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PSA Document Request Endorsement Letter (Philippines)

PSA Document Request Endorsement Letter (Philippines)

[Letter Date]

The Officer-in-Charge

PSA Serbilis / Civil Registration Services

Philippine Statistics Authority

RE: AUTHORIZATION TO REQUEST / RECEIVE PSA CIVIL REGISTRY DOCUMENTS

To Whom It May Concern:

I, [Owner Name], of legal age, with home address at [Owner Address] and mobile number [Owner Mobile], hereby authorize [Rep Name] ([Rep Relationship]) of [Rep Address], mobile number [Rep Mobile], to request, follow up, and receive on my behalf the following Philippine Statistics Authority (PSA) civil registry document(s):

DOCUMENTS REQUESTED:

[Document Types]

Name on document (if applicable): [Document Owner Name on Record]

Date of Birth of Document Owner: [Owner DOB]

PSA Owner's Copy Serial No.: [Owner Serial Number]

Number of copies per document: [Number of Copies]

PURPOSE: [Purpose of Request]

[Validity Period]

My authorized representative will present the following identification documents at the time of the request:

(1) Their own valid government-issued photo ID: [Rep ID Type]

(2) A photocopy of my valid government-issued photo ID (attached herewith)

I confirm that this authorization is freely given, that [Rep Name] is known to me personally, and that the purpose of this request is legitimate and in accordance with PSA guidelines and the Civil Registry Law (Act No. 3753).

Thank you for your kind assistance.

Respectfully yours,

[Owner Name]

Document Owner

Date: [Letter Date]

Contact: [Owner Mobile]

ATTACHMENTS:

1. Photocopy of Document Owner's valid government-issued ID (PhilSys National ID / Passport / UMID / Driver's License / PRC ID / Voter's ID)

2. Representative's valid government-issued photo ID (to be presented in person at PSA Serbilis)

3. Payment for PSA document fees (PHP 155.00 per copy — subject to current PSA schedule of fees)

Document Owner

________________

Signature

Witness (optional, for notarized versions)

________________

Signature

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What Is a PSA Document Request Endorsement Letter (Philippines)?

A PSA Document Request Endorsement Letter in the Philippines puts the writer's position in formal terms, setting out the facts relied on and the response or action it seeks.

3753) and Philippine Statistical Act (RA 10625).

The PSA issues these documents through PSA Serbilis walk-in centers (principal office at East Avenue, Quezon City, and regional offices nationwide), the online ordering portal at serbilis.psa.gov.ph, authorized outlet partners (SM Business Centers, Robinsons Business Centers, Mercury Drug stores, and Bayad Centers), and the PSA Mobile Civil Registration Service deployed to remote municipalities. For in-person document requests at PSA Serbilis centers, the PSA requires that requests be made by the document owner personally or by an authorized representative bearing a duly accomplished authorization letter and a valid government-issued ID of both the document owner and the representative.

The PSA endorsement letter requirement is grounded in the Civil Registry Law (Act No. 3753, as amended), which treats civil registry documents as official government records requiring controlled access to protect against identity fraud, document falsification under Articles 171-172 of the Revised Penal Code, and unauthorized disclosure of personal information protected under the Data Privacy Act of 2012 (RA 10173) administered by the National Privacy Commission (NPC). The PSA's civil registry database — the Philippine Civil Registration Information System (PhilCRIS) — contains birth, marriage, and death records of over 110 million Filipinos, making data security and authorized-access controls essential.

Under the Local Civil Registry Law (Act No. 3753, as amended by RA 9048 and RA 10172) and Department of Interior and Local Government (DILG) memoranda, local civil registrars (LCRs) at city and municipal offices maintain the original civil registry records, while the PSA holds the national copies certified under the seal of the PSA Administrator. The PSA endorsement letter serves as the documentary authorization trail protecting both the PSA and the document owner from unauthorized document retrieval — a safeguard that has become more important with the proliferation of identity theft cases investigated by the National Bureau of Investigation (NBI) Cybercrime Division and the PNP Anti-Cybercrime Group (ACG).

Philippine law governing the PSA endorsement letter draws on Act No. 3753 (Civil Registry Law), RA 10625 (Philippine Statistical Act of 2013), RA 11055 (Philippine Identification System Act), RA 10173 (Data Privacy Act of 2012), and Article 172 of the Revised Penal Code on document falsification. The Department of Foreign Affairs (DFA) and the Bureau of Immigration (BI) regularly require PSA-authenticated civil registry documents apostilled under RA 11477 (Philippine Apostille Act, effective May 14, 2019) for passport and citizenship transactions.

When Do You Need a PSA Document Request Endorsement Letter (Philippines)?

A PSA Endorsement Letter in the Philippines is needed whenever an individual cannot personally appear at a PSA Serbilis center or outlet to request their own civil registry documents and must send a representative. The most common situations requiring a PSA endorsement letter include the following.

Overseas Filipino Workers (OFWs): Filipino overseas workers whose birth certificates, marriage certificates, or CENOMAR documents are needed by family members in the Philippines for passport renewal, school enrollment, or estate settlement proceedings under Rule 74 of the Rules of Court while the OFW is deployed abroad. The PSA endorsement letter, authenticated by the Philippine Overseas Labor Office (POLO) or Philippine Consulate General in the host country, authorizes the OFW's family member to claim the documents.

PWDs and hospitalized individuals: Persons with disabilities and individuals who are hospitalized or medically unable to travel to PSA offices may authorize a representative through a PSA endorsement letter, consistent with the Magna Carta for Persons with Disability (RA 7277) principle of accessibility.

Employment and immigration processing: Employees needing PSA-authenticated birth or marriage certificates for POEA deployment documents, DFA passport applications, NBI clearance requirements, or immigration petitions before USCIS, UK Visas and Immigration (UKVI), or the Australian Department of Home Affairs may authorize a representative to request documents on their behalf when time constraints prevent personal appearance.

Dual citizenship and foreign visa applications: Filipinos processing dual citizenship recognition under RA 9225 (Citizenship Retention and Re-Acquisition Act of 2003) administered by the Bureau of Immigration (BI) and the Commission on Filipinos Overseas (CFO) frequently need apostilled PSA documents and require endorsement letters for their Philippine-based representatives.

Estate settlement and legal proceedings: Family members requesting the PSA death certificate of a recently deceased relative for estate proceedings before the Regional Trial Court (RTC) or before the BIR for estate tax purposes under Section 84 of the National Internal Revenue Code must present an endorsement letter where the requestor is not the immediate next of kin.

Documents for court cases: PSA civil registry documents used as evidence before the Regional Trial Court (RTC), Court of Appeals, or Supreme Court of the Philippines in cases involving filiation, legitimacy, annulment under the Family Code (EO 209), or legal name change under Rule 103 of the Rules of Court require authenticated PSA copies obtained through proper authorization channels.

What to Include in Your PSA Document Request Endorsement Letter (Philippines)

A Philippine PSA Document Request Endorsement Letter must contain specific elements to be accepted by PSA Serbilis staff at walk-in centers, online outlet partners, and authorized collecting agents.

Letter Heading and Title: Clear identification as an 'Authorization Letter for PSA Document Request,' 'PSA Endorsement Letter,' or — for high-stakes legal, immigration, or foreign-submission purposes — a 'Special Power of Attorney for PSA Document Request' notarized under the 2004 Rules on Notarial Practice (A.M. No. 02-8-13-SC). PSA Serbilis centers at East Avenue (Quezon City), SM Business Centers, Robinsons Business Centers, Mercury Drug, and Bayad Centers accept informal authorization letters for routine requests; the Department of Foreign Affairs (DFA), the Bureau of Immigration (BI), USCIS petitions, and UK Visas and Immigration (UKVI) applications typically require notarized or apostilled documents.

Document Owner's Information: Full legal name exactly as it appears on civil registry records maintained by the Local Civil Registrar (LCR) and in the Philippine Civil Registration Information System (PhilCRIS), date of birth, complete home address, mobile number, and the PSA Owner's Copy Serial Number from any previously issued PSA certificate (which speeds up record retrieval in PhilCRIS). Including the document owner's PhilSys National ID number (PhilSys Number or PSN) issued under RA 11055 (Philippine Identification System Act) accelerates identity verification.

Representative's Information: Full legal name of the authorized representative, their specific relationship to the document owner (spouse, parent, sibling, child, employer, legal counsel, or accredited POLO representative), complete residential address, and active mobile number. The representative must be a natural person of legal age and must present a valid government-issued ID upon claiming the documents — PhilSys National ID, Philippine Passport (DFA), Unified Multi-Purpose ID (UMID), Driver's License (LTO), PRC Professional ID, Voter's ID (COMELEC), or other PSA-accepted identification.

Specific Documents Authorized: Each PSA civil registry document type must be individually and explicitly listed — birth certificate (PSA Form No. 102), marriage certificate (PSA Form No. 97), death certificate (PSA Form No. 103), or Certificate of No Marriage Record (CENOMAR) — with the document owner's full name, date of the civil registry event (date of birth, marriage, or death), place of registration with the Local Civil Registrar (LCR) of the city or municipality, and the stated purpose for the request (e.g., passport application under RA 8239, school enrollment under DepEd regulations, NBI clearance, USCIS visa petition, estate settlement proceedings under Rule 74 of the Rules of Court, or BIR estate tax compliance under Section 84 of the National Internal Revenue Code).

Apostille or POLO Authentication (for OFW-executed letters): For authorization letters executed abroad by Overseas Filipino Workers (OFWs) or Filipino nationals residing outside the Philippines, the letter must be authenticated by the Philippine Overseas Labor Office (POLO) or the Philippine Consulate General or Embassy in the host country, or apostilled under the Hague Apostille Convention as acceded to by the Philippines through RA 11477 (effective May 14, 2019). Apostilled letters are accepted by all Philippine government agencies including the PSA, DFA, BI, and Regional Trial Courts (RTCs).

Validity Period: A specific validity period (e.g., 30 or 60 days from the date of signing) or a 'valid until the specific document is received' clause to prevent unauthorized reuse of the authorization for subsequent document requests not covered by the original authorization.

Identification Undertaking and Photocopy of Document Owner's ID: The representative must present and submit a photocopy of the document owner's valid government-issued ID — PSA Serbilis staff compare the document owner's signature on the authorization letter against the signature on the submitted ID copy, consistent with data protection controls under the Civil Registry Law (Act No. 3753) and the Data Privacy Act of 2012 (RA 10173) administered by the National Privacy Commission (NPC).

Signature Block: The document owner's handwritten wet-ink signature (not digital or printed), full printed name, and date of signing. For documents executed in the Philippines before a notary public, the notarial certificate under the 2004 Rules on Notarial Practice confirms the signatory's identity and the voluntariness of the act. The forms-legal.com PSA Document Request Endorsement Letter (Philippines) template incorporates all PSA Serbilis acceptance requirements for authorized civil registry document retrieval across all document types and submission channels.

Cite this page

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

APA

Forms Legal. (2026). PSA Document Request Endorsement Letter (Philippines) (Philippines) [Legal document template]. Forms Legal. https://forms-legal.com/philippines/government/court-forms/psa-endorsement-letter-philippines

MLA

"PSA Document Request Endorsement Letter (Philippines) (Philippines)." Forms Legal, 2026, https://forms-legal.com/philippines/government/court-forms/psa-endorsement-letter-philippines.

BibTeX
@misc{formslegal-psa-endorsement-letter-philippines,
  author       = {{Forms Legal}},
  title        = {PSA Document Request Endorsement Letter (Philippines) (Philippines)},
  year         = {2026},
  howpublished = {\url{https://forms-legal.com/philippines/government/court-forms/psa-endorsement-letter-philippines}},
  note         = {Free legal document template. Based on Civil Registry Law (Act No. 3753) and Philippine Statistical Act (RA 10625)}
}

Frequently Asked Questions

Based on Civil Registry Law (Act No. 3753) and Philippine Statistical Act (RA 10625) — 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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