Republic of the Philippines

Department of Education
REGION XI
SCHOOLS DIVISION OF DAVAO CITY

CHECKLIST NO. 1
REQUEST FOR CASH ADVANCE
RCA – PHASE 1

Name of District : _____________________________________________

Name of School
Name of School Principal/Head
Nature of MOOE Request:
: _____________________________________________
: _____________________________________________
MOOE regular
SBFP
Others: pls. specify _____________

Requirements should be attached: (submit in 4 original sets)

Request for Cash Advance

Program of Works (masonry, repairs, wiring, etc.)
Others: ________

Months for Request (pls. ensure that details pertaining below shall be reflected in the RCA)

If monthly;

1st Month (pls. specify) :________________ Amount:_______________

2nd Month (pls. specify):________________ Amount: _______________
3rd Month (pls. specify):________________ Amount: _______________

If quarterly;

Quarter (pls. specify) :________________ Amount:_______________

Prepared by: Validated by:

_________________________ __________________________
School Principal/Head Administrative Assistant II/III
(Name & Signature) (Name & Signature)

___________ ___________
Date Date

Address: Elpidio Quirino Avenue, Davao City

Telephone No: (082) 224-3274, (082) 222-1672
E-mail: davao.city@deped.gov.ph
 Republic of the Philippines
Department of Education
REGION XI
SCHOOLS DIVISION OF DAVAO CITY

CHECKLIST NO. 2
MOOE REQUEST FOR CASH ADVANCE
MOOE RCA – PHASE 2

Name of District : _____________________________________________

Name of School
Name of School Principal/Head
Nature of MOOE Request:
: _____________________________________________
: _____________________________________________
MOOE regular
SBFP
Others: pls. specify _____________

Requirements should be attached: (submit in 3 sets; COA, Division & School)

Approved Request for Cash Advance (original)

Approved Program of Works (original)
Certificate of Liquidation (original)
Valid Confirmation Letter for Fidelity Bond (photocopy)
Validated Bank Account deposit slip (photocopy)
Others: ________

Quarter for Request (pls. ensure that details below are also reflected in the RCA)

Quarter (pls. specify) :________________ Amount:_______________

Prepared by: Validated by:

_________________________ __________________________
School Principal/Head Administrative Assistant II/III
(Name & Signature) (Name & Signature)

___________ ___________
Date Date

Address: Elpidio Quirino Avenue, Davao City

Telephone No: (082) 224-3274, (082) 222-1672
E-mail: davao.city@deped.gov.ph