Application for Leave of Absence (CS Form 6) should be fully and properly filled out by the applicant and must be approved by the immediate supervisor or his/her representative using the prescribed format attached to this memorandum.
All applications should be submitted at the Division Records Section to be received by the Records Officer indicating the tracking number.
For the documentary requirements, please refer to the attached file.
The signatories for the details of action on the application are as follows:
| Category | No. of Days | Certified by | Approved by |
| SHORT LEAVE (TEACHING) | 1-15 days | AO IV/HRMO (Personnel) | Administrative Officer V (Administrative Services) |
| SHORT LEAVE (NON-TEACHING) | 1 – 15 days | Administrative Officer V (Administrative Services) | Asst. Schools Division Superintendent |
| LONG LEAVE (TEACHING & NON-TEACHING) | 16 days and above including travel abroad | Administrative Officer V (Administrative Services) | Schools Division Superintendent |
Table of Contents
DEPED APPLICATION FOR LEAVE OF ABSENCE DOCUMENTARY REQUIREMENTS
Note: Documentary requirements for Leave of Absence may vary for each Division Office.
| TYPE OF LONG LEAVE | 30 days and BELOW | 31 days and ABOVE | RETURN TO DUTY |
| SICK LEAVE | Form 6 Letter of Intent Medical Certificate (Form 41) School Clearance (School-based) or Division Clearance (Division-based) | Form 6 Letter of Intent Medical Certificate (Form 41) School Clearance (Schoolbased) or Division Clearance (Division-based) | Letter of Intent Medical Certificate (Form 86) |
| VACATION LEAVE | Form 6 Letter of Intent (Specify NO intent to travel abroad) School Clearance Division Clearance | Form 6 Letter of Intent School Clearance Division Clearance City Clearance | Letter of Intent |
| TRAVEL ABROAD | Form 6 Letter of Intent School Clearance Division Clearance City Clearance Invitation (if any) Certificate of Substitution | *** Up to 90days only | Letter of Intent |
| TERMINAL LEAVE | Form 6 Letter of Intent School Clearance Division Clearance City Clearance | ||
| MATERNITY LEAVE | Form 6 Letter of Intent Medical Certificate (Form 41) School Clearance (School-based) Division Clearance (Division-based) Clinical Abstract (for miscarriage/abortion) | Extension of leave is either SICK, or VACATION depending on the reason. | Letter of Intent Medical Certificate (Form 86) Birth Certificate |
| MAGNA CARTA OF WOMEN (RA 9710) | Form 6 Letter of Intent Medical Certificate (Form 41) Clinical Abstract Operating Room Records School Clearance (School-based) Division Clearance (Division-based) | Letter of Intent Medical Certificate (Form 86) | |
| REHABILITATION LEAVE | Form 6 Letter of Intent Medical Certificate (Form 41) Incidence Report School Clearance (School-based) Division Clearance (Division-based) | Letter of Intent Medical Certificate (Form 86) | |
| MONETIZATION (Non- Teaching) | Form 6 Latest NOSI/NOSA Service Record |
| TYPE OF SHORT LEAVE | 15 days and BELOW |
| PATERNITY LEAVE | Form 6 Marriage Certificate (photocopy) Birth Certificate (photocopy) |
| SOLO PARENT LEAVE | Form 6 Solo Parent ID w/ expiration date (photocopy) |
| SICK LEAVE (must be filled immediately upon return) | Form 6 Medical Certificate (6 days and above) |
| VACATION LEAVE (must be filed 5 days before the intended leave) |
SAMPLE CS FORM 6 – LEAVE OF ABSENCE
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Is there any guidelines, memo’s or any supporting documents provided by CSC, DEPED, DBM relevant to these documentary requirements? Thank you.
Kailangan bang mag apply ng form 6 sa deped Kung pupunta ka sa ibang bansa for personal reasons at ito ay ntaon sa Christmas vacation