FM-DOLE-PS-01.

04
Revision No. 00
Date Issued: 15May 2015

Republic of the Philippines

DEPARTMENT OF LABOR AND EMPLOYMENT
Intramuros, Manila

Certificate No.: AJA15-0048

AGENCY OPCR ACCOMPLISHMENTS

Request for Reconsideration

AGENCY: DOLE RO8

(Please check)

AGREE with the validated ratings.

Request for reconsideration.

/

JUSTIFICATION/S FOR VALIDATOR’S DECISION ON APPEAL

SUCCESS SELF- VALIDATED
RECONSIDERATION OF
INDICATORS RATING RATING
CONCERNED VALIDATOR DENIED APPROVED REMARKS
Social
Amelioration
Program (SAP)
-SAP lien
4.00 4.00
Collection and We have submitted SEPRF
Remittance Monthly reporting on Analysis
Monitoring

Submitted 12 out of 12
SAP Funds
4.00 4.00 reports
Utilization
CBF Submitted 4 of 4 reports
Distribution 4.00 3.00
Monitoring
We have processed 5 out of 5
claims processed w/in 10
Maternity
days
Benefit
4.00 3.29 We have released 4 out of 5
Program
checks w/in 5 days
Monitoring
11 monthly reports submitted
w/in due date
We have processed 7 out of 7
claims processed w/in 10
Death Benefit days
Program 4.00 3.00 We have released 4 out of 7
Monitoring checks w/in 5 days
11 monthly reports submitted
w/in due date
Note: subject to change via validation with BWSC on SWMDB reports submitted.

Submitted by: Re-validated by:

Agency Head Agency Head

Date: ________________________ Date: _____________________