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    Form 6 Leave Paper Revised 2021

    Uploaded by

    marites gallardo
    This document is a leave application form for an employee of the DepEd-Division of San Pablo City. It includes fields for the employee's name, position, employee number, monthly salary, type of leave being requested (e.g. vacation, sick, maternity), where the leave will be spent, number of working days requested, inclusive dates of leave, and spaces for recommendations and approval from supervisors. The form provides instructions for its use, including requirements to submit it in advance for vacation leave or with a medical certificate for sick leave exceeding 5 days. It also notes employees will not be paid for absences without approved leave.

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    © All Rights Reserved
    Download as DOC, PDF, TXT or read online from Scribd

    Form 6 Leave Paper Revised 2021

    Uploaded by

    marites gallardo
    64 views2 pages
    This document is a leave application form for an employee of the DepEd-Division of San Pablo City. It includes fields for the employee's name, position, employee number, monthly salary, type of leave being requested (e.g. vacation, sick, maternity), where the leave will be spent, number of working days requested, inclusive dates of leave, and spaces for recommendations and approval from supervisors. The form provides instructions for its use, including requirements to submit it in advance for vacation leave or with a medical certificate for sick leave exceeding 5 days. It also notes employees will not be paid for absences without approved leave.

    Original Description:

    LEAVE FORM FOR PUBLIC TEACHERS

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    This document is a leave application form for an employee of the DepEd-Division of San Pablo City. It includes fields for the employee's name, position, employee number, monthly salary, type of leave being requested (e.g. vacation, sick, maternity), where the leave will be spent, number of working days requested, inclusive dates of leave, and spaces for recommendations and approval from supervisors. The form provides instructions for its use, including requirements to submit it in advance for vacation leave or with a medical certificate for sick leave exceeding 5 days. It also notes employees will not be paid for absences without approved leave.

    Copyright:

    © All Rights Reserved
    Download as DOC, PDF, TXT or read online from Scribd
    Download as doc, pdf, or txt
    64 views2 pages

    Form 6 Leave Paper Revised 2021

    Uploaded by

    marites gallardo
    This document is a leave application form for an employee of the DepEd-Division of San Pablo City. It includes fields for the employee's name, position, employee number, monthly salary, type of leave being requested (e.g. vacation, sick, maternity), where the leave will be spent, number of working days requested, inclusive dates of leave, and spaces for recommendations and approval from supervisors. The form provides instructions for its use, including requirements to submit it in advance for vacation leave or with a medical certificate for sick leave exceeding 5 days. It also notes employees will not be paid for absences without approved leave.

    Copyright:

    © All Rights Reserved
    Download as DOC, PDF, TXT or read online from Scribd
    Download as doc, pdf, or txt
    of 2

    CSC Form 6

    Revised 1984 School & District:______________


    1. Office Agency NAME (LAST) (FIRST) (MIDDLE)

    DepEd-Division of San Pablo City

    3.DATE OF FILING POSITION EMPLOYEE NO. MONTHLY SALARY

    6. a) TYPE OF LEAVE b.) WHERE LEAVE WILL BE SPENT


    _______________________________Vacation 1. IN CASE OF VACATION LEAVE
    _______________________________ To seek employment ____________________ within the Philippines
    _______________________________ Others(Specify) _________ ____________________ Abroad (Specify)
    ______________________________________________________ ___________________________________________
    _______________________________ Sick 2. IN CASE OF SICK LEAVE
    _______________________________ Maternity _________________ In Hospital (Specify)________
    _______________________________ Others )Specify) ___________________________________________
    ______________________________________________________ _______OUT PATIENT (Specify) ______________

    c. NUMBER OF WORKING DAYS APPLIED FOR d) _________Requested __________Not Requested


    _______________________________________________________
    INCLUSIVE DATES_____________________________________
    ______________________________________________________

    _________________________________________
    (Signature of Applicant)

    DETAILS OF ACTION ON APPLICATION ‘


    a)CERTIFICATION OF LEAVE CREDITS b)RECOMMENDATIONS
    as of ________________________________________ _______________________Approved
    _______________________Disapproved due to
    ____
    Vacation Sick Total

    __________________________
    (Immediate Supervisor)

    LUCILA NIDA B. RODELAS


    Administrative Officer IV

    APPROVED FOR:

    ____________________ days with pay


    ____________________ days without pay
    ____________________ others (Specify)

    APPROVED:

    _________________________________________
    DAISY Z. MIRANDA, CESO VI
    Assistant Schools Division Superintendent
    Officer-In-Charge Schools Division Superintendent

    ____________________________
    Date

    Instruction: (1) Application for vacation or sick leave for one full day or more shall be made on this form and to be accomplished at
    least in duplicate (2) Application for vacation shall be filled in advance or whenever possible five (5) days before going on such
    leave. (3) Application for sick leave filed in advance or exceeding five days shall be accomplished by a medical certificate. In case
    medical consultation was not availed of an affidavit should be executed by the patient. (4) An employee who is absent without
    approved leave shall not be entitled to receive his salary corresponding to the period of his authorized leave of absence. (5) An
    application for leave of absence for 30 days or more shall be accompanied by a clearance from money and property accountability.

    /eev’14

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