Pasig City Safety Seal Application Form
Pursuant to DOLE-DOH-DILG-DOT-DTI Joint Memorandum Circular 21-01, s. 2021, local government units are mandated to implement the Safety Seal Certification Program in their respective localities, which aims to increase the compliance of establishments with minimum public health standards set by the government.

This application form can be used by establishments within the jurisdiction of Pasig City to express their intent and file their application for the conferment of the Pasig City Safety Seal.

The process will be as follows:

1. The business owner/authorized representative will fill out and submit the Safety Seal Application Form.
2. The City Government of Pasig will assess the application and inspect the establishment.
3. Once approved, a soft copy of the Safety Seal will be sent to the email address indicated in this application form.

Only those who passed the assessment and inspection will receive an email from the City Government of Pasig through containing the digital copy of the Safety Seal.

The owner/administrator of the establishment will print and post the Safety Seal in conspicuous places/ near the entrance of the establishment.

The City Government of Pasig is the sole owner of the information collected on this form. We only have access to collect information that you voluntarily give us via this form. We will not sell or rent this information to anyone. We will use your information for the the assessment and generation of the Safety Seal. We will not share your information with any third party outside of our organization, other than as necessary to fulfill your request. We may contact you via email, phone or during the inspection proper regarding the status and feedback about your Safety Seal.
Sign in to Google to save your progress. Learn more
Email *
Type of Application *
Clear form
Never submit passwords through Google Forms.
This form was created inside of City of Pasig. Report Abuse