CHECKLIST FOR DEPARTMENT ORDER No



CHECKLIST FOR ISSUANCE OF CERTIFICATE OF REGISTRATION PURSUANT TO

DEPARTMENT ORDER No. 174-17

(Job Contractor/Sub-Contractor)

□ CORPORATION □ SINGLE PROPRIETORSHIP □ PARTNERSHIP □ COOPERATIVE □ LABOR ORGANIZATION

|NEW |RENEWAL |

| | |

|A. Three (3) copies of duly accomplished Application Form (TIN required)| |

|With attached proof of compliance with substantial capital requirement as |□ Three (3) copies of duly accomplished Application Form (TIN |

|defined in Section 3 (l) |required). |

|B. Any of the following: |□ Copies of all the updated supporting documents in letters (a) to |

|□ Certified True Copy of the Certificate of Registration from SEC, along |(e) of Section 15 shall be attached to the duly accomplished |

|with the |application forms including the following: |

|Articles of Incorporation; w/ a paid-up capital |Certificate of membership and proof of payment of SSS, BIR, ECC, |

|of P5,000,000.00; |Pag-IBIG contributions for the last three (3) years, as well as loan |

| |amortization; and |

|□ Certified Copy of DTI Registration Certificate and DTI Certification |Certificate of pending or no pending labor standard violations case/s|

|with net worth of P5,000,000.00; |with the NLRC and DOLE. The pendency of a case will not prejudice the|

|□ Certified True Copy of the Certificate of Registration from the CDA with|renewal of registration, unless there is a finding of violation of |

|P5,000,000.00 paid up capital stocks/shares |labor standards by the DOLE Regional Director |

|□ Certified copy of Registration from the DOLE if the applicant is a |**DOLE Clearance (Certificate of no pending case) |

|union. |Application for Clearance/ Request Form or letter request indicating |

|C. Certified True Copy of License or Business Permit / Mayor’s |the purpose. |

|Permit issued by the Local Government Unit where the contractors operates.|Identification Card of the requesting party. |

|D. Copy of duly audited financial statement, for Corporation, Partnership,|□ Copy of previous Certificate of |

|Cooperative or a labor organization; or copy of the latest |Registration. |

|Income Tax Return (ITR), for sole proprietorship. | |

|E. Sworn disclosure that the registrant, its Officers and Owners or |□ Proof of submission of Contractor’s/Sub-Contractor’s Semi-Annual |

|principal stockholders or any of them, has not been operating or |Reports. |

|previously operating as a contractor under a different business name or |FILING AND PROCESSING OF APPLICATION |

|entity or with pending cases of violations of D.O. 174-17 and/or labor |□ The application, with all supporting documents, shall be filed in |

|standards or with a cancelled registration. In case any of the foregoing |triplicate in the Regional Office where the applicant principally |

|has a pending case, a copy of the complaint and the latest status of the |operates. |

|case shall be attached. |□ No application for registration shall be accepted unless all the |

|F. Certified listing with proof of ownership or lease contract of |requirements in the application are complied with. |

|facilities, tools, equipment, premises implements, machineries and work | |

|premises that are actually used by the 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 |

Name of Evaluator ___________________ Date of Evaluation _______________

-----------------------

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:__________________

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