LEAVE NOTIFICATION LEAVE NOTIFICATION

Admin/201
INSTRUCTION: 1. Use this form for any Absence. (Halfday/Undertime/Leave)
2. Request vacation leave 1 week prior to scheduled VL
3. Accomplish this form on the first working day after an illness or emergency leave.
4. Please note that 2 days sick leave or more require medical certificate
Admin/201
INSTRUCTION: 1. Use this form for any Absence. (Halfday/Undertime/Leave)
2. Request vacation leave 1 week prior to scheduled VL
3. Accomplish this form on the first working day after an illness or emergency leave.
4. Please note that 2 days sick leave or more require medical certificate

NAME: _________________________DEPT: _______________ DATE: ______________ NAME: _________________________DEPT: _______________ DATE: ______________
DETAILS DETAILS
A. Type of Leave B. Inclusive Dates C. Substitute A. Type of Leave B. Inclusive Dates C. Substitute
( ) Pay ( ) Pay
( ) Deduction From :________________ Date: __________________ ( ) Deduction From :________________ Date: __________________
( ) Vacation Leave To :________________ ( ) Vacation Leave To :________________
( ) Sick Leave/Emergency Leave Total No. of Days:____________ ____________________ ( ) Sick Leave/Emergency Leave Total No. of Days:____________ ____________________
( ) Others _________________ Name/Signature ( ) Others _________________ Name/Signature

Reason or Purpose: REQUESTED BY: Reason or Purpose: REQUESTED BY:

_________________________________ _________________________________
_________________________________ __________________________________ _________________________________ __________________________________
EMPLOYEE NAME & SIGNATURE: EMPLOYEE NAME & SIGNATURE:
IMMEDIATE SUPERIOR IMMEDIATE SUPERIOR
Notification of Absence made on Date: ______________ Time: ______ Notification of Absence made on Date: ______________ Time: ______
Immediate Superior Notified Absence on: Date: _________ Time: ________ by: ___________ Immediate Superior Notified Absence on: Date: _________ Time: ________ by: ___________

_______________________________________________ _______________________________________________
Recommending Approval: (Superior name and signature) Recommending Approval: (Superior name and signature)
HUMAN RESOURCES REFERENCE: ENTITLEMENT HUMAN RESOURCES REFERENCE: ENTITLEMENT

Status of Leave Credits: ( ) Entitled ( ) No Entitlement yet Status of Leave Credits: ( ) Entitled ( ) No Entitlement yet
VL SL Remarks (Forfeitures if any) VL SL Remarks (Forfeitures if any)
Entitlement Entitlement
Less: Availment/s Less: Availment/s
Balance Balance

____________________ ____________________ ____________________ ____________________

Verified and Certified Correct by: DATE: Verified and Certified Correct by: DATE:
APPROVAL APPROVAL
( ) Approved ( ) Approved
( ) Disaproved due to:_________________________ _____________________ ( ) Disaproved due to:_________________________ _____________________
DATE DATE
 LN No. WH-_____

LEAVE NOTIFICATION
Admin/201
INSTRUCTION: 1. Use this form for any Absence. (Halfday/Undertime/Leave)
2. Request vacation leave 1 week prior to scheduled VL
3. Accomplish this form on the first working day after an illness or emergency leave.
4. Please note that 2 days sick leave or more require medical certificate

NAME: _________________________DEPT: _______________ DATE: ______________

DETAILS
A. Type of Leave B. Inclusive Dates C. Substitute
( ) Pay
( ) Deduction From :________________ Date: __________________
( ) Vacation Leave To :________________
( ) Sick Leave/Emergency Leave Total No. of Days:____________ ____________________
( ) Others _________________ Name/Signature

Reason or Purpose: REQUESTED BY:

_________________________________
_________________________________ __________________________________
EMPLOYEE NAME & SIGNATURE:
IMMEDIATE SUPERIOR
Notification of Absence made on Date: ______________ Time: ______
Immediate Superior Notified Absence on: Date: _________ Time: ________ by: ___________

_______________________________________________
Recommending Approval: (Superior name and signature)
HUMAN RESOURCES REFERENCE: ENTITLEMENT

Status of Leave Credits: ( ) Entitled ( ) No Entitlement yet

VL SL Remarks (Forfeitures if any)
Entitlement
Less: Availment/s
Balance

____________________ ____________________
Verified and Certified Correct by: DATE:
APPROVAL
( ) Approved
( ) Disaproved due to:_________________________ _____________________
DATE
___________________________________
EDWIN PIMENTEL (President/CEO)
 WH-_____ LN No.

LEAVE NOTIFICATION
Admin/201
INSTRUCTION: 1. Use this form for any Absence. (Halfday/Undertime/Leave)
2. Request vacation leave 1 week prior to scheduled VL
mergency leave. 3. Accomplish this form on the first working day after an illness or emergency leave.
4. Please note that 2 days sick leave or more require medical certificate

_____________ NAME: _________________________DEPT: _______________ DATE: ______________

DETAILS
A. Type of Leave B. Inclusive Dates C. Substitute
( ) Pay
_______________ ( ) Deduction From :________________ Date: __________________
( ) Vacation Leave To :________________
_______________ ( ) Sick Leave/Emergency Leave Total No. of Days:____________ ____________________
ame/Signature ( ) Others _________________ Name/Signature

Reason or Purpose: REQUESTED BY:

_________________________________
_____________ _________________________________ __________________________________
GNATURE: EMPLOYEE NAME & SIGNATURE:
IMMEDIATE SUPERIOR
Notification of Absence made on Date: ______________ Time: ______
__ Immediate Superior Notified Absence on: Date: _________ Time: ________ by: ___________

_______________________________________________
Recommending Approval: (Superior name and signature)
HUMAN RESOURCES REFERENCE: ENTITLEMENT

Status of Leave Credits: ( ) Entitled ( ) No Entitlement yet

ks (Forfeitures if any) VL SL Remarks (Forfeitures if any)
Entitlement
Less: Availment/s
Balance

_______________ ____________________ ____________________

DATE: Verified and Certified Correct by: DATE:
APPROVAL
( ) Approved
( ) Disaproved due to:_________________________ _____________________
DATE
___________________________________
EDWIN PIMENTEL (President/CEO)
 WH-_____

ness or emergency leave.

cal certificate

DATE: ______________

C. Substitute

Date: __________________

____________________
Name/Signature

_______________________
EE NAME & SIGNATURE:

___________

____
ture)
LEMENT

Remarks (Forfeitures if any)

____________________
DATE:

_______________