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Clearance Form Updated

The document is a clearance sheet for an employee's separation from the company, detailing their personal information, employment status, and accountabilities. It includes sections for departmental checks, financial accountabilities, deductions, and confirmations from the employee. The clearance certifies that the employee has settled all financial and property obligations before their separation date.

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eastland.loukaliwa
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10 views1 page

Clearance Form Updated

The document is a clearance sheet for an employee's separation from the company, detailing their personal information, employment status, and accountabilities. It includes sections for departmental checks, financial accountabilities, deductions, and confirmations from the employee. The clearance certifies that the employee has settled all financial and property obligations before their separation date.

Uploaded by

eastland.loukaliwa
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as XLSX, PDF, TXT or read online on Scribd
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CLEARANCE SHEET

Name : ID No :
Date Hired : Employment Status :
Position : Department :
Date of Separation :
Cause of Separation:

Note: Department Heads must check whether or not the subject employee has done the proper turnover and/or
settlement of all accountabilities vis-a-vis the position & in relation to your office.
Departments NAME Signature Date Remarks
Department Head :
Purchasing Dept. :
I.T Dept. :
ADMIN/HR Dept. :
Accounting Dept. :
Finance Dept. :
Audit Dept. :
Spoon & Spices :

Financial Accountabilities OTHER REMARKS


UNPAID SALARIES & WAGES
Basic Pay P
Overtime Pay P
Allowance P
Others P
SUBTOTAL P
DEDUCTIONS EMPLOYEE'S CONFIRMATION
Cash Advance P
W/holding Tax P
SSS P I hereby confirm that all the stated
P/Health P accountabilities in this Clearance Sheet are true
to the best of my knowledge and belief and
HDMF P
hereby certify that I have no more claims from
SSS Loan P
the company. __________________________________
HDMF Loan P Separated Employee's Signature
Others P
SUBTOTAL P
ADD: OTHERS CERTIFICATION
Tax Refund P
13th month Pay P This is to certify that the subject employee is
Sick Leave P hereby cleared from all financial and property
Vacation Leave P accountabilities with the Company effective on
Incentive P his/her separation date.
Others P
SUBTOTAL P
NET AMOUNT DUE TO EMPLOYEE HRD
P Date:

Prepared by: Checked by: Approved by:

RAYMOND RODRIGUEZ MARIA FATIMA SUDARIO LISLIE ANN L. TAN


HR OFFICER ACCOUNTING & FINANCE HEAD AUDIT HEAD
Date: Date: Date:

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