Employment Clearance Form

Internal form 000, Revision 0, EffectiveDecember 2010

Employees Name: Employees Number:
Designation: Department:
Address: Contact Number:

Type of Separation
Resignation Lay - Off
Termination Retirement
Transfer to department of _____________________ Dismissal
End of Contract Non-Retention (Probationary)

The Employment Clearance Form must be signed by all designated person in the specific areas as indicated before
it submitted to the Office of Human Resources, Non-completion of this form will delay last pay processing.

Section Full name, Designation, Sinature/ Date Details of Accountabilties

IT Laptop/Computer/Printer
Others:
Administration Vehicle
Mobile Fone
Others:
Accounting Cash Advances
Liquidation
Others:
Supervisor Resignation Letter
Keys, Documents and Files
Others:
Human Resources Uniforms
Company ID and ATM Card
Employees Manual
Others:

DEPARTMENT MANAGER: DEPARTMENT HEAD:

Confirmation of
Clearance Compliance ____________________________ ______________________________________
Full Name, Signature and Date Signed Full Name, Signature and Date Signed

I hereby certify, that I do not have in my possession any merchandise, equipment, supplies nor any other documents or property belonging to the company

I hereby authorize EARTH&SHORE LEISURE COMMUNITIES CORP. to make any and all deductions from my amount of salaries/ wages/benefits/etc.,which may
be due, to cover any and all my property/cash accountability should there be any shown in this clearance form

Employee's Full Name, Signature and Date Signed

This is to certify that _____________________________________ has been cleared of all property and cash accountability with EARTH&SHORE LEISURE COMMUNITIES CORP.

This clearance is being issued in connection with his/her ___________________________.

_______________________________
Human Resource Head Full Name, Signature and Date Signed