CS Form No. 34-C Plantilla of Casual Appointment - LGU Regulated

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CS Form No.

34-C
Revised 2017

Republic of the Philippines

(Name of Agency)

PLANTILLA OF CASUAL APPOINTMENT

Department/Office: Source of Funds:

POSITION TITLE NATURE OF ACKNOWLEDGEMENT OF


NAME OF APPOINTEE/S PERIOD OF EMPLOYMENT
EQUIVALENT APPOINTMENT APPOINTEE
DAILY
(Do not SALARY/ JOB/
Name WAGE
Middle abbreviate) PAY GRADE From To
Last Name First Name Extension (Original/ Reappointment/ Signature
Name (mm/dd/yyyy) (mm/dd/yyyy)
(Jr/III) Reemployment)
1
2
3
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5
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The abovenamed personnel are hereby hired/appointed as casuals at the rate of compensation stated opposite their names for the period indicated. It is understood that such employment will cease automatically at the end of the period stated unless renewed. Any or all of them may be laid-off any
employment period when their services are no longer needed or funds are no longer available or the project has already been completed/finished or their performance are below par.

CERTIFICATION CERTIFICATION CERTIFICATION AND SIGNATURE OF


APPOINTING OFFICER / AUTHORITY

This is to certify that all requirements and supporting This is to certify that funds are available This is to certify that all pertinent provisions of Sec. 325
papers pursuant to CSC MC No. ________, 2017, as pursuant to Appropriation Ordinance No. of RA 7160 (Local Government Code of 1991) have
amended, have been complied with, reviewed and found _______series of _______. been complied with in the issuance of appointments of
in order. the above-mentioned persons.

Highest Ranking HRMO Accountant Governor/Mayor/Vice-Governor/Vice-Mayor

Date : Date : Date:


For Regulated
Local Government Units

(Stamp of Date of Receipt)

DGEMENT OF
CSCFO ACTION
INTEE

Date A-Approved Date of Action


Received D- Disapproved

may be laid-off any time before the expiration of the

CSC Official

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