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Teacher Leave Application Form

Jonalyn T. Albano, a Teacher 3 in the Department of Education, filed a sick leave application for half a day on September 20, 2024. The application includes details about leave types, where the leave will be spent, and additional data such as medical certificates. The document outlines the process for applying for leave, including requirements for vacation and sick leave applications.

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Jonalyn T. Albano
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13 views1 page

Teacher Leave Application Form

Jonalyn T. Albano, a Teacher 3 in the Department of Education, filed a sick leave application for half a day on September 20, 2024. The application includes details about leave types, where the leave will be spent, and additional data such as medical certificates. The document outlines the process for applying for leave, including requirements for vacation and sick leave applications.

Uploaded by

Jonalyn T. Albano
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

APPLICATION FOR LEAVE

1. OFFICE: Department of Education 2. Surname: First Name: M.I.

District/School: RIZAL ALBANO JONALYN T.


3. Date of Filing: 4. Position: 5. Monthly Salary:
SEPTEMBER 20, 2024 Teacher 3 P 32, 320.00
DETAILS FOR APPLICATION

6. c TYPE OF LEAVE 6. b WHERE LEAVE WILL BE SPENT


(1) _____ VACATION LEAVE (1) IN CASE OFVACATION LEAVE
( ) To seek employment ( ) Within the Philippines
( ) Others (Specify) _____________ ( ) Abroad (Specify) _____________

(2) __x__ SICK LEAVE (2) IN CASE OF SICK LEAVE


(3) ___ MATERNITY LEAVE ( ) In Hospital (Specify) ____________
(4) _____ PATERNITY LEAVE ( ) Outpatient (Specify) ____________
(5) _____ PARENTAL LEAVE ( ) Others (Specify) _______________
(6) _____ PRIVELEGE LEAVE-MC 6 (Specify)_____________
(7) _____ MONETIZATION LEAVE____________________
(8) _____ TERMINAL LEAVE

ADDITIONAL DATA: 6. d COMMUTATION


( ) Medical Certificate Attached ( ) Requested ( ) Not Requested
( ) Clearance Attached
( ) Others (Specify)

6. Inclusive dates: SEPTEMBER 20, 2024


7. Number of days applied for: 1/2 day

JONALYN T. ALBANO
(Signature of Applicant)

DETAILS OF ACTION ON APPLICATION

8. a CERTIFICATION OF LEAVE CREDITS 7. b RECOMMENDATION


( ) APPROVAL
BALANCE AS OF ______________________________ ( ) Disapproval due to________________________________
___________________________________________________
Vacation Sick Total
Leave Balance ___________ ___________ ___________
Less: This Balance ___________ ___________ ___________
Leave Balance ___________ ___________ ___________

ROSAURO C. BELEN JOVINA S. LEABAN_


Personnel Officer School Principal/Chief Admin. Officer

7 .c APPROVED FOR: 7 .d DISAPPROVED DUE TO:

___________________________ Days w/ pay ________________________________________


___________________________ Days w/o pay ________________________________________
___________________________ Others (Specify) ________________________________________

REYNANTE Z. CALIGUIRAN
Schools Division Superintendent
___________
Date

1. Application for vacation or sick leave for one full day or more shall be made on this form and to be accomplished in duplicate.
2. Application for vacation leave shall be filed in advance or whenever possible five (5) days before going to such leave.
3. Application for sick leave filed in advance, a medical certificate shall accompany exceeding five (5) days. In case of medical consultation
was not availed, the applicant should execute an affidavit.
4. An employee who is not absent without approved leave shall not be entitled to receive his/her salary corresponding to the period of
his/her unauthorized leave of absence.
5. An application for leave of absence for thirty (30) calendar days or more shall be accompanied by clearance from money, and property
accountabilities.

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