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Clearance Form: Department /project Clearing Officer Remarks Date

This clearance form is for an employee leaving their position. It requires signatures from the project manager, supervisor, assistant, property warehouse manager, finance manager, and HR manager to certify the employee has cleared all responsibilities before their final date of separation. It also includes a final pay computation outlining salary, allowances, and any remaining amount due to the employee.

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0% found this document useful (0 votes)
222 views1 page

Clearance Form: Department /project Clearing Officer Remarks Date

This clearance form is for an employee leaving their position. It requires signatures from the project manager, supervisor, assistant, property warehouse manager, finance manager, and HR manager to certify the employee has cleared all responsibilities before their final date of separation. It also includes a final pay computation outlining salary, allowances, and any remaining amount due to the employee.

Uploaded by

Elence Corp
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
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CLEARANCE FORM

Date _____________

Name of Employee :___________________________

Employee ID Number :___________________________

Project/Department :___________________________ Position/Title: ________________

Date Hired :___________________________ Date of Separation: ____________

Compensation Basic Pay :___________________________ Allowance: ___________________

____________________________________________________________________________________
This is to certify that ________________________an employee of this Project who was separated from
The service effective ___________________has been cleared by this of property and monetary
accountabilities.

DEPARTMENT /PROJECT CLEARING OFFICER REMARKS DATE


(Signature over Printed Name)

Project Manager :___________________ ________________ ________________

Project Supervisor :___________________ ________________ ________________

Project Assistant :___________________ ________________ ________________

Property Warehouse :___________________ ________________ ________________

Finance & Accounting Manager:____________________ ________________ _________________

Payroll Section Head :___________________ ________________ __________________

HR Department Manager :___________________ ________________ __________________

Final Pay Computation


1.Salary and wages for payroll period Ending
Php___________x________ _________________
2.Unpaid overtime (if any) _________________
3.Unpaid Allowances (if any) _________________
4.Others _________________
TOTAL _________________
ADD:
13TH Month Pay _________________
Tax Refund _________________
Gross Amount Due Employee _________________
Less (Accountabilities _________________
TOTAL AMOUNT DUE: PHP _________________

Prepared by: Checked & Review by: Approved by:

Payroll Assistant Payroll Section Head HR Dept. Head

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