Sample Checklist

Republic of the Philippines Republic of the Philippines
Bangsamoro Autonomous Region in Muslim Mindanao Bangsamoro Autonomous Region in Muslim Mindanao
MINISTRY OF SCIENCE AND TECHNOLOGY MINISTRY OF SCIENCE AND TECHNOLOGY
Bangsamoro Government Center, Cotabato City Bangsamoro Government Center, Cotabato City
REQUEST FOR PAYMENT FOR TRAVEL CLAIMS REQUEST FOR PAYMENT FOR TRAVEL CLAIMS
Date: Date:
Payee: Payee:
Particulars: Particulars:
Fund: Section/Division: VAT/Non-VAT: Fund: Section/Division: VAT/Non-VAT:

Personal Services GAS VAT Personal Services GAS VAT
MOOE STS NON-VAT MOOE STS NON-VAT
Capital Outlay R&D Capital Outlay R&D
SCIENCE EDUCATION SCIENCE EDUCATION
RSHTL RSHTL
NATIONAL FUNDED NATIONAL FUNDED
RX BOX RX BOX
BHRDC BHRDC
HALAL (HVL) HALAL (HVL)
ONE LAB ONE LAB
Attachments: Attachments:
1. Certification of no unliquidated cash advance 1. Certification of no unliquidated cash advance
2. Communication letter / Invitation / Activity Proposal 2. Communication letter / Invitation / Activity Proposal
3. Office Order/ Authority to Travel 3. Office Order/ Authority to Travel
4. Approved Itinerary of Travel 4. Approved Itinerary of Travel
Revised itenerary of travel (for any changes in date and venue) Revised itenerary of travel (for any changes in date and venue)
Revised Office order / Authority to travel (for any changes in date and venue) Revised Office order / Authority to travel (for any changes in date and venue)
5. Travel Order 5. Travel Order
6. Cert. of Travel Completed 6. Cert. of Travel Completed
7. Cert. of Appearance 7. Cert. of Appearance
8. Post Travel Report 8. Post Travel Report
9. Reimbursment expense receipt (between P301 and above) 9. Reimbursment expense receipt (between P301 and above)
10. Certificate of expenses not requiring receipts (300 below) 10. Certificate of expenses not requiring receipts (300 below)
11. Tickets (Plane, Boat, Bus), Original Boarding Pass, Terminal Fee 11. Tickets (Plane, Boat, Bus), Original Boarding Pass, Terminal Fee
12. Liquidation Report (if applicable) 12. Liquidation Report (if applicable)
* Official Receipt for Refund (if applicable) * Official Receipt for Refund (if applicable)
* Cert. from Head of Agency of it's absolute necessity for the excess expenses (if applicable) * Cert. from Head of Agency of it's absolute necessity for the excess expenses (if applicable)
* Official Receipt and bills in case of availment of lodging/hotel for travel * Official Receipt and bills in case of availment of lodging/hotel for travel
within 50km radius within 50km radius
SIGNATURE AND PRINTED NAME REQUISITOR SIGNATURE AND PRINTED NAME REQUISITOR
REQUEST FOR PAYMENT FOR CASH ADVANCE OF TRAVEL REQUEST FOR PAYMENT FOR CASH ADVANCE OF TRAVEL
Date: Date:
Payee: Payee:

RSHTL RSHTL
RX BOX RX BOX
BHRDC BHRDC
ONE LAB ONE LAB
1. Certificate of no unliquidated cash advance 1. Certificate of no unliquidated cash advance
2. Communication Letter/Invitation/Activity Proposal 2. Communication Letter/Invitation/Activity Proposal
3. Office Order/ Authority to Travel 3. Office Order/ Authority to Travel
4. Travel Order with assigned number 4. Travel Order with assigned number
5. Approved itinerary of travel 5. Approved itinerary of travel
REQUEST FOR PAYMENT FOR PROCURABLE ITEMS REQUEST FOR PAYMENT FOR PROCURABLE ITEMS
Date: Date:
Payee: Payee:

RSHTL RSHTL
RX BOX RX BOX
BHRDC BHRDC
ONE LAB ONE LAB
1. Activity Proposal/ Budget Proposal 1. Activity Proposal/ Budget Proposal
2. Purchase request 2. Purchase request
3. Philgeps registration 3. Philgeps registration
4. Invitation to bid/ Canvass 4. Invitation to bid/ Canvass
5. Adbstract of Canvass/ Bids 5. Adbstract of Canvass/ Bids
6. Purchase order / Contract (Food & Accomodation, Van Rental and Other Services) 6. Purchase order / Contract (Food & Accomodation, Van Rental and Other Services)
7. Inspection and acceptance report 7. Inspection and acceptance report
8. Post Activity Report/ Picture Documentation 8. Post Activity Report/ Picture Documentation
9. Attendance sheet, if applicable 9. Attendance sheet, if applicable
10 Waste material report (repair) 10 Waste material report (repair)
11. Cash invoice/ charge invoice/ billing statement/SOA and delivery receipt 11. Cash invoice/ charge invoice/ billing statement/SOA and delivery receipt
REQUEST FOR PAYMENT FOR HIRED VAN REQUEST FOR PAYMENT FOR HIRED VAN
Date: Date:
Payee: Payee:

RSHTL RSHTL
RX BOX RX BOX
BHRDC BHRDC
ONE LAB ONE LAB
1. Activity Proposal/ Budget Proposal 1. Activity Proposal/ Budget Proposal
2. Purchase request 2. Purchase request
3. RFG/ Canvass 3. RFG/ Canvass
4. Adbstract of Canvass/ Bids 4. Adbstract of Canvass/ Bids
5. Business Permit 5. Business Permit
First time service provider First time service provider
6. DTI/SEC 6. DTI/SEC
7. Contract 7. Contract
8. Offic Order/ Travel Order 8. Offic Order/ Travel Order
9. Photocopy of Driver's ID 9. Photocopy of Driver's ID
10 Passenger List (Manifesto) 10 Passenger List (Manifesto)
11. Business Permit (If First Tine) 11. Business Permit (If First Tine)
12. DTI/SEC (If first time) 12. DTI/SEC (If first time)
REQUEST FOR PAYMENT FOR PETTY CASH REPLENISHMENT REQUEST FOR PAYMENT FOR PETTY CASH REPLENISHMENT
Date: Date:
Payee: Payee:

RSHTL RSHTL
RX BOX RX BOX
BHRDC BHRDC
ONE LAB ONE LAB
1. Summary of Petty cash voucher 1. Summary of Petty cash voucher
2. Report of disbursement 2. Report of disbursement
3. Petty cash replenishment report 3. Petty cash replenishment report
4. Approve purchase request with certificate of emergency purchase, if necessary 4. Approve purchase request with certificate of emergency purchase, if necessary
5. Bills, Receipts, Sales Invoice 5. Bills, Receipts, Sales Invoice
6. Certificate of Inspection and Acceptance 6. Certificate of Inspection and Acceptance
7. Report of Waste material in case of repair/replacement 7. Report of Waste material in case of repair/replacement
8. Approved trip tickets, for gasoline expenses 8. Approved trip tickets, for gasoline expenses
9. Canvass from at least three suppliers for purchase involving 1,000 and above 9. Canvass from at least three suppliers for purchase involving 1,000 and above
except for purchase made while on official travel except for purchase made while on official travel
11. Summary/Abstract of canvass 11. Summary/Abstract of canvass
12. Petty cash vouchers duly accomplished and signed or in any case of refund 12. Petty cash vouchers duly accomplished and signed or in any case of refund
REQUEST FOR PAYMENT FOR LECTURER/COORDINATOR REQUEST FOR PAYMENT FOR LECTURER/COORDINATOR
Date: Date:
Payee: Payee:

RSHTL RSHTL
RX BOX RX BOX
BHRDC BHRDC
ONE LAB ONE LAB
1. Office Order/ Offer Letter and confirmation letter from resource speaker 1. Office Order/ Offer Letter and confirmation letter from resource speaker
2. Coordinator's report on lecturer's schedule / Program of activity 2. Coordinator's report on lecturer's schedule / Program of activity
3. Course syllabus/ Program of lecturer 3. Course syllabus/ Program of lecturer
4. Duly Approved DTR in case of coordinator and facilitators 4. Duly Approved DTR in case of coordinator and facilitators
5. Acknowledgement receipt 5. Acknowledgement receipt
REQUEST FOR PAYMENT FOR SALARY FOR REGULAR EMPLOYEES REQUEST FOR PAYMENT FOR SALARY FOR REGULAR EMPLOYEES
Date: Date:
Payee: Payee:

RSHTL RSHTL
RX BOX RX BOX
BHRDC BHRDC
ONE LAB ONE LAB
1. DTR duly signed 3 copies original 1. DTR duly signed 3 copies original
2. Leave Form (If applicable) 2. Leave Form (If applicable)
REQUEST FOR PAYMENT FOR SALARY FOR COS EMPLOYEES REQUEST FOR PAYMENT FOR SALARY FOR COS EMPLOYEES
Date: Date:
Payee: Payee:
Amount: Amount:

RSHTL RSHTL
RX BOX RX BOX
BHRDC BHRDC
ONE LAB ONE LAB
1. DTR duly signed 3 copies original 1. DTR duly signed 3 copies original
2. Accomplishment report 2. Accomplishment report
REQUEST FOR PAYMENT FOR NOT PROCURABLE ITEMS REQUEST FOR PAYMENT FOR NOT PROCURABLE ITEMS
Date: Date:
Payee: Payee:

RSHTL RSHTL
RX BOX RX BOX
BHRDC BHRDC
ONE LAB ONE LAB
1. Billing statement 1. Billing statement
2 Others: 2 Others:

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Republic of the Philippines Republic of the Philippines

Fund: Section/Division: VAT/Non-VAT: Fund: Section/Division: VAT/Non-VAT:

Fund: Section/Division: VAT/Non-VAT: Fund: Section/Division: VAT/Non-VAT:

Fund: Section/Division: VAT/Non-VAT: Fund: Section/Division: VAT/Non-VAT:

Fund: Section/Division: VAT/Non-VAT: Fund: Section/Division: VAT/Non-VAT:

Fund: Section/Division: VAT/Non-VAT: Fund: Section/Division: VAT/Non-VAT:

Fund: Section/Division: VAT/Non-VAT: Fund: Section/Division: VAT/Non-VAT:

Fund: Section/Division: VAT/Non-VAT: Fund: Section/Division: VAT/Non-VAT:

Fund: Section/Division: VAT/Non-VAT: Fund: Section/Division: VAT/Non-VAT:

Fund: Section/Division: VAT/Non-VAT: Fund: Section/Division: VAT/Non-VAT:

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