Civil Service Form No.

6 ANNEX A
Revised 2020
Republic of the Philippines
Department of Education

DIVISION OF LEYTE
GOVERNMENT CENTER, CANDAHUG, PALO LEYTE

APPLICATION FOR LEAVE

1. OFFICE/DEPARTMENT 2. NAME: (Last) (First) (Middle)

BURAUEN NORTH
3. DATE OF FILING 4. POSITION 5. SALARY PHP

6. DETAILS OF APPLICATION
6.A TYPE OF LEAVE TO BE AVAILED OF 6.B DETAILS OF LEAVE

Vacation Leave (Sec. 51, Rule XVI, Omnibus Rules Implementing E.O. No. 292) In case of Vacation/Special Privilege Leave:

Mandatory/Forced Leave(Sec. 25, Rule XVI, Omnibus Rules Implementing E.O. No. 292) Within the Philippines

Sick Leave (Sec. 43, Rule XVI, Omnibus Rules Implementing E.O. No. 292) Abroad (Specify)

Maternity Leave (R.A. No. 11210 / IRR issued by CSC, DOLE and SSS) In case of Sick Leave:
Paternity Leave (R.A. No. 8187 / CSC MC No. 71, s. 1998, as amended) In Hospital (Specify Illness)
Special Privilege Leave (Sec. 21, Rule XVI, Omnibus Rules Implementing E.O. No. 292) Out Patient (Specify Illness)
Solo Parent Leave (RA No. 8972 / CSC MC No. 8, s. 2004) In case of Special Leave Benefits for Women:

Study Leave (Sec. 68, Rule XVI, Omnibus Rules Implementing E.O. No. 292) (Specify Illness)
10-Day VAWC Leave (RA No. 9262 / CSC MC No. 15, s. 2005) In case of Study Leave:

Rehabilitation Privilege (Sec. 55, Rule XVI, Omnibus Rules Implementing E.O. No. 292) Completion of Master's Degree

Special Leave Benefits for Women (RA No. 9710 / CSC MC No. 25, s. 2010) BAR/Board Examination Review Other

Special Emergency (Calamity) Leave (CSC MC No. 2, s. 2012, as amended) purpose:

Adoption Leave (R.A. No. 8552) Monetization of Leave Credits

Others: Terminal Leave

6.C NUMBER OF WORKING DAYS APPLIED FOR 6.D COMMUTATION

Not Requested
INCLUSIVE DATES / Requested

(Signature of Applicant)

7. DETAILS OF ACTION ON APPLICATION

7.A CERTIFICATION OF LEAVE CREDITS 7.B RECOMMENDATION

As of

Vacation Leave Sick Leave / For approval

Total Earned
For disapproval due to
Less this application

Balance - -

JOSE MARIANO E. BARRIL, JR. PhD, J.D.

GINA
Administrative Officer IV/HRMO II
Authorized Officer Authorized Officer

7.C APPROVED FOR: 7. D DISAPPROVED DUE TO:

days with pay
days without pay
others (Specify)

TEODERICO C. PELIÑO, JR., ED.D.

Assistant Schools Division Superintendent
Authorized Officer
 INSTRUCTIONS AND REQUIREMENTS
Application for any type of leave shall be made on this Form and to be accomplished d. In the absence of the BPO/TPO/PPO or the certification, a police report
at least in duplicate with documentary requirements, as follows: specifying the details of the occurrence of violence on the victim and a
medical certificate may be considered, at the discretion of the immediate
1. Vacation leave* supervisor of the woman employee concerned.
It shall be filed five (5) days in advance, whenever possible, of the effective date of
such leave. Vacation leave within in the Philippines or abroad shall be indicated in 10. Rehabilitation leave* – up to 6 months
the form for purposes of securing travel authority and completing clearance from • Application shall be made within one (1) week from the time of the
money and work accountabilities. accident except when a longer period is warranted.
• Letter request supported by relevant reports such as the police report, if
2. Mandatory/Forced leave any,
Annual five-day vacation leave shall be forfeited if not taken during the year. In case • Medical certificate on the nature of the injuries, the course of treatment
the scheduled leave has been cancelled in the exigency of the service by the head of involved, and the need to undergo rest, recuperation, and rehabilitation, as
agency, it shall no longer be deducted from the accumulated vacation leave. the case may be.
Availment of one (1) day or more Vacation Leave (VL) shall be considered for • Written concurrence of a government physician should be obtained
complying the mandatory/forced leave subject to the conditions under Section 25, relative to the recommendation for rehabilitation if the attending physician
Rule XVI of the Omnibus Rules Implementing E.O. No. 292. is a private practitioner, particularly on the duration of the period of
rehabilitation.
3. Sick leave*
• It shall be filed immediately upon employee's return from such leave. 11. Special leave benefits for women* – up to 2 months
• If filed in advance or exceeding five (5) days, application shall be accompanied by a • The application may be filed in advance, that is, at least five (5) days prior
medical certificate. In case medical consultation was not availed of, an affidavit to the scheduled date of the gynecological surgery that will be undergone
should be executed by an applicant. by the employee. In case of emergency, the application for special leave
shall be filed immediately upon employee’s return but during confinement
4. Maternity leave* – 105 days the agency shall be notified of said surgery.
• Proof of pregnancy e.g. ultrasound, doctor’s certificate on the expected date of • The application shall be accompanied by a medical certificate filled out by
delivery the proper medical authorities, e.g. the attending surgeon accompanied by
• Accomplished Notice of Allocation of Maternity Leave Credits (CS Form No. 6a), if a clinical summary reflecting the gynecological disorder which shall be
needed addressed or was addressed by the said surgery; the histopathological
• Seconded female employees shall enjoy maternity leave with full pay in the recipient report; the operative technique used for the surgery; the duration of the
agency. surgery including the perioperative period (period of confinement around
surgery); as well as the employees estimated period of recuperation for the
5. Paternity leave – 7 days same.
Proof of child’s delivery e.g. birth certificate, medical certificate and marriage contract
12. Special Emergency (Calamity) leave – up to 5 days
6. Special Privilege leave – 3 days • The special emergency leave can be applied for a maximum of five (5)
It shall be filed/approved for at least one (1) week prior to availment, except on straight working days or staggered basis within thirty (30) days from the
emergency cases. Special privilege leave within the Philippines or abroad shall be actual occurrence of the natural calamity/disaster. Said privilege shall be
indicated in the form for purposes of securing travel authority and completing enjoyed once a year, not in every instance of calamity or disaster.
clearance from money and work accountabilities. • The head of office shall take full responsibility for the grant of special
emergency leave and verification of the employee’s eligibility to be granted
7. Solo Parent leave – 7 days thereof. Said verification shall include: validation of place of residence
It shall be filed in advance or whenever possible five (5) days before going on such based on latest available records of the affected employee; verification that
leave with updated Solo Parent Identification Card. the place of residence is covered in the declaration of calamity area by the
proper government agency; and such other proofs as may be necessary.
8. Study leave* – up to 6 months
• Shall meet the agency’s internal requirements, if any; 13. Monetization of leave credits
• Contract between the agency head or authorized representative and the employee Application for monetization of fifty percent (50%) or more of the
concerned. accumulated leave credits shall be accompanied by letter request to the
head of the agency stating the valid and justifiable reasons.
9. VAWC leave – 10 days
• It shall be filed in advance or immediately upon the woman employee’s return from 14. Terminal leave*
such leave. Proof of employee’s resignation or retirement or separation from the
• It shall be accompanied by any of the following supporting documents: service.
a. Barangay Protection Order (BPO) obtained from the barangay;
b. Temporary/Permanent Protection Order (TPO/PPO) obtained from the court; 15. Adoption Leave
c. If the protection order is not yet issued by the barangay or the court, a certification • Application for adoption leave shall be filed with an authenticated copy of
issued by the Punong Barangay/Kagawad or the Pre-Adoptive Placement Authority issued by the Department of Social
Prosecutor or the Clerk of Court that the application for the BPO, TPO or PPO has Welfare and Development (DSWD).
been filed with the said office shall be sufficient to support the application for the ten-
day leave; or

* For leave of absence for thirty (30) calendar days or more and terminal leave, application shall be accompanied by a clearance from money, property
and work-related accountabilities (pursuant to CSC Memorandum Circular No. 2, s. 1985).
Civil Service Form No. 6 ANNEX A
Revised 2020
Republic of the Philippines
Department of Education
SCHOOLS DIVISION OF LEYTE
GOVERNMENT CENTER, CANDAHUG, PALO LEYTE

APPLICATION FOR LEAVE

1. OFFICE/DEPARTMENT 2. NAME: (Last) (First) (Middle)
BURAUEN NORTH
3. DATE OF FILING 4. POSITION 5. SALARY

6. DETAILS OF APPLICATION
6.A TYPE OF LEAVE TO BE AVAILED OF 6.B DETAILS OF LEAVE

Vacation Leave (Sec. 51, Rule XVI, Omnibus Rules Implementing E.O. No. 292) In case of Vacation/Special Privilege Leave:

Mandatory/Forced Leave(Sec. 25, Rule XVI, Omnibus Rules Implementing E.O. No. 292) Within the Philippines

Sick Leave (Sec. 43, Rule XVI, Omnibus Rules Implementing E.O. No. 292) Abroad (Specify)

Maternity Leave (R.A. No. 11210 / IRR issued by CSC, DOLE and SSS) In case of Sick Leave:
Paternity Leave (R.A. No. 8187 / CSC MC No. 71, s. 1998, as amended) In Hospital (Specify Illness)
Special Privilege Leave (Sec. 21, Rule XVI, Omnibus Rules Implementing E.O. No. 292) Out Patient (Specify Illness)
Solo Parent Leave (RA No. 8972 / CSC MC No. 8, s. 2004) In case of Special Leave Benefits for Women:

Study Leave (Sec. 68, Rule XVI, Omnibus Rules Implementing E.O. No. 292) (Specify Illness)
10-Day VAWC Leave (RA No. 9262 / CSC MC No. 15, s. 2005) In case of Study Leave:

Rehabilitation Privilege (Sec. 55, Rule XVI, Omnibus Rules Implementing E.O. No. 292) Completion of Master's Degree

Special Leave Benefits for Women (RA No. 9710 / CSC MC No. 25, s. 2010) BAR/Board Examination Review Other

Special Emergency (Calamity) Leave (CSC MC No. 2, s. 2012, as amended) purpose:

Adoption Leave (R.A. No. 8552) Monetization of Leave Credits

Others: Terminal Leave

6.C NUMBER OF WORKING DAYS APPLIED FOR 6.D COMMUTATION

Not Requested
INCLUSIVE DATES / Requested

(Signature of Applicant)

7. DETAILS OF ACTION ON APPLICATION

7.A CERTIFICATION OF LEAVE CREDITS 7.B RECOMMENDATION

As of

Vacation Leave Sick Leave / For approval

Total Earned
For disapproval due to
Less this application

Balance - -

EMELAN M. REGIS GINA P. NASINOPA

Administrative Officer II/OIC-HRMO Public Schools District Supervisor
Authorized Officer Authorized Officer

7.C APPROVED FOR: 7. D DISAPPROVED DUE TO:

days with pay
days without pay
others (Specify)

TEODERICO C. PELIÑO, JR., ED.D.

Assistant Schools Division Superintendent
Authorized Officer

Address: Government Center, Candahug, Palo, Leyte

Telephone No.: (053) 888-3527
Email Address: leyte.ro8@deped.gov.ph
Website: https://depedleytedivision.com
 Telephone No.: (053) 888-3527
Email Address: leyte.ro8@deped.gov.ph
Website: https://depedleytedivision.com

INSTRUCTIONS AND REQUIREMENTS

Application for any type of leave shall be made on this Form and to be accomplished d. In the absence of the BPO/TPO/PPO or the certification, a police report
at least in duplicate with documentary requirements, as follows: specifying the details of the occurrence of violence on the victim and a
medical certificate may be considered, at the discretion of the immediate
1. Vacation leave* supervisor of the woman employee concerned.
It shall be filed five (5) days in advance, whenever possible, of the effective date of
such leave. Vacation leave within in the Philippines or abroad shall be indicated in 10. Rehabilitation leave* – up to 6 months
the form for purposes of securing travel authority and completing clearance from • Application shall be made within one (1) week from the time of the
money and work accountabilities. accident except when a longer period is warranted.
• Letter request supported by relevant reports such as the police report, if
2. Mandatory/Forced leave any,
Annual five-day vacation leave shall be forfeited if not taken during the year. In case • Medical certificate on the nature of the injuries, the course of treatment
the scheduled leave has been cancelled in the exigency of the service by the head of involved, and the need to undergo rest, recuperation, and rehabilitation, as
agency, it shall no longer be deducted from the accumulated vacation leave. the case may be.
Availment of one (1) day or more Vacation Leave (VL) shall be considered for • Written concurrence of a government physician should be obtained
complying the mandatory/forced leave subject to the conditions under Section 25, relative to the recommendation for rehabilitation if the attending physician
Rule XVI of the Omnibus Rules Implementing E.O. No. 292. is a private practitioner, particularly on the duration of the period of
rehabilitation.
3. Sick leave*
• It shall be filed immediately upon employee's return from such leave. 11. Special leave benefits for women* – up to 2 months
• If filed in advance or exceeding five (5) days, application shall be accompanied by a • The application may be filed in advance, that is, at least five (5) days prior
medical certificate. In case medical consultation was not availed of, an affidavit to the scheduled date of the gynecological surgery that will be undergone
should be executed by an applicant. by the employee. In case of emergency, the application for special leave
shall be filed immediately upon employee’s return but during confinement
4. Maternity leave* – 105 days the agency shall be notified of said surgery.
• Proof of pregnancy e.g. ultrasound, doctor’s certificate on the expected date of • The application shall be accompanied by a medical certificate filled out by
delivery the proper medical authorities, e.g. the attending surgeon accompanied by
• Accomplished Notice of Allocation of Maternity Leave Credits (CS Form No. 6a), if a clinical summary reflecting the gynecological disorder which shall be
needed addressed or was addressed by the said surgery; the histopathological
• Seconded female employees shall enjoy maternity leave with full pay in the recipient report; the operative technique used for the surgery; the duration of the
agency. surgery including the perioperative period (period of confinement around
surgery); as well as the employees estimated period of recuperation for the
5. Paternity leave – 7 days same.
Proof of child’s delivery e.g. birth certificate, medical certificate and marriage contract
12. Special Emergency (Calamity) leave – up to 5 days
6. Special Privilege leave – 3 days • The special emergency leave can be applied for a maximum of five (5)
It shall be filed/approved for at least one (1) week prior to availment, except on straight working days or staggered basis within thirty (30) days from the
emergency cases. Special privilege leave within the Philippines or abroad shall be actual occurrence of the natural calamity/disaster. Said privilege shall be
indicated in the form for purposes of securing travel authority and completing enjoyed once a year, not in every instance of calamity or disaster.
clearance from money and work accountabilities. • The head of office shall take full responsibility for the grant of special
emergency leave and verification of the employee’s eligibility to be granted
7. Solo Parent leave – 7 days thereof. Said verification shall include: validation of place of residence
It shall be filed in advance or whenever possible five (5) days before going on such based on latest available records of the affected employee; verification that
leave with updated Solo Parent Identification Card. the place of residence is covered in the declaration of calamity area by the
proper government agency; and such other proofs as may be necessary.
8. Study leave* – up to 6 months
• Shall meet the agency’s internal requirements, if any; 13. Monetization of leave credits
• Contract between the agency head or authorized representative and the employee Application for monetization of fifty percent (50%) or more of the
concerned. accumulated leave credits shall be accompanied by letter request to the
head of the agency stating the valid and justifiable reasons.
9. VAWC leave – 10 days
• It shall be filed in advance or immediately upon the woman employee’s return from 14. Terminal leave*
such leave. Proof of employee’s resignation or retirement or separation from the
• It shall be accompanied by any of the following supporting documents: service.
a. Barangay Protection Order (BPO) obtained from the barangay;
b. Temporary/Permanent Protection Order (TPO/PPO) obtained from the court; 15. Adoption Leave
c. If the protection order is not yet issued by the barangay or the court, a certification • Application for adoption leave shall be filed with an authenticated copy of
issued by the Punong Barangay/Kagawad or the Pre-Adoptive Placement Authority issued by the Department of Social
Prosecutor or the Clerk of Court that the application for the BPO, TPO or PPO has Welfare and Development (DSWD).
been filed with the said office shall be sufficient to support the application for the ten-
day leave; or

* For leave of absence for thirty (30) calendar days or more and terminal leave, application shall be accompanied by a clearance from money, property
and work-related accountabilities (pursuant to CSC Memorandum Circular No. 2, s. 1985).
Civil Service Form No. 6 ANNEX A
Revised 2020
Republic of the Philippines M
A
Department of Education
R
DIVISION OF LEYTE I
GOVERNMENT CENTER, CANDAHUG, PALO LEYTE O

R
APPLICATION FOR LEAVE O
1. OFFICE/DEPARTMENT 2. NAME: (Last) (First) (Middle) D
G
BURAUEN NORTH NASINOPA GINA POLIQUIN I
3. DATE OF FILING 4. POSITION Public Schools District Supervisor 5. SALARY PHP
E

R
6. DETAILS OF APPLICATION
.
6.A TYPE OF LEAVE TO BE AVAILED OF 6.B DETAILS OF LEAVE

In case of Vacation/Special Privilege Leave:

S
Vacation Leave (Sec. 51, Rule XVI, Omnibus Rules Implementing E.O. No. 292)
O
Mandatory/Forced Leave(Sec. 25, Rule XVI, Omnibus Rules Implementing E.O. No. 292) Within the Philippines M
B
Sick Leave (Sec. 43, Rule XVI, Omnibus Rules Implementing E.O. No. 292) Abroad (Specify)
I
Maternity Leave (R.A. No. 11210 / IRR issued by CSC, DOLE and SSS) In case of Sick Leave: L
Paternity Leave (R.A. No. 8187 / CSC MC No. 71, s. 1998, as amended) In Hospital (Specify Illness)
O
N
Special Privilege Leave (Sec. 21, Rule XVI, Omnibus Rules Implementing E.O. No. 292) Out Patient (Specify Illness) ,
Solo Parent Leave (RA No. 8972 / CSC MC No. 8, s. 2004) In case of Special Leave Benefits for Women:
E
Study Leave (Sec. 68, Rule XVI, Omnibus Rules Implementing E.O. No. 292) (Specify Illness) D
10-Day VAWC Leave (RA No. 9262 / CSC MC No. 15, s. 2005) In case of Study Leave: .
Rehabilitation Privilege (Sec. 55, Rule XVI, Omnibus Rules Implementing E.O. No. 292) Completion of Master's Degree D
.
Special Leave Benefits for Women (RA No. 9710 / CSC MC No. 25, s. 2010) BAR/Board Examination Review Other A
Special Emergency (Calamity) Leave (CSC MC No. 2, s. 2012, as amended) purpose:
s
s
Adoption Leave (R.A. No. 8552) Monetization of Leave Credits
i
Others: Terminal Leave s
t
a
6.C NUMBER OF WORKING DAYS APPLIED FOR 6.D COMMUTATION n
Not Requested
t

INCLUSIVE DATES / Requested S

c
h
(Signature of Applicant)
o
o
7. DETAILS OF ACTION ON APPLICATION l
7.A CERTIFICATION OF LEAVE CREDITS 7.B RECOMMENDATION s
As of
D
i
Vacation Leave Sick Leave / For approval
v
Total Earned
For disapproval due to i
s
Less this application i
Balance
o
- - n

S
EMELAN M. REGIS GRACE G. VILLANUEVA u
Administrative Officer II/OIC-HRMO Curriculum Implementation Division- Chief p
Authorized Officer Authorized Officer
e
r
i
7.C APPROVED FOR: 7. D DISAPPROVED DUE TO: n
days with pay t
days without pay
e
n
others (Specify) d
e
TEODERICO C. PELIÑO, JR., ED.D. n
Assistant Schools Division Superintendent t
Authorized Officer

Address: Government Center, Candahug, Palo, Leyte

Telephone No.: (053) 888-3527
Email Address: leyte.ro8@deped.gov.ph
Website: https://depedleytedivision.com
 Telephone No.: (053) 888-3527
Email Address: leyte.ro8@deped.gov.ph
Website: https://depedleytedivision.com

INSTRUCTIONS AND REQUIREMENTS

Application for any type of leave shall be made on this Form and to be accomplished d. In the absence of the BPO/TPO/PPO or the certification, a police report
at least in duplicate with documentary requirements, as follows: specifying the details of the occurrence of violence on the victim and a
medical certificate may be considered, at the discretion of the immediate
1. Vacation leave* supervisor of the woman employee concerned.
It shall be filed five (5) days in advance, whenever possible, of the effective date of
such leave. Vacation leave within in the Philippines or abroad shall be indicated in 10. Rehabilitation leave* – up to 6 months
the form for purposes of securing travel authority and completing clearance from • Application shall be made within one (1) week from the time of the
money and work accountabilities. accident except when a longer period is warranted.
• Letter request supported by relevant reports such as the police report, if
2. Mandatory/Forced leave any,
Annual five-day vacation leave shall be forfeited if not taken during the year. In case • Medical certificate on the nature of the injuries, the course of treatment
the scheduled leave has been cancelled in the exigency of the service by the head of involved, and the need to undergo rest, recuperation, and rehabilitation, as
agency, it shall no longer be deducted from the accumulated vacation leave. the case may be.
Availment of one (1) day or more Vacation Leave (VL) shall be considered for • Written concurrence of a government physician should be obtained
complying the mandatory/forced leave subject to the conditions under Section 25, relative to the recommendation for rehabilitation if the attending physician
Rule XVI of the Omnibus Rules Implementing E.O. No. 292. is a private practitioner, particularly on the duration of the period of
rehabilitation.
3. Sick leave*
• It shall be filed immediately upon employee's return from such leave. 11. Special leave benefits for women* – up to 2 months
• If filed in advance or exceeding five (5) days, application shall be accompanied by a • The application may be filed in advance, that is, at least five (5) days prior
medical certificate. In case medical consultation was not availed of, an affidavit to the scheduled date of the gynecological surgery that will be undergone
should be executed by an applicant. by the employee. In case of emergency, the application for special leave
shall be filed immediately upon employee’s return but during confinement
4. Maternity leave* – 105 days the agency shall be notified of said surgery.
• Proof of pregnancy e.g. ultrasound, doctor’s certificate on the expected date of • The application shall be accompanied by a medical certificate filled out by
delivery the proper medical authorities, e.g. the attending surgeon accompanied by
• Accomplished Notice of Allocation of Maternity Leave Credits (CS Form No. 6a), if a clinical summary reflecting the gynecological disorder which shall be
needed addressed or was addressed by the said surgery; the histopathological
• Seconded female employees shall enjoy maternity leave with full pay in the recipient report; the operative technique used for the surgery; the duration of the
agency. surgery including the perioperative period (period of confinement around
surgery); as well as the employees estimated period of recuperation for the
5. Paternity leave – 7 days same.
Proof of child’s delivery e.g. birth certificate, medical certificate and marriage contract
12. Special Emergency (Calamity) leave – up to 5 days
6. Special Privilege leave – 3 days • The special emergency leave can be applied for a maximum of five (5)
It shall be filed/approved for at least one (1) week prior to availment, except on straight working days or staggered basis within thirty (30) days from the
emergency cases. Special privilege leave within the Philippines or abroad shall be actual occurrence of the natural calamity/disaster. Said privilege shall be
indicated in the form for purposes of securing travel authority and completing enjoyed once a year, not in every instance of calamity or disaster.
clearance from money and work accountabilities. • The head of office shall take full responsibility for the grant of special
emergency leave and verification of the employee’s eligibility to be granted
7. Solo Parent leave – 7 days thereof. Said verification shall include: validation of place of residence
It shall be filed in advance or whenever possible five (5) days before going on such based on latest available records of the affected employee; verification that
leave with updated Solo Parent Identification Card. the place of residence is covered in the declaration of calamity area by the
proper government agency; and such other proofs as may be necessary.
8. Study leave* – up to 6 months
• Shall meet the agency’s internal requirements, if any; 13. Monetization of leave credits
• Contract between the agency head or authorized representative and the employee Application for monetization of fifty percent (50%) or more of the
concerned. accumulated leave credits shall be accompanied by letter request to the
head of the agency stating the valid and justifiable reasons.
9. VAWC leave – 10 days
• It shall be filed in advance or immediately upon the woman employee’s return from 14. Terminal leave*
such leave. Proof of employee’s resignation or retirement or separation from the
• It shall be accompanied by any of the following supporting documents: service.
a. Barangay Protection Order (BPO) obtained from the barangay;
b. Temporary/Permanent Protection Order (TPO/PPO) obtained from the court; 15. Adoption Leave
c. If the protection order is not yet issued by the barangay or the court, a certification • Application for adoption leave shall be filed with an authenticated copy of
issued by the Punong Barangay/Kagawad or the Pre-Adoptive Placement Authority issued by the Department of Social
Prosecutor or the Clerk of Court that the application for the BPO, TPO or PPO has Welfare and Development (DSWD).
been filed with the said office shall be sufficient to support the application for the ten-
day leave; or

* For leave of absence for thirty (30) calendar days or more and terminal leave, application shall be accompanied by a clearance from money, property
and work-related accountabilities (pursuant to CSC Memorandum Circular No. 2, s. 1985).