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Clearance Form v.01

Clearance Form

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Executive Assistant

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0% found this document useful (0 votes)

17 views

Clearance Form v.01

Clearance Form

Uploaded by

Executive Assistant

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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EMPLOYMENT CLEARANCE FORM

NAME: __________________________ EMPLOYEE NO. _ DESIGNATION: _________________

ADDRESS: ____________ CONTACT NUMBER: COMPANY:

An employee is required to return the Company’s properties to the respective Department before leaving the
service of the Company. His/her is instructed to bring this form to the various Departments as stated below to
obtain Clearance before collection of salary.

1. Employee’s Own Department/ Store

Outstanding items:

o Company Identification Card:_______ Value: _

o Company Uniform: _________________________ Cleared By: ____________________
o ATM Payroll: ______________________________ Date: _________________________

2. Office/ HR

Outstanding items:

o Issued equipment:________ Value:

o Cash Advance/s:______________________ Cleared By: ____________________
o Government Loans: ___________________ Date: _________________________

Through careful due diligence, final payment final payment will be made on: ______________________

Employee Signature: Approved by: ____

HUMAN RESOURCE ONLY:

● Last Pay (unpaid): ________________

● Holdback Fund: __________________
● 13th month Pay: _________________

FINAL PAY: __________________

APPROVED BY: ____________________

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Clearance Form v.01

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Clearance Form v.01

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EMPLOYMENT CLEARANCE FORM

NAME: ______________________________ EMPLOYEE NO. _________ DESIGNATION: _____________________

ADDRESS: ____________________________ CONTACT NUMBER: ______________ COMPANY: ______________

1. Employee’s Own Department/ Store

o Company Identification Card:_________________ Value: ______________ _________

o Issued equipment:____________________ Value: ______________ __________

Employee Signature: __________________________ Approved by: ______________________________

HUMAN RESOURCE ONLY:

● Last Pay (unpaid): ________________

FINAL PAY: __________________

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NAME: __________________________ EMPLOYEE NO. _ DESIGNATION: _________________

ADDRESS: ____________ CONTACT NUMBER: COMPANY:

o Company Identification Card:_______ Value: _

o Issued equipment:________ Value:

Employee Signature: Approved by: ____