BP 208

LIST OF RETIREES
FOR PAYMENT OF TERMINAL LEAVE AND RETIREMENT GRATUITY BENEFITS

This form shall be accomplished by departments/agencies providing RG and TL benefits.

This form shall contain the following:

Column (1) Name of Retiree

Column (2) Indicate the unique Item No. of the retiree under the PSIPOP

Column (3) Position as of Retirement Date – indicate Position or Class ID as provided

under the Index of Occupational Services, Position Titles and Salary
Grades

Column (4) Date of Birth of Retiree – (mo/dd/yr)

Column (5) Date of Original Appointment of Retiree – (mo/dd/yr)

Column (6) Effectivity of Retirement – (mo/dd/yr)

Column (7) Monthly Salary as of Retirement Date – used in the computation of the
benefits due (as prescribed to be derived from the Notice of Salary
Adjustment – NOSA)

Column (8) For Terminal Leave, Number of Vacation Leave (VL) Credits Earned which
is used in the computation of the amount due

Column (9) For Terminal Leave, the Number of Sick Leave (SL) Credits Earned which
is used in the computation of the amount due

Column (10) Computed Amount of Terminal Leave Benefit due each subject retiree

Column (11) For Retirement Gratuity Benefit, the Total Creditable Service which may be
derived from the service record of the retiree and used in the computation
of the amount due

Column (12) Number of Gratuity Months used in the computation of the amount due. As
prescribed, the total creditable service is converted into gratuity months as
follows:

 1 gratuity month – for each creditable year of service not exceeding 20

years
 1.5 gratuity months – for each creditable year of service over 20 years
but not exceeding 30 years
 2 gratuity months – for each creditable year of service over 30 years

Column (13) Computed Amount of Retirement Gratuity Benefit due each subject retiree