Checklist For Action in the Regional/Field Office

APPOINTMENT PROCESSING CHECKLIST

Name Lima Rose Madali Fernandez

Position Title Police Corporal SG/Step: 12
Monthly
Compensation 30,867.00 Daily Compensation (Casual) N/A

Agency Philippine National Police- PRO MIMAROPA Sector : LGU GOCC NGA SUC

AREA CRITERIA YES NO PER exisiting APC

1 Education: Bachelor's Degree / Bachelor of Science in Criminology
Qualification Experience: 2 years for PCpl, PSSg, PSMS, PCMS
Standards 2
and PEMS; and 3 years for PMSg / 3 years and 1 month
Does the appointee
meet the minimum Training: PSFTP for PCpl and PSSg; PSJLC for
qualification 3
PMSg and PSMS; and PSSLC for PCMS and PEMS / PSBRC
requirements of the
position at the time Eligibility: CSC Professional Examination, PD 907,
of issuance of RA 6506, RA 1080, NAPOLCOM Examination (PO
appointment? 4
Exam for PCpl and PSSg and SPO Exam for PMSg, / RA 6506
PSMS, PCMS and PEMS)

6 Original Copy/ies of Appointment

CS Form 33 (Revised 2018) in
i. Regulated Agency - 3 copies CS Form No. 33-A, Triplicate
Revised 2018 (CSC, Agency and appointee's copy)
7 Employment Status: PERMANENT
8 Nature of Appointment: PROMOTION
Common
Requirements for 9 Signature of Appointing Authority:
Regular 10 Date of Signing:
Appointments
Certification of Publication/Posting of VACANT
Are the following
11
Position /
requirements
provided? Certification by HRMPSB Chairperson (at the back of
12 appointment) or copy of the proceedings of /
HRMPSB's deliberation
Properly filled-out Personal Data Sheet
13
(CS Form 212, Revised 2017) /
except for reappointment (renewal) to temporary, contractual,
substitute and provisional appointments
14 Is the agency accredited?
i. If accredited, was RAI (CS Form No. 2, Revised 2017)
with original copy of appointment (CSC copy) and supporting
documents submitted to the CSC on or before the 30th day
Submission and of the succeeding month?
Effectivity of
Appointment ii. If NOT accredited, was the appointment (3 copies)
submitted to the CSC with supporting documents in the
prescribed Appointment Transmittal Form (CS Form No. 1,
Revised 2017) within 30 calendar days from the date of
issuance?

15 Erasures or alterations on the appointments

Certification of Erasures/Alteration on appointment Form (CS

Form No. 3, s. 2017) signed by the appointing
officer/authority
With decided administrative/criminal case (Certified true
Additional 16 copy of decision issued by the office/court/tribunal)
Requirements in 17 Discrepancy in name, date/place of birth
Specific Cases
Resolution/Order issued by the Commission / CSC Regional
Are the following Office (CSCRO) concerned correcting the discrepancy
cases applicable?
18 Change of Civil Status on account of:

i. Marriage - Original Marriage Contract/ Certificate duly

authenticated by the Philippine Statistics Authority or the
Local Civil Registrar) of the municipality /city where the
marriage was registered or recorded
 AREA CRITERIA YES NO PER exisiting APC
ii. Annulment or Declaration of Nullity of the same -
Additional Authenticated copy of the Court Order and Marriage
Certificate/Contract with annotation
Requirements in
Specific Cases Appointments issued by the SUCs under National Budget
19 Circular (NBC) No. 461
Are the following Copy of DBM-approved NOSCA on the reclassification of
cases applicable? position based on NBC NO. 461 and SUC Board Resolution
approving the same

Appointments Requiring Board Resolution such as

Head of Agency appointment by the Board, SUC
20
President, Local Water District (LWD) General Manager
(Copy of Board Resolution)

Ban on Issuance of Appointment During Election Period

(Resolution issued by the Commission on Elections
21
(COMELEC) en banc, Chairman or Regional Election
Director, granting exemption from the prohibition)

22 LGU Appointment

i. Non-Disciplinary in Nature
* Certification of the agency head that the demotion is not a a
result of an administrative case; and
* Written consent by the employee that he/she interposes no
objection to the his/her demotion

ii. Disciplinary Case

* Copy of the decision imposing the penalty demotion; and

* Certification issued by the appointing officer/authority that the

decision is executory

Original copy of authenticated certificate of

eligibility/rating/license for original appointment,
23
promotion, transfer, reappointment (change of status to /
permanent); or reemployment

Position Description Form

Documents
24
(DBM-CSC Form No. 1, Revised 2017) /
Submitted
25 Oath of Office (CS Form No. 32, Revised 2017) /
Certification of Assumption to Duty
26
(CS Form No. 4, Revised 2017) /
27 Performance Rating (Promotion)

CSC FO Recommendation:

APPROVAL/VALIDATION
DISAPPROVAL/INVALIDATION
OTHERS, specify:

(Action officer who Evaluated, verified and recommended must be same person)

Evaluated: Verified: Recommended:

JOANNE R. PENASCOSAS JOANNE R. PENASCOSAS JOANNE R. PENASCOSAS

Human Resource Specialist Human Resource Specialist I Human Resource Specialist I

Date: Date:
Date:
 Checklist For Action in the Regional/Field Office
APPOINTMENT PROCESSING CHECKLIST

SAMPLE: Pat Juan Dalisay Dela Cruz applied for promotion

Name Juan Dalisay Dela Cruz
Position Title Police Corporal SG/Step: 12
Monthly
Compensation 30,867.00 Daily Compensation (Casual) N/A

Agency Philippine National Police- PRO MIMAROPA Sector : LGU GOCC NGA SUC

AREA CRITERIA YES NO PER exisiting APC

1 Education: Bachelor's Degree /
Qualification Experience: 2 years for PCpl, PSSg, PSMS, PCMS
Standards 2
and PEMS; and 3 years for PMSg /
Does the appointee
meet the minimum Training: PSFTP for PCpl and PSSg; PSJLC for
qualification 3
PMSg and PSMS; and PSSLC for PCMS and PEMS /
requirements of the
position at the time Eligibility: CSC Professional Examination, PD 907,
of issuance of RA 6506, RA 1080, NAPOLCOM Examination (PO
appointment? 4
Exam for PCpl and PSSg and SPO Exam for PMSg, /
PSMS, PCMS and PEMS)

6 Original Copy/ies of Appointment

CS Form 33 (Revised 2018) in
i. Regulated Agency - 3 copies CS Form No. 33-A, Triplicate
Revised 2018 (CSC, Agency and appointee's copy)
7 Employment Status: PERMANENT
8 Nature of Appointment: PROMOTION
Common
Requirements for 9 Signature of Appointing Authority:
Regular 10 Date of Signing:
Appointments
Certification of Publication/Posting of VACANT
Are the following
11
Position /
requirements
provided? Certification by HRMPSB Chairperson (at the back of
12 appointment) or copy of the proceedings of /
HRMPSB's deliberation
Properly filled-out Personal Data Sheet
13
(CS Form 212, Revised 2017) /
except for reappointment (renewal) to temporary, contractual,
substitute and provisional appointments
14 Is the agency accredited?
i. If accredited, was RAI (CS Form No. 2, Revised 2017)
with original copy of appointment (CSC copy) and supporting
documents submitted to the CSC on or before the 30th day
Submission and of the succeeding month?
Effectivity of
Appointment ii. If NOT accredited, was the appointment (3 copies)
submitted to the CSC with supporting documents in the
prescribed Appointment Transmittal Form (CS Form No. 1,
Revised 2017) within 30 calendar days from the date of
issuance?

15 Erasures or alterations on the appointments

Certification of Erasures/Alteration on appointment Form (CS

Form No. 3, s. 2017) signed by the appointing
officer/authority
With decided administrative/criminal case (Certified true
Additional 16 copy of decision issued by the office/court/tribunal)
Requirements in 17 Discrepancy in name, date/place of birth
Specific Cases
Resolution/Order issued by the Commission / CSC Regional
Are the following Office (CSCRO) concerned correcting the discrepancy
cases applicable?
18 Change of Civil Status on account of:
Requirements in
Specific Cases

Are the following

cases applicable?

i. Marriage - Original Marriage Contract/ Certificate duly

authenticated by the Philippine Statistics Authority or the
Local Civil Registrar) of the municipality /city where the
marriage was registered or recorded