CHECKLIST FOR TRANSFER PAYROLL FOR JHS

(WITH ONE COPY OF EACH DOCUMENT ARRANGED IN BELOW ORDER)

_________ELEMENTARY
SECONDARY
SENIOR HIGH SCHOOL

NAME: ________
EMPLOYEE NO.: ________
SCHOOL: ________
POSITION: ________
EMAIL ADD: ________
CONTACT NO.: ________

LETTER OF REQUEST FOR TRANSFER PAYROLL

PHOTOCOPY OF APPOINTMENT TRANSFER: IF APPLICABLE
PHOTOCOPY OF REASSIGNMENT ORDER: IF APPLICABLE
CERTIFICATION OF ASSUMPTION TO DUTY
PHOTOCOPY OF PAYSLIP
FORM B FOR TRANSFER BP NO. (GSIS)
DOWNLOAD GSIS FORMS HERE: http://tiny.cc/gsis-forms
UPDATED SERVICE RECORD (REFLECT NEW STATION)

REMARKS:

FROM:
TO:
 CHECKLIST
Request for Transfer Payroll (3 copies)
For Payroll and Gsis Update

________ Letter of request for transfer Payroll

________ Photocopy of Appointment Transfer; if applicable
________ Photocopy of Reassignment order; if applicable
________ Certification of Assumption to Duty
________ Photocopy of Payslip
________ Updated Service Record (reflect new station)

NAME ___________________________________
EMPLOYEE NO. ___________________________
SCHOOL ________________________________
POSITION________________________________
EMAIL ADD_______________________________
CONTACT NO_____________________________
NOTE: 3 COPIES IN 1 FOLDER
ADDITIONAL REQ. CERT OF FIRST DAY OF SERVICE
REQUIRED DOCUMENTS FOR STUDY LEAVE APPLI
Section 24 of Republic Act 4670 otherwise known as the Magna Carta for Public School Teachers, stated
In viewthereof, the following are the Required Documents for Study Leave Applic

1. Letter request endorsed by the School Head;

2. Accomplished Study Leave Agreement (See Annex A for the tem
3. Schedule of Study Leave,
4. Affidavit that applicant has not availed study grant under RA 467
5. Certification from the Principal that services can be dispensed w
6. Certification of no pending administrative case.
7. School and/or Division Clearances;
8. Accomplished Form 6;
9. Accomplished Form 41;
10. Accomplished Form 212;
11. Service Records;
12. Transcript of Records (Grad and Undergrad);
13. Performance Rating for the last three (3) rating periods.

There shall only be two (2) grantee of study leave (1 teaching and 1 non-teachin
Let it be noted that, as per RA 4670, teachers who are on study leave, shall be e

Immediate dissemination and compliance to this Memorandum is hereby desired

 LEAVE APPLICATION FOR TEACHING AND NON-TEACHING PER
Public School Teachers, stated among others that, teachers shall be entitled to study leave not exceeding one school year after seven year
s for Study Leave Application for Teaching and Non-Teaching Personnel of this Division to wit:

ee Annex A for the template);

udy grant under RA 4670 (for teaching personnel);

ces can be dispensed with;

rating periods.

hing and 1 non-teaching personnel) per municipality per year.

study leave, shall be entitled to at least 60% of their monthly salary subject to the condition that those te

ndum is hereby desired.

TEACHING PERSONNEL
e school year after seven years of service. Civil Service Memorandum Circular No. 21, s. 2004, on the other hand, provides that Officials an
ion to wit:

condition that those teachers take the regular study load and passes at least 75% of his courses.
and, provides that Officials and employees, excluding teachers who are covered by the different law, may apply for a maximum of six (6) m

of his courses.
pply for a maximum of six (6) months study leave.
SALARY OF SUBSTITUTE TEACHER CHECKLIST

FORM7 (SIGNED BY ASDS)

CERTIFIED XEROX COPY OF DULY APPROVED APPOINTMENTS

CERTIFICATE OF ASSUMPTION TO DUTY
CERTIFICATION OF UNPAID SALARIES DULY SIGNED
SALN
CERTIFICATION OF 1ST DAY OF SERVICE
DTR DULY SIGNED BY THE SCHOOL HEAD
OATH OF OFFICE (CERTIFIED XEROX COPY)
FORM 6 (WITH SIGNATURE FROM BUDGET)
VALIDATED DEPOSIT SLIP AND ATM
Certification from cashier for isuuance of atm or BANK ENDORSEMENT
AFFIDAVIT OF UDERTAKING (SUBSTITUTE) http://tiny.cc/b807lz
CERTIFICATE OF THE PRINCIPAL
SCAN (PDF) & UPLOAD ONLINE http://tiny.cc/ReqSubstitute

3 COPIES BROWN IN 3 FOLDERS

CERTIFICATION FROM PLI FOR OVERPAYMENT
STOPPAGE FORM

2 COPIES
ERF CHECKLIST

ERF FORM FULLY ACCOMPLISHED 4 COPIES

TRANSCRIPT OF RECORDS (MASTER'S DEGREE)
UPDATED SERVICE RECORD
LATEST APPOINTMENT
LIST OF CERTIFICATES/TRAININGS (NOTARIZED)
IPCRF FOR THE LAST 2 CONSECUTIVE RATINGS

ATTACH ORIGINAL COPY PLUS 2 PHOTOCOPIES , USE BROWN FOLDER

NOSCA (NOTICE OF ORGANIZATION, STAFFING & COMPENSATION ACTION)

APPROVED ERF
UPDATED SERVICE RECORD
LATEST APPOINTMENT
LATEST PAYSLIP
MATURITY REQUIREMENTS

GSIS FORM (SAME WITH THE RETIREMENT FORM)

ORIGINAL CERTIFICATE OF MEMBERSHIP
PHOTOCOPY OF GSIS ID
UPDATED SR

NOTE: 3 COPIES
AFFIDAVIT OF LOSS
FORM 137
INDORSEMENT LETTER FROM THE SCHOOL HEAD
REINSTATEMENT/ RETURNTO DUTY CHECKLIST

LETTER OF INTENT
1st indorsement
APPROVED FORM6
CSC MEDICAL CERTIFICATE (CS FORM 211)
CERTIFICATE OF LIVE BIRTH
UPDATED SERVICE RECORD
APPOINTMENT LETTER

NOTE: NEED TO ONLINE

3 COPIES IN 1 BROWN FOLDER

RETIREMENT CHECKLIST 3 COPIES IN 1 FOLDER

LETTER OF INTENT TO RETIRE (NOTARIZED)

INDORSEMENT OF SCHOOL HEAD OR IMMEDIATE SUPERIOR
FILLED UP GSIS APPLICATION FORM FOR RETIREMENT (4 COPIES)
SCHOOL CLEARANCE (PROPERTY AND MONEY ACCOUNTABILITIES)
DIVISION CLEARANCE (PROPERTY AND MONEY ACCOUNTABILITIES)
UPDATED SERVICE RECORD REQUEST ONLINE
DECLARATION OF PENDENCY/ NON PENDENCY OF CASE

NEED TO ONLINE : RETIREMENT, SERVICE RECORD, DIVISION CLEARANCE, REPORT ON RETIREMENT

online links:
https://docs.google.com/forms/d/e/1FAIpQLSdzHvJf3Jlpx5ARGuhLX5TxbQImhbZxwi3cX1f_az6TtcBDdw/viewform?fbclid=IwAR3X

https://docs.google.com/forms/d/e/1FAIpQLScuzSJNNjjuVifBwjqW63sLxw7SpxffR_SnLqFadkj5ywjWQg/viewform?fbclid=IwAR2cD

https://docs.google.com/forms/d/e/
1FAIpQLSfsa0c941ppGMT4zsmHp3oMuWjSgmpDbS4PZCQuH6JVd46GUg/viewform?
fbclid=IwAR00H6AIp34FEKe_-Ip06B5uKGSkCW5uHT8sykX8Y72EMEqHc6b-lnOGSKI
https://docs.google.com/forms/d/e/1FAIpQLSfEnoi3-
YJQmumHdxgmbckCl1VDZdm1yaDjKh42IbQ85Kfnqg/viewform?
fbclid=IwAR3WeBtnqejqoYnE9JqhotkPwnyIOrVKv4EwrI9eFZr2LL1qe7zaXrU99Y4

https://docs.google.com/forms/d/e/1FAIpQLSfNnpVwCgBSRAbB0_IS06qb-zMt-INyArxBnOFFI1rf4X6ryQ/viewform
JOB ORDER ACKNOWLEDGEMT
MOA/ CONTRACT
JUSTIFICATION LETTER
PDS
MEDICAL CERTIFICATE
BIRTH CERTIFICATE
BRGY. CLEARANCE
NBI CLEARANCE VALID FOR A YEAR
ONLINE DATE AND TIME
3 FOLDERs CHECKLIST
ATTACH ADVISE LETTER
CERT OF ASSUMPTION TO DUTY 3 COPIES
CERT OF AVAILABILITY OF FUNDS 3 COPIES
PDF 3 COPIES
OATH OF OFFICE WITH DOCUMENTARY STAMP

PDS
UPDATED SR
CERTIFICATE OF PASSING MUST BE AUTHENTICATED BY PRC FOR NEWLY HIRED
OTR CERTIFIED TRUE COPY
ORIGINAL AUTHENTICATED PRC LICENSE
WORK EXPERIENCE SHEET
FORM 211 MEDICAL WITH DOCUMENTARY STAMP
SALN
CLEARANCES (BARANGAY, POLICE, NBI)

LINK http://bit.ly/sdo1-FORMSappt
STEP INCREMENT

LOEGSI
UPDATED SERVICE RECORD
PAYSLIP
NOSI
APPOINTMENT
RECLASSIFICATION FOR MASTER TEACAHER I AND II

BASIC REQUEST BY THE AGENCY HEAD

INDORSEMENT LETTER BY THE SDS
INDORSEMENT LETTER BY THE DEPED RD
APPROVED PLANTILLA ALLOCATION LIST
LATEST SERVICE RECORD
SDS CERTIFICATION ON POST-GRADUATE DEGREE STUDIES
DISTRICT DATA BULLETIN CERTIFIED CORRECT BY SH DULY NOTED BY SDS
LIST OF TEACHERS BY SCHOOL WITH ITEM
CERTIFICATION OF PERFORMANCE RATINGFS FOR THE LAST 2 YEARS (BY SDS)
SDS CERTIFICATION OF TRAINING ATTENDED

FOR SCHOOL PRINCIPAL

ENDORSEMENT LETTER BY THE SDS

LETTER REQUEST OF THE SH
LETTER REQUEST OF THE CONCERNED TEACHER
SDS CERTIFICATION ON DEGREE EARNED IN MASTERAL/ DOCTORAL DEGREE
SDS CERTIFICATION OF TRAININGS/ SEMINAR ATTENDED
CERTIFICATE OF COMPLETION- RE ENTRY PLAN????
UPDATED PSIPOP
SDS CERTIFICATION ON PERFORMANCE RATINGS FOR THE LAST 2 YEARS

RANKLIST???? FOLLOW TO SIR DANIEL

FOR TEACHER POSITION TO HEAD TEACHER POSITION

BASIC REQUEST BY THE HEAD OF AGENCY

INDORSEMENT LETTER BY THE SDS C/O DO
APPROVED PLANTILLA ALLOCATION LIST
APPROVED ERF
LATEST SERVICE RECORD
SDS CERTIFICATION ON POST- GRADUATE DEGREE attach the original OTR

ADDITIONAL REQUIREMENTS- TO HEAD OF SCHOOL

SDS CERTIFICATION ON DESIGNATION AS OIC/ TIC

PAST RATINGS FOR THE LAST 3 YEARS
NEAP CERTIFIED CERTIFICATES OF RELEVANT TRAININGS
LIST OF TEACHERS WITH ITEM NUMBER SUPERVISED

ADDITIONAL REQUIREMENTS- TO HEAD OF DEPARTMENT

LIST OF TEACHERS WITH ITEM NUMBERS ON EACH OF 8 MAJOR SUBJECT AREAS OF AT LEAST 21
TEACHERS TO SUPERVISE
SCHOOL FORM 7 NEW FORMAT
SDS CERTIFICATION ON RELEVANT TRAININGS/ Seminars attended attach copies of trainings/ seminars
SDS CERTIFICATION OF PERFORMANCE RATINGS FOR THE LAST 3 CONSECUTIVE YEARS
 2. TERMINAL LEAVE BENEFITS (3 COPIES EACH)

FORM 6
UPDATED SERVICE RECORD
GSIS RETIREMENT VOUCHER
GSIS RETIREMENT CLEARANCE
CERTIFICATE OF LAST PAYMENT (CLP)
ORIGIANL COPY OF CERTIFICATION (COMELEC, SCOUTIN
CLEARANCE OF MONEY AND PROPERTY
ASSETS AND LIABILITIES
LATEST APPOINTMENT
FOR DECEASED EMPLOYEE
DEATH CERTIFICATE
MARRIAGE CERTIFICATE (PSA)
SURVIVORSHIP
SPECIAL POWER OF ATTORNEY

NEED TO ONLINE
3 copies in 1 folder

1. CERTIFICATE OF LAST PAYMENT

process after accomplishing GSIS VOUCHER/ SAME REQS FOR RETIRED PERSONNEL FOR UNPAID SALARY

UPDATED SERVICE RECORD SIGNED BY SIR RWIN

GSIS VOUCHER (IF RETIRED)
CLEARANCE OF MONEY AND PROPERTY (SCHOOL AND DO)
PAYSLIP and PAYROLL (LAST MONTH OF SALARY)
PAYROLL (NAME ALREADY OMITTED)
APPROVED DTR
CONTACT NUMBER

NEED TO ONLINE
3 copies in 1 folder
FOR REGULAR PAYROLL- NEW & TRANSFER EMPLOYEES

REGISTER ONLINE BEFORE SUBMITTING THE HARDCOPY

https://forms.gle/LNUhbMTzMKkF8mw89

NEW EMPLOYEE TRANSFER EMPLOYEE

ELEMENTARY SENIOR HIGH SCHOOL SECONDARY

GSIS FORM FOR GSIS BP NO. (FILL OUT THE FORM)

BIR FORM 1902 (TIN APPLICATION)
BIR FORM 1905 (TIN TRANSFER) WITH RECEIVED BY BIR
BIR FORM 2305 (UPDATE) RDO 004
ATM ACCOUNT (LANDBANK CASH DEPOSIT)
ENDORSEMENT LETTER BY AO IV-CASH
MDR IN PHILHEALTH WITH UPDATED EMPLOYEER'S NAME & PEN-14-125510000-1
MDF IN PAG-IBIG/ PAG-IBIG MID NO.
DTR
CLP-TRANSFER
PAYSLIP FROM PREVIOUS DIVISION- FOR TRANSFER
MONETIZATION 3 COPIES EACH

FORM 6
REQUEST LETTER
MEDICAL ASSISTANCE-ATTACH MEDICAL CERTIFICATE
HOUSE REPAIR- ATTACH BILL OF MATERIALS AND PICTURE
TUITION FEE- ATACH REGISTRATION CARD AND OFFICIAL RECEIPT OF
TUITION PAID
SERVICE RECORD
LATEST PAYSLIP
APPOINTMENT

NOTE: Use the new form 6 with the AO V as the recommending approval and approved by the oic sd
d approved by the oic sds
LOYALTY PAY INCENTIVE

UPDATED SERVICE RECORD

ORIGINAL 1st appointment
LIST OF OFFICIALS AND EMPLOYEES GRANTED LOYALTY AWARDS
CERTIFICATION FROM THE HRO THAT THE CLAIMANT HAS NOT
INCURRED MORE THAN 50 DAYS AUTHORIZED VACATION LEAVE
WITHOUT PAY WITHIN THE 10 YEAR PERIOD OR AGGREGATE OF
MORE THAN 25 DAYS AUTHORIZED VACATION LEAVE WITHOUT PAY
WITHIN THE 5 YEARS PERIOD

NOTE: 3 COPIES
REQUIREMENTS FOR COMPENSATORY TIME-OFF

FORM 48
LETTER OF REQUEST ADDRESS TO SDS
AUTHORITY TO TRAVEL
CERTIFICATE OF APPEARANCE
MEMORANDUM
FORM FOR AVAILING COC
NARRATIVE REPORT
DOCUMENTATION
CHANGE STATUS REQUIREMENTS

ELEMENTARY
SECONDARY
SENIOR HIGH SCHOOL

NAME
SCHOOL
POSITION
CONTACT NO.
EMAIL ADD

FOR PAYROLL UPDATE (3 COPIES) In 1 folder

REQUEST LETTER
SPECIAL ORDER NO.-HR
MARRIAGE CERTIFICATE
APPOINTMENT
UPDATED SERVICE RECORD
LATEST PAYSLIP

FOR GSIS UPDATE (1 COPY) in 1 folder

FORM E FOR GSIS UPDATE- DOWNLOAD GSIS FORMS HERE: https://tiny.cc/gsis-forms

MARRIAGE CERTIFICATE
REQUIREMENTS FOR TRANSFER

LETTER OF INTENT
INDORSEMENT BY THE IMMEDIATE SUPERVISOR
UPDATED SERVICE RECORD
APPOINTMENT LETTER
REPORT ON VACANCY- https://docs.google.com/forms/d/e/1FAIpQLSdnTXthLHuST4ZgghHBcwmoNuSDUyHxVTL8PID1AYABp7
SDO I request for publication- https://docs.google.com/forms/d/e/1FAIpQLSfv8BkKkuBCUbnZloWQpDaaAs0B8wjXgyg13ZMQQ
MONITORING REPORT ON SBFP- https://docs.google.com/forms/d/e/1FAIpQLSfA5j7wP3mRugkCV2mIzvrQohyooZTiO_emhPC
Attendance of District SBFP Inspectorate Team- https://docs.google.com/forms/d/e/1FAIpQLSdBnKTTl_ozlTKX8ea5mhJVRS-eu
PUBLICATION- https://docs.google.com/spreadsheets/d/1ytpyGbK3pAmy-4aV_UoChajmwsvC7fL47dI2qSdaNsk/edit?fbclid=Iw
VACANCY REPORT- https://docs.google.com/spreadsheets/d/1cWesfocjleIjD8CXyu8qaTtAy2NtmP2Sq7P01EmgcOk/edit#gid=8
STEP INCREMENT- https://docs.google.com/spreadsheets/d/1_bi6X4k0GzDvXVQkVP7zf9Bi0FG78P82/edit?pli=1#gid=9694663
PRIME HR DATABASE- https://docs.google.com/forms/d/e/1FAIpQLSezL6nqwqkWLGEm9uQ9SfEKNpqP46jyILa9o554MJRHR2G
ALGEAN LINKS- https://linktr.ee/algemean?fbclid=IwAR1jNc5QAb_pw9tl1qRt8i52xQEO_9x6cmrv84tc2QOWgy3qMbOodLRnW
SDO I PANG LINKS- https://linktr.ee/sdo1pang?fbclid=IwAR3yWOmO4ZHtT8sUKaKFK2P5RhET9UUUXQKZX7N9cVjwGHocsQ8A
Request for Bank Endorsement- https://docs.google.com/forms/d/e/1FAIpQLSfA6dvPNrfmlWVpCDpoEQaQc0Y14hNHp-yxApM
LNU PORTAL- http://aims.lyceum.edu.ph/lyceum/students/?fbclid=IwAR3dq32i31E5x9AmJ_Oft7gSrthnwKhi4WtE2B8f83EqQ6
RETURN TO DUT CERTIFICATION- https://docs.google.com/forms/d/e/1FAIpQLSeXbWrdXdIXoOKaoKOIhg2QFttwWHrOudlHxD
MPA CLASSES- https://classroom.google.com/u/0/h
BANK ENDORSEMENT- https://docs.google.com/forms/d/e/1FAIpQLSfKIX8uNmhXRAbtT_tzHv7bTq-RKpurmsldNQuD989Kw6b

NEW SDO I WEBSITE- https://www.depedsdo1pangasinan.com/

moNuSDUyHxVTL8PID1AYABp7hwFg/closedform
WQpDaaAs0B8wjXgyg13ZMQQ4kOuFi75Q/viewform
CV2mIzvrQohyooZTiO_emhPC1rEPqIBqL3w/viewform
BnKTTl_ozlTKX8ea5mhJVRS-eufMMa0yubCLoTI_f9zVGAQ/viewform?fbclid=IwAR1BS323cWq0Cz8BoVdYhJ1a0wy-hhT93jBrdFz0l36KxGcfO
L47dI2qSdaNsk/edit?fbclid=IwAR37fCY6Nvgj2GD1CbSR7vuqr6u0gTpmtEHFgBV943jCbjbW3CQVRXWkVhs#gid=124978898
mP2Sq7P01EmgcOk/edit#gid=81204884
8P82/edit?pli=1#gid=969466305
EKNpqP46jyILa9o554MJRHR2GjCA/viewform
v84tc2QOWgy3qMbOodLRnWhs
UUUXQKZX7N9cVjwGHocsQ8AAuWatQg
pCDpoEQaQc0Y14hNHp-yxApM8Ay0PxP0y8g/viewform?fbclid=IwAR109VKxHRzBSPhtE3DcWCqwe0wfQk5C_4y1FKr0gG6ZUMysfJGRFIOex
7gSrthnwKhi4WtE2B8f83EqQ6t7aekGb_UOQ-0
KaoKOIhg2QFttwWHrOudlHxDqwhFR5DIJTUw/viewform?fbclid=IwAR2aje8-sQ7Ew-5ARUtDpDfnp4hnz_Q40EXMnraVdObsRZ775nc8d3Fiha

bTq-RKpurmsldNQuD989Kw6b2Cw/viewform?fbclid=IwAR1sleRz2R25ofU2kX4pehSKvyOOC_oRZ6JzlZAioxyCYbMCbbTP3CJt8vU
a0wy-hhT93jBrdFz0l36KxGcfOBX9dMkBHXI
id=124978898

_4y1FKr0gG6ZUMysfJGRFIOex2k

EXMnraVdObsRZ775nc8d3FihaE

YbMCbbTP3CJt8vU
 Republic of the Philippines
DEPARTMENT OF EDUCATION
Region I
SCHOOLS DIVISION OFFICE I PANGASINAN
Lingayen

REVISED 2020 CHECKLIST FOR MAINTENANCE AND OTHER EXPENSES (MOOE) LIQUIDA

No. DOCUMENTARY REQUIREMENTS

1 Liquidation Report (Appendix 44)

2 Transmittal
3 Narrative Report for the month
LIQUIDATION REPORT
ATTACHMENTS 4 Projected Expenses for the following month/s

5 Snapshot from Landbank (for the current liquidation

period)

6 Report of Checks Issued (RCI)

8 Cash Disbursement Register (CDR)
9 Report of Cancelled Checks (if applicable)
NATURE OF TRANSACTION No. DOCUMENTARY REQUIREMENTS
1 Photocopy of check issued
2 Disbursement Voucher (DV)
3 Authority to Travel / Memorandum from SDS (CO / RO
/ DO)
4 Itinerary of Travel

5 Certificate of Travel Completed

Travel Expenses (with 6 Certificate of Appearance (Original Copy)

Signed Memorandum Letter /
Order / Invitation or other
communication)

1 Photocopy of check issued

2 Disbursement Voucher (DV)

3 Locator Slip
 4 Itinerary of Travel

5 Certificate of Travel Completed

Travel Expenses (For

activities / events / errands)
Certificate of Appearance (Original Copy) if
6 Certification at the lower point of the locator slip was
not signed

NATURE OF TRANSACTION No. DOCUMENTARY REQUIREMENTS

1 Photocopy of check issued
2 Disbursement Voucher (DV)
3 Locator Slip
4 Itinerary of Travel
Travel Expenses for Senior 5 Certificate of Travel Completed
High School Immersion / 6 Certificate of Appearance (Original Copy)
Joint Delivery Program
(JDVP) 7 List of immersion/JDVP students (see attached format)
Certificate of Appearance (Original Copy) if
8 Certification at the lower point of the locator slip was
not signed

9 Memorandum of Agreement (MOA) between the

(for students) School and the Partner Agency)
1 Photocopy of check issued
2 Disbursement Voucher (DV)
3 Locator Slip
4 Itinerary of Travel
Travel Expenses (Sports- 5 Certificate of Travel Completed
Division Meet/Other Events)
Certificate of Appearance (Original Copy) if
6 Certification at the lower point of the locator slip was
not signed
7 Memorandum / Timeline of Activities
(for students)
8 List of athletes (see attached format)
1 Photocopy of check issued
2 Disbursement Voucher (DV)
Training Expense
 Training Expense 3 Official Receipt (O.R.) for the Registration Fee
4 Certificate of Appearance (Original Copy)
(e.g. Registration Fee) 5 Memorandum
1 Photocopy of check issued
2 Disbursement Voucher (DV)
3 Sales/Cash Invoice / Collection Receipt with Delivery
Receipt / Charge Invoice with Collection Receipt

4 Picture of Items with inspectorate team (all items must

be seen / reflected / accounted in the picture)
5 Purchase Request (PR) duly signed
6 Purchase Order (PO) duly signed
Office / School Supplies /
Equipment 7 Request for Quotation (RFQ) from three (3) different
suppliers

8 Abstract of Canvass (summary of prices from three (3)

RFQs)
9 BAC Resolution for P1,000.00 - P 50,000.00
10 Inspection and Acceptance Report (IAR) - indicate
"Nothing Follows" after the last entry

11 Inventory Custodian Slip (ICS) for semi-expendable /

non-consumable items
1 Photocopy of check issued
2 Disbursement Voucher (DV)
3 O.R. / Cash Sales Invoice (with breakdown of printing
Job Order)

4 Picture of Items with inspectorate team (all items must

be seen / reflected / accounted in the picture)
Printing and Binding Purchase Request (PR) duly signed - indicate
Expense 5 breakdown of documents for printing

6 Purchase Order (PO) duly signed

7 Request for Quotation (RFQ) from three (3) different

suppliers

8 Abstract of Canvass (summary of prices from three (3)

RFQs)

9 Inspection and Acceptance Report (IAR) - indicate

"Nothing Follows" after the last entry

10 Certificate of No Monetary Collection - for Test Papers

and IDs (see attached format)

NATURE OF TRANSACTION No. DOCUMENTARY REQUIREMENTS

1 Photocopy of check issued
2 Disbursement Voucher (DV)

3 Sales/Cash Invoice / Collection Receipt with Delivery

Receipt / Charge Invoice with Collection Receipt

4 Picture of Items with inspectorate team (all items must

be seen / reflected / accounted in the picture)
5 Purchase Request (PR) duly signed
6 Purchase Order (PO) duly signed
Materials for Repair and
Maintenance
 Materials for Repair and 7 Request for Quotation (RFQ) from three (3) different
suppliers
Maintenance
8 Abstract of Canvass (summary of prices from three (3)
RFQs)
9 BAC Resolution for P1,000.00 - P 50,000.00
10 Inspection and Acceptance Report (IAR) - indicate
"Nothing Follows" after the last entry

11 Program of Work (indicate when the materials were

liquidated / receipt #)
Pre-Repair Evaluation Report (must be stamped
12 "RECEIVED" by COA) together with picture before the
repair
13 Picture (before) of the subject area for repair
1 Photocopy of check issued
2 Disbursement Voucher (DV)
3 Program of Work (indicate when the materials were
liquidated / receipt #)
Pre-Repair Evaluation Report (must be stamped
4 "RECEIVED" by COA) together with picture before the
Labor for Repairs repair
5 Payroll
6 Daily Time Record (DTR/Form 48) of Laborers
7 Pictures (before, during, after) of the subject area for
repair with Inspectorate Team
8 Accomplishment report signed by Inspectorate Team
9 Inspection and Acceptance Report (IAR)
1 Photocopy of check issued
2 Disbursement Voucher (DV)
3 Notarized Contract
4 Program of Work (POW)
Pre-Repair Evaluation Report (must be stamped
5 "RECEIVED" by COA) together with picture before the
"Pakyaw" Contract repair
5 Payroll and DTR / Official Receipt
6 Photocopy of ID of contractor
7 Pictures (before, during, after) of the subject area for
repair with Inspectorate Team

8 Accomplishment report signed by Inspectorate Team

(see attached format)
9 Inspection and Acceptance Report (IAR)
1 Photocopy of check issued
2 Disbursement Voucher (DV)
3 Official Receipt / Payroll with DTR
Repair of Office Equipment 4 Job Order / Service Report
5 Accomplishment report signed by Inspectorate Team
6 Pictures of the equipment (before, during, after the
repair)
1 Photocopy of check issued
2 Disbursement Voucher (DV)

Security and Janitorial

Services
 3 Payroll
4 Photocopy/Picture of ID of Job Order
5 Photocopy of Job Order (maximum of contract - up to
Security and Janitorial six (6) months
Services
6 Photocopy of Notarized Contract / Memorandum of
Agreement
7 Daily Time Record (DTR/Form 48)
8 Accomplishment Report (see attached format)
9
NATURE OF TRANSACTION No. DOCUMENTARY REQUIREMENTS
1 Photocopy of check issued
2 Disbursement Voucher (DV)
3 Postpaid / Updated Biling Statement and Official
Telephone Expense for Receipt
School Head
Prepaid / Official Receipt / Sales Invoice
4 Certification stating that "Calls made are all official in
nature"
1 Photocopy of check issued
2 Disbursement Voucher (DV)
Electricity / Water Expense Updated Biling Statement / Statement of Account
3 (SOA)
4 Official Receipt
1 Photocopy of check issued
2 Disbursement Voucher (DV)
Internet Expense
3 Official Receipt
4 Statement of Account (SOA) / Biling Statement
1 Photocopy of check issued
2 Disbursement Voucher (DV)
Notarial Fee
3 Official Receipt
4 Photocopy of Notarized Document
1 Photocopy of check issued
2 Disbursement Voucher (DV)
3 Official Receipt for gasoline purchased
4 Picture of gasoline purchased with the Inspectorate
Team
5 Purchase Request (PR) duly signed
6 Purchase Order (PO) duly signed
Grass Cutting Inspection and Acceptance Report (IAR) - indicate
7 "Nothing Follows" after the last entry
8 Payroll of laborer
9 Daily Time Record (DTR/Form 48) of Laborer
10 Pictures with Inspectorate Team (before, during, after
grass cutting - secure angle)

11 Accomplishment Report (must indicate amount of

labor paid and land area and see attached format
1 Photocopy of check issued
2 Disbursement Voucher (DV)
Payment of Taxes 3 BIR Forms duly stamped by BIR (Certified True Xerox
Copy by the School Head)
 Payment of Taxes

4 Official Receipt / Receipt (Certified True Xerox Copy

by the School Head)
1 Photocopy of check issued
2 Disbursement Voucher (DV)
3 Insurance policy and list of insured students
Senior High School 4 Official Receipt (O.R.)
Immersion (Insurance)
5 Memorandum of Agreement (MOA) between the
School and the Partner Agency

6 Certification of No Monetary Collection (see attached

format)
1 Photocopy of check issued
2 Disbursement Voucher (DV)
Postage, stamps and delivery
3 Official Receipt (O.R.)
4 Photocopy of documents to be sent
ippines
UCATION

I PANGASINAN

OTHER EXPENSES (MOOE) LIQUIDATION

NOTES REMINDERS
Signatories
A: School Head
B. PSDS
C. Division Accountant
Prepared by: School Head
Prepared by: School Head
Prepared by: School Head
*Basis for the amount of
MOOE downloaded/credited
to account
Prepared by: School Head
Certified Correct: School Head *pls. fill-in details (DV
Received by: Pre-Checker / Bookkeeper no./Check no.)
Prepared by: School Head
NOTES REMINDERS
OFFICIAL TRAVEL WITH MEMO
WITHIN DIVISION:
School Head: Recommending
Approval - ASDS (Elem/Secondary)
Approved by: SDS

Teaching/Non-Teaching:
Recommending Approval:
Approved by: School Head
OUTSIDE DIVISION/WITHIN &
OUTSIDE REGION:
School Head:
Recommending Approval - ASDS
(Elem/Secondary)
Approved by: SDS

Teaching/Non-Teaching:
Recommending Approval: School
Head
Approved by: SDS

*Locator slip - actual

LOCAL TRAVELS (without memo) transportation only can be
charged.
LOCATOR SLIP
1. Prepared by: School Head * All travels regardless of
amount, use Itinerary of Travel

* For payment of bills/

purchase of supplies:
actual/regular fare only. No
per diem or daily travel
expense (DTE)

Approved by: SDS *RER for HIRED vehicles

(jeepney/tricycle) for hauling
2. Prepared by: Teaching/Non- of modules and supplies in
Teaching bulk (pls. attach PICTURE on
board: details/list of
modules/items;
Approved by: School Head photocopy/picture of license of
driver)

ITINERARY OF * For purchase of supplies at

TRAVEL/CERTIFICATE OF DBM, Authority to Travel is
TRAVEL COMPLETED (CTC) needed for reimbursement of
1. Prepared by: School Head daily travel expense (DTE)
and actual/regular fare
Approved by: SDS
2. Prepared by: Teaching/Non-
Teaching
Approved by: School Head

NOTES REMINDERS

For the travel expenses of the

school head/immersion
adviser, please refer to travel
expense (regular) for the
documentary requirements.
Only actual/regular fare can
be charged (no per diem or
daily travel expense)

For the travel expenses of the

school head/coach, please
refer to travel expense
(regular) for the documentary
requirements. Only
actual/regular fare can be
charged (no per diem or daily
travel expense)
 *Other Supplies purchased for
Senior High School Practicum
(electrical, carpentry, etc.) -
Please attach picture of the
output and attachInventory
Custodian Slip (ICS) (if
applicable).
*Funds Available to be
signed('for") by District
Bookkeeper above the name
of accountant

*Very Truly Yours:Schools

Division
In Superintendent
the RFQ fill in all data
including project tile, address,
TIN#, Telephone #, contact
numberof supplier and date of
canvass & email add of
supplier
In the ABSTRACT of canvass,
fill-in date, project title, date,
implementing office and
approved budget for the
contract.
*P0.50 per copy for
photocopying of documents
*P15.00-P18.00 per square
foot for tarpaulin printing
*Funds Available to be
signed('for") by District
Bookkeeper above the name
of accountant
*Very Truly Yours:Schools
Division Superintendent
In the RFQ fill in all data
including project tile, address,
TIN#, Telephone #, contact
numberof supplier and date of
canvass & email add of
supplier
In the ABSTRACT of canvass,
fill-in date, project title, date,
implementing office and
approved budget for the
contract.

NOTES REMINDERS

*Funds Available to be
*Pre-repair Evaluation Report must signed('for") by District
be signed / received by COA Bookkeeper above the name
of accountant

*Very Truly Yours:Schools

Division Superintendent
 In the RFQ fill in all data
including project tile, address,
TIN#, Telephone #, contact
numberof supplier and date of
canvass & email add of
supplier

In the ABSTRACT of canvass,

fill-in date, project title, date,
implementing office and
approved budget for the
contract.

MATERIALS - indicate month

when liquidated. If from donation -
*Program of Work must be submitted attach Certificate of Donation/
delivery receipt and picture of
online in the link provided (SDOI materials/Certificate of
Pangasinan link) Acceptance. If from fund raising
project - attach financial report. If
from salvaged materials - attach
report on Salvaged Materials duly
signed by COA
LABOR - indicate month when
liquidated and % of labor
(actual cost of labor over
actual cost of materials)
*Attach photocopy of receipts
liquidated for the same project

Example (mural, painting of

directory, etc.)

Please specify in the contract

the area, size and scope of
work.

Program of work specify works

to be undertaken, materials
needed and labor cost

*Job Order / Service Report - specify

works to be undertaken, materials and
labor cost

*Indicate in the Accomplishment Report

what has been repaired and the extent of
repair done

*Obseve proper filing up of the

DTR. It must coincide with the
time schedule indicated in the
Memorandum of Agreement
(MOA)
 *Obseve proper filing up of the
DTR. It must coincide with the
time schedule indicated in the
Memorandum of Agreement
(MOA)
*Check must be issued in the name
of the Job Order (guard / janitor /
utility)

NOTES REMINDERS
*Check must be issued in the name
of School Treasurer if for
reimbursement
*Please refer to DepEd Order
#4 s. 2020
*Maximum of P1,000.00 per school
head (regardless of the number of
schools handled

*In case of lost / stolen SOA

secure billing history /
subsidiary ledger from the
Electric company

*Maximum up to credit limit only

*Original copy of the

documents must be kept by
the School Head for future
reference