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No Pending Case Form
BWC form for no pending case
Your Browser Doesn't Support Canvas. Showing the Text Content of the PDF Instead: REFERENCE NUMBER: __________
Republic of the Philippines
Department of Labor and Employment
BUREAU OF WORKING CONDITIONS
Labor Standards Review and Appealed Division
REQUEST FOR CERTIFICATION OF HAS/HAS NO PENDING CASE
(Please write legibly)
Name: _____________________________________________________________________
ContactNo.: _________________________________________________________________
Address: ___________________________________________________________________
Name if Company: ___________________________________________________________
Address of Company: _________________________________________________________
Purpose:
___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
___________________________
Signature
DATE:______________________
___________________________________________________________________________
(to be filled-up by the Action Officer)
Requirements submitted
( ) Letter Request
( ) Photocopy of the official receipt of the bidding fee(if for bidding purposes)
( ) Photocopy of any document showing that the DOLE CLEARANCE is being required
( ) Photocopy of DOLE Registration under Rule 1020; and
( ) Photocopy of DOLE Registration under D.O. 18-02,. If the requesting company is a contractor /
subcontractor.
Date/Time of completion of all requirements ________________________________________
Action Officer: ________________________________________________________________
--------------------------------------------------------------------------------------------------------------------------
CLAIM STUB
REFERENCE NUMBER:__________
The certification of has/or no pending case on appeal before the Office of the Secretary of
Labor
and
Employment
shall
be
released
on______________________,
to___________________________. Please present this stub to the Action Officer.
__________________
Action Officer
