Pls.

Submit two (2) copies to SSSRSC

SSS RETIREES SERVICE CORPORATION

Penthouse, SSS Building, East Avenue, Quezon City
Tel. No. 9206401 loc. 6015 Telefax: 9247378

SICK/VACATION LEAVE FORM

April 11, 2013

Date

TO : Vice-President - HR
SSSRSC

Sir:

I wish to apply for one day/s (from April 10, 2013 )

sick / vacation/ emergency leave of absence. I spent this leave ( specify where and for what purpose )
due to upset stomach.

Very truly yours,

(Note: SSSRSC-SBs assigned at the Rosalie A. Ong

SSS Regional Offices, please accomplish (Signature over Printed Name)
3 copies (1 copy to Branch Admin Section &
2 copies to SSSRSC) and forward your signed
"SICK/VACATION LEAVE FORM" CDPRD Unit / Department
thru your assigned SSSRSC monitor) 2nd/F SSS Bldg. East Ave. Diliman, Q. C.
(Company Assign. & Address)

Approved / Disapproved: With notice Without notice

Leo Q. Aguila, Jr. James Edward Pradillada

Vice-President - HR Signature of SSSRSC Monitor
SSS Retirees Service Corporation
April 11, 2013
Date
NOTE:

Application for vacation leave shall be submitted at least five (5) days in advance;
at least fifteen (15) days in advance is required for a vacation leave of more than five (5)
days; while sick leave application should be filed within 48 hrs upon reporting back to
work with attached medical certificate for more than three (3) days. Generally leaves of
absence, where replacement is required by the Department/Unit Head concerned are not
except in emergency / urgent cases or instances.

ANY MISREPRESENTATION OR DECEPTION IN CONNECTION WITH AN APPLICATION

FOR LEAVE SHALL BE A GROUND FOR DISCIPLINARY ACTION.
Pls. Submit two (2) copies to SSSRSC

SSS RETIREES SERVICE CORPORATION

Penthouse, SSS Building, East Avenue, Quezon City
Tel. No. 9206401 loc. 6015 Telefax: 9247378

SICK/VACATION LEAVE FORM

Date

TO : Vice-President - HR
SSSRSC

Sir:

I wish to apply for day/s (from )

sick / vacation/ emergency leave of absence. I spent this leave ( specify where and for what purpose )

Very truly yours,

(Note: SSSRSC-SBs assigned at the

SSS Regional Offices, please accomplish (Signature over Printed Name)
3 copies (1 copy to Branch Admin Section &
2 copies to SSSRSC) and forward your signed
"SICK/VACATION LEAVE FORM" Unit / Department
thru your assigned SSSRSC monitor)
(Company Assign. & Address)

Approved / Disapproved: With notice Without notice

Leo Q. Aguila, Jr.

Vice-President - HR Signature of SSSRSC Monitor
SSS Retirees Service Corporation

Date
NOTE:

Application for vacation leave shall be submitted at least five (5) days in advance;
at least fifteen (15) days in advance is required for a vacation leave of more than five (5)
days; while sick leave application should be filed within 48 hrs upon reporting back to
work with attached medical certificate for more than three (3) days. Generally leaves of
absence, where replacement is required by the Department/Unit Head concerned are not
except in emergency / urgent cases or instances.

ANY MISREPRESENTATION OR DECEPTION IN CONNECTION WITH AN APPLICATION

FOR LEAVE SHALL BE A GROUND FOR DISCIPLINARY ACTION.