Form 6 Leave Application Form
Form 6 Leave Application Form
Form 6 Leave Application Form
6
Revised 1984
_________________________________________
(Signature of Applicant)
D E TAI LS O F AC T I O N O N APPLI CAT I O N
(Personnel Officer)
C) APPROVED FOR D) DISAPPROVED DUE TO
______________days
______________ dayswith
withpay
pay ______________________________________
______________ days without
______________ days without pay pay ______________________________________
______________Other
______________ Others (specify)
(specify)
GERMELINA H. PASCUAL
Schools Division Superintendent
DATE: ______________
INSTRUCTIONS
1. Application for vacation or sick leave for one full day or more shall be made on this Form and to be accomplished
at least in duplicate.
2. Application for vacation leave shall be filed in advance or whenever possible five (5) days before going on such
leave.
3. Application for sick leave filed in advance, or exceeding five (5) days shall be accompanied by a medical
certificate.
4. An employee who is absent without approved leave shall not be entitled to receive his salary corresponding to the
period of his unauthorized leave of absence.
5. An application for leave of absence for thirty (30) calendar days or more shall be accompanied by a clearance
from money and property accountabilities.