Who is eligible to apply?

Eligibility depends on the specific disaster program and declaration. Generally, owners or operators who suffered direct physical loss or economic harm from the declared event qualify under program guidelines.

What supporting documents are required?

Typical attachments include government ID, proof of ownership or business registration, photos of damage, contractor estimates, and insurance declarations; exact lists vary by lender and program.

Can the form be signed electronically?

Yes. Electronic signatures are generally valid under the ESIGN Act and UETA when intent, consent, attribution, and record retention requirements are met; some programs may specify authentication levels.

What if I need to correct submitted information?

Contact the administering lender or agency promptly. Many programs allow amendments within a defined period, but late corrections can delay approval or require re-certification.

Are notarization or witnesses required?

Requirements vary by state and program. Some forms require notarization or witness attestations; confirm the administering agency’s instructions before executing the document.

How long before I receive a decision?

Processing times differ across programs and volumes; many lenders issue initial notices within 14–30 days, but underwriting and inspections can extend the timeline.

Electronic Signature
Templates
Finance
Calamity Loan Application Form

Calamity Loan Application Form

This template is fully customizable. Edit the text, fill out the fields, and send it for signature. Give it a try!

CALAMITY LOAN APPLICATION FORM

(To be filled out by applicant. Print this form back to back on one single sheet of paper)

Type or Print Entries HQP-SLF-066 (V07, 08/2021)

Pag-IBIG MID NO./RTN APPLICATION NO.

APPLICATION NO.

LAST NAME

FIRST NAME

NAME EXTENSION

MIDDLE NAME

MAIDEN MIDDLE NAME

NO MIDDLE NAME

DATE OF BIRTH

PLACE OF BIRTH

COMPLETE MOTHER’S MAIDEN NAME

NATIONALITY

SEX

Male Female

MARITAL STATUS

Single Married Widow/er Annulled Legally Separated

CITIZENSHIP

EMAIL ADDRESS

PRESENT HOME ADDRESS (Required)

CELL PHONE NUMBER

HOME TELEPHONE NUMBER

APPLICANT’S TAXPAYER IDENTIFICATION NUMBER (TIN)

SSS/GSIS NO.

PERMANENT HOME ADDRESS (Required)

BUSINESS TELEPHONE NUMBER

NATURE OF WORK

NAME OF TYPHOON/CALAMITY

DESIRED LOAN AMOUNT

EMPLOYER/BUSINESS NAME

LOAN TERM

Two (2) Years Three (3) Years

SOURCE OF FUND

EMPLOYER/BUSINESS ADDRESS

EMPLOYEE ID NUMBER

DATE OF EMPLOYMENT

PREVIOUS EMPLOYMENT DETAILS FROM DATE OF Pag-IBIG MEMBERSHIP (Use another sheet if necessary)

APPLICATION AGREEMENT

In consideration of the loan that may be granted by virtue of this application subject to the pertinent provisions of the Implementing Rules and Regulations of Pag-IBIG Fund, I hereby waive my rights under R.A. No. 1405 (Secrecy of Bank Deposits Act) and authorize Pag-IBIG Fund to verify/validate my payroll account/disbursement card. Furthermore, I hereby authorize my present employer, or any employer with whom I may get employed in the future, to deduct the membership savings (MS) and monthly amortization due from my salary and remit the same to Pag-IBIG Fund.

If the resulting monthly net take home pay after deducting the computed monthly amortization on Calamity Loan falls below the monthly net take home pay as required under the GAA/company policy, I authorize Pag-IBIG Fund to compute for a lower loanable amount.

I understand that should I fail to pay the monthly amortization due, I shall be charged with a penalty of 1/20 of 1% of any unpaid amount for every day of delay.

If for any reason excess loan proceeds are erroneously credited to my payroll account/disbursement card, I hereby authorize Pag-IBIG Fund to debit/deduct the excess amount from my account without need of further notice of demand. Should my account balance be insufficient, the Fund has the right to demand for the excess amount to be refunded.

I authorize Pag-IBIG Fund to disclose, submit, share or exchange any of my account information to legal and government regulating agencies, other banks, partner-merchants or third party in accordance with R.A. No. 9510 (Credit Information System Act), R.A. No. 10173 (Data Privacy Act of 2012), and other related or pertinent laws and regulations, as described in Pag-IBIG Fund’s Freedom of Information (FOI) Manual.

Furthermore, I have read, understood and agree to be bound by the terms and conditions governing the eDisbursement Facility/Program and Pag-IBIG Fund’s partner-banks’ internal guidelines.

I certify that the information given and any or all statements made herein are true and correct to the best of my knowledge and belief. I hereby certify under pain of perjury that my signature appearing herein is genuine and authentic.

__________________________________

Signature of Applicant Over Printed Name

__________________________________

HEAD OF OFFICE OR AUTHORIZED SIGNATORY
(Signature over Printed Name)

DESIGNATION

Pag-IBIG EMPLOYER ID NO.

AGENCY CODE

BRANCH CODE

PROMISSORY NOTE

For value received, I promise to pay on due date without need of demand to the order of Pag-IBIG Fund with principal office at Petron MegaPlaza, 358, Sen. Gil Puyat Avenue., City of Makati the sum of Pesos: (P) Philippine Currency, with an interest rate of 5.95% per annum, with interest during the grace period and shall be amortized equally over the term of the loan.

I hereby waive notice of demand for payment and agree that any legal action, which may arise in relation to this note, may be instituted in the proper court of Makati City.

1. I shall pay the amount of Pesos: (P) through salary deduction, whenever feasible, over a period of two (2) years or three (3) years, with a grace period of three (3) months.

2. Payments are due on or before the 15th day of the month starting on .

3. Payments shall be applied according to the following order of priorities: Penalties, Interest and Principal.

4. A penalty of 1/20 of 1% of any unpaid amount for every day of delay shall be charged to me.

5. I shall be considered in default in any of the following cases:

a. Any willful misrepresentation made in any of the documents executed in relation hereto;

b. Failure to pay any three (3) consecutive monthly amortizations;

c. Failure to pay any three (3) consecutive monthly membership savings;

d. Violation of any of the membership/STL/housing loan policies, rules, regulations and guidelines of the Pag-IBIG Fund.

6. In the event of default, the outstanding loan obligation shall become due and demandable shall be deducted from the Total Accumulated Value (TAV), after exerting all collection efforts.

7. In the event of membership termination prior to loan maturity, any outstanding loan balance, including the unpaid interest, penalties and charges, shall be deducted from my TAV and/or any amount due to my beneficiaries in the possession of the Fund.

8. In case of falsification, misrepresentation or any similar acts committed by me, Pag-IBIG Fund shall automatically suspend my loan privileges indefinitely.

__________________________________

Signature of Applicant over Printed Name

Signed in the presence of:

__________________________________

Witness
(Signature over Printed Name)

__________________________________

Witness
(Signature over Printed Name)

AUTHORITY TO DEDUCT (Optional)

In case of retirement/separation from employment, I hereby authorize my employer to deduct any outstanding Calamity Loan balance from my retirement or separation benefits to fully settle my loan obligation. In the event that my retirement/separation benefits are not sufficient to settle the outstanding balance of my Calamity Loan or my employer fails for whatever reason, to deduct the same from said retirement/separation benefits, I hereby authorize Pag-IBIG Fund to apply whatever benefits are due me from the Fund to settle the said obligation.

SIGNATURE OF APPLICANT

THIS PORTION IS FOR Pag-IBIG FUND USE ONLY

RECEIVED BY

POSITION/DESIGNATION

DATE

APPROVED/DISAPPROVED BY

POSITION/DESIGNATION

DATE

THIS FORM CAN BE REPRODUCED. NOT FOR SALE

In the event of the approval of my application for Calamity Loan, I hereby authorize Pag-IBIG Fund to credit my loan proceeds through my Payroll Account/Disbursement Card that I have indicated on the right portion.

SIGNATURE OF APPLICANT

PAYROLL ACCOUNT/DISBURSEMENT CARD/PACKAGE UNIT ID

NAME OF BANK/BRANCH

GUIDELINES AND INSTRUCTIONS

A. Who May File

Any Pag-IBIG Fund member who satisfies the following requirements:

1. Has made at least twenty-four (24) monthly savings (MS);

2. Has made at least one (1) MS for the last six (6) months as of month prior to date of loan application;

3. If with existing Pag-IBIG Housing Loan, the account must not be in default as of the date of application;

4. If with existing MPL and/or Calamity Loan, the account/s must not be in default as of date of application;

5. Is a resident of the area which is declared calamity-stricken;

6. His/her place of work is declared under state of calamity, subject to the approval of the Management; and

7. Has sufficient proof of income.

B. How to File

The applicant shall accomplish 1 copy of the application form and submit complete documents to any Pag-IBIG Fund Branch.

CERTIFICATE OF NET PAY

NAME OF BORROWER

For the month of:

Basic Salary

Add: Allowances

Gross Monthly Income

Less: Deductions

Total Deductions

Net Monthly Income

Issued this day of , 20.

I certify under pain of perjury that the above-mentioned information is true and correct.

________________________________________

HEAD OF OFFICE/AUTHORIZED SIGNATORY
(Signature Over Printed Name)

What the Calamity Loan Application Form Is

The Calamity Loan Application Form is a standardized application used to request emergency or disaster-related loan assistance for individuals and businesses following a declared calamity. It collects borrower identification, contact and tax information, property or business damage descriptions, estimated repair or replacement costs, and the intended use of proceeds. Lenders and administering agencies use the form to evaluate eligibility, verify losses, and document loan terms. Completed forms are typically accompanied by supporting evidence such as photos, repair estimates, insurance statements, and proof of ownership or occupancy.

Why this form matters for recovery and recordkeeping

A clear, complete Calamity Loan Application Form helps speed decision-making, creates a reliable audit trail for compliance, and documents eligibility and intended use of funds under disaster-assistance programs.

Typical applicants and organizations involved

Multiple parties — applicants, co-borrowers, and lenders — may need to complete or sign portions of the form depending on the program rules.

Homeowners and renters seeking repair or recovery loans for primary residences
Small business owners requesting working capital or property repair financing
Lenders, credit unions, and government agencies processing disaster loan requests

Primary roles who complete or review the form

Loan Officer

A lender or program administrator reviews submissions, verifies supporting evidence, assesses eligibility and underwriting, and issues loan decisions while recording the transaction in the loan file for audit and regulatory compliance.

Applicant

An individual or business owner completes borrower sections, provides identity and tax information, attaches damage documentation, and certifies the accuracy of statements under penalty of law or program rules.

Core sections you will find on the form

A professional Calamity Loan Application Form groups information so reviewers can verify identity, loss, eligibility, and intended use of funds quickly and consistently.

Borrower Details

Legal name, business name if applicable, taxpayer identification number, and contact information to establish identity and processing correspondence.

Property or Business Info

Address, ownership status, occupancy, and description of the damaged property or business location for loss verification.

Damage Description

Concise narrative of damage, estimated repair costs, and dates of loss to support eligibility and loss quantification.

Financial Information

Income, assets, liabilities, and insurance proceeds to assess repayment capacity and coordinate with insurance recoveries.

Supporting Documents

List and attachment area for photos, contractor estimates, insurance declarations, and proof of ownership or business registration.

Declarations and Signature

Certifications of truthfulness, consent to verification, signature blocks, and date fields required for execution.

Step-by-step: completing and submitting the application

Follow these sequential steps to gather materials, fill the form, and submit a complete package.

01

Gather Documents: Collect IDs, insurance statements, photos, and repair estimates.
02

Complete Form: Enter all fields accurately and attach supporting files.
03

Verify and Sign: Review entries, sign, and date the form where required.
04

Submit to Lender: Send via the program’s accepted channel or eSubmission portal.

Typical digital workflow settings for online submission

Configure common settings to reduce friction and preserve an auditable record when accepting e-signed applications.

Field	Configuration
Authentication	Email with optional SMS code for signer verification
Signature Type	Electronic signature with timestamp and audit trail
Retention	Export to PDF/A and retain in secured storage
Integrations	Connect to loan origination system or cloud storage

Technical requirements for eSubmission and storage

Using an eSignature-enabled platform with audit trails and secure storage helps meet legal and program recordkeeping requirements.

File Types: PDF, DOCX accepted for upload
Integrations: Salesforce, NetSuite, Google Workspace supported
Security: TLS encryption in transit and AES-256 at rest

End-to-end eSubmission flow at a glance

A concise sequence shows how a completed application moves from applicant to lender with an auditable signature record.

Upload Form: Applicant uploads completed fields and attachments
Place Fields: Sender adds signature, date, and initial fields
Sign: Applicant authenticates and applies electronic signature
Archive: Signed package and audit trail stored securely

Typical timelines and processing expectations

Timelines vary by program and lender; use these typical intervals as planning guidance.

Application Window:

Varies by declaration; often weeks to months after disaster

Initial Review:

Lenders commonly acknowledge receipt within 7–14 business days

Decision Notice:

Under many programs, decision or request for more info within 30 days

Funds Disbursement:

If approved, disbursement timing depends on underwriting and lien requirements

Appeal or Revision:

Applicants typically have 30 days to correct or contest findings

Key milestones from declaration to disbursement

Track these numbered milestones to understand where your application is in the process.

01

Declaration Issued

Program opens eligibility and application intake

02

Form Released

Administrative forms and guidance are published for applicants

03

Application Submitted

Applicant files form and uploads supporting evidence

04

Decision & Funding

Underwriting completes and funds are authorized

Common mistakes that delay processing

Incomplete evidence of damage such as low-resolution photos or no contractor estimate causing verification delays
Mismatched names between ID, tax records, and application triggering identity validation requests
Missing or incorrect taxpayer identification number leading to backup withholding or application rejection
Unsigned or undated signature blocks that invalidate submission or require re-execution

Legal and financial risks of incorrect submissions

False Statements: Civil or criminal penalties possible

Missing TIN: Backup withholding 24% may apply

Insurance Coordination: Overlapping claims can reduce loan amounts

Late Corrections: May forfeit eligibility windows

Record Retention: Failure to retain documents risks audit findings

Signature Defects: Unsigned forms can be rejected

Vendor pricing and features relevant to eSigning this form

Comparing common eSignature vendors on starting price, trial availability, bulk-send capability, audit trails, and HIPAA support helps select a compliant platform.

	signNow	DocuSign	Adobe Sign	PandaDoc	HelloSign
Starting Price	$8/user/mo	$15/user/mo	$14/user/mo	$19/user/mo	$15/user/mo
Free Trial	7-day free trial	Varies by plan	Varies by plan	Varies by plan	Varies by plan
Bulk Send	Yes (Business Premium)	Yes	Yes	Yes	No
Audit Trail	Yes	Yes	Yes	Yes	Yes
HIPAA Compliant	Yes	Yes	Yes	No	No

Frequently asked questions about the Calamity Loan Application Form

Answers address common execution, submission, and legal-validity concerns encountered by applicants and administrators.

Need help? Contact support

Who is eligible to apply?
Eligibility depends on the specific disaster program and declaration. Generally, owners or operators who suffered direct physical loss or economic harm from the declared event qualify under program guidelines.
What supporting documents are required?
Typical attachments include government ID, proof of ownership or business registration, photos of damage, contractor estimates, and insurance declarations; exact lists vary by lender and program.
Can the form be signed electronically?
Yes. Electronic signatures are generally valid under the ESIGN Act and UETA when intent, consent, attribution, and record retention requirements are met; some programs may specify authentication levels.
What if I need to correct submitted information?
Contact the administering lender or agency promptly. Many programs allow amendments within a defined period, but late corrections can delay approval or require re-certification.
Are notarization or witnesses required?
Requirements vary by state and program. Some forms require notarization or witness attestations; confirm the administering agency’s instructions before executing the document.
How long before I receive a decision?
Processing times differ across programs and volumes; many lenders issue initial notices within 14–30 days, but underwriting and inspections can extend the timeline.

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