Republic of the Philippines
Office of the President
Philippine Charity Sweepstakes Office

Ambulance Donation Program

BRIEF DESCRIPTION OF THE PROGRAM

The PCSO, under the Ambulance Donation Program (ADP), is being reviewed with regard to the type of the units to be provided under the program.

List of Requirements for Ambulance Donation Program

  • For Local Government Units (LGUs)
    1. Request Letter addressed to:

      ANSELMO SIMEON P. PINILI
      Chairperson
      Philippine Charity Sweepstakes Office
      Sun Plaza Building, 1507 Shaw Boulevard, Mandaluyong City

      OR

      ALEXANDER F. BALUTAN
      General Manager
      Philippine Charity Sweepstakes Office
      Sun Plaza Building, 1507 Shaw Boulevard, Mandaluyong City

    2. Justification for Donation
      1. Background of Requesting Party / LGU Profile
        • Official Name/Title of Requesting Party
        • Name of Contact Person, Official Designation, Office and Mailing address/es, contact number/s and e-mail address
      2. Letter from the Head of the Municipal Health Center that the ambulance unit will be attached to the Local Health Center Facility
    3. Resolution Requesting Ambulance Unit
      • LGU – Local Sanggunian: Panlalawigan (Province) / Panlungsod (City) / Bayan (Municipality)
    4. Requirement for 60-40% Cost Sharing Scheme for 1st, 2nd & 3rd Class Province, Cities & Municipalities
      • Certification of Availability of Funds from the Provincial, City, Municipal Treasurer for the cost sharing of 40% of the total cost of the ambulance unit

    Reference: For Local Government Units (LGUs)

  • For National Government Agencies / Government Instrumentalities and Government Owned and Controlled Corporations
    1. Request Letter addressed to:

      ANSELMO SIMEON P. PINILI
      Chairperson
      Philippine Charity Sweepstakes Office
      Sun Plaza Building, 1507 Shaw Boulevard, Mandaluyong City

      OR

      ALEXANDER F. BALUTAN
      General Manager
      Philippine Charity Sweepstakes Office
      Sun Plaza Building, 1507 Shaw Boulevard, Mandaluyong City

    2. Justification for Donation
      • Background of Requesting Party
        1. Official Name/Title of Requesting Party
        2. Name of Contact Person, Official Designation, Office and Mailing address/es, contact number/s and e-mail address
        3. Profile of Requesting Party
          • Organization Profile to include, among others, mandate, statement of vision mission, objectives, nature of organization, financial condition, programs/services, officials, organizational/functional structure and clientele
        4. Location Map of Domicile/Place of Operation and its Contiguous Areas
    3. Resolution Requesting Ambulance Unit
      • NGA’s, GI’s & GOCC’s - Board of Directors / Trustees. Said resolution must reflect grant of authority to the head of organization to request for such vehicle, as well as the provision for the allocation of the necessary funds for its utilization/operation and maintenance

    Reference: For National Government Agencies / Government Instrumentalities and Government Owned and Controlled Corporations

  • For Non-Governmental Organizations / Foundations / Associations and Federations
    1. Request Letter addressed to:

      ANSELMO SIMEON P. PINILI
      Chairperson
      Philippine Charity Sweepstakes Office
      Sun Plaza Building, 1507 Shaw Boulevard, Mandaluyong City

      OR

      ALEXANDER F. BALUTAN
      General Manager
      Philippine Charity Sweepstakes Office
      Sun Plaza Building, 1507 Shaw Boulevard, Mandaluyong City

    2. Justification for Donation
      • Background of Requesting Party
        1. Official Name/Title of Requesting Party
        2. Name of Contact Person, Official Designation, Office and Mailing address/es, contact number/s and e-mail address
        3. Profile of Requesting Party
          • Organization Profile to include, among others, mandate, statement of vision mission, objectives, nature of organization, financial condition, programs/services, officials, organizational/functional structure and clientele.
        4. Financial statement, with provisions for maintenance of an ambulance unit;
        5. Availability of Emergency Medical Teams (EMTs) and driver
        6. Location Map of Domicile/Place of Operation and its Contiguous Areas
      • Letter from the Head of the Municipal Health Center that the ambulance unit will be attached to the Local Health Center Facility
    3. Resolution Requesting Ambulance Unit
      • NGO’s, Foundations, Associations & Federations - Board of Directors / Trustees. Said resolution must reflect grant of authority to the head of organization, foundation, association & federation to request for such vehicle.

    Reference: For Non-Governmental Organizations / Foundations / Associations and Federations

  • For Government Hospitals / Medical Facilities
    1. Request Letter addressed to:

      ANSELMO SIMEON P. PINILI
      Chairperson
      Philippine Charity Sweepstakes Office
      Sun Plaza Building, 1507 Shaw Boulevard, Mandaluyong City

      OR

      ALEXANDER F. BALUTAN
      General Manager
      Philippine Charity Sweepstakes Office
      Sun Plaza Building, 1507 Shaw Boulevard, Mandaluyong City

    2. Justification for Donation
      • Background of Requesting Party
        1. Official Name/Title of Requesting Party
        2. Name of Contact Person, Official Designation, Office and Mailing address/es, contact number/s and e-mail address
        3. Profile of Requesting Party
          • Hospital/Medical Facility Profile, to include, among others, type, classification, category of the facility and organizational/functional structure.
        4. License to operate from the appropriate regulating agency
        5. Location Map of Domicile/Place of Operation and its Contiguous Areas
      • Letter from the Head of the Municipal Health Center that the ambulance unit will be attached to the Local Health Center Facility
    3. Resolution Requesting Ambulance Unit
      • Hospitals / Medical Facilities - Board of Directors / Trustees. Said resolution must reflect grant of authority to the head of hospital / medical facility to request for such vehicle, as well as the provision for the allocation of the necessary funds for its utilization/operation and maintenance.

    Reference: For Government Hospitals / Medical Facilities

  • For Private Hospitals / Medical Facilities
    1. Request Letter addressed to:

      ANSELMO SIMEON P. PINILI
      Chairperson
      Philippine Charity Sweepstakes Office
      Sun Plaza Building, 1507 Shaw Boulevard, Mandaluyong City

      OR

      ALEXANDER F. BALUTAN
      General Manager
      Philippine Charity Sweepstakes Office
      Sun Plaza Building, 1507 Shaw Boulevard, Mandaluyong City

    2. Justification for Donation
      • Background of Requesting Party
        1. Official Name/Title of Requesting Party
        2. Name of Contact Person, Official Designation, Office and Mailing address/es, contact number/s and e-mail address
        3. Profile of Requesting Party
          • Hospital/Medical Facility Profile, to include, among others, type, classification, category of the facility and organizational/functional structure.
        4. License to operate from the appropriate regulating agency
        5. Location Map of Domicile/Place of Operation and its Contiguous Areas
      • Letter from the Head of the Municipal Health Center that the ambulance unit will be attached to the Local Health Center Facility
    3. Resolution Requesting Ambulance Unit
      • Hospitals / Medical Facilities - Board of Directors / Trustees - Board of Directors / Trustees. Said resolution must reflect grant of authority to the head of hospital / medical facility to request for such vehicle, as well as the provision for the allocation of the necessary funds for its utilization/operation and maintenance.

    Reference: For Private Hospitals / Medical Facilities

  • For State Universities and Colleges
    1. Request Letter addressed to:

      ANSELMO SIMEON P. PINILI
      Chairperson
      Philippine Charity Sweepstakes Office
      Sun Plaza Building, 1507 Shaw Boulevard, Mandaluyong City

      OR

      ALEXANDER F. BALUTAN
      General Manager
      Philippine Charity Sweepstakes Office
      Sun Plaza Building, 1507 Shaw Boulevard, Mandaluyong City

    2. Justification for Donation
      • Background of Requesting Party
        1. Official Name/Title of Requesting Party
        2. Name of Contact Person, Official Designation, Office and Mailing address/es, contact number/s and e-mail address
        3. Profile of Requesting Party
          • Organization Profile to include, among others, mandate, statement of vision mission, objectives, nature of organization, financial condition, programs/services, officials, organizational/functional structure and clientele.
        4. SEC Registration with Articles of Incorporation and Constitution & By-Laws, PCNC Accreditation, or License to Operate from the appropriate regulating agency (if applicable)
        5. Location Map of Domicile/Place of Operation and its Contiguous Areas
    3. Resolution Requesting Ambulance Unit
      • State Universities & Colleges - Board of Directors / Trustees. Said resolution must reflect grant of authority to the head of University or College to request for such vehicle, as well as the provision for the allocation of the necessary funds for its utilization/operation and maintenance.

    Reference: For State Universities and Colleges


For further inquiries and follow-up, please contact:
Special Projects Division
Charity Assistance Department
3rd floor, Radiotherapy Building, Lung Center of the Philippines Satellite Office, Quezon City
Tel. No. (02) 366-3329