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    Blec Gip Form No.1

    Uploaded by

    Angelito Dela Cruz
    This document is a referral form from the Barangay Labor and Employment Committee (BLEC) in the City of Valenzuela, Philippines. It contains information about a requesting party who is seeking counseling or action regarding a labor issue. The form includes fields for the name and contact details of the requesting party and company involved. It lists possible claims/issues such as non-payment of wages, unfair labor practices, or health and safety violations. The form is to be filled out by the BLEC desk officer to indicate the action taken, such as advice/counseling, referral to the Worker's Affairs Office, or other resolutions.

    Copyright:

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

    Blec Gip Form No.1

    Uploaded by

    Angelito Dela Cruz
    69 views1 page
    This document is a referral form from the Barangay Labor and Employment Committee (BLEC) in the City of Valenzuela, Philippines. It contains information about a requesting party who is seeking counseling or action regarding a labor issue. The form includes fields for the name and contact details of the requesting party and company involved. It lists possible claims/issues such as non-payment of wages, unfair labor practices, or health and safety violations. The form is to be filled out by the BLEC desk officer to indicate the action taken, such as advice/counseling, referral to the Worker's Affairs Office, or other resolutions.

    Original Title

    BLEC GIP FORM NO.1

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    This document is a referral form from the Barangay Labor and Employment Committee (BLEC) in the City of Valenzuela, Philippines. It contains information about a requesting party who is seeking counseling or action regarding a labor issue. The form includes fields for the name and contact details of the requesting party and company involved. It lists possible claims/issues such as non-payment of wages, unfair labor practices, or health and safety violations. The form is to be filled out by the BLEC desk officer to indicate the action taken, such as advice/counseling, referral to the Worker's Affairs Office, or other resolutions.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    69 views1 page

    Blec Gip Form No.1

    Uploaded by

    Angelito Dela Cruz
    This document is a referral form from the Barangay Labor and Employment Committee (BLEC) in the City of Valenzuela, Philippines. It contains information about a requesting party who is seeking counseling or action regarding a labor issue. The form includes fields for the name and contact details of the requesting party and company involved. It lists possible claims/issues such as non-payment of wages, unfair labor practices, or health and safety violations. The form is to be filled out by the BLEC desk officer to indicate the action taken, such as advice/counseling, referral to the Worker's Affairs Office, or other resolutions.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    of 1

    Republic of the Philippines BLEC - GIP

    CITY OF VALENZUELA REFERRAL FORM NO. 1


    Metropolitan Manila

    BARANGAY LABOR AND EMPLOYMENT COMMITTEE (BLEC)


    FOR REFERRAL TO WORKER’S AFFAIRS OFFICE (WAO)

    Reference No.: _______________________

    Name of Requesting Party for Counseling: Name of Company:


    (Pangalan)

    Pls. check () Male  Female  Contact Person:


    Union  Company  (Pangalan ng TaongKakausapinsaKumpanya)

    Address: Position:
    (Tirahan) (Katungkulan)

    Tel./Cel./Fax./Email Address:
    (Tirahan)

    Date of Employment: Tel./Cel./Fax./Email:


    (Kailannapasoksatrabaho)

    Years of Service:
    (TaonsaSerbisyo)

    Nature of work:
    (Trabaho)

    CLAIMS/ISSUES RELIEF PRAYED FOR


    (Please check the appropriate box/es) (Ano ang gusto niyongsolusyonsareklamo o problema?)

     Payment of Money Claims


    a.  Money claims
     Reinstatement
    Non-payment/underpayment of
     Cessation of ULP Acts
    1.  Wage
     Restitution/Correction of
    2.  Overtime Pay
    violations of Occupational Safety
    3.  Night Shift Differential Pay
    and Health Standards
    4.  Service Incentive Leave
     Conduct of Election of Union
    5. Holiday Pay
    Funds
    6.  SSS
     Audit/Examination of Union
    7. Philhealth
    Funds
    8.  Pag-IBIG
     Others (Please Specify)
    b. Unfair Labor Practice (ULP)
    c.  Illegal Dismissal ACTION TAKEN
    d. Illegal Dismissal with Money Claims (To be filled-out by BLEC Desk Officer)
    e. Non-compliance with Occupational Health and
    SafetyStandards  Advice and Counseling
    f.  Certification Election Dispute  Referral to WAO
    g.  Inter/Intra Union Dispute  For SENA
    h.Cancellation of Union Registration Referral No. ______________
    i.  Others (Please Specify
    REMARKS:

    ____________________________ ____________________________
    Requesting Party’s Signature BLEC Desk Officer – GIP
    (Signature over Printed Name)

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