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___________________

TO : ___________________
FROM : HUMAN RESOURCES DEPARTMENT
DATE : ________________
RE : NOTICE TO EXPLAIN RE ___________-- INCIDENT

You will recall that, on _____________, you submitted the following documents for the
signature of your immediate supervisor, ___________________ (___________________):

1. Trip Ticket dated _____________ from 10:00am to 13:58pm monitoring of


banner and canopy globe in _____________;

2. Petty Cash Voucher dated _____________, counting of banner and monitoring,


gasoline expenses worth _____________; and

3. Petty Cash Voucher dated _____________taking day shot picture for Solaire in
NAIA, gasoline expenses worth _____________ .

On the same day, you were confronted by Ms. ___________________


(___________________) and _____________ regarding the Trip Ticket and Vouchers that you
submitted with the following observations:

a. In your Trip Ticket dated December 11, 2013, you stated that
you conducted the monitoring of the Company banners and canopy globe in
_____________ for four (4) hours. However, the area you that you monitored is
considerably small and would not require four (4) hours to finish the monitoring
and inspection;

b. On _____________, you were deployed in _____________ for


the installation of ________________. This is contrary to your earlier statement
that you incurred that said gasoline expenses worth _____________ for your
alleged counting and monitoring of banners in ____________. Moreover, you
confessed that while you are claiming reimbursement for your alleged gasoline
expense, you did not actually incur any expenses for gasoline. Rather, you are
claiming the reimbursement of the amount of _____________ for the change oil
of your personal motorcycle, which you admitted to Ms. ___________________
and Mr. ___________________.

c. On _____________, you were assigned to take a day shot


picture of the _____________ location in _____________. Thereafter, you
asked for a reimbursement of _____________ for your assignment. It should be
noted that a reimbursement of _____________ for gasoline expense is provided
for one (1) whole day of field duty.

The making of false claims regarding the liquidation or reimbursement thereof


constitutes violations of the Companys Code of Discipline on Dishonesty:

1
Dishonesty

Dishonesty is committed through:

10. Making false claims for cash advances and/or liquidation,


reimbursements false statements in employment records, false
testimony in Company investigations and/or any form of forgery.

1st Offense - Dismissal

Similarly, the aforestated action is considered serious misconduct under Article 282 of
the Labor Code, which is a just and valid cause for dismissal from employment.

In view of the foregoing, you are hereby required to explain in writing within five (5)
days from receipt of this Notice why you should not be meted out with the appropriate
disciplinary action for your infraction of the Companys Code of Discipline and the appropriate
labor laws, which may include the penalty of dismissal.

Failure on your part to submit your written explanation within the time prescribed
herein shall be considered as an outright waiver of your right to be heard. Thereafter, your case
shall be deemed submitted for resolution.

Signed: Noted by: Approved by:

___________________ ___________________ ___________________


Human Resources Officer Operations Manager VP Finance & Media

Received by: _______________________________________________


EMPLOYEE SIGNATURE OVER PRINTED NAME

Date / Time received / served to employee: ____________________________________


Cc: 201 file / Immediate Supervisor / Acctg.

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