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MONITORING SLIP for DRIVER’S LICENSE CERTIFICATION

LTO LICENSE SECTION


CENTRAL OFFICE

DATE: ________________________________ CONTROL NO.__________________________


NAME: _________________________________________________________________
Last First Middle

BIRTHDATE: __________________________________

PURPOSE DUPLICATE EMPLOYMENT INSURANCE COURT OTHERS


LICENSE ABROAD CLAIM ORDER PLS. SPECIFY
___________

REQUIREMENT: AFF. OF LOSS COPY OF DL/OR LETTER REQUEST WARRANT LETTER REQUEST

TO BE FILLED-UP BY LTO PERSONNEL ONLY


License No. _______________________________ Cert. Form No: ____________________________

NOTE: License placed under “ALARM” as reported by _____________________________________

WORKSTEP TIME IN TIME OUT REMARKS SIGNATURE


CUSTOMER SERVICE
Receives & Evaluates
request, Issue verification
slip, Monitoring slip,
Claim slip, Q.matic No.

VERIFIER
Verifies License data

TYPIST
N/A N/A N/A N/A
Types Miscellaneous
Receipt (MR)

CASHIER
Collects certification fee N/A N/A N/A N/A
For Employment Abroad
& other requests except
Duplicate License

RECORDS CLERK
Prints Certification

APPROVING
OFFICER
Reviews & Signs
Certification

RELEASING CLERK
Dockets & releases
certification

RECEIVED BY:
APPLICANT’S SIGNATURE OR HIS
DULY AUTHORIZED REPRESENTATIVE: ____________________________ DATE: _________________

QR-LSC-MSP R-1 03/29/2005


QR-LSC-MSP R-1 03/29/2005

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