Loading…
OVERSEAS WORKERS WELFARE ADMINISTRATION
WELFARE ASSISTANCE PROGRAM (WAP)
FOR OFW's/FAMILIES BY NATURAL CALAMITIES/DISASTERS
CLAIM FORM
Please Supply all required information.
Name of OFW
Lastname
*
Firstname
*
Middlename
Suffix
JR.
SR.
I.
II.
III.
IV.
V.
VI.
VII.
VIII.
IX.
X.
Birthdate
*
Sex
*
MALE
FEMALE
Passport No.
*
Civil Status
*
>
SINGLE
MARRIED
SEPARATED
ANNULED
WIDOW/ER
Contact No. (e.g 0956XXXXXXX)
*
Email
Address
Street
*
Province
*
ABRA
APAYAO
BATANES
BENGUET
CAGAYAN
IFUGAO
ISABELA
KALINGA
MOUNTAIN PROVINCE
NUEVA VIZCAYA
QUIRINO
Municipality
*
Barangay
*
Jobsite
*
AFARS AND ISSAS
AFGHANISTAN
ALBANIA
ALGERIA
AMERICAN SAMOA
ANDORRA
ANGOLA
ANGUILLA
ANTIGUA
ARGENTINA
ARMENIA
ARUBA
ASCENCION ISLAND
AUSTRALIA
AUSTRIA
AZERBAIJAN
BAHAMAS
BAHRAIN
BANGLADESH
BARBADOS
BELARUS/BELARUSSIA
BELGIUM
BELIZE
BENIN
BERMUDA
BHUTAN
BOLIVIA
BOPHUTHATSWANA
BOSNIA AND HERZEGOVINA
BOTSWANA
BRAZIL
BRITISH SOLOMON ISLANDS
BRITISH VIRGIN ISLAND
BRITISH WEST INDIES
BRUNEI DARUSSALAM
BULGARIA
BURKINA FASO
BURUNDI
CAMBODIA
CAMEROON
CANADA
CANAL ZONE
CANARY ISLAND
CAPE VERDE
CAROLINE ISLAND
CAYMAN ISLANDS
CENTRAL AFRICAN REPUBLIC
CHAD
CHILE
CHINA PEOPLES REPUBLIC OF
CHUUK STATE (TRUK ISLAND)
CISKEI
COLOMBIA
COMMONWEALTH OF THE NORTHERN MARIANA IS.
COMORO ISLANDS
CONGO
COOK ISLANDS
COSTA RICA
COTE D' IVOIRE (IVORY COAST)
CROATIA
CUBA
CURACAO
CYPRUS
CZECH REPUBLIC
CZECH REPUBLIC
CZECHOSLOVAKIA
DANISH INTERNATIONAL SHIP REGISTRY
DENMARK
DIEGO GARCIA
DJIBOUTI REPUBLIC OF
DOMINICA
DOMINICAN REPUBLIC
EAST AFRICA
EAST TIMOR
ECUADOR
EG MALABO
EGYPT
EL SALVADOR
EQUATORIAL GUINEA
ERITREA
ESTONIA
ETHIOPIA
EUROPEAN ECONOMIC COMMUNITY
FALKLAND ISLANDS (MALVINAS)
FAROE ISLANDS
FEDERATED STATES OF MICRONESIA
FIJI
FINLAND
FLOVENIA REPUBLIC OF
FRANCE
FRENCH GUIANA
FRENCH POLYNESIA
GABON
GAMBIA
GAZA STRIP
GEORGIA
GERMANY EAST
GERMANY REPUBLIC OF
GERMANY WEST
GHANA
GIBRALTAR
GREECE
GREENLAND
GRENADA
GUADELOUPE
GUAM
GUATEMALA
GUERNSEY
GUINEA
GUINEA-BISSAU
GUYANA
HAITI
HOLLAND
HONDURAS
HONGKONG
HUNGARY
ICELAND
INDIA
INDONESIA
IRAN (ISLAM REPUBLIC OF)
IRAQ
IRELAND
ISLE OF MAN
ISRAEL
ITALY
JAMAICA
JAPAN
JERSEY
JORDAN
KAZAKHSTAN
KENYA
KERGUELEN ISLAND
KIRIBATI
KOSOVO
KURDISTAN, IRAQ
KUWAIT
KYRGYZ REPUBLIC
LAOS
LATVIA
LEBANON
LESOTHO
LIBERIA
LIBYA
LIECHTENSTEIN
LITHUANIA
LUXEMBOURG
MACAU
MACEDONIA
MADAGASCAR
MALAWI
MALAYSIA
MALDIVES
MALI
MALTA
MARIANAS ISLAND
MARSHALL ISLANDS
MARTINIQUE
MAURITANIA
MAURITIUS
MAYOTTE
MEXICO
MICRONESIA, FEDERATED STATES OF
MID EAST
MIDWAY ISLAND
MOLDOVA, REPUBLIC OF
MONACO
MONGOLIA
MONTENEGRO REPUBLIC OF
MOROCCO
MOSCOW
MOZAMBIQUE
MYANMAR (BURMA)
NAMIBIA
NAMIBIA SOUTH WEST AFRICA
NAURU
NEPAL
NETHERLANDS
NETHERLANDS ANTILLES
NEW CALEDONIA
NEW HEBRIDES VANUATU
NEW ZEALAND
NICARAGUA
NIGER
NIGERIA
NIUE
NORFOLK ISLAND
NORTH KOREA
NORWAY
NORWEGIAN INTERNATIONAL SHIP REGISTRY
NOT STATED/NOT APPLICABLE
OMAN
PAKISTAN
PALAU
PALESTINE
PANAMA
PAPUA NEW GUINEA
PARAGUAY
PERU
PHILIPPINES
POHNPEI
POLAND
PONAPE
PORT CONAKRY
PORTUGAL
PUERTO RICO
QATAR
REUNION
RHODESIA ZIMBABWE
ROMANIA
ROTA
RUSSIA
RWANDA
SAINT KITTS AND NEVIS
SAINT LUCIA
SAINT VINCENT AND THE GRENADINES
SAIPAN
SAMOA (WESTERN SAMOA)
SAN MARINO
SAO TOME AND PRINCIPE
SAUDI ARABIA
SCOTLAND
SENEGAL
SERBIA
SEYCHELLES
SIERRA LEONE
SINGAPORE
SINT MAARTEN
SLOVAKIA
SLOVENIA
SOLOMON ISLANDS
SOMALIA
SOUTH AFRICA
SOUTH AMERICA
SOUTH KOREA
SOUTH POLE
SOUTH SUDAN
SPAIN
SPANISH NORTH AFRICA
SRI LANKA
ST PIERRE AND MIQUELON
ST. HELENA
SUDAN REPUBLIC
SURINAME
SWAZILAND
SWEDEN
SWITZERLAND
SYRIAN ARAB REPUBLIC
TAIWAN
TAJIKISTAN
TANZANIA, UNITED REPUBLIC OF
THAILAND
TINIAN
TOGO
TONGA
TRANSKEI
TRINIDAD AND TOBAGO
TRUST TERRITORY
TUKELAU
TUNISIA
TURKEY
TURKMENISTAN
TURKS AND CAICOS ISLANDS
TUVALU
UGANDA
UKRAINE
UNION OF SOVIET SOCIALIST REPUBLIC
UNITED ARAB EMIRATES
UNITED KINGDOM
UNITED STATES
UNKNOWN
UPPER VOLTA
URUGUAY
UZBEKISTAN
VANUATU ISLAND
VATICAN CITY
VENDA
VENEZUELA
VIETNAM
VIRGIN ISLANDS
WAKE ISLAND
WALLIS AND FUTUNA ISLANDS
WEST AFRICA
WESTERN EUROPE
YAP ISLAND
YEMEN NORTH
YEMEN REPUBLIC OF
YEMEN SOUTH
YUGOSLAVIA
ZAIRE
ZAMBIA
ZIMBABWE
OFW Category
*
LAND-BASED
SEA-BASED
Money Claims in Saudi Riyal
*
Money Claims in Peso
*
Company/Employer
*
Arrival Date
*
Employer Address
*
Position/Designation
From
To
Monthly Salary
Claimant: (in case of representative)
Relationship
*
BROTHER
CHILD
FATHER
HUSBAND
MOTHER
SISTER
WIFE
SELF
OTHERS
Lastname
*
Firstname
*
Middlename
Suffix
JR.
SR.
I.
II.
III.
IV.
V.
VI.
VII.
VIII.
IX.
X.
Civil Status
*
SINGLE
MARRIED
SEPARATED
ANNULED
WIDOW/ER
Birthdate
*
Please Upload Required Documents
Copy of OFW Passport
Copy of Claimant Valid ID
Proof of Relationship
Authorization letter
Aking ipinahahayag na:
Aking pinatutunayan ang katotohanan ng mga impormasyong aking nabanggit.
Aking nauunawaan na anomang maling pahayag o panlilinlang sa dokumentong ito ay may katumbas na kriminal na pananagutan.
Submit Application
Powered by:
OVERSEAS WORKERS WELFARE ADMINISTRATION
×