VARIOUS

LEAVE
APPLICATION
22-24 May 2019
The Bayleaf Cavite
Gen. Trias, Cavite
SPECIAL LEAVE BENEFITS FOR WOMEN
REPUBLIC ACT 9710(MAGNA CARTA FOR
WOMEN)

To provide guidelines on the

availment of special leave benefits for
qualified female public sector
employees who have undergone
surgery caused by gynecological
disorders.
ENTITLED TO AVAIL THE SLBW:

Any female public sector employee

regardless of age and civil status, shall
be entitled to a special leave of a
maximum of two (2) months with full pay,
provided she has rendered at least six (6)
months aggregate service in any various
government agencies for the last twelve
(12) months prior to undergoing surgery
for gynecological disorders.
 REQUIREMENTS:
Duly accomplished Form 6
Medical Certificate from proper medical authorities
including the following:
- Reflecting gynecological disorder
- Operative technique used
- Duration of surgery and period of
confinement
- Estimated period of recuperation
Photocopy of List of Gynecological Disorder
highlighted/ identified by the proper Medical
Authorities
Clearance (if SLBW is one month or more)
SICK AND VACATION LEAVE OF ABSENCE
REQUIREMENTS:

SICK LEAVE

Duly accomplished Form 6

Medical Certificate (for leave more than 5 days)
Clearance from District/School (for leave of one
month and more)

VACATION LEAVE

Duly accomplished Form 6

Clearance from the District/School
MATERNITY LEAVE (105 days)
PATERNITY LEAVE (7 working days)

Duly accomplished Form 6

Birth Certificate
Marriage Contract (PL)
Medical Certificate
SOLO PARENT LEAVE
REQUIREMENTS:

Duly Accomplished Form 6

Solo Parent Card
Child’s Birth Certificate
TRAVEL ABROAD

Duly accomplished Form 6

Clearance from District/School
Justification Letter as per DepEd Memo 34, s.
2005
Letter of Request (indicate purpose and cost of
travel)
Waiver ( for no extension of leave and promise
to return)
STUDY LEAVE
REQUIREMENTS:

Letter of Request for Study Leave (recommended and

by the School Head)
Duly Accomplished Form 6
Schedule of Study Leave
Memorandum of Agreement
Clearance from school/district
Certification of Bonafide Employee
Certification without substitute
Service Record
Transcript of Records
Permit to Study
TERMINAL LEAVE
REQUIREMENTS:

Copy of approved application for retirement

C.S. form 6, fully accomplished
Updated Service Record
Division and District Clearances
Copy of last appointment
Statement of assets and liabilities
Certificate of last payment
Letter of Introduction
TERMINAL LEAVE FOR DEATH CLAIM
ADDITIONAL REQUIREMENTS:
- Original and authenticated copies from PSA
- Death Certificate
- Birth Certificate if the Deceased
- Marriage Certificate/Cert. of no Marriage
(CENOMAR) if single
- Birth Cert. of the beneficiary/ies
- Marriage Cert. of married beneficary/ies
- Death Cert. of deceased beneficiary/ies

- Waiver of rights of other beneficiary in favor of other

beneficiary/ies (optional)
STUDY LEAVE OF SCHOLARSHIP GRANTS

REQUIREMENTS:

School clearance
Form 6 (fully accomplished)
Request letter for study leave
DepEd Memorandum of Agreement
(MOA)
TRAVEL ABROAD

Letter of Request including the following information;

Where
When ( inclusive dates of travel)
Purpose
Justification if during school days as per
DepEd Memo No. 34, s. 2005
Promise to return (no extension of travel)
if failed to return can be charge AWOL
Recommendation from school head
TRAVEL ABROAD cont…

Duly accomplished Form 6 (if applicable)

Certificate that somebody will take over the class/task
Clearance from School/District
Clearance for Official Travel Abroad ( Form A, DepEd
Order No. 43, s. 2014)
Justification as per Order Memo No. 008, s. 2018
(if applicable)