eNotaries.ph
ENFIL

Free Legal Form

Authorization Letter to Claim a Pension or Benefit

To let a family member or other trusted person claim a pension, cash aid or other benefit for you. Check first whether the agency accepts a letter.

The Letter

For example, 8 October 2026.

For example, The Head, Office of the Senior Citizens Affairs (OSCA), Lipa City. Leave it empty for "To whom it may concern".

You

In years, for example 34.

For example, OSCA ID No. 2024-0123, or the number on your benefit card. Leave it empty to skip.

For example, 0917 123 4567.

Your Representative

For example, son, or niece. The letter adds "my".

What to Claim

For example, my monthly senior citizen allowance, or my monthly pension.

For example, the City Government of Lipa, through its Office of the Senior Citizens Affairs.

For example, for the first quarter of 2027, or until I revoke this letter in writing.

For example, I am bedridden after a stroke, or I am 85 years old and cannot travel.

IDs

For example, Senior Citizen ID No. 12345.

For example, PhilSys ID No. 1234-5678-9012-3456.

What you type is kept on this device only, so you can come back and finish later. Nothing is sent anywhere. Press Clear to erase it, especially on a shared phone or computer.

AUTHORIZATION LETTER

date

TO WHOM IT MAY CONCERN:

I, full name, age years old, and residing at address, hereby authorize representative's full name, my relationship, to claim and receive on my behalf pension or benefit, paid by agency or office, period.

I am not able to claim it personally because reason. My representative may sign the payroll, receipts and other papers needed to receive it, and shall turn over to me everything received.

Attached are copies of my ID type and number and of my representative's ID type and number. My representative's specimen signature appears below. You may reach me or my family at contact number to confirm this authority.

Thank you.

Very truly yours,

representative's full name
Specimen signature of representative
full name
Signature or thumbmark over printed name

Before You Print

  • Not legal advice. This is a general form. For your own situation, consult a lawyer, especially if your case is unusual or a lot of money is involved.
  • It does not need a notary to be valid. Sign it, and keep a signed copy.
  • SSS and GSIS have their own forms and rules for representatives and for pensioners who cannot go in person. Check with them before relying on this letter. They may ask for their own form or a notarized Special Power of Attorney (SPA).
  • The same goes for a local government's senior citizen pension or a cash aid program: ask the office, such as the OSCA or the social welfare office, what a representative must bring.
  • This is a simple letter, not notarized. Give your representative a copy of your ID and have them bring their own.

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