Employee Clearance Form

Please indicate the accountabilities of the employee named below in order that such will be deducted from
the final amount receivables from the Company.

Name : _______________________________
Company : _______________________________
Designation : _______________________________
Effective Date of Separation : _______________________________

DEPARTMENT ITEMS SIGNATORIES REMARKS

Company Files
Pending work items
Company Laptop
Department Company Phone, if applicable Immediate Supervisor
Calling Cards
Issued Office Supplies
Others:

Other Documents
Legal Dept. SPA

Company eMail
Laptop/PC Reformat
IT Computer ID/PWord: __________ AWB
Work email ID/PWord: _________
Others:

Unliquidated Employee Advances

Accounting Finance Manager
Others:

Payroll Account
HR / Payroll / Admin HR Head
Others:

VERTICAL ITEMS SIGNATORIES REMARKS

I-LAND Company Documents & Files Head of I-LAND
ISOC ENERGY Company Documents & Files Head of ISOC Energy
ISOC INFRASTRUCTURE Company Documents & Files Head of ISOC Infra
ORCA Company Documents & Files Head of ISOC ORCA

Procedures:

1. Employee clearance is processed when an employee retires or resigns or when his services are
terminated.
2. Employee clearance should be processed at the latest five working days from date of
resignation/retirement/termination.
3. Employee clearance form will be initiated by the immediate supervisor and routed by the employee to
relevant departments, unless otherwise specified.
4. Last pay shall be computed by the Payroll Section along with the 2316. Certificate of Government
Contributions will be issued by the HR Department.
5. Certificate of Clearance and Employment is issued when the employee has been cleared from all his/her
accountabilities.
6. To claim final pay on your absence, please provide a Special Power of Attorney and ID for your
representative. Incomplete clearance shall not be processed for the final pay.

Certification
This certifies that Mr./Ms. ____________________________ is cleared of all accountabilities
as he/she has settled his/her accounts with _____________________

________________________
Human Resource Dept.