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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) □ Three (3) copies of duly accomplished
With attached proof of compliance with substantial Application Form (TIN required).
capital requirement as defined in Section 3 (l) □ Copies of all the updated supporting documents
B. Any of the following: in letters (a) to (e) of Section 15 shall be
attached to the duly accomplished application
forms including the following:
□ Certified True Copy of the Certificate of
 Certificate of membership and proof of
Registration from SEC, along with the payment of SSS, BIR, ECC, Pag-IBIG
Articles of Incorporation; w/ a paid-up capital contributions for the last three (3) years,
of P5,000,000.00; as well as loan amortization; and
□ Certified Copy of DTI Registration Certificate  Certificate of pending or no pending
and DTI Certification with net worth of labor standard violations case/s with
P5,000,000.00; the NLRC and DOLE. The pendency of
□ Certified True Copy of the Certificate of
a case will not prejudice the renewal of
registration, unless there is a finding of
Registration from the CDA with P5,000,000.00
violation of labor standards by the
paid up capital stocks/shares
DOLE Regional Director
□ Certified copy of Registration from the DOLE if
**DOLE Clearance (Certificate of no pending case)
the applicant is a union.
 Application for Clearance/ Request Form or
C. Certified True Copy of License or Business Permit
letter request indicating the purpose.
/ Mayor’s 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 □ Copy of previous Certificate of
Corporation, Partnership, Cooperative or a labor Registration.
organization; or copy of the latest Income Tax Return
(ITR), for sole proprietorship. □ Proof of submission of Contractor’s/Sub-
Contractor’s Semi-Annual Reports.
E. Sworn disclosure that the registrant, its Officers and
Owners or principal stockholders or any of them, has FILING AND PROCESSING OF APPLICATION
not been operating or previously operating as a
contractor under a different business name or entity or
□ The application, with all supporting documents,
shall be filed in triplicate in the Regional Office
with pending cases of violations of D.O. 174-17 and/or
where the applicant principally operates.
labor standards or with a cancelled registration. In case
any of the foregoing has a pending case, a copy of the □ No application for registration shall be accepted
complaint and the latest status of the case shall be unless all the requirements in the application are
attached. complied with.
F. Certified listing with proof of ownership or lease
contract of 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

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 _______________

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