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Application For Return To Duty

This document is an application form for teachers in the Schools Division of Benguet, Cordillera Administrative Region, Philippines to apply for return to duty after a period of approved leave. The form requires applicants to provide their name, position, salary, employee number, type of leave taken, dates of leave, and date of intended return. Applicants must attach a medical certificate declaring fitness for work, birth certificate for maternity leave, and a copy of the approved leave form. Incomplete applications or attachments will not be processed.

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jesiebel mabli
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209 views2 pages

Application For Return To Duty

This document is an application form for teachers in the Schools Division of Benguet, Cordillera Administrative Region, Philippines to apply for return to duty after a period of approved leave. The form requires applicants to provide their name, position, salary, employee number, type of leave taken, dates of leave, and date of intended return. Applicants must attach a medical certificate declaring fitness for work, birth certificate for maternity leave, and a copy of the approved leave form. Incomplete applications or attachments will not be processed.

Uploaded by

jesiebel mabli
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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Document Code:

Republic of the Philippines


SDO-GQF-QF-OSDS-PER-008
Department of Education
Cordillera Administrative Region
Revision: 00
SCHOOLS DIVISION OF BENGUET
Wangal, La Trinidad, Benguet
Effectivity date: 09-03-2018
Name of Office:
APPLICATION FOR RETURN TO DUTY OSDS-PERSONNEL UNIT

Application No: _____________________________________ Date: _______________________________________________

Name: _____________________________________________ Position: _____________________________________________

Monthly Salary: ______________________________________ Employee Number: ____________________________________

Type of Leave: □ Sick Leave □ Maternity Leave □ Special Leave for Women □ Rehab □ Others: ________________

Date of Return to Duty: ________________________________ Leave of absence: From ________________________________

District/School:_______________________________________ To _________________________________

Attachments: (In two copies) Signature over printed name:

□ Form 86 (CS Form “fit to work”) _______________________________________________________


□ Birth Certificate (for Maternity Leave) Employee
□ Photocopy of approved Form 6

Note: Incomplete attachments and information in the application for Return to Duty will not be
Signature over printed name:
processed.

_____________________________________________________
Immediate Supervisor / School Principal

Document Code:
Republic of the Philippines
SDO-GQF-QF-OSDS-PER-008
Department of Education
Cordillera Administrative Region
Revision: 00
SCHOOLS DIVISION OF BENGUET
Wangal, La Trinidad, Benguet
Effectivity date: 09-03-2018
Name of Office:
APPLICATION FOR RETURN TO DUTY OSDS-PERSONNEL UNIT

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