You are on page 1of 1

REPUBLIC OF THE PHILIPPINES

DEPARTMENT OF LABOR AND EMPLOYMENT


NATIONAL CAPITAL REGION
MUNTAPARLAS FIELD OFFICE
3rd Floor Valenzuela Building, Alabang-Zapote Road, Las Pinas City

ROSE ANN JUAN, ET. AL.,


Complainant,

-versus- RFA-2020-000884

JOYFUL JOURNEY SHUTTLE


SERVICE, INC. and RHENA LYN ATILLO
(OPERATIONS MANAGER),
Respondents.
x----------------------------------------------------------x

QUITCLAIM AND RELEASE WITH MOTION TO DISMISS

COMES NOW, the undersigned complainant EDGARDO ALBERTO, in the


above-entitled case, before this Honorable Office, respectfully manifests:

That for and in consideration of the sum of FORTY-THREE THOUSAND


NINETY-FIVE PESOS AND EIGHTY-THREE CENTAVOS (P43,095.83) under BDO
Check No. 207456 in full satisfaction of my complaint and/or in settlement of my
claim/claims as financial assistance and or gratuitously given by my employer, receipt
of which is hereby acknowledged to my complete and full satisfaction, I HEREBY
RELEASE AND FOREVER DISCHARGE the above-named respondents from any and
all claims by way of wages, commission, overtime pay, holiday pay, differential pay,
service incentive leave, cash bond, uniform allowance and 13 th month pay or otherwise
as may be due me in connection with my past employment with said respondents. In
addition, I received the amount of Php ___________, for __ sets of uniform that I
returned to the company. I hereby state further that I have no more claims or right of
action of whatsoever nature, whether past, present or contingent against said
respondents.

I hereby affirm that by virtue of this quitclaim and release I have no more claims
or right of action whatsoever nature, whether past, present or contingent against said
respondents. IN VIEW HEREOF, I hereby move for the dismissal of the above-entitled
case with prejudice.

IN WITNESS WHEREOF, I have hereunto freely, voluntarily, intelligently, and


without any mental reservation set my hand this 1 st day of December 2020 in Las Pinas
City.

EDGARDO ALBERTO
Complainant
LTO Driver’s License No. ________________

PINIRMAHAN AT SINUMPAAN sa harap ko ngayong ika__ ng December 2020,


sa lungsod ng _______________________, Pilipinas. Pinapatunayan ko rin na na suri ko
ng mabuti ang Nagsasaysay at ang salaysay na ito ay kanyang pinatotohanan sa akin at
kanyang isnilaysay ito ng buong laya at hindi labag sa kanyang kalooban.

ADMINISTERING OFFICER

You might also like