will serve as the employer proof of
payment.

6.1.4. Cash or Check Payable to Social Security System (SSS)

Here are the steps in paying SSS Contributions.

6.1.4.1. Fill out 3 copies of SSS Form R5 (see form #1 above) and
make sure all the company’s information are all correctly
written.
6.1.4.2. Fill out 3 copies of SSS Form R3 (see form #2 above)
6.1.4.3. Go to SSS office near you and pay the contributions.
6.1.4.4. Once you the contributions are paid, you still need to
submit the receipt together with the SSS R3 File in a USB
flash drive. This SSS R3 file can be created by the SSS R3
 generator. Click here to download the SSS R3 generator
from the SSS website.

This R3 File Generator Program was developed to assist

employers in the preparation of their monthly
contributions report. This R3 File generator will help
employer to submit contributions online. It is also
an assurance that each employee’s SSS contribution
are posted properly to their account.

6.2. Coverage and Remittance on PhilHealth

6.2.1. Deduct the amount of monthly premium corresponding to the

employee’s share from the employee’s basic monthly salary. Please
refer to the latest PhilHealth Premium Contribution Table by clicking
on the link.

6.2.2. Remit the employee’s premium contribution, together with the

employers’s share to any of the Accredited Collecting Agents (ACA)
nationwide on or before the due date. Please refer to the New Payment
Schedule below:

New Payment Schedule

Em Every 11th-15th day of the month
ployers following the applicable period
with
PENs
ending
in 0-4
Em Every 16th-20th day of the month
ployers following the applicable period
with
PENs
ending
in 5-9

Always use the PhilHealth Premium Payment Slip (PPPS) in remitting

the premiums by supplying the PhilHealth Employer Number (PEN),
Employer’s Business Name, Type of Membership whether as Private or
Government, Applicable Period to be paid for, and the Total Amount of
the premium contributions payment. Submit the PPPS, together with the
payment, to the tellering cashier of PhilHealth or ACA.
 6.2.3. Employers utilizing the Electronic Premium Remittance System
(EPRS) may conveniently submit over the internet the remittance list
report by posting in the EPRS, within five (5) days after payment, such
payment information (i.e, Official Receipt Number and the date
appearing hereon, as well as the Name of Collecting Agent where
payment was remitted) for the particular Statement of Premium Account
(SPA) generated thru the EPRS.

The E-Pay Services of the Bank of the Philippine Islands, Citibank,

Unionbank, Security Bank Development Bank of the Philippines, Asia
United Bank, China Banking Corporation, CTBC Bank
(Philippines) Corporation, Philippine National Bank, East West
Banking Corporation, RCBC Savings Bank, Philippine Veterans
Bank and Metropolitan Trust & Bank Company are also available
for the employers to facilitate payment and reporting of premium
contributions.

6.2.4. (Other Way)

Step 1: Employers need to first register their business through the

Philippines Business Directory.

Step 2: All employees must submit the PhilHealth Member Registration

Form (PMRF) to the HR department. Once that is done, you need to
register your employees by filling out Employee Data Record
(ER1) Form and submit the ER1 Form with the PMRF for each
employee.

Step 3: After the forms are processed, companies will be given the
following:

PhilHealth Employment Number (PEN)

Certificate of Registration
PhilHealth Identification Number (PIN)
Member Data Record (MDR) of registered employees.
The Certificate of Registration is required to be displayed clearly in
your business’s offices.

Step 4: After deducting employer and employee contributions from the

basic monthly salary, payment must be made to PhilHealth or
via Accredited Collecting Agents. The payment should be made on
or before the due date. The table below is from the PhilHealth
website:

Employers with PENs Every 11th-15th day of the month following

ending in 0-4 the applicable period
 Employers with PENs Every 16th-20th day of the month
ending in 5-9 following the applicable period

Step 5: Once the payment is done, you will have to report it within 5 days
with the revised RF-1 Form. Alternatively, you can report it online
using the Electronic Premium Reporting System

6.2. Coverage and Remittance on PAG-IBIG

6.2.1. Requirements: Before you register your business with Pag-IBIG, you
will need the following:

6.2.1.1. Employer’s Data Form (make sure you have a TIN and your
SSS employer number to fill the form)
6.2.1.2. Specimen Signature Form (SSF [HQP-PFF-003])
6.2.1.3. SSS certification
6.2.1.4. Proof of business existence (Business permit/ Mayor permit)

6.2.2. You need to fill these forms and take them to the nearest Pag-IBIG
service center.
6.2.3. After the documents are processed, you will receive the Pag-IBIG
Employer ID.
6.2.4. The following is the contribution that is required by the employer and
employee.

Employee Share Employee Share

PHP 1,500.00 and below 1% 2%
Over PHP 1,500.00 2% 2%

6.2.5. The Pag-IBIG registration process can be done online as well. After
deductions, payment to the fund can be done online or through one of
the accredited banks.

6.2.6. Additional Info:

For new employees in the company, you will have to file the ER2 form
to ensure that they are covered by PhilHealth too. Make sure to ask
them if the have their PIN so that you can add it to the ER2 form.
The form should be submitted to PhilHealth within 30 days of the
new employees coming into office. For separated employees, Form
RF1 must be filled and submitted within 30 days of the employee
leaving. To amend employer data, ER3 form must be filed along
with supporting documents.
7. REGISTRATION UNDER DO 174
NEW
A. Three (3) copies of duly accomplished
Application Form (TIN required)
With attached proof of compliance with
substantial capital requirement as defined in
Section 3 (l)
B. Any of the following:
□ Certified True Copy of the Certificate of
Registration from SEC, along with the
Articles of Incorporation; w/ a paid-up
capital
of P5,000,000.00;
□ Certified Copy of DTI Registration
Certificate and DTI Certification with net
worth of P5,000,000.00;
□ Certified True Copy of the Certificate of
Registration from the CDA with
P5,000,000.00 paid up capital
stocks/shares
□ Certified copy of Registration from the
DOLE if the applicant is a union.
C. Certified True Copy of License or Business
Permit / Mayor’s Permit issued by the Local
Government Unit where the contractors
operates.
D. Copy of duly audited financial statement, for
Corporation, Partnership, Cooperative or a
labor organization; or copy of the
latest Income Tax Return (ITR), for sole
proprietorship.
E. Sworn disclosure that the registrant, its Officers
and Owners or principal stockholders or any of □ Proof of submission of Contractor’s/Sub-
them, has not been operating or previously
operating as a contractor under a different
business name or entity or with pending cases
of violations of D.O. 174-17 and/or labor
standards or with a cancelled registration. In
case any of the foregoing has a pending case, a
copy of the complaint and the latest status of
the case shall be attached.
F. Certified listing with proof of ownership or □ No application for registration shall be
lease contract of facilities, tools, equipment,
premises implements, machineries and work
premises that are actually used by the
RENEWAL
□ Three (3) copies of duly accomplished
Application Form (TIN required).
□ Copies of all the updated supporting
documents in letters (a) to (e) of Section
15 shall be attached to the duly
accomplished application forms including
the following:
 Certificate of membership and
proof of payment of SSS, BIR,
ECC, Pag-IBIG contributions for
the last three (3) years, as well as
loan amortization; and
 Certificate of pending or no
pending labor standard violations
case/s with the NLRC and DOLE.
The pendency of a case will not
prejudice the renewal of
registration, unless there is a
finding of violation of labor
standards by the DOLE Regional
Director
**DOLE Clearance (Certificate of no
pending case)
 Application for Clearance/ Request
Form or letter request indicating the
purpose.
 Identification Card of the requesting
party.
□ Copy of previous Certificate of
Registration.
Contractor’s Semi-Annual Reports.
FILING AND PROCESSING OF
APPLICATION
□ The application, with all supporting
documents, shall be filed in triplicate in
the Regional Office where the applicant
principally operates.
accepted unless all the requirements in
the application are complied with.
 contractor in the performance of completion
of the specific job or work contracted out.
G. Photo of the office building and premises
where the contractor holds office;
NOTE:

* PAYMENT OF REGISTRATION FEE OF ONE HUNDRED THOUSAND PESOS (P100,

000.00) SHALL BE REQUIRED UPON APPROVAL OF THE APPLICATION.

*ALL REGISTERED CONTRACTORS SHALL APPLY FOR RENEWAL OF THEIR

CERTIFICATE OF REGISTRATION THIRTY (30) DAYS BEFORE THE
EXPIRATION OF THEIR REGISTRATION TO REMAIN IN THE ROSTER OF
LEGITIMATE SERVICE CONTRACTORS. THE APPLICANT SHALL PAY A
REGISTRATION RENEWAL FEE OF HUNDRED THOUSAND PESOS (P100, 000.00)
TO DOLE REGIONAL OFFICE
PRE-EVALUATION SHEET
(To be filled-up the DOLE-RO Frontliner/Pre-evaluator)
Return D.O. 174-17 Application and documents submitted
Reason for Returning D.O. 174-17 Application
Incomplete documentary requirements, namely:
______________________________________________________________________
Invalid documents, namely: _______________________________________________
______________________________________________________________________
Explained to the client the reason/s for returning D.O. 174-17 Application.
_____________________________________________________________________

(The application was not received.)

Reason for not accepting the D.O. 174-17 application was explained to me and returned all the documents that I have given and
presented.
_____________________________________________________________________
(Signature over Printed Name and Position of the Client)
Date:__________________

Name of Evaluator ___________________ Date of Evaluation _______________

8. SERVICE CONTRACT

9. REGISTRATION UNDER RULE 1020

9.1. General Provisions:

(9.1.1) Every employer as defined in Rule 1002 (1) shall register his
business with the Regional Labor Office or authorized
representative having jurisdiction thereof to form part of a
databank of all covered establishments.
 9.2. Registrable Unit:

(9.2.1) The establishment regardless of size of economic activity, whether

small, medium or large scale in one single location, shall be one
registrable unit.

9.3. Period of Registration:

(9.3.1.) Existing establishments shall be registered within sixty (60) days

after the effectivity of this Standards.

(9.3.2.) New establishments shall register within thirty (30) days before
operation.

9.4. Registration:

(9.4.1.) Registration shall be made in form DOLE-BWC-IP-3 in three

copies and to be submitted to the Regional Labor Office or
authorized representatives.

(9.4.2.) Registration shall be free of charge and valid for the lifetime of the
establishment except when any of the following conditions exists,
in which case, re-registration as if it were a new establishment is
required:

a. change in business name,

b. change in location,

c. change in ownership, or

d. re-opening after previous closing.

(9.4.3.) Registration shall include a layout plan of the place of work floor
by floor, in a scale of 1:100 meters white or blue print showing all
the physical features of the workplace including storage, exits,
aisles, machinery, clinic, emergency devices and location.

(9.4.4.) The registration form may be reprinted or reproduced and the back
page may be used for other information.

10. FIRE SAFETY INSPECTION CERTIFICATE

(See Appendix A )
(http://bfp.gov.ph/wp-content/uploads/2013/11/New-BFP-Citizen-Charter-FSIC.
pdf)
11. ORGANIZATION COMPOSITION OF SAFETY AND HEALTH
COMMITTEE

12. CERTIFICATE OF BOSH TRAINED SAFETY OFFICER

13. CERTIFICATE OF REDCROSS-TRAINED FIRST AIDER

TRAINING REQUIREMENTS:

13.1. Must be physically and medically fit as certified by a physician using

the PNRC-SS Form 401.
-The form for the Medical Certificate (PNRC-SS Form 401) is available
at the Safety Services Office or at the Information Desk.
-You can have your Medical Certification accomplished by a certified
physician of your choice.
13.2. 1"x1" picture (1 pc.) to be attached on the Participants Record.

14. ADMIN REPORTS ON HEALTH AND SAFETY