CHECKLIST OF REQUIREMENTS

(to be submitted using GREEN EXPANDED LONG FOLDER &

use Long Bond Paper of all Documents)
A. FOR ORIGINAL APPOINTMENT
1. Appointment Form (CS Form No. 33-A, Revised 2018) in 3 copies;
2. Approved Recommendation in 3 copies;
3. Approved Authority to Fill-up for Teaching Positions for ELEMENTARY and SECONDARY in 3 copies;
4. Personal Data Sheet (CS Form No. 212, Revised 2017 with 5TH Page) in 3 sets
w/ Passport Size I.D. Picture WITHOUT NAME TAG (1.77”x1.37”)- OPEN DATE;
5. Position Description Form/PDF DBM-CSC Form No. 1, Revised Version No. 1 s. 2017) in 3 copies-OPEN
DATE;
6. Transcript of Records with Special Order (Photo Copy only) , 1 copy;
7. Updated PRC License or PRC Certification AUTHENTICATED by the PRC for ORIGINAL
APPOINTMENT; PHOTOCOPY of AUTHENTICATED updated PRC License for
REEMPLOYMENT in 3 copies.
8. Report of Rating or Certificate of Eligibility by the CSC (PBET)/ LET (PRC), 3 Photocopies.
9. Oath of Office (CS Form No. 32, Revised 2018) w/ documentary stamp attached per copy, 3 copies;
OPEN DATE
10. Medical Certificate (CS Form NO. 211, Revised 2018 –w/ doc. Stamp attached per copy) w/ results in the Pre –
employment Mental-Physical-Medical Examinations consisting of BLOOD TEST, URINALYSIS, CHEST X-
RAY, DRUG TEST and NUEROPSYCHIATRICT EXAM. (Original/1 Copy);
11. NBI Clearance (ORIGINAL/1 copy);
12. Statement of Assets, Liabilities and Networth, (Original/1 copy);
13. Performance Contract/Standards, (1 copy);
14. Certificate of Assumption to Duty(CS Form No. 4, Revised 2018) – (3copies) –OPEN DATE
15. Assignment Order- (3 copies)- OPEN DATE
16. For SHS TVL- NC2 – for Teacher 1 For Teacher 2 & 3- NC2 & TMC1.
17. PSA/NSO, (2 Photocopies)
B. FOR APPOINTMENT BY REEMPLOYMENT/REAPPOINTMENT
1. A – No. 1-15
2. Clearance Form from Money and Property Accountabilities (CS Form No. 7, s. 2017, Original/1 copy;
C. FOR SUBSTITUTION
1. A – No. 1-14
2. Clearance Form from Money and Property Accountabilities (CS Form No. 7, s. 2017, Original/1copy;
3. Form 6 (signed by the incumbent and immediate supervisor) 1 copy;
4. Form 41 (Medical Cert. of incumbent for Sick & Maternity Leave) 1 copy;
5. School/District Clearance of the incumbent – Original/1 copy;
D. FOR PROMOTION
1. A – No. 1 to 9
2. Approved School/Division Ranking, 1 copy;
3. Performance Contract/Standards, 1 copy;
4. Latest Performance Rating (IPCR/OPCRF) in 1 SET;
5. Justification for Promotion to more than three (3) grades in 3 copies;
6. List of Teachers Supervised (For Head Teacher, School Principal & PSDS only) in 2 copies
7. Certification from the Local School Board (LSB)–for School Principal, PSDS & EPS only, 2 copies;
8. Certificate of Assumption to Duty(CS Form No. 4, Revised 2018 – (3copies) –Open Date
E. FOR RECLASSIFICATION
1. A – No. 1 to 9
2. Performance Contract/Standards, 1 copy;
3. Approved ERF (photo copy only), 1 copy;
4. Updated Service Record, in 1 copy;
5. NOSCA (photo copy only) in 1 copy;
6. Latest Payslip/payroll (photo copy only);
7. Certificate of Assumption to Duty(CS Form No. 4, Revised 2018 – (3copies) –Open Date
F. FOR TRANSFER/SWAPPING
1. A-No. 1 to 9
2. Approved request for Transfer/swapping, 1 copy;
3. Special Order, 1 copy;
4. Clearance Form from Money and Property Accountabilities (CS Form No. 7, s. 2017, Original/1copy;
5. Updated Service Record in, 1 copy;
6. Latest Performance Rating (IPCRF/OPCRF), 1 copy;
7. Latest payslip/payroll-1 copy
8. Certificate of Assumption to Duty (CS Form No. 4, Revised 2018– (3copies) –Open Date
ADDITIONAL REQUIREMENTS FOR TRANSFER FROM 1 REGION/DIVISION TO ANOTHER: (submit the ff. req.
w/ Original and photo copy – 4 copies)
 Certification of the Last Day of Service
 Certification of the Last Salary Received
 Certification of Unused Service Credits
 Division & School Clearance from financial obligations and property accountability from former office.
 Clearance/Certification that has no pending administrative/criminal case;
 Copy of latest appointment.