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1. Employee Information: Basic details of the employee including full name, employee ID, department, and employment status
2. Dependent Information: Details of each dependent including full name, relationship to employee, date of birth, and citizenship
3. Supporting Documentation: List of required documents that must be attached to verify dependent status (birth certificates, marriage certificates, etc.)
4. Benefits Coverage Selection: Specification of which benefits are being requested for each dependent (healthcare, social security, etc.)
5. Declaration and Certification: Employee's sworn statement regarding the truthfulness of provided information
6. Data Privacy Consent: Authorization for collection and processing of personal information in compliance with the Data Privacy Act
7. Signature Block: Space for employee signature, date, and witness attestation if required
1. Additional Dependents Attachment: Extra pages for declaring more dependents if the standard form space is insufficient
2. Special Circumstances Declaration: Section for explaining unusual dependent situations (legal guardianship, court orders, etc.)
3. Foreign Dependent Information: Additional information required for non-Filipino dependents, including visa/residency status
4. Power of Attorney: Required when someone other than the employee is authorized to make dependent-related decisions
5. Previous Coverage Declaration: Information about prior benefit coverage for dependents from other sources
1. Schedule A - Document Checklist: Detailed list of required supporting documents for each type of dependent relationship
2. Schedule B - Benefit Entitlements: Summary of benefits available to different categories of dependents
3. Appendix 1 - Terms and Conditions: Detailed terms and conditions for dependent coverage and benefit claims
4. Appendix 2 - Privacy Notice: Detailed information about how personal data will be collected, used, and protected
Banking and Finance
Technology
Manufacturing
Retail
Healthcare
Education
Government
Construction
Transportation
Telecommunications
Business Process Outsourcing
Mining
Agriculture
Energy
Professional Services
Human Resources
Benefits Administration
Payroll
People Operations
Employee Relations
Compliance
Legal
Finance
HR Manager
Benefits Administrator
HR Director
Compensation and Benefits Specialist
HR Business Partner
HR Officer
Payroll Manager
HR Operations Manager
People Operations Manager
Employee Relations Manager
HR Compliance Officer
HR Information Systems Manager
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