SEADWELLER CORP

EMPLOYEE CLEARANCE AND QUIT CLAIM

0909-2021 v5
PART I - To be accomplished by EMPLOYEE IN TWO COPIES . (Pls read Annex A before you route this clearance form)
Name of Employee ____________________________________________ Date Hired _______________________________________________
Employee Number ____________________________________________ Date of Resignation/Separation_______________________________
Position _____________________________________________________ Address: ________________________________________________
Division/Store Assignment ______________________________________ Email Address: ___________________________________________
Employment Status ( ) Regular ( ) Probationary Contact Phone # __________________________________________

In connection with the cessation of my employment effective _________________, 20_____, I hereby certify that I have received in full
all remuneration and benefits due me under the law. I hereby declare also that I have no claim of whatsoever nature against my
employer. For all legal contents and purposes, I hereby forever release and discharge SEADWELLER CORP. -
from any liability or responsibility arising out of and in connection with my employment the same having been fully compensated,
settled and paid to me and to my satisfaction.
__________________________________________
Signature of Employee/Date Signed

PART II - To be accomplished by CLEARING OFFICERS

Note to Clearing Officers: By signing on this form, you are hereby certifying that the above-named employee has been cleared of all
money, records, equipment, tools, supplies and/or any other accountabilities with SEADWELLER CORP.
as of the date indicated below. Please use additional sheet if necessary.

Due from Signature of

Due to Employee Name of Date
Employee Clearing Remarks
(pls specify) Clearing Officer Cleared
Clearing Officer (pls specify) Officer
SBU

1 Immediate Superior of resigned/separated employee

2 Taxes Dept (for store operations employees)

3 I.T. & Systems Department

4 Admin Department (for Headquarter employees)

5 Accounts Receivables Department

6 Accounts Payable Department
7 Financial Department
8 LTD Department

9 Audit Department
10 HR Department

10.a. Employee Relations

10.b. C&B

10.c. Payroll

10.d. Labor Relations

PART III - To be accomplished by HR DEPARTMENT - C&B AND PAYROLL

A. Benefits Due to Employee: B. Due from Employee:

(a.1) 13th Month (pro-rate) _________________________ (Based on loan register dated ______________________ )
(a.2) Gratuity Pay _________________________ (b.1) ____________________________________
(a.3) Leaves VL SL (b.2) ____________________________________
Balance as of __________________________ ____________ ____________ (b.3) ____________________________________
Earned from_____________ to ____________ ____________ ____________ (b.4) ____________________________________
Total ____________ ____________ (b.5) ____________________________________
(a.4) Others: __________________________ (b.6) ____________________________________
Last drawn salary __________________________ (b.7) ____________________________________
Mid-year Bonus (if applicable) __________________________ (b.8) ____________________________________
Year-end Bonus (if applicable) __________________________ (b.9) ____________________________________

C. Others/Remarks: ______________________________________________________________________
______________________________________________________________________

Prepared by: ____________________________________________ Approved by: _________________________________

HR SPECIALIST HR HEAD
Approver Email add

TAX jhoan maret jhoanne.copada@alngroup.com.ph

TAX AILEEN SARMIENTO-Taxaileen.sarmiento@alngroup.com.ph
IT FRANCIS MARCELO-IT francisleonard.marcelo@alngroup.com.ph
AR JUNEL RARANG-AR junel.rarang@alngroup.com.ph
AP HILDA DOMINGO-AP hildadomingo.alngroup@gmail.com
AP JOHN ROSS BUENA johnross.buena@alngroup.com.ph
HR KURT LIM-HR kurt.lim@alngroup.com.ph
labor relation VICTORIA VIZCARRA-HR victoria.vizcarra@alngroup.com.ph
HR ERIKA RUGA-HR erika.ruga@alngroup.com.ph
FMR ANGEL PONFERADA dianneangel.ponferrada@alngroup.com.ph
FMR Merry rose panabang merryrose.panabang@alngroup.com.ph
FMR Krishia Bantang krishamae.bantang@alngroup.com.ph
AUDIT CHRISTIAN TOLETE christian.tolete@alngroup.com.ph
ADMIN MERAFLOR meraflor.mendoza@alngroup.com.ph

cc copy only
PAYROLL MARICHU LASTIMA-PAYmarichu.lastima@alngroup.com.ph
PAYROLL lilibeth ariston lilibeth.ariston@alngroup.com.ph
HR AILEEN BERNARDINO aileen.bernardino@alngroup.com.ph

ODDO FMR JOYCE SOLMAYOR joyce.solmayor@alngroup.com.ph

odoo stores JB Bicutan
JB North Edsa
JB DD Meridian
JB Tanay Uptown
JB Escriva
JB Shell Naga
 ANNEX A - Processing of Employee Clearance and Quit Claim (For probationary & regular employees)
I . Employee or authorized representative (with authorization letter) must personally accomplish & route the clearance certificate to each clearing officer
or department following the sequence written on the form (recommended but not a must). Clearance form should be accomplished in two (2) copies.

IIII. Below are the standard items that must be returned/settled by employee to respective clearing officers. The list only serves as a guide. There are some
other items that may be required by the clearing officer.
For a more efficient processing, employee may inquire in advance from departments concerned regarding items that he/she has to settle or return.
Clearing Offices Employee must be cleared of the following or as instructed by the clearing officers

1 Immediate Superior Reports, pending tasks for turn over, laptop, company-issued uniform, records, files, manuals, & other items
that may be required by immediate superior from the employee including vale/cash advances from the Store

Unliquidated checks for taxes, business permits

Taxes Department, 3rd flr One Escriva Centre
2 (for store operations employees) Store / business permits, COR, licenses

I.T. & Systems Department, 3rd flr One Escriva

Centre
3 (for all employees) Issued laptops, access cards, deactivation of e-mail address

Admin Department, B1 One Escriva Centre

4 (for Main Office employees) Office Supplies, Cabinet keys

Accounts Receivables Department, 3rd flr One

5 Escriva Centre (for all employees) unpaid SDs sales

Accounts Payable Department, 3rd flr One

Escriva Centre (for all employees) unpaid SDs

Financial Department, 3rd flr One Escriva Centre

7 (for all employees) Unpaid SD at cost

LTD Department, 4th flr One Escriva Centre (for

8 all employees) Training Cost; Manuals/Modules
Audit Department, 4th flr One Escriva Centre (for
all employees)
9 unpaid charging
HR Department, 4th flr One Escriva Centre (for
all employees)
Exit Interview

10.a. Employee Relations Company ID

10.b. C&B HMO Card

Employee records (leaves), Loans (per loan register); computation of Separation Pay Benefit (if applicable)

10 10.b. Payroll Computation of employee Quit Claim (Amount due TO/(FROM) Employee); Release of Payslip; Form 2316

III
III. After all the clearing officers have signed (#'s 1 to 10.a), employee will submit the form to HR - Payroll.
IV
IV. Payment of the final pay is released thru check payment.
V . In case employee still has pending loans &/or accountabilities after computing the "amount due to/(from) employee", HR -Payroll informs the employee
(or the authorized representative) and his/her immediate superior. Employee will be required to settle all accountabilities from the company for him/her to be
issued the clearance certificate.
VI
VI. Final pay shall be released 30 days upon receipt of HR - Payroll of completely accomplished and signed Clearance/Quit Claim.

EMPLOYEE CLEARANCE PROCESS

HEADQUARTER STORE OPERATIONS

START START
A
(SBU)

Immediate Pending Tasks

Immediate LTD Department Training costs, manuals/ Tools, Files, Manuals
Pending Tasks modules Superior
Superior Return of Co-issued
Tools, Files, Manuals cellphone

Employee Services Taxes Department unliquidated checks for

Laptop, access card I.T. & Systems taxes, business permits
Department
Audit Department unpaid charging

I.T. & Systems Laptop, access card

Admin Department
Office supplies Department
HR Department Quit Claim Payment
Payslip
Form 2316 Accounts Unpaid sd
Receivables sales
unpaid SD sales A.R. Department
Department Accounts Payable
unpaid SD
END

unpaid SD
A.P. Department Financial unpaid SD
Department at cost

unpaid SD at cost Financial Training costs. manuals/ LTD Department

Department modules

A Audit Department
unpaid charging

Quit Claim Payment HR Department

Payslip
Form 2316

NOTE TO CLEARING OFFICER/S:

END
1. Clearance/Quit Claim received via postal mail MUST BE ROUTED to the next clearing office/department.
 END

2. The clearing officer must ensure that routing is done accordingly, until the clearance/quit claim reaches HR - Payroll
for processing of employee's Quit Claim Pay.