Professional Documents
Culture Documents
Retirement Checklist
Retirement Checklist
Departmet of Education
MIMAROPA REGION
Meralco Ave. cor. St. Paul Road
Pasig City
APPLICATION FOR DISABILITY RETIREMENT
(Elementary)
Please check the box opposite the requirement. 6 copies each
1 Indorsement from SDS
2 Certificate of Administrative Clearance ( SDO Atty.)
3 Division Clearance
4 District Clearance
5 School Clearance
SDO -PALAWAN
15 OMBUDSMAN Clearance (indicating whether or not the retiree has a pending criminal
or administrative case)
Certified complete: ____________________________________
(Signature Over Printed Name)
Date forwaded to RO : ___________________________________
7 Service Record
8 Certification of Leave Without Pay
9 Accomplished GSIS Retirement Form
10 Intent Letter
11 SALN Certification - SDO Admin. Officer V
12 SALN 2022
13
CSC Pendency / Non-Pendency Clearance
14 OMBUDSMAN Clearance (indicating whether or not the retiree has a pending criminal
or administrative case)
accountabilities
6 Service Record
7 Certification of Leave Without Pay
8 Accomplished GSIS Retirement Form
9 Intent Letter
10 SALN Certification - SDO Admin. Officer V
11 SALN 2022
12 CSC Pendency / Non-Pendency Clearance
13 OMBUDSMAN Clearance (indicating whether or not the retiree has
a pending criminal or administrative case)
accountabilities
6 Service Record
7 Certification of Leave Without Pay
8 Accomplished GSIS Retirement Form
9 Intent Letter
10 SALN Certification - SDO Admin. Officer V
11 SALN 2022
12 CSC Pendency / Non-Pendency Clearance
13 OMBUDSMAN Clearance (indicating whether or not the retiree has
a pending criminal or administrative case)
6 Service Record
7 Certification of Leave Without Pay
8 Certification of Last Payment
9 Accomplished GSIS Retirement Form
10 Intent Letter
11 SALN Certification - SDO Admin. Officer V
12 SALN 2022 (Prior Year)
13 CSC Pendency / Non-Pendency Clearance
14 OMBUDSMAN Clearance (indicating whether or not the retiree has
a pending criminal or administrative case)
6 Service Record
7 Certification of Leave Without Pay
8 Certification of Last Payment
9 Accomplished GSIS Retirement Form
10 Intent Letter
11 SALN Certification - SDO Admin. Officer V
12 SALN 2022 (Prior Year)
13 CSC Pendency / Non-Pendency Clearance
14 OMBUDSMAN Clearance (indicating whether or not the retiree has
a pending criminal or administrative case)
2 Latest IPCRF
3 School Clearance (Money & Property)
4 Disrict Clearance (Money & Property)
5 Division Clearance
6 Service Record
7 Certification of Leave Without Pay
2 Latest IPCRF
3 School Clearance (Money & Property)
4 Disrict Clearance (Money & Property)
5 Division Clearance
6 Service Record
7 Certification of Leave Without Pay
Certified complete: ____________________________________
(Signature Over Printed Name)
2 Latest IPCRF
3 School Clearance (Money & Property)
4 Disrict Clearance (Money & Property)
5 Division Clearance
6 Service Record
7 Certification of Leave Without Pay
Certified complete: ____________________________________
(Signature Over Printed Name)
accountabilities
6 Service Record
7 Certification of Leave Without Pay
8 Certification of Last Payment ( for IUS )
9 Accomplished GSIS Retirement Form
10 Proof of Disability Part I, II and III
11 Intent Letter
12 SALN Certification - SDO Admin. Officer V
13 SALN 2022
14 CSC Pendency / Non-Pendency Clearance
15 OMBUDSMAN Clearance (indicating whether or not the retiree has
a pending criminal or administrative case)
accountabilities
6 Service Record
7 Certification of Leave Without Pay
8 Certification of Last Payment (for IUS )
9 Accomplished GSIS Retirement Form
10 Proof of Disability Part I, II and III
11 Intent Letter
12 SALN Certification - SDO Admin. Officer V
13 SALN 2022
14 CSC Pendency / Non-Pendency Clearance
15 OMBUDSMAN Clearance (indicating whether or not the retiree has
a pending criminal or administrative case)
SDO-PALAWAN
6 Affidavit of Undertaking- with authority to 6 Affidavit of Undertaking- with authority to deduct
deduct accountabilities accountabilities
7 Service Record-c/o (D.O) 7 Service Record-c/o (D.O)
8 Certification of Leave Without Pay (D.O) 8 Certification of Leave Without Pay (D.O)
9 CSC Pendency / Non-Pendency Clearance 9 CSC Pendency / Non-Pendency Clearance
10 SALN -Prior year 10 SALN -Prior year
OMBUDSMAN Clearance (indicating whether or not OMBUDSMAN Clearance (indicating whether or not
11 the retiree has a pending criminal or administrative 11 the retiree has a pending criminal or administrative
case) case)
SDO-PALAWAN
SDO-PALAWAN
OMBUDSMAN Clearance (indicating whether or not OMBUDSMAN Clearance (indicating whether or not
10 the retiree has a pending criminal or administrative 10 the retiree has a pending criminal or administrative
case) case)
APPLICATION FOR RETIREMENT/SEPARATION/LIFE INSURANCE APPLICATION FOR RETIREMENT/SEPARATION/LIFE INSURANCE
BENEFITS BENEFITS
(Secondary ) (Secondary )
6 COPIES EACH 6 COPIES EACH
1 Intent Letter 1 Intent Letter
2 Accomplished GSIS Retirement Form 2 Accomplished GSIS Retirement Form
3 Division Clearance 3 Division Clearance
4 School Clearance (Money & Property) 4 School Clearance (Money & Property)
SDO-PALAWAN
SDO-PALAWAN
5 Affidavit of Undertaking- with authority to 5 Affidavit of Undertaking- with authority to deduct
deduct accountabilities accountabilities
6 Service Record- c/o (D.O) 6 Service Record- c/o (D.O)
7 Certification of Leave Without Pay- c/o ( D.O) 7 Certification of Leave Without Pay- c/o ( D.O)
8 CSC Pendency / Non-Pendency Clearance 8 CSC Pendency / Non-Pendency Clearance
9 SALN -Prior year 9 SALN -Prior year
OMBUDSMAN Clearance (indicating whether or not OMBUDSMAN Clearance (indicating whether or not
10 the retiree has a pending criminal or administrative 10 the retiree has a pending criminal or administrative
case) case)
SDO-PALAWAN
SDO-PALAWAN
11 OMBUDSMAN Clearance (indicating whether or not 11 OMBUDSMAN Clearance (indicating whether or not
the retiree has a pending criminal or administrative the retiree has a pending criminal or administrative
case) case)
DOCUMENT REQUIREMENTS FOR RESIGNATION DOCUMENT REQUIREMENTS FOR RESIGNATION
(Elementary) (Secondary)
3 COPIES EACH 3 COPIES EACH
1 Resignation Letter 1 Resignation Letter
2 2
SDO-PALAWAN
SDO-PALAWAN
Latest IPCRF Latest IPCRF
3 School Clearance (Money & Property) 3 School Clearance (Money & Property)
4 District Clearance (Money & Property) 4 Division Clearance
5 Division Clearance 5 Service Record
6 Service Record 6 Certification of Leave Without Pay
7 Certification of Leave Without Pay
SDO-PALAWAN
Latest IPCRF Latest IPCRF
3 School Clearance (Money & Property) 3 School Clearance (Money & Property)
4 District Clearance (Money & Property) 4 Division Clearance
5 Division Clearance 5 Service Record
6 Service Record 6 Certification of Leave Without Pay
7 Certification of Leave Without Pay
SDO-PALAWAN
SDO-PALAWAN
4 School Clearance (Money & Property) 4 School Clearance (Money & Property)
5 Service Record 5 Service Record
6 Certification of Leave Without Pay 6 Certification of Leave Without Pay
7 CSC Pendency / Non-Pendency Clearance 7 CSC Pendency / Non-Pendency Clearance
8 SALN -Prior year 8 SALN -Prior year
9 Certification of Last Payment 9 Certification of Last Payment
10 IPCRF 10 IPCRF
DOCUMENT REQUIREMENTS FOR SURVIVORSHIP DOCUMENT REQUIREMENTS FOR SURVIVORSHIP
Please check the box opposite the requirement. 6 copies each Please check the box opposite the requirement. 6 copies each
1 INDORSEMENT FROM SDS 1 INDORSEMENT FROM SDS
2 ACCOMPLISHED GSIS SURVIVORSHIP FORM 2 ACCOMPLISHED GSIS SURVIVORSHIP FORM
3 GSIS AFFIDAVIT OF SURVIVING HEIRS 3 GSIS AFFIDAVIT OF SURVIVING HEIRS
4 GSIS LIFE INSURANCE 4 GSIS LIFE INSURANCE
5 DEATH CERTIFICATE (PSA COPY) 5 DEATH CERTIFICATE (PSA COPY)
6 SCHOOL & DISTRICT MONEY & PROPERTY CLEARANCE 6 SCHOOL & DISTRICT MONEY & PROPERTY CLEARANCE
7 DIVISION CLEARANCE 7 DIVISION CLEARANCE
8 Certificate of Administrative Clearance ( SDO Atty.) 8 Certificate of Administrative Clearance ( SDO Atty.)
9 Certification -Money & Accountability (SDO- Accountant) 9 Certification -Money & Accountability (SDO- Accountant)
10 SALN Certification - SDO Admin. Officer V 10 SALN Certification - SDO Admin. Officer V
11 SALN (Prior Year) 11 SALN (Prior Year)
12 CSC PENDENCY/NON-PENDENCY CLEARANCE 12 CSC PENDENCY/NON-PENDENCY CLEARANCE
13 SERVICE RECORD 13 SERVICE RECORD
14 CERTIFICATE OF LEAVE WITHOUT PAY 14 CERTIFICATE OF LEAVE WITHOUT PAY
15 CERTIFICATION OF LAST PAYMENT- for IUS only 15 CERTIFICATION OF LAST PAYMENT- for IUS only