Emergency - Accident Assistance Program (E-ASAP)

Service Information: Program covers cases resulting to injuries due to accident related cases and special emergency cases that needs medical attention.
Office or Division Community Affairs Office Type of Transaction G2C (Government to Citizen)
Classification Simple Who May Avail Open to all Talisaynon ages 18 years old and above and in special cases to any individual who suffers injuries or needs medical attention due to accident within the Province of Negros Occidental.
CHECKLIST OF REQUIREMENTS WHERE TO SECURE

  1. For Injury caused by accident
    1.1 E-ASAP Application Form (Original – 1 Copy)
    1.2 Hospital Admission or Discharge Record (Original or Certified Photocopy from the Hospital – 1 Copy)
    1.3 Medical Certificate (Original or Certified Photocopy from the Hospital – 1 Copy)
    1.4 Authorization Letter from the Patient (Original - 1 Copy)
    1.5 Residence Certificate / Cedula (Photocopy – 1 Copy)
    1.6 Blotter Report (Original – 1 Copy)

    1.7 Claimant’s ID (Photocopy – 1 Copy)



  2. Death due to accident
    2.1 E-ASAP Application Form (Original – 1 Copy)
    2.2 Death Certificate ( Certified Photocopy – 1 Copy)

    2.3 Blotter Report (Original – 1 Copy)

    2.4 Claimant’s ID (Photocopy – 1 Copy)

  1. For Injury caused by accident
    1.1 Community Affairs Office
    1.2 Hospital where the patient is / was admitted

    1.3 Hospital where the patient is / was admitted
    1.4 Community Affairs Office
    1.5 City Treasurer’s Office / Barangay Hall
    1.6 PNP Office where the accident happened; If the accident happened outside Talisay City, blotter report must be authenticated by Talisay PNP
    1.7 Any Valid ID or Government Issued ID
           - Company ID
           - SSS / UMID ID / DFA / Postal ID

  2. Death due to accident
    2.1 Community Affairs Office
    2.2.1 Hospital – If the Deceased was brought to the Hospital before death
    2.2.2 Funeral Home – If the Deceased was brought directly to the funeral home
    2.3 PNP Office where the accident happened; If the accident happened outside Talisay City, blotter report must be authenticated by Talisay PNP
    2.4 Any Valid ID or Government Issued ID
           - Company ID
           - SSS / UMID ID / DFA / Postal ID
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