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    ER-COVID19-Monitoring-Form - as-per-Labor-Advisory-09-s.2020 (1) - V AND C APARTMENT

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    Juliet Simogan
    This document is an establishment report on COVID-19 from V and C Properties in Davao City, Philippines. It reports that 3 workers - 2 contractual employees and 1 caretaker - will be affected by a temporary closure from March 23, 2020 due to a lack of market or slump in demand. It provides instructions on filing the report and includes information on the establishment, affected workers, and certification.

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    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd

    ER-COVID19-Monitoring-Form - as-per-Labor-Advisory-09-s.2020 (1) - V AND C APARTMENT

    Uploaded by

    Juliet Simogan
    7 views2 pages
    This document is an establishment report on COVID-19 from V and C Properties in Davao City, Philippines. It reports that 3 workers - 2 contractual employees and 1 caretaker - will be affected by a temporary closure from March 23, 2020 due to a lack of market or slump in demand. It provides instructions on filing the report and includes information on the establishment, affected workers, and certification.

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    ER-COVID19-Monitoring-Form_as-per-Labor-Advisory-09-s.2020 (1)-V AND C APARTMENT

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    This document is an establishment report on COVID-19 from V and C Properties in Davao City, Philippines. It reports that 3 workers - 2 contractual employees and 1 caretaker - will be affected by a temporary closure from March 23, 2020 due to a lack of market or slump in demand. It provides instructions on filing the report and includes information on the establishment, affected workers, and certification.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    7 views2 pages

    ER-COVID19-Monitoring-Form - as-per-Labor-Advisory-09-s.2020 (1) - V AND C APARTMENT

    Uploaded by

    Juliet Simogan
    This document is an establishment report on COVID-19 from V and C Properties in Davao City, Philippines. It reports that 3 workers - 2 contractual employees and 1 caretaker - will be affected by a temporary closure from March 23, 2020 due to a lack of market or slump in demand. It provides instructions on filing the report and includes information on the establishment, affected workers, and certification.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 2

    Republic of the Philippines

    DEPARTMENT OF LABOR AND EMPLOYMENT


    Intramuros, Manila

    ESTABLISHMENT REPORT ON COVID-19


    _______________________________________
    (Region-PO/FO-Year-Month-Count)
    (ex. NCR-MFO-2020-02-001)

    Instructions:
    1. Accomplish this form in two copies when filing a notice of: a) Flexible Work Arrangement or b) Temporary Closure.
    The report is considered as duly filed when the complete list of workers affected is made part of the submission.
    2. This form should be submitted to the DOLE Regional/Provincial/Field Office at least thirty (30) calendar days prior to
    the effectivity of temporary closure or at least one (1) week prior to the implementation of FWA.
    3. Page 1 should contain general information about the establishment and the number of workers affected.
    4. Page 2 should enumerate the names of workers affected, their addresses and contact numbers, position title and
    salary.
    5. Total number of workers listed should equal the total number of workers affected as reported in this page.

    A. Establishment Data

    Name of Establishment: V AND C PROPERTIES


    Floor/Bldg/No/Street/Subdivision:
    27 PIONEER DRIVE,BAJADA,
    Barangay/City/Municipality:
    Kind of Business/Economic BRGY,WILFREDO AQUINO,AGDAO,DIST.
    Activity/Principal Product: BOARDING HOUSE
    Number of Workers: Male: 2 Managerial Employees:
    Female: 1 Supervisory:
    Total: Rank and File: 3
    3
    Total:
    Date of Filing: (mm/dd/yyyy) APRIL 10,2020

    B. Summary of Affected Workers due to


    B.1 Flexible Work Arrangement
    Type of Flexible Work Arrangement
    No. of Workers Effectivity Date
    to be Implemented
    Covered/Affected (mm/dd/yyyy)
    (Use code below, select only one)

    Codes for Flexible Work Arrangement Scheme:


     RW - Reduction of Workdays  FL - Forced Leave
     RE - Rotation of Employees  OTH - Others (Specify) ____________

    B.2 Temporary Closure


    No. of Workers Effectivity Date Main Reason of Temporary Closure
    Covered/Affected (mm/dd/yyyy) (Use code below, select only one)
    3 MARCH 23,2020 LM

    Codes for Main Reason for Temporary Closure:


     LM - Lack of Market/Slump in Demand  I - Infection (COVID-19)
     LRM - Lack of Raw Materials  OTH - Others (Specify) ____________

    CERTIFICATION
    This is to certify as to the accuracy of the data provided in this report.
    Name and Signature of Owner/Company Representative: ANALY CASTILLO
    Designation: Fax No.:
    CARETAKER
    Contact No.: Email Address: [email protected]
    09756029585

    FOR DOLE (Regional/Provincial/Field Office) USE ONLY:


    Updates/Remarks:
    a) Provision of assistance (please specify) _______________________________________________________
    b) Estimated period of resumption of normal business operations: ____________________________________
    c) Others (please specify) ____________________________________________________________________

    Name and Signature of DOLE Authorized Representative: Date Updated:


    Republic of the Philippines
    DEPARTMENT OF LABOR AND EMPLOYMENT
    Intramuros, Manila

    LIST OF AFFECTED WORKERS DUE TO COVID-19

    Instructions: If necessary, use additional sheets following the same format.

    Profile of Affected Workers

    Employment
    Name of Worker Contact Status
    No. Age Sex Home Address Designation Salary1
    (Last Name, First Name, M.I.) Number (regular,
    contractual, etc.)
    1 20 FEMALE DAVAO CITY 09756029585 CARETAKER CONTRACTUAL 3,500
    ANALY,CASTILLO
    2 CRISTOBAL,CANDELOSA 61 MALE DAVAO CITY 09508613486 MAINTENANCE CONTRACTUAL 1,960

    3 JONATHAN,MAMITES 39 MALE DAVAO CITY (082)2932013 GUARD CONTARCTUAL 2,700

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    1
    Indicate whether per hour, per day or per month

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