PhilHealth Employer’s Remittance Report for PhilHealth Use
Fill PhilHealth Employer’s Remittance Report for PhilHealth Use online and download the official form as a PDF, ready to print. Every input is mapped to its printed box, so IDs, dates and amounts land digit by digit in the right cells, and a value the form cannot hold is refused with the reason instead of being printed wrong.
What you will need: PHILHEALTH NO, EMPLOYER TIN, COMPLETE EMPLOYER NAME, COMPLETE MAILING ADDRESS, TELEPHONE NO, EMAIL ADRESS, EMPLOYER TYPE, REPORT TYPE, APPLICABLE PERIOD, EMPLOYEES INFORMATION, Indicate Total Number of, REMITTED AMOUNT.
When it is due: PEN ending 0-4: the 11th-15th of the month following the applicable month; PEN ending 5-9: the 16th-20th. The reminder uses the 15th, the earlier window's last day..
The form is the agency's own, from philhealth.gov.ph (checked 2026-10-14): the PDF you download is that form with your values printed in its boxes.
Part of the form pack: Small office with 1–10 employees (Each month you remit PhilHealth premiums for your employees).
The free clean PDF is that pack’s shortest form. A later form in the same pack needs the Starter plan (₱499) or above. Preview, check, and verify stay free. Not affiliated with BIR, SSS, PhilHealth, Pag-IBIG or any government agency.
Fill PhilHealth Employer’s Remittance Report for PhilHealth Use now