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Acknowledgement and Undertaking

An employee acknowledges receiving an advance on maternity/sickness benefits from their employer Golden Arches Development Corporation. The employee understands they must submit required forms and documents within 60 days to have the advance reimbursed by the Social Security System. The employee agrees to submit all necessary forms and documents within this timeframe and inform their employer of the birth of their child.

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112 views

Acknowledgement and Undertaking

An employee acknowledges receiving an advance on maternity/sickness benefits from their employer Golden Arches Development Corporation. The employee understands they must submit required forms and documents within 60 days to have the advance reimbursed by the Social Security System. The employee agrees to submit all necessary forms and documents within this timeframe and inform their employer of the birth of their child.

Uploaded by

cabusikaren60
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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ACKNOWLEDGMENT AND UNDERTAKING

I, ________________________________________ hereby acknowledge and affirm that I


received from Golden Arches Development Corporation (“GADC”) the amount of
________________________________________ bank credit in my payroll account
representing the maternity/ sickness benefits I am entitled to receive under the Social
Security Law.

I understand and acknowledge that the maternity/sickness benefits I herein receive are
advanced by GADC and subject to reimbursement from the Social Security System upon
and only upon my submission of all the necessary forms and pertinent documents to
support the grant of said benefits to me.

I further acknowledge that GADC has fully informed me of all the necessary forms and
documents which I need to submit regarding maternity/sickness benefits advanced to me
by GADC.

I hereby undertake to submit all of the necessary forms and documents as required by
GADC and/or the Social Security System concerning the grant of maternity/sickness
benefits advanced to me by GADC within Two Months (60 days) from my receipt of the
aforementioned amount representing the maternity or sickness benefits, or in case of
maternity benefits, within sixty (60) days from the actual date of birth of my child,
whichever comes first.

I further undertake to inform GADC, in writing, of the actual date of the birth of my child.

I finally declare that I have fully read this document; I fully and completely understand the
same and the contents thereof, and the execution of this Acknowledgement and
Undertaking is made willingly and voluntarily by me with full knowledge of my rights
under the law and rules of equity.

_________________________________
(Signature Over Printed Name and Date)

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