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Leave Form

This document is an application for leave from the Bureau of Fire Protection. It contains fields for the applicant to provide information such as their unit, name, date of filing, rank/position, and salary. The applicant must specify the type of leave being applied for (e.g. vacation, sick), where the leave will be spent, and the number of working days applied for. There are also sections to certify the applicant's leave credits and provide recommendations for approval/disapproval of the leave application. The final sections provide information on delegation of authority for approving leaves of different lengths at national headquarters and regional levels.

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Bfp Mapanas
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43 views1 page

Leave Form

This document is an application for leave from the Bureau of Fire Protection. It contains fields for the applicant to provide information such as their unit, name, date of filing, rank/position, and salary. The applicant must specify the type of leave being applied for (e.g. vacation, sick), where the leave will be spent, and the number of working days applied for. There are also sections to certify the applicant's leave credits and provide recommendations for approval/disapproval of the leave application. The final sections provide information on delegation of authority for approving leaves of different lengths at national headquarters and regional levels.

Uploaded by

Bfp Mapanas
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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LEAVE NO.

:________
Republic of the Philippines
Department of the Interior and Local Government
BUREAU OF FIRE PROTECTION
Purok 1, Brgy. Dalakit, Catarman, Northern Samar
Leave Management Section

APPLICATION FOR LEAVE


------------------------------------------------------------------------------------------------------------------------------------------------
1. UNIT/OFFICE/DIRECTORATE 2. NAME (Last) (First) (Middle)

---------------------------------------------------------------------------------------------------------------------------------------------------------------
3. DATE OF FILING 4. RANK/POSITION (STATUS OF APPOINTMENT) 5. SALARY

--------------------------------------------------------------------------------------------------------------------------------------------------
6. a) TYPE OF LEAVE b) WHERE LEAVE WILL BE SPENT

( ) Vacation ( ) Mandatory (1) IN CASE OF VACATION/ MANDATORY LEAVE

( ) Sick ( ) SPL ( ) Within the Philippines ( ) Abroad


___________________________________
Others (Specify) ___________________
(2) IN CASE OF SICK LEAVE

c) NO. OF WORKING DAYS APPLIED FOR ( ) Within the Philippines ( ) Abroad


___________________
Inclusive Date/ ________________ _______________________________________

( ) In Hospital (Specify) / ( ) Out Patient (Specify)

7. a) CERTIFICATION OF LEAVE CREDITS _______________________________________


As of _ ___________________________

______________________________________
Vacation Sick Total
Signature of Applicant

PRESENT
ADDRESS:___________________

8. b) RECOMMENDATION

Approved for _____ days with pay


_______ days without pay
__________________________________ _______ Others (specify)
C, Admin.
Disapproved due to ________________

_________________________________
_________________________________
City/Municipal Fire Marshal

_________________________________
C, Leave Management Section (NHQ)
_________________________________
Chief, Support Service / District / Provincial Fire Marshal

_________________________________
_________________________________ Chief Directorial Staff
Director of Directorate / Regional Director

_________________________________
-------------------------------------------------------------------------------------------------------------------
Deputy Chief for Administration

_______________________________________
Chief, BFP
DELEGATION OF AUTHORITY: NHQ DELEGATION OF AUTHORITY: REGION

A. FO1-SFO4 : CDS
NUP SG 15-BELOW
B. INSP-CINSP : DCA A.1-7 Days : C/MFM
NUP SG 16-18
C. SUPT-CSUPT : FC B. 8-15 Days : D/PFM
NUP SG 19-ABOVE C. 16-30 Days : RD

BFP-QSF-PRMD-010 Rev. Ø1 (04.16.19)

BFP-QSF-PRMD-010 Rev. Ø1 (04.16.19)

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