FORM # 1 FINANCE AND ADMIN.
DIVISION
Checklist of requirements: PAYROLL & REMITTANCES SLIP No.: ________________
PAYEE: ________________________________________
________________________________________________ Remarks / Action
Date & Time
AMOUNT: ________________________________________ Taken
IN OUT
PAYROLL
1 Regular HRMO
2 Casual
3 Contractual
4 Overload PAYROLL OFFICER
5 Defense OR
6 Safe Loan / STUFAP PERSON IN CHARGE
7 Refund
8 Others:
BUDGET
OFFICER
HEAD, REQUISITIONING
Attachments: OFFICE
1 Payroll
2 DTR
3 Accomplishment Reports
4 Workload Computation ACCOUNTANT
UNIT
5 Student Loan Application
6 OTHERS
REMITTANCES INTERNAL AUDITOR
1 BIR ( Payroll, VAT, EVAT )
2 PHILHEALTH
3 PAG-IBIG
4 BANK LOAN _________________
5 IGP PROJECTS
6 STUFAP CHANCELLOR
7 OTHERS ____________________
FUND:_____________
OBLIGATION REQUEST NO:_______________________ CASHIER
DISBURSEMENT VOUCHER NO:____________________
CHANCELLOR
CASHIER Check Ready for Release:
IMPORTANT: Date: ___________
Disbursement Vouchers with incomplete documents Time: ____________
shall be immediately returned to the concerned unit
TAT - Processing of Claim: ____ Reviewed by: _________________
Total no. of days processed: ____ Date: ____________________
FORM # 2 FINANCE AND ADMIN. DIVISION
Checklist of requirements: TRAVEL SLIP No.: ________________________
PAYEE: CRISELDA RIOS
AMOUNT: 4,567.00 DATE & TIME Remarks / Action
REIMBURSEMENT IN OUT Taken
1 Approved Travel Order 08.10.16
2 Itinerary of Travel CLAIMANT
3 Certificate of Travel Completed
Attachments:
A. Tickets (Bus, Plane) BUDGET
B. Official Receipt OFFICER
C. Certificate of Appearance/Certificate of Participation
D. Terminal Report
4 Letter of Invitation HEAD, REQUISITIONING
5 Others: _______________________________ OFFICE
________________________________
________________________________
________________________________
________________________________
PREPAYMENT/ PAYMENT OF REGISTRATION FEE ACCOUNTANT
1 Approved Travel Order
2 Itinerary of Travel (Estimate)
3 Letter of Invitation
4 Program of Activities
5 Others: ______________________________
_______________________________ INTERNAL
_______________________________ AUDITOR
_______________________________
_______________________________
LIQUIDATION OF PREPAYMENT
1 Approved Travel Order
2 Itinerary of Travel (Actual) CHANCELLOR
3 Certificate of Travel Completed
Attachments:
A. Terminal Report
B. Tickets (Bus, Plane) CASHIER
C. Certificate of Appearance/Certificate of Participation
D. Program of Activities
FUND: ____________________
CHANCELLOR
OBLIGATION REQUEST NO.: ________________________________________
DISBURSEMENT VOUCHER NO.: ____________________________________
CASHIER Check Ready for Release:
IMPORTANT: Date: _____________
Time: _____________
Disbursement Vouchers with incomplete documents
shall be immediately returned to the concerned unit
TAT - Processing of Claim: _______ Reviewed by: _____________________
Total no. of days processed: _______ Date: ____________________
FORM # 3 FINANCE AND ADMIN. DIVISION
Checklist of requirements: REIMBURSEMENT / REPLENISHMENTS SLIP No.: ______________
THERESE P. PALACPAC
PAYEE: __________________________________________
###
AMOUNT: ________________________________________ Date & Time Remarks / Action
PURCHASES IN OUT Taken
1 Purchase Request
2 Cert. of Emergency Purchase CLAIMANT
3 P.O
4 RIS
5 Official Receipt/s SUPPLY OFFICER
6 Inspection Report
7 Others: ______________________________
_______________________________ BUDGET
_______________________________ OFFICER
SERVICES
1 Service Request/Pre-Inspection Report
2 Cert. of Emergency Service HEAD, REQUISITIONING
3 Job Order OFFICE
4 OR/RER
5 Inspection Report
6 Others: _______________________________ ACCOUNTANT
_______________________________
_______________________________
0
REPAIR
1 Pre-Inspection Report INTERNAL
2 Cert. of Emergency Repair AUDITOR
3 Job Order
4 OR/RER
5 Inspection Report
6 Others: _______________________________
_______________________________ CHANCELLOR
_______________________________
LIQUIDATION
1 Photocopy of the Liquidation Report CASHIER
2 Others: _______________________________
_______________________________
_______________________________ CHANCELLOR
FUND: ____________________ CASHIER Check Ready for Release:
Date: _____________
OBLIGATION REQUEST NO.: __________________________________ Time: _____________
DISBURSEMENT VOUCHER NO.: ______________________________
IMPORTANT:
* Amount to be reimbursed should not exceed Php 1,500.00
* Disbursement Vouchers with incomplete documents
shall be immediately returned to the concerned unit
TAT - Processing of Claim: _______ Reviewed by: _____________________
Total no. of days processed: _______ Date: _____________________________
FORM # 4 FINANCE AND ADMIN. DIVISION
Checklist of requirements: GASOLINE SLIP No.: ______________
PAYEE: __________________________________________
__________________________________________
AMOUNT: ________________________________________ Date & Time Remarks / Action
IN OUT Taken
1 Summary of Invoice
2 Statement of account SUPPLY OFFICER
3 Vehicle trip ticket
4 Travel Order
5 Purchase Request BUDGET OFFICER
6 Purchase Order
7 RIS HEAD,REQUISITIONING
8 BIR Certificate OFFICE
9 Charge Invoice #
_______________ ______________
_______________ ______________
_______________ ______________ ACCOUNTANT
_______________ ______________
_______________ ______________
_______________ ______________
_______________ ______________
_______________ ______________ INTERNAL
_______________ ______________
_______________ ______________ AUDITOR
_______________ ______________
_______________ ______________
_______________ ______________
10 Others
_________________________ CHANCELLOR
________________________
CASHIER
CHANCELLOR
FUND: ____________________ CASHIER Check Ready for Release:
Date: _____________
OBLIGATION REQUEST NO.: ___________________________________ Time: _____________
DISBURSEMENT VOUCHER NO.: _______________________________
IMPORTANT:
* Disbursement Vouchers with incomplete documents
shall be immediately returned to the concerned unit
TAT - Processing of Claim: _______ Reviewed by: _____________________
Total no. of days processed: _______ Date: ____________________
FORM # 5 FINANCE AND ADMIN. DIVISION
Checklist of requirements: SUPPLIES AND MATERIALS / BOOKS SLIP No.: ________________________
PAYEE: ____________________________
AMOUNT: __________________________ DATE & TIME Remarks/Action
IN OUT Taken
Purchase Request END USER
APR
Alternative Mode CHANCELLOR
DBM Quotation, if applicable
Other Attachments: SUPPLY OFFICER
PO
Charge Invoice #: ___________
Inspection Report
RIS/Custodian Property Slip/PAR BUDGET OFFICER
BIR Certificates
Others: ___________________
_________________________ HEAD, REQUISITIONING OFFICE
________________________
________________________ ACCOUNTANT
CHANCELLOR
Sole Distributorship
YES SUPPLY OFFICER
Cert. of Sole Distributorship
Price List
NO ACCOUNTANT
Canvass
Abstract of Quotation
OLD/NEW Dealer
Old Dealer INTERNAL AUDITOR
New Dealer
Business Permit
DTI
Others: _______________ CHANCELLOR
__________________________
__________________________ CASHIER
__________________________
CHANCELLOR
FUND: __________________
CASHIER Check Ready for Release:
OBLIGATION REQUEST NO. : __________________ Date: _______________
Time: ____________
DISBURSEMENT VOUCHER NO. : ________________
IMPORTANT:
Disbursement Vouchers with incomplete documents
shall be immediately returned to the concerned unit
TAT - Processing of Claim: _________ Reviewed by: ____________________
Total no. of days processed: _______ Date: ___________________
FORM # 6 FINANCE AND ADMIN. DIVISION
Checklist of requirements: EQUIPMENT SLIP No.: ________________________
PAYEE: ____________________________
AMOUNT: __________________________ DATE & TIME Remarks/Action
IN OUT Taken
Purchase Request END USER
Other Attachments CHANCELLOR
Board Resolution
Pre-procurement (UBAC)
Pre-bid conference
Opening of Bids SUPPLY OFFICER
Abstract of Bids
UBAC Resolution
Notice of Award
Purchase Order BUDGET OFFICER
Charge Invoice
Property Acknowledgement Receipt HEAD, REQUISITIONING OFFICE
Inspection Report
BIR Certificates ACCOUNTANT
Others : _____________________
__________________ CHANCELLOR
__________________
__________________
SUPPLY OFFICER
OLD/NEW Dealer
Old Dealer
New Dealer ACCOUNTANT
Business Permit
DTI
Phil GEPS Registration
Others: _______________
________________________ INTERNAL AUDITOR
________________________
________________________
CHANCELLOR
CASHIER
CHANCELLOR
FUND: __________________ CASHIER Check Ready for Release:
OBLIGATION REQUEST NO. : __________________ Date: _______________
Time: ____________
DISBURSEMENT VOUCHER NO. : ________________
IMPORTANT:
Disbursement Vouchers with incomplete documents
shall be immediately returned to the concerned unit
TAT - Processing of Claim: _________ Reviewed by: ____________________
Total no. of days processed: _______ Date: ___________________
FORM # 7 FINANCE AND ADMIN. DIVISION
Checklist of requirements: REPAIR OR CONSTRUCTION OF FIXED ASSETS SLIP No.: ________________________
PAYEE: ____________________________
AMOUNT: __________________________ DATE & TIME Remarks/Action
IN OUT Taken
Attachments PLANNING AND
INFRASTRUCTURE STAFF
Contractor's Billing
BUDGET OFFICER
Accomplishment Report
Certificate of Completion
HEAD, REQUISITIONING OFFICE
Certificate of Provisionary
Acceptance
Contract,Notice to Award &
Notice to Proceed
ACCOUNTANT
UBAC Supporting Documents
Program of Works
BIR Certificates
Others : ____________________
__________________
__________________
__________________
__________________
__________________
__________________
__________________ INTERNAL AUDITOR
CHANCELLOR
CASHIER
CHANCELLOR
FUND: __________________ CASHIER Check Ready for Release:
OBLIGATION REQUEST NO. : __________________ Date: _______________
Time: ____________
DISBURSEMENT VOUCHER NO. : ________________
IMPORTANT:
Disbursement Vouchers with incomplete documents
shall be immediately returned to the concerned unit
TAT - Processing of Claim: _________ Reviewed by: ____________________
Total no. of days processed: _______ Date: __________________________
FORM # 8 FINANCE AND ADMIN. DIVISION
Checklist of requirements: CASH ADVANCE & LIQUIDATION FOR CAMPUS ACTIVITIES SLIP No.: ______________
PAYEE: ARRIANNE MICHELLE P. FLORENDO
__________________________________________
AMOUNT: ### 20,000.00 Date & Time Remarks / Action
IN OUT Taken
CASH ADVANCE
1 Purchase Request CLAIMANT
2 Others
_________________________ SUPPLY OFFICER
________________________
_________________________
_________________________
_________________________ BUDGET
OFFICER
HEAD, REQUISITIONING
OFFICE
ACCOUNTANT
LIQUIDATION
1 Purchase Request
2 Cert. of Emergency Purchase
3 P.O
4 RIS INTERNAL
5 Official Receipts AUDITOR
6 Inspection Report
7 Others: ______________________________
______________________________
CHANCELLOR
CASHIER
CHANCELLOR
FUND: ____________________ CASHIER Check Ready for Release:
Date: _____________
OBLIGATION REQUEST NO.: _________________ Time: _____________
DISBURSEMENT VOUCHER NO.: _________________
IMPORTANT:
* Disbursement Vouchers with incomplete documents
shall be immediately returned to the concerned unit
TAT - Processing of Claim: _______ Reviewed by: _____________________
Total no. of days processed: _______ Date: ____________________
FORM # 9 FINANCE AND ADMIN. DIVISION
Checklist of requirements: OTHER TRANSACTIONS SLIP No.: _______________
PAYEE: ALVIN R. MALICDEM
______________________________________________ Remarks / Action
2,652.00 Date & Time
AMOUNT:
IN OUT Taken
TELEPHONE
ELECTRICITY PERSON IN CHARGE
BOND PREMIUM
INSURANCE SUPPLY OFFICER
SOLICITATION
SUBSCRIPTION TO JOURNALS BUDGET OFFICER
NEWSPAPER SUBSCRIPTION
REMITTANCE OF INCOME / COLLECTION HEAD, REQUISITIONING
TRANSFER OF FUND OFFICE
OTHERS________________________
_________________________
Attachments:
Statement of Account
List of personal calls ACCOUNTANT
Subscription form
Purchase request
Purchase order
Checklist
Certification
BIR certificate
RIS INTERNAL AUDITOR
Inspection Report
Others ________________________________
_______________________
_______________________
_______________________
_______________________
CHANCELLOR
CASHIER
FUND _______________________________
OBLIGATION REQUEST NO:_______________ CHANCELLOR
DISBURSEMENT VOUCHER NO:_____________
CASHIER Check Ready for Release:
IMPORTANT: Date: ____________
Disbursement Vouchers with incomplete documents Time: ____________
shall be immediately returned to the concerned unit
TAT - Processing of Claim: ____ Reviewed by: _________________
Total no. of days processed: ____ Date: ____________________
