APOLLO X.C. S.

SANGALANG
MARVYN A. GAERLAN
GERALD DICK B. BARO
Sangalang & Gaerlan, Business Lawyers NATHALIE L. PATTUGALAN
GERARD NELSON C. MANALO
Business Lawyers

EMPLOYEE CLEARANCE FORM

Employee Name: _______________________________ ID No.:___________________

Unit/Department: _______________________ Position Title/Rank: _________________

Employee Status: Regular Employee Probationary Employee

Contractual/Project/Seasonal Employee
Last day of active Employment: __________________
Type: a. Leave of absence without pay Period: ___________________

b. End of Contract effective: _________________

c. Resignation effective: _____________ with resignation letter

d. Retirement: ____________________

e. Transfer to another Department __________________

f. Others: ____________________

Employee must accomplish appropriate signatures before the exit and final pay.

PRINTED NAME & SIGNATURE DATE

1. Administration
cKey and ID Desk
Computer Cellphone
Other Equipment
__________________
2.Atty. Apollo Sangalang
Email Password
Seminar Materials
Documents, if any:
_________________
3.Atty. Marvyn Gaerlan

4. Atty. Gerald Baro

5. Atty. Nathalie
Pattugalan

Paladins of Law Telephone: +63 2 353 4274; +63 2 372 8488

10th Floor, The One Executive Office Mobile: +63 917 821 6848 (Viber)
5 West Avenue corner Martinez Street Email: pol.sangalang@paladinslaw.org
Quezon City, Metro Manila 1104 PH Website: www.paladinslaw.org
6. Finance/Accounting
Department

7. HR Department

8.Atty. Gerard Manalo

For Accounting/Finance Department Only:

Financial Obligations – Check one

(Must be cleared for final check/leave
payout.)

Satisfied _______
(Approved for final pay)
Not Satisfied _______
(Amount owed below)
Company Loan _______
Unliquidated CA _______
SSS/Philhealth/
Pagibig Loan _______
Euipment Liability _______

__________________________
Finance Approval

Upon separated, I understand that I have an on-going responsibility to maintain the

confidentiality of any client’s information to which I may have had access during my
employment. I understand that my final pay will be released only upon completion of
this Employee Clearance Form.

________________________________ ____________________
Employee’s Signature Date