iment of Education MANILA > Philippines Department of Education NATIONAL CAPITAL REGION DIVISION OF CITY SCHOOLS-MANILA ‘Office of the Schools Division Superintendent March 23, 2023 DIVISION MEMORANDUM NO. 49 4:' 93 ~ DATE OF FILING AND DOCUMENTARY REQUIREMENTS OF APPLICATION FOR LEAVE OF ABSENCE To: Assistant Schools Division Superintendents Chiefs of Divisions and Services All School Heads All Others Concerned 1. Rule XVI of the Omnibus Rules Implementing Book V of Executive Order 292 states rules, policies, requirements and procedures in matters pertaining to application for leave of absences of public servants. 2. In addition, various CSC Memorandum Circulars and laws were also issued and enacted, enabling the leave administration in the government sector more relevant and responsive. 3. Relevant to the aforementioned CSC Memorandum Circulars, aside from C. S. Form No. 6, Revised 2020 (Leave Form) and Compensatory Time Off (CTO) form, the following date/s of filing and requirement/s should be strictly observed: ‘Type of Leave | No. of Days | Date of Filing of ‘Additional of Absence of Leave C. 8. Form No. 6 Requirement/s Allocation of | Maximum of _ | Must be filed together _|I. Child’s Birth Seven (7) days | seven (7) days | with the application Certificate and/or Leave from for maternity leave Medical Certificate of Maternity Leave the mother who gave with Pay birth; and R. CS Form 6a (Notice of Allocation). Calamity Leave [Up to five (5) | Before, during or Il. Copy of declaration of days immediately after state of calamity of the area; 2. Barangay Certificate; and 3. Government issued ID indicating the place of residence of the employee. CSC Special [1-3 days ‘At least 5 days in None Privilege Leave advance or upon return to duty for emergency cases, ‘Manila Education Genter Arroceros Forest Park ‘Antonio. Villegas St. Ermita, Manila 5272315 + 5275184 « 5275180 @ www.depedmanila.net [Gil sdo.manila@deped.gov.ph‘Type of Leave | No. of Days | Date of Filing of ‘Additional of Absence of Leave C. 8. Form No. 6 Requirement/s Compensatory | Up tofive (5) _| Five (5) days in li. Approved Special ‘Time-Off days for advance Order of the activity continuous jeave/month Forced Leave | Up to five (5) _| Five (5) days in None days advance Maternity Leave | 105 days ‘a. Notice must be iI. Medical Certificate {Live Birth) submitted to the head (C.S. Form 41) with of agency of her Documentary Stamp; pregnancy and 2. School Clearance; availment of maternity 8. Division Clearance; leave at least 30 days and in advance whenever. Daily Time Record. possible, specifying the effective date of | leave along with the | requirements; or . May be filed within two (2) weeks after child delivery Maternity Leave | 60 days Within one (1) week _|1. Medical Certificate (Miscarriage) from the time of the (C.S. Form 41) with operation Documentary Stamp; 2. Histopathological Report; \3. School Clearance; 4. Division Clearance; and |S. Daily Time Record. Paternity Leave | Seven (7) days | At least one (1) week 1. Marriage Contract; prior to the expected 2. Child’s Birth date of delivery except | Certificate; or in cases of miscarriage 3. Medical Certificate and abnormal with Pathology deliveries which are Report, duly signed. both unforeseen events. Rehabilitation | Up to six(6) | Within 1 week from I. Request for leave of Leave months the time of the absence indorsed by accident except when a longer period is warranted the School Principal/ Chief of Service; 2. Medical Certificate with documentary stamp; B. Incident Report/ Police Report; #. School Clearance; 6. Division Clearance; . Daily Time Record.‘Type of Leave | No.of Days | Date of Filing of ‘Additional of Absence of Leave ©. S. Form No. 6 Requirement/s ‘Sick Leave 1-5 days Within five (5) days | None (National-paid) | upon return from such 1-2 days leave. May apply in __| In case of doubt, a (City-paid) advance in cases such | medical certificate may as scheduled medical | be required Six (6) or three | examination or (8) successive | operation or advised to |1.Medical Certificate days rest in view of ill with Documentary (National- health. Stamp paid/City-paid) Sick Leave ‘30 days above | -do- Il. Medical Certificate (CS. Form 41) with Documentary Stamp; 2. School Clearance; . Division Clearance; and ft. Daily Time Record ‘Solo Parent Up to seven (7) | Five (5) days in ll. Unexpired Solo Parent Leave days advance ID Special Leave | 15 days ‘a. At least five (5) li. CS Form 41 (Medical for Women (RA | (Minor) days prior to the Certificate); 9710) scheduled date of 2. Histopathological gynecological surgery; | Report; and or Medical Abstract b. Within five (5) days upon return to duty because of emergency surgical procedure. 60 days IL. CS Form 41 (Medical (Major) ~do- Certificate); 2. Histopathological Report; . Medical Abstract; }. School Clearance; [ Division Clearance; and . Daily Time Record.‘Type of Leave of Absence No. of Days of Leave Date of Filing of C. 8. Form No. 6 ‘Additional Requirement/s Study Leave (Teaching) Up to one (1) year At least 30 days advance i. ‘Request for leave of absence indorsed by the School Principal; School Clearance; . Division Clearance; Recommendation from the supervisor; . Study Leave Agreement; . Certification of first time to avail study leave of absence; Enroliment/ Registration Form; CS Form 86 - Medical Records; and Certification from the Principal indicating the name of teacher who will be temporarily in-charge of the tasks of the employee to go on study leaves ‘Study Leave (Nonteaching) Up to six (6) months At least 30 days advance ~ Request for leave of absence indorsed by the Chief of Service; . Division Clearance; Enrollment/ Registration Form; and Certificate of No Pending Administrative Case“Type of Leave of Absence No. of Days of Leave Date Of Filing of C. S. Form No. 6 ‘Additional Requirement/s Terminal Leave Depends on the no. of remaining leave credits upon retirement Immediately upon completion of requirements le. deceased employees) PSA-issued Death Certificate; PSA-issued Birth Certificate of children; and Notarized Judicial or Extra Judicial Settlement of Estate B. ~ GSIS Approval/ (Additional requirements for Clearance for Retirement; GSIS Retirement Application Form (CTC c/o Records Mgt. Services); Letter of Intent to Retire and Acceptance Letter from HRMS (CTC c/o Records Met. Services); PSA-issued Marriage Contract; Photocopy of Landbank ATM Card with 3 specimen signatures, handwritten account number and date; and Certificate of late filing of terminal leave; Violence against ‘Women and Children (VAWC) Leave 10 days ‘At least five (5) days in advance or five (5) days upon returning from leave of absence w . Temporary Protection . If the protection is not . In the absence of the Barangay Protection Order (BPO); or Order from the Court; or yet issued by the Barangay or the Court, a certification issued by the Punong Barangay/Kagawad or Prosecutor or the Clerk of Court that the application for the BPO, TPO or PPO has been filed with the said office shall be sufficient to support the application; or BPO/TPO/PPO or the | certification, a police report specifying the details of the occurrence of violence onthe victim anda | medical certificate | may be considered. _| 5“Type of Leave of Absence Wo. of Days of Leave Date of Filing of C. S. Form No. 6 ‘Additional Requirement/s Vacation Leave (Personal-Local) 30 days or more Five (5) days in advance II. Request for leave of absence indorsed bv the School Principal/ Chief of Service; 2. Certification from the Principal/ Chief of Service indicating the name of personnel who —_will be temporarily in-charge of the tasks of the employee to go on VL; 3. School Clearance; and 4. Division Clearance Vacation Leave Abroad) ‘One (1) or more 30 days in advance i. Request for leave of absence indorsed by the School Principal/ Chief of Service; (2. Certification from the Principal/ Chief of Service indicating the name of personnel who will be temporarily in-charge of the tasks of the employee to go on VL; 3. Teacher’s/Employee’s Profile; }t. Certificate of No Pending Administrative Case; 5. School Clearance; 6. Division Clearance; and \7. Annex D - Travel Authority for Personal Travel.‘Type of Leave | No. of Days | Date of Filing of ‘Additional of Absence of Leave C. 8. Form No. 6 Requirement/s ‘Vacation Leave | One (1) or ‘At least 45 days in II. Request for leave of (Official-Abroad) | more advance absence indorsed bv the School Principal / Chief of Service; 2. Certification from the Principal/ Chief of Service indicating the name of personnel who will be temporarily in-charge of the tasks of the employee to go on VL; [3 Teacher’s/Employee’s Profile; |4. Certificate of No Pending Administrative Case; . School Clearance; . Division Clearance; . Annex A - Travel Authority for Official ‘Travel; \8. Signed invitation addressed to the requesting party; 9. Itinerary of travel; and 110. Written justification of the travel. Vacation Leave |1-15days | Five (5) daysin None | (Personal-Local) advance soo 16-29 days | Five (5) days in Il. Request for leave of advance absence indorsed bv the School Principal/ Chief of Service; and 2. Certification that services will not be interrupted/ hampered during the employee's leave of absence, signed by the School Principal / Chief of Service. 4. __Itis emphasized that the original documents must be submitted to the Human Resource Management Services of this Office with at least three photo copies of each requirement. 5. Attached are sample forms for perusal and reference. 6. Delay, failure to comply or non-submission of any of the aforementioned documents may result to disapproval of the application for leave of absence. 7. For wide and immediate dissemination.