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Clearance Form HR-CLR-V001 (Revised)

This document is a clearance form for employees leaving a company. It requires signatures from the employee's manager, IT, Admin, HR, and Finance to confirm the return of company equipment and resolve any outstanding financial matters. HR must also record the employee's remaining leave credits. Once completed, the form is noted by the Vice President of CTO and approved by the President and COO.

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Beauty Vanity PH
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55 views

Clearance Form HR-CLR-V001 (Revised)

This document is a clearance form for employees leaving a company. It requires signatures from the employee's manager, IT, Admin, HR, and Finance to confirm the return of company equipment and resolve any outstanding financial matters. HR must also record the employee's remaining leave credits. Once completed, the form is noted by the Vice President of CTO and approved by the President and COO.

Uploaded by

Beauty Vanity PH
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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www.pacificdr.

com

CLEARANCE FORM

Name: ______________________________ Designation: _________________________


Date Hired: ____________________ Effectivity of Resignation: _______________
Business Unit / Group: ___________________________
--------------------------------------------------------------------------------------------------------------------------------------

I. Employees Immediate Head: __________________________________


(Name and Signature)
Comments: _______________________________________________
_______________________________________________

II. IT Group
a. Laptop / Desktop: ___ Returned / Cleared

Remarks: _________________________________________________
IT Administrator (Name & Signature): ____________________________
Date Signed: ___________________________________

III. Admin Group


a. Phone and SIM Card (if applicable): ___ Returned / Cleared
b. Equipment/s assigned to employee: ___ Returned / Cleared

Remarks: _________________________________________________
Admin Officer (Name & Signature): ____________________________
Date Signed: ___________________________________

IV. HR Group
a. Company ID: ___ Returned / Cleared
b. HMO Card (if applicable): ___ Returned / Cleared
c. SSS Benefit Claim: (if there are documents to be signed or unclaimed benefits)
________________________________________________________
________________________________________________________

2/F Filipino Building., 135 Dela Rosa St., Legaspi Village Makati City, Philippines 1229
Phone: +63(2) 811-4593 | Fax: +63(2) 867-1560
www.pacificdr.com

d. Remaining Leave Credits:


d.1 Vacation Leave: ______
d.2 Sick Leave: ______
d.3 Service Incentive Leave: ______

HR Officer (Name & Signature): ____________________________


Date Signed: ___________________________________

V. Finance Group
a. Company Loan: ___ Cleared
Remarks: _____________________________________________________________________
b. Excess Globe Billings
(if applicable): ____________________________
(Amount to be deducted from last pay, if any)

c. Amount of Cash Advance/s for Liquidation:


__________________________________
d. Remittances / Refund (if any): _______________________________
e. Tax Refund: ______________________________________________

Finance Officer (Name & Signature): ____________________________


Date Signed: ___________________________________

Noted by: Approved by:

Angelito Iya Maverick Evangelista


Vice President / CTO President / COO

HR-CLR-V001

2/F Filipino Building., 135 Dela Rosa St., Legaspi Village Makati City, Philippines 1229
Phone: +63(2) 811-4593 | Fax: +63(2) 867-1560

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