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MASTER DRIVING - Employee Clearance Form

The Employee Clearance Form is required for employees leaving the organization to obtain an Exit Clearance for any outstanding dues, which is necessary for the HR Section to issue a Relieving Order. The form collects employee details, type of separation, responsibilities regarding company property, and financial obligations. Final pay warrants cannot be released until all clearances are obtained and confirmed by relevant authorities.

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47 views2 pages

MASTER DRIVING - Employee Clearance Form

The Employee Clearance Form is required for employees leaving the organization to obtain an Exit Clearance for any outstanding dues, which is necessary for the HR Section to issue a Relieving Order. The form collects employee details, type of separation, responsibilities regarding company property, and financial obligations. Final pay warrants cannot be released until all clearances are obtained and confirmed by relevant authorities.

Uploaded by

maureenrivales97
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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Employee Clearance Form

When the employee (regular, contract & ESP) leaves the service on any reasons, they need to obtain an
Exit Clearance against any outstanding balance/dues from authority concerned after acceptance of
resignation (if applicable), on the basis of which the HR Section will issue Relieving Order for Staff.

Form to be attached to personal record

Name of Employee Department/Unit

Employee ID Employment
Supervisor Position : Admin

Job Title Position Type [Full time] [Part time] [Other]

Type of
Separation
 Resignation  Termination  Lay Off  Retirement
 Seasonal Lay Off  Leave of absence  Probationary  Department
Transfer
 Absence without  Other
official leave

Contact Information
Mailing address Address
City, ST ZIP Code Contact Cell/Home
Separation Date:

FINAL PAY WARRANTS CANNOT BE RELEASED UNTIL CLEARANCES


(below) HAVE BEEN OBTAINED

Employee Responsibilities
I have surrendered all [Tick that apply] which were entrusted to me during my employment
 Company ID  Cell Phone  Vehicle Gas Card  Vehicle
 Technician Tools  Building Keys  Personal Computer  Maintenance
Tools
 Inventorial Property  Laptop/Notebook  Computer Equipment  Manuals
 Vehicle Keys  Uniforms  Other  Other

Employee Name & [Date] Admin Name & [Date]


Signature Signature
Financial Obligations

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 Cash Advance PHP 0.00
 Unliquidated Petty Cash Fund PHP 0.00
 NC 1 & 2 Expense PHP 0.00
 Others PHP 0.00
Total Financial Obligations PHP 0.00

 I have cleared all matters pertaining to Cash Advance and expenditures. I understand that if I owe any outstanding monies it
may be withheld from my final paycheck.

Employee Name & [Date] Admin Name & [Date]


Signature Signature

Supervisor [Tick to approve]


Final Time Card Approved?
Employee Resignation Letter Received?

Employee Name & [Date] Supervisor [Date]


Signature Name &
Signature

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