Nothing Special   »   [go: up one dir, main page]

Oca Attestation Form

Download as docx, pdf, or txt
Download as docx, pdf, or txt
You are on page 1of 3

ATTESTATION FORM

I, JOHN DALTON M. VELASCO, Nutrition Officer III, a duly authorized representative of


MHO-LGU ARAYAT PAMPANGA, do hereby declare and attest to the following:

1. That all individuals listed are part of this facility/institution of _MHO-LGU ARAYAT,
PAMPANGA, CENTRAL LUZON]; are among the list of eligible healthcare workers to
receive One COVID-19 Allowance (OCA) as prescribed in the General Appropriation
Act of 2022 and DOH-DBM Joint Circular No. 2022-0001: “Guidelines on the Grant of
One COVID-19 Allowance (OCA) to Public and Private Health care Workers (HCWs)
and Non-HCWs in Health Facilities Involved in COVID-19 Response ” and other related
laws and policies.

2. That this submission had been executed strictly in accordance with the provisions
indicated in the General Appropriation Act of 2022 and DOH-DBM Joint Circular No.
2022-0001: “Guidelines on the Grant of One COVID-19 Allowance (OCA) to Public and
Private Health care Workers (HCWs) and Non-HCWs in Health Facilities Involved in
COVID-19 Response.”

3. That all individuals listed in the One COVID-19 Allowance Information System
(OCAIS) have provided the information indicated therein with full knowledge that the
processing thereof is necessary for the COVID-19 Risk Exposure Classification and for
the processing of OCA, in accordance with the Republic Act No. 10173, otherwise
known as the Data Privacy Act of 2012;

4. That all individuals listed and encoded/uploaded to the OCAIS have provided the
information indicated therein with expectation that the relevant government agencies will
uphold the rights of the data subjects, implement the appropriate security measures, and
will remain adherent to the general data privacy principles of transparency, legitimate
purpose, and proportionality, in processing their personal information; and

5. That all matters set forth listed or uploaded/encoded to the OCAIS have been made in
good faith, duly verified by me and to the best of my knowledge and belief are true and
correct.

Done this 7TH day of MARCH, 2022 in ARAYAT, PAMPANGA

By:

JOHN DALTON M. VELASCO, RM, RN

Nutrition Officer III

Approved and Noted by:

……………………………

PAULINO L. AUSTRIA, JR. MD

Municipal Health Officer


Letter of Intent

March 07, 2022

LEOPOLDO J. VEGA, MD, FPCS, FPATACSI, MBA-H


Undersecretary of Health/Chief of Staff
Administration and Financial Management Team
Department of Health

Dear Usec. Vega,

In the exigency of the implementation of the One COVID-19 Allowance Information System
(OCAIS), our facility, MUNICIPAL HEALTH OFFICE, located at BRGY. PLAZANG LUMA,
ARAYAT, PAMPANGA, would like to express our intent to register in the aforementioned
information system.

Furthermore, we are hereby designating the following authorized personnel to manage our
health facility’s account:

1. JOHN DALTON M. VELASCO, NUTRITION OFFICER III, MHO ARAYAT,


PAMPANGA) – johndaltonvelasco@gmail.com 09234921895

Moreover, the abovementioned designates shall be responsible in securing the masterlists and
complying with the requirements in processing the One COVID-19 Allowance of all healthcare
workers in this health facility.

You might also like