EMPLOYEE CLEARANCE FORM
Employee Name: _____________________________ Start Date: __________________________________
Position: ____________________________________ Last Working Day: _____________________________
Supervisor: __________________________________ Department: _________________________________
Contact Numbers: ____________________________ Reason for Separation: _________________________
Type of Separation
Resignation Lay Off / Retrenchment
Termination End of Contract
AWOL Others, please specify:
NOTE: This form must be completed (signed by all concerned departments below). Original Copy should be returned
to the Human Resources Department. Final paycheck will be issued thirty (30) business days upon completion of the
needed signatures.
SIGNATURE
DEPARTMENT ASSET CHECKLIST DATE CLEARED REMARKS
OVER PRINTED NAME
I. Department Head / Resignation Letter,
Immediate Supervisor Turnover List, Others
Accountability - Laptop,
Mobile Phone, etc.
II. Finance Department
Employee Loans
Accountability - Laptop,
III. IT Department
Mobile Phone, etc.
Exit Interview, Company
IV. HR Department
ID, Building ID
This is to authorize First Digital Finance Corporation to deduct from my salary, gratuities or any kind of
compensation due to me, any outstanding obligation or debt as may be reflected above.
I further certify that I have no more claims against the company arising from my employment.
Signed By:
_________________________________ _________________
Employee Name Date
TO BE COMPLETED BY THE HR DEPARTMENT:
Date Completed: ______________________________
Date Received by Accounting: ___________________
Ok for Re-hire? Yes / No
If not, why? __________________________________
First Digital Finance Corporation, Ermita, Manila, NCR
FDFC Exit Clearance Ver. 2
May 2018