Type of Application: New Renewal Application/Control No: Mode of Release: Pick-Up Mail

Download as docx, pdf, or txt
Download as docx, pdf, or txt
You are on page 1of 1

OIMB/COR#013-SCCO

CHECKLIST OF REQUIREMENTS
FOR SECURING STANDARDS COMPLIANCE CERTIFICATE (SCC)
RETAIL OUTLET
As provided for in DOE Department Circular DC2014-01-0001

Type of Application : NEW RENEWAL Mode of Release: PICK-UP MAIL


M
Application/Control No:
Business Name: Address:
Owner/Representative: Contact No.:

REQUIREMENTS
I.APPLICATION FORM REMARKS/Date Issued
1. Filled-out and notarized application form complete with the following information:
• Business name, address, telephone/ email address;
• Location and complete address of LPG establishment/s;
• Name of owner in case of single proprietorship, or partners in case of partnership, or
authorized representative in case of corporation.
II.SUPPORTING DOCUMENTS (1st Issuance)
1. Registration of Business from DTI or SEC
2. Mayor's/ Business Permit
3. Fire Safety Inspection Certificate for Occupancy (for newly constructed facility)
4. Supply Agreement with or Certificate from SCC-holder (dealer/marketer)
5. List of vehicles used for LPG business (model, make, plate number and capacity)
III. SUPPORTING DOCUMENTS (for Renewal)
1. Registration of Business from DTI or SEC, if expired
2. Mayor's/ Business Permit, if expired*
3. Supply Agreement with or Certificate from SCC-holder (dealer/marketer), if expired
ORIGINAL COPY OF ABOVE DOCUMENTS MUST BE PRESENTED FOR AUTHENTICATION PURPOSES

IV. CORRESPONDING FEES


1. Acknowledgement of Notice/Engagement on the DOI : ₱ 500.00 OFFICIAL RECEIPT:
2. SCC for LPG Establishments for 3 years (New Application) : ₱ 3,000.00 NO. ______________
3. SCC for LPG Establishments for 3 years (Renewal) : ₱ 2,500.00
DATE: ____________

IMPORTANT REMINDERS: AMOUNT:


P3,500.00
- ONLY APPLICATION WITH COMPLETE AND VALID DOCUMENTS SHALL BE ACCEPTED
P2,500.00
- FOR MAILED APPLICATION: We only accept Postal Money Order (PMO) / Manager’s Cheque
(MC) payable to the DEPARMENT OF ENERGY (DOE)
CASH
All applications must be addressed to: PMO
Director, Oil Industry Management Bureau MC
Department of Energy
3rd Floor, PNOC Bldg. 5, Energy Center
Rizal Drive, Bonifacio Global City, Taguig, NCR
Tel No. 840-2130/840-2184/479-2900 loc. 376

EVALUATED BY: RECOMMENDATION:

___________________________ Forwarded to OBD _______


(Printed Name / Signature) Returned to Applicant _______

Date: ______________________

You might also like