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Resignation Clearance Form

This document is an accountability clearance form for a resigning member from CPFI. It contains two sections: [1] Client Clearance which requires sign off from the HR department, outlet manager, and supervisors to clear the member of any accountabilities. [2] Coop Clearance which requires sign off from various departments including accounting, SRF, benefits, operations, and billing to clear any financial accountabilities before authorizing the deduction of any amounts from the member's separation pay. The form provides details of the member's last pay and deductions to calculate their net pay upon separation from the company.

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Aime Alcanar Santiago
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430 views1 page

Resignation Clearance Form

This document is an accountability clearance form for a resigning member from CPFI. It contains two sections: [1] Client Clearance which requires sign off from the HR department, outlet manager, and supervisors to clear the member of any accountabilities. [2] Coop Clearance which requires sign off from various departments including accounting, SRF, benefits, operations, and billing to clear any financial accountabilities before authorizing the deduction of any amounts from the member's separation pay. The form provides details of the member's last pay and deductions to calculate their net pay upon separation from the company.

Uploaded by

Aime Alcanar Santiago
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as XLS, PDF, TXT or read online on Scribd
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ACCOUNTABILITY CLEARANCE FOR THE RESIGNING MEMBERS

NAME: CLIENT: CPFI

POSITION : Merchandiser DATE STARTED:

DATE OF SEPARATION:

I certify that the aboved mentioned resigned member is cleared of all accountabilities.

I. CLIENT CLEARANCE
CLIENT AUTHORIZED SIGNATORY
ITEM OF CLEARANCE ACCOUNTABILITY NAME SIGNATURE DATE
(Pls. Print Name & Designation)

A. HR Department

B. Outlet Manager

C. Supervisors

II. COOP CLEARANCE (Submit to HR Department First)

C. FINANCIAL ACCOUNTABILITY FOR COOP HR DEPARTMENT USE ONLY

1. Accounting Department/ Last Payroll P

2. SRF Department P

3. SRF OIC P

4. Benefits Department / (VL/SL unused) P

5. C- Load Department P

6. HR Department P

7. Operations Department P

8. Billing Department P

I hereby authorized Moses Cooperative to deduct from my separation pay all my financial
accountabilities to the cooperative.

_________________________________
Last Pay : (Member Signature over Printed name)
LAST SALARY ______________

13th month pay ______________

SRF ______________ RECOMMENDING APPROVAL

VL/SL ______________

Less Deductions:
_________________________
CA ______________ Moses Human Resources Dept.

UNIFORMS ______________

CELL PHONE ______________


Cheque Release Date: ______________________
LAPTOP ______________ (By Operations Manager)

OTHERS ______________
______________
NET PAY :

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