Online Accountability Advice
RI Chemical Corporation
Employee Name:
First Name Middle Initial Last Name
Date Hired:
/
Month
/
Day
Year
MM/DD/YYYY
Separation Date:
/
Month
/
Day
Year
MM/DD/YYYY
Instruction:
Accomplish this form and indicate the accountabilities of the above-mentioned employee. You will only have to answer the section/s assigned to you. Select your designated area of approval below to proceed:
Designated area:
*
RPPSLA (Pasig)
Central Library
Stores and Supplies Warehouse
Administration Services
Human Resources
Key Custodian
ICT
Accounting
Department Head
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Online Accountability Advice
To be filled out by RPPSLA (Pasig)
RPPSLA (Pasig) Designated Personnel:
*
First Name Middle Initial Last Name
Does the aforementioned employee have an outstanding personal loan?
*
Yes
No
If YES, indicate the amount of outstanding loan:
*
Indicate the co-maker, if any:
*
First Name Middle Initial Last Name
RPP Additional Remarks:
RPP Designated Personnel Authorized Signature:
*
Clear
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Online Accountability Advice
To be filled out by Central Library
Central Library Designated Personnel:
*
First Name Middle Initial Last Name
Tick the items that the employee is cleared from Central Library:
*
Books
Periodicals
Central Library Additional Remarks:
Authorized Signature:
*
Clear
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Online Accountability Advice
Filled out by Stores and Supplies Warehouse
Stores and Supplies Warehouse Designated Personnel:
*
First Name Middle Initial Last Name
Tick the items that the employee is cleared from Stores and Supplies Warehouse:
*
Tools
Helmet
Safety Shoes
Stores and Supplies Warehouse Additional Remarks:
Authorized Signature:
*
Clear
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Online Accountability Advice
Filled out by Admin Services
Admin Services Designated Personnel:
*
First Name Middle Initial Last Name
Tick the items that the employee is cleared from Admin Services:
*
Telephone Bills
Locker
Postage
Stapler
Puncher
Scissors
Calculator
Ruler
Admin Services Additional Remarks:
Authorized Signature:
*
Clear
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Online Accountability Advice
Filled out by Human Resources
Designation:
*
HR Assistant
Company Nurse
HR Department Head
Human Resources Designated Personnel:
*
First Name Middle Initial Last Name
HR Department Head Email Address:
*
Accomplished by HR Assistant:
*
ID Card
Uniform
Book
Booklets
Code of Conduct
CBA
Uniform
Particulars and Amount (if any)
No. of Pieces
Amount per Piece
Total Amount
Polo Barong
Shirt
Pants
Others
Grand Total Amount for Uniform:
Accomplished by Company Nurse:
*
Training Materials
Hospital Referral
Date of Hospital Referral, if any:
/
Month
/
Day
Year
Date
Hospitalization assistance balance:
Remaining balance from the hospitalization assistance program
Human Resources Additional Remarks:
Authorized Signature:
*
Clear
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Online Accountability Advice
To be filled out by Key Custodian
Key Custodian Designated Personnel:
*
First Name Middle Initial Last Name
Tick the items that the employee is cleared from:
*
Keys
Mobile Phone
Key Custodian Additional Remarks:
Authorized Signature:
*
Clear
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Online Accountability Advice
To be filled out by ICT
Designation:
*
Network Services Associate
System and Security Administrator
ICT Department Head
ICT Designated Personnel:
*
First Name Middle Initial Last Name
ICT Department Head Email Address:
To be filled out by Network Services Associate:
*
ICT Materials
UPS
AVR
Books
Turn-over
To be filled out by Network Services Administrator:
*
CPU/Mail Password Cleared
System/Apps Documentation
To be filled out by System and Security Administrator:
*
NAS Account Disabled
ICT Additional Remarks:
Authorized Signature:
*
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Online Accountability Advice
To be filled out by Accounting
Designation:
*
Jr. Accountant
Credit and Collection Supervisor
Accounting Department Head
Accounting Designated Personnel:
*
First Name Middle Initial Last Name
Credit and Collection Supervisor Email Address:
Does the employee have any balances in the following?
*
Cash Advances
Loans - SSS
Loans - Pag-ibig
Car Plan
Laptop
Books
Meals
Cash Advances:
*
Loans - SSS:
*
Loans - Pag-ibig:
*
Car Plan:
*
Laptop:
*
Meals:
Others:
Grand Total:
Accounting Additional Remarks:
Authorized Signature:
*
Clear
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Online Accountability Advice
To be acknowledged by the Department Head
Department Head:
*
First Name Middle Initial Last Name
Department Head Additional Remarks:
Authorized Signature:
*
Clear
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Submit
Online Accountability Advice
To be acknowledged by Payroll
Deduction:
Please deduct the amount above from the employee's final pay/benefits.
VP Finance:
*
First Name Middle Initial Last Name
Authorized Signature:
*
Clear
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Should be Empty: