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DOLE SENA Request Form (Philippines)

DOLE SENA Request Form (Philippines)

REQUEST FOR SINGLE ENTRY APPROACH (SEnA)

Department of Labor and Employment (DOLE)

Pursuant to Republic Act No. 10396 and DOLE Department Order No. 151-16

Date: [Request Date]

SEnA Referral No.: _______________

REQUESTING PARTY:

Name: [Requesting Party Name]

Address: [Requesting Party Address]

Contact: [Requesting Party Contact]

RESPONDING PARTY:

Name: [Responding Party Name]

Address: [Responding Party Address]

Contact: [Responding Party Contact]

NATURE OF DISPUTE:

Type: [Dispute Nature]

EMPLOYMENT PERIOD:

[Employment Period]

DESCRIPTION OF DISPUTE:

[Dispute Description]

RELIEF REQUESTED:

[Relief Requested]

CERTIFICATION

I, [Requesting Party Name], hereby certify that the above statements are true and correct to the best of my knowledge, and that I am filing this SEnA Request in good faith to amicably resolve the labor dispute with [Responding Party Name]. I understand that the 30-day conciliation-mediation period under RA 10396 tolls the prescriptive period for my underlying labor claim.

[Requesting Party Name]

Requesting Party

For DOLE Office Use Only:

SEADO Assigned: _______________________

Conference Date: _______________________

Result: ________________________________

Requesting Party (Employee)

________________

Signature

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What Is a DOLE SENA Request Form (Philippines)?

A DOLE SENA Request Form in the Philippines sets out the particulars the recipient needs to deal with the request, in a structured and reviewable form.

The SEnA program assigns a DOLE-accredited Single Entry Approach Desk Officer (SEADO) to support conciliation-mediation between the requesting party (usually the employee) and the responding party (usually the employer) within a mandatory 30-calendar-day period from the date the SENA request is submitted. If the parties reach an amicable settlement, a settlement agreement is executed before the SEADO and has the force and effect of a compromise agreement under Article 227 of the Labor Code of the Philippines (PD 442). Compromise agreements in labor cases approved by the NLRC or the Labor Arbiter are final and binding and may not be disturbed on appeal.

If no settlement is reached within 30 days, the SEADO issues a Referral for appropriate action — either to the Labor Arbiter of the appropriate NLRC Regional Arbitration Branch, the DOLE Regional Director, or the Voluntary Arbitrator — depending on the nature of the dispute. The SEnA Request Form tolls the prescriptive period for the underlying labor cause of action during the conciliation-mediation period.

The SEnA program covers all labor and employment disputes except those involving the interpretation or implementation of collective bargaining agreements (CBAs), which go directly to the grievance machinery and Voluntary Arbitration under Article 274 of the Labor Code, and national interest cases certified by the DOLE Secretary to the NLRC under Article 278(g).

The legal framework governing the DOLE SENA Request Form (Philippines) in Philippines draws on several key statutes and regulatory bodies. Under Philippine law, the Civil Code of the Philippines (Republic Act No. 386) governs contractual obligations. The Revised Corporation Code (Republic Act No. 11232) regulates corporate entities through the Securities and Exchange Commission (SEC). The Labor Code of the Philippines (Presidential Decree No. 442) and Department of Labor and Employment (DOLE) govern employment matters. The Data Privacy Act of 2012 (Republic Act No. 10173) and the National Privacy Commission (NPC) protect personal data. The Bureau of Internal Revenue (BIR) administers tax obligations under the National Internal Revenue Code. Parties executing a DOLE SENA Request Form (Philippines) in Philippines should confirm the document reflects current law, including any amendments enacted since the original drafting date. The Local Government Code (RA 7160) sets the foundational requirements.

When Do You Need a DOLE SENA Request Form (Philippines)?

A DOLE SEnA Request Form in the Philippines is needed as a mandatory first step before any labor complaint may be formally filed with the NLRC or other labor adjudication bodies.

A DOLE SEnA Request Form is required when an employee who believes they have been illegally dismissed wants to file a complaint with the NLRC — the SEnA process under RA 10396 must be completed or declared terminated before the NLRC Labor Arbiter will docket the case.

A DOLE SEnA Request Form is needed when an employee wants to recover unpaid wages, overtime pay, 13th month pay (PD 851), service incentive leave pay (Article 95, Labor Code), or other monetary benefits, and the claim exceeds PHP 5,000 — making it within NLRC jurisdiction rather than DOLE visitorial enforcement.

A DOLE SEnA Request Form is filed when an employer and employee cannot resolve a workplace dispute through internal grievance mechanisms, and direct negotiation has broken down — the SEADO provides a neutral government mediator at no cost to either party.

A DOLE SEnA Request Form is needed when a worker wants to report unfair labor practice (ULP) under Articles 258-259 of the Labor Code, as ULP cases must also go through SEnA before NLRC filing unless a concurrent criminal complaint is filed with the Regional Trial Court under Article 303 of the Labor Code.

A DOLE SEnA Request Form is required for OFW (Overseas Filipino Worker) disputes involving violations of the standard employment contract approved by the Department of Migrant Workers (DMW, formerly POEA), where the worker is already back in the Philippines and seeking redress for unpaid wages or contract termination.

Parties in Philippines should prepare a DOLE SENA Request Form (Philippines) proactively rather than waiting for a dispute to arise. Courts interpret agreements based on the written terms rather than oral representations. Under Philippine law, the Civil Code of the Philippines (Republic Act No. 386) governs contractual obligations. The Revised Corporation Code (Republic Act No. 11232) regulates corporate entities through the Securities and Exchange Commission (SEC). The Labor Code of the Philippines (Presidential Decree No. 442) and Department of Labor and Employment (DOLE) govern employment matters. The Data Privacy Act of 2012 (Republic Act No. 10173) and the National Privacy Commission (NPC) protect personal data. The Bureau of Internal Revenue (BIR) administers tax obligations under the National Internal Revenue Code. Where the transaction involves regulated activities, prior approval from the relevant authority may be required before execution.

What to Include in Your DOLE SENA Request Form (Philippines)

A complete DOLE SEnA Request Form for the Philippines must include the following elements for the SEADO to properly process and schedule the conciliation-mediation conference under DOLE Department Order No. 151-16.

Requesting Party Information: Full name, address, and contact number of the requesting party (typically the worker or employee). For requests filed by a union on behalf of members, state the union name, CBA coverage, and Bureau of Labor Relations (BLR) registration number.

Responding Party Information: Full name, address, and contact number of the employer or responding party. For corporate employers, provide the company name, address, and the name of the officer with authority to negotiate and settle the dispute. Proper identification of the responding party is essential for the SEADO to issue a notice of conference.

Nature of Dispute: A brief description of the labor dispute, identifying the specific violation — illegal dismissal, money claims (enumerate specific unpaid benefits), unfair labor practice, or regularization claim. Cite the applicable provision of the Labor Code (PD 442) or other special law (e.g., PD 851 for 13th month pay, RA 11210 for maternity leave).

Relief Sought: The specific remedies requested — reinstatement, payment of backwages, unpaid monetary benefits with amounts if known, or other forms of redress. Quantifying the claim helps the SEADO focus the conciliation discussion.

Employment Details: Date of hiring, position held, salary rate (daily, weekly, or monthly), and — if the dispute involves termination — the date of dismissal and the reason given by the employer. These details are necessary for computing potential monetary awards.

Supporting Documents: Attach copies of the employment contract, payslips, notices of termination, disciplinary memos, or any other documents supporting the claim. While not strictly required at the SEnA stage, supporting documents strengthen the requesting party's position in mediation.

Additional compliance elements for a DOLE SENA Request Form (Philippines) used in Philippines include: Under Philippine law, the Civil Code of the Philippines (Republic Act No. 386) governs contractual obligations. The Revised Corporation Code (Republic Act No. 11232) regulates corporate entities through the Securities and Exchange Commission (SEC). The Labor Code of the Philippines (Presidential Decree No. 442) and Department of Labor and Employment (DOLE) govern employment matters. The Data Privacy Act of 2012 (Republic Act No. 10173) and the National Privacy Commission (NPC) protect personal data. The Bureau of Internal Revenue (BIR) administers tax obligations under the National Internal Revenue Code. Forms-legal.com provides this template as a starting point for Philippines-compliant documentation.

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Reference this free template in an article, syllabus, or research note:

APA

Forms Legal. (2026). DOLE SENA Request Form (Philippines) (Philippines) [Legal document template]. Forms Legal. https://forms-legal.com/philippines/government/court-forms/dole-sena-request-philippines

MLA

"DOLE SENA Request Form (Philippines) (Philippines)." Forms Legal, 2026, https://forms-legal.com/philippines/government/court-forms/dole-sena-request-philippines.

BibTeX
@misc{formslegal-dole-sena-request-philippines,
  author       = {{Forms Legal}},
  title        = {DOLE SENA Request Form (Philippines) (Philippines)},
  year         = {2026},
  howpublished = {\url{https://forms-legal.com/philippines/government/court-forms/dole-sena-request-philippines}},
  note         = {Free legal document template. Based on Local Government Code (RA 7160)}
}

Frequently Asked Questions

Based on Local Government Code (RA 7160) — Template last modified June 2026

This template is provided for informational purposes only and does not constitute legal advice. Laws vary by jurisdiction and change over time. Consult a qualified attorney for advice specific to your situation.Full disclaimer

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