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DepEd Guidelines on the Filling of Application for Leave of Absence (CS Form 6)




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:

CategoryNo. of DaysCertified byApproved by
SHORT LEAVE (TEACHING)1-15 daysAO IV/HRMO (Personnel)Administrative Officer V (Administrative Services)
SHORT LEAVE (NON-TEACHING)1 – 15 daysAdministrative Officer V (Administrative Services)Asst. Schools Division Superintendent
LONG LEAVE (TEACHING
& NON-TEACHING)
16 days and above including travel abroadAdministrative Officer V (Administrative Services)Schools Division Superintendent

DEPED APPLICATION FOR LEAVE OF ABSENCE DOCUMENTARY REQUIREMENTS

Note: Documentary requirements for Leave of Absence may vary for each Division Office.




TYPE OF LONG LEAVE30 days and BELOW31 days and ABOVERETURN 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 ABROADForm 6
Letter of Intent
School Clearance
Division Clearance
City Clearance
Invitation (if any)
Certificate of Substitution
*** Up to 90days only Letter of Intent
TERMINAL LEAVEForm 6
Letter of Intent
School Clearance
Division Clearance
City Clearance
MATERNITY LEAVEForm 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 LEAVEForm 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 LEAVE15 days and BELOW
PATERNITY LEAVEForm 6
Marriage Certificate (photocopy)
Birth Certificate (photocopy)
SOLO PARENT LEAVEForm 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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2019 Required Documents for Study Leave Application

2019 DepEd Signing Authorities for Certain Administrative and Financial Matters





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