CERTIFICATE OF SOLO

PARENTHOOD

TO WHOM IT MAY CONCERN,

This is to certify that [Full Name of

Solo Parent], a resident of
[Complete Address], is a
recognized solo parent within
Barangay [Name].

Based on our records, [Full Name

of Solo Parent] has been single-
handedly providing for the
welfare and upbringing of his/her
child/children since [Date]. This
certification is issued upon the
request of [Full Name of Solo
Parent] to avail the benefits
granted under the Solo Parents'
Welfare Act of 2000 (RA 8972).

This certification is issued without

any liability on the part of the
Barangay [Name] and is subject to
revocation at any time if any
information provided herein is
found to be false.

Given this [Day] of [Month, Year]

at [Location].
[Your Name]
[Your Position]
Barangay [Name]
[Complete Address]

Noted by:

[Barangay Captain's Name]

Barangay Captain
Barangay [Name]
[Complete Address]