FOR SICK / VACATION / MATERNITY LEAVE

Transmittal/ Indorsement from the principal

Letter of application for sick / vacation / maternity leave
CSC Form 6
• -signed by the applicant
• -Principal
• -Personnel Officer
CSC Form 41 (Medical Certificate)
• -noted or signed by the D.O. Physician
• -with documentary stamp
Last Day of Service
Teacher’s Clearance
Division Office Clearance
No Administrative Pending Case
Certified copy of leave card

FOR RETURN TO DUTY

 Transmittal/Indorsement letter from the principal

 Letter of application for return to duty
 Form 86 (Health Examination Record)
 • noted by the D.O. Physician
 First Day of Actual Service
 Birth Certificate with registry
 • Maternity leave or Death Certificate or Histopath