Authority to Deduct Sample Form

Authority to Deduct Sample Form

Authority to deduct as practiced in employment setting empowers the employer to set off the monetary accountability of employee against his receivable.

It is provided in Article 113 of the Labor Code that no employer, in his own behalf or in behalf of any person, shall make any deduction from the wages of his employees, except in cases where the employer is authorized by law or regulations issued by the Secretary of Labor and Employment, among others.

Art. 113. Wage deduction. No employer, in his own behalf or in behalf of any person, shall make any deduction from the wages of his employees, except:

  1. In cases where the worker is insured with his consent by the employer, and the deduction is to recompense the employer for the amount paid by him as premium on the insurance;
  2. For union dues, in cases where the right of the worker or his union to check-off has been recognized by the employer or authorized in writing by the individual worker concerned; and
  3. In cases where the employer is authorized by law or regulations issued by the Secretary of Labor and Employment.

The Civil Code provides that the employer is authorized to withhold wages for debts due:

Article 1706. Withholding of the wages, except for a debt due, shall not be made by the employer.

“Debt” in this case refers to any obligation due from the employee to the employer. It includes any accountability that the employee may have to the employer. There is no reason to limit its scope to uniforms and equipment, as petitioners would argue. (Milan vs. NLRC, G.R. No. 202961, February 04, 2015)

Acquire mastery on the Rules Governing Employment such as benefits, discipline, and the forms required from the compendium of titles HR Bundle

In Solas vs. Power and Telephone Supply Phils., Inc. [585 Phil. 513, 522–523 (2008)], et al., the Supreme Court recognized this right of the employer when it ruled that the employee in that case was not constructively dismissed. There was valid reason for respondents’ withholding of salary. The employee does not deny that he is indebted to his employer. The company explained that the salary for the period covered was applied as partial payment for his debt and for withholding taxes on his income.

AUTHORITY TO WITHHOLD AND/OR DEDUCT FOR DEBT

(KAPANGYARIHAN PARA MAGKALTAS O MAG-WITHOLD NG HALAGA MULA SA SAHOD/BENEPISYO PARA BAYARAN ANG UTANG)

             Ako, si MON GO LLOYD-CRUZ, nasa hustong gulang, Filipino, at empleyado ng XYZ Company, ay nagbibigay ng awtorisasyon, kapangyarihan, at pumapayag na:

  1. Hindi ibigay (withhold) at kaltasin sa aking sahod at benepisyo ang halagang LIMANG LIBONG (PhP5,000.00) PISO bilang kabayaran sa utang ko sa kompanya;
  2. Na ang nasabing halaga ay aking babayaran sa loob ng limang (5) buwan na ikakaltas o ibabawas tuwing katapusan ng buwan sa halagang tig-isanlibo (PhP1,000.00) kada sahod simula sa ___________;
  3. Ang pag withhold at pagkaltas ay kusang-loob kong inaayunan at ako mismo ay nagbibigay ng nasabing kapangyarihan. Pinapawalang-sala ko ang kompanya, mga may-ari, opisyal, at empleyado sa anumang danyos o reklamo na mag-resulta dito ito man ay administratibo, civil or kriminal;
  4. Ang dokumentong ito ay maaring gamitin laban sa akin bilang ebidensya sa anumang kaso, reklamo, o pagdinig at ito ay gagamiting pabor sa kompanya.
  5. Ang pagsagawa ko ng deklarasyong ito ay kusang-loob, walang pananakot, pananakit o panlilinlang mula kanino man.

MON GO LLOYD-CRUZ

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TABLE OF FORMS

Form Number Form Title Page
PRELIMINARY FORMS
Form No. i Sample Job Description Questionnaire  28
Form No. ii Manpower Requisition Form (for Position that is yet to be created) 30
Form No. iii Personnel Requisition Form (for Position that is already existing) 32
Form No. iv Job Contracting Checklist (If Company Contracts with Janitorial, Security, Etc.) under D.O. 174 33
DOLE MANDATORY POLICIES
Form No. v Anti-Sexual Harassment Policy 36
Form No. vi Drug-Free Workplace Policy 44
Form No. vii Sample Hepatitis B Prevention and Control Policy 52
Form No. viii Sample HIV/AIDS Prevention and Control Program 58
Form No. ix Sample Tuberculosis (TB) Prevention and Control Policy 65
PRE-EMPLOYMENT FORMS AND NOTICES
Form No. 1-A Sample application form (with Consent Per Data Privacy Law) 72
Form No. 1-B Sample application form (with Consent Per Data Privacy Law) 76
Form No. 1-C Sample application form (with Data Privacy Consent) 80
Form No. 1-D Sample application form (with Consent Per Data Privacy Law) 85
Form No. 2 Application letter by employee 90
Form No. 2-A Letter acknowledging receipt of Application 91
Form No. 2-A-1 Sample Interview Schedule 92
Form No. 2-A-2 Sample Interview Sheet 93
Form No. 2-A-3 Sample Interview Evaluation Form 94
Form No. 2-A-4 Sample Letter Rejecting Applicant After Initial Interview 97
Form No. 2-A-5 Sample Letter Denying Applicant For Interview 98
Form No. 2-A-6 Sample Letter Rejecting Applicant After Second Interview 99
Form No. 2-A-7 Sample Employment Offer 100
Form No. 2-A-8 Undertaking of Receipt of Code of Conduct 103
Form No. 2-A-9 Sample Consent under Data Privacy Act (Filipino/Tagalog Version) 105
Form No. 2-A-10 Sample Consent under Data Privacy Act (English Version) 106
EMPLOYMENT PROPER FORMS, NOTICES AND UNDERTAKINGS
Form No. 2-B Undertaking giving consent to retirement age (For companies with retirement plan) 108
Form No. 2-C Sample Background Reference Check Guidelines 109
Form No. 3-A Employment checklist 114
Form No. 3-B Employment checklist 115
Form No. 3-C Declaration of Disability 117
Form No. 3-D Sample Employee Orientation Checklist 118
Form No. 3-E Sample Employee Orientation Attendance Record 122
Form No. 3-F Sample Acknowledgment Receipt of Personal Protective Equipment (Filipino/Tagalog) 124
Form No. 4-A Sample probationary contract 126
Form No. 4-B Sample probationary contract 129
Form No. 4-C Sample probationary contract 132
Form No. 4-D Sample probationary contract (with metrics and confidentiality clause) 139
Form No. 4-D-1 Sample probationary contract (with Data Privacy Consent Clause) 151
Form No. 4-E Sample probationary contract (Simplified – without confidentiality clause) 164
Form No. 4-F Sample Leave Application Form 174
Form No. 4-1 Sample evaluation form 175
Form No. 4-2 Sample evaluation form 177
Form No. 4-3 Sample training bond 183
Form No. 4-4 Sample Termination of Probationary Employee Due to Failure to Qualify as Regular Employee 187
Form No. 5-A Sample supplementary contract for regular employment 189
Form No. 5-B Sample notice of regularization 190
Form No. 5-C Sample regular employment contract 191
Form No. 5-D Sample regular employment contract (with Data Privacy Consent Clause) 195
Form No. 6-A Sample casual employment contract 207
Form No. 6-B Sample casual employment contract 210
Form No. 6-C Sample casual employment contract 212
Form No. 6-D Sample casual employment contract (with Data Privacy Consent Clause) 218
Form No. 7-A Sample project employment contract 213
Form No. 7-B Sample project employment contract 227
Form No. 7-C Sample project employment contract 230
Form No. 7-D Sample project employment contract (With Data Privacy Consent Clause) 231
Form No. 8-A Sample seasonal employment contract 236
Form No. 8-B Sample seasonal employment contract 240
Form No. 8-C Sample seasonal employment contract 242
Form No. 8-D Sample seasonal employment contract (With Data Privacy Consent Clause) 244
Form No. 9-A Sample fixed term employment contract 249
Form No. 9-B Sample fixed term employment contract 252
Form No. 9-C Sample fixed term employment contract (With Data Privacy Consent Clause) 256
Form No. 10-A Sample part time employment contract 263
Form No. 10-B Sample part time employment contract 265
Form No. 10-C Sample part time employment contract (With Data Privacy Consent Clause) 270
Form No. 11-A Sample notice of transfer 276
Form No. 11-B Sample notice of transfer 277
Form No. 11-C Sample Overtime Request Form 279
Form No. 11-D Sample Overtime Pay Claim Form 280
Form No. 11-E Sample Authority to Deduct Payment for Debt (Filipino/Tagalog Version) 281
 

SAMPLE NOTICES TO EXPLAIN FOR OFFENSES WHERE
THE PENALTY IMPOSED IS ONLY A WARNING

 

Form No. 12 Notice to explain for violation of the rule on general cleanliness 283
Form No. 13 Notice to explain for violation of the rule against littering 284
Form No. 14 Notice to explain for violation of the rule against smudging 285
Form No. 15 Notice to explain for violation of the rule against disorderly filing 286
Form No. 16 Notice to explain for violation of the rule on taking meals in designated dining area 287
Form No. 17 Notice to explain for taking unauthorized undertime 289
Form No. 18 Notice to explain for violation of the coffee break schedule 290
Form No. 19 Notice to explain for violation of lunch break schedule 291
Form No. 20 Notice to explain for abandonment of post 292
Form No. 21 Notice to explain for absence without leave (AWOL) 293
Form No. 22 Notice to explain for failure to give notice for sickness 295
Form No. 23 Another notice to explain for failure to give notice for sickness 296
Form No. 24 Notice to explain for tardiness 297
Form No. 25 Notice to explain for failure to log in attendance 298
Form No. 26 Notice to explain for failure to log out attendance 299
Form No. 27 Notice to explain for knowingly punching the timecard or logging in attendance for other employees 301
Form No. 28 Notice to explain for unauthorized alteration made on one’s timecard or attendance sheet 302
Form No. 29 Notice to explain for unauthorized alteration made on other’s timecard with consent of such employee 303
Form No. 30 Notice to explain for unauthorized alteration made on other’s timecard without the consent of such employee 305
Form No. 31 Notice to explain for unauthorized removal of one’s timecard or attendance sheet 306
Form No. 32 Notice to explain for unauthorized removal of another’s timecard or attendance sheet 307
Form No. 33 Notice to explain for unauthorized concealment of one’s timecard or attendance sheet 309
Form No. 34 Notice to explain for unauthorized concealment of another’s timecard or attendance sheet 310
Form No. 35 Notice to explain for intentional destruction of one’s timecard or attendance sheet 311
Form No. 36 Notice to explain for intentional destruction of another’s timecard or attendance sheet 313
Form No. 37 Notice to explain for reporting for work not in prescribed dress code 315
Form No. 38 Notice to explain for reporting for work not in prescribed uniform (barong or blouse) 316
Form No. 39 Notice to explain for reporting for work not in prescribed uniform (pants or skirt) 318
Form No. 40 Another sample notice to explain for reporting for work not in prescribed uniform (pants or skirt) 319
Form No. 41 Notice to explain for reporting for work not in prescribed uniform (blazer) 320
Form No. 42 Notice to explain for failure to wear the company’s identification (ID) card 322
Form No. 43 Notice to explain for refusal to wear the company issued identification card 323
Form No. 44 Notice to explain for deliberate destruction of ID card 324
Form No. 45 Notice to explain for mutilation of ID card 326
Form No. 46 Notice to explain for alteration of entries in the ID card 327
Form No. 47 Notice to explain for concealment of one’s ID card 329
Form No. 48 Notice to explain for concealment of another’s ID card 330
Form No. 49 Notice to explain for unauthorized or improper use of ID card 331
Form No. 50 Another notice to explain for unauthorized or improper use of ID card 332
Form No. 51 Notice to explain for loitering in unrestricted area 334
Form No. 52 Notice to explain for loitering in restricted area 335
Form No. 53 Notice to explain for refusal to subject oneself to annual physical examinations 336
Form No. 54 Notice to explain for refusal to subject oneself to executive checkup 337
Form No. 55 Notice to explain for refusal to abide by auditing procedure 339
Form No. 56 Notice to explain for refusal to abide by security and safety regulations 340
Form No. 57 Notice to explain for refusal to transfer to another assignment 342
Form No. 58 Notice to explain for refusal to perform one’s task 343
Form No. 59 Notice to explain for refusal to render overtime work 344
Form No. 60 Notice to explain for refusal to report for holiday work 346
Form No. 61 Notice to explain for refusal to issue disciplinary action to subordinate 347
Form No. 62 Notice to explain for refusal to obey lawful order of superior 348
Form No. 63 Notice to explain for refusal to give information in a company investigation 350
 

SAMPLE NOTICES TO EXPLAIN FOR OFFENSES WHERE THE PENALTY TO BE IMPOSED IS SUSPENSION

 

Form No. 64 Notice to explain for taking unauthorized undertime 352
Form No. 65 Notice to explain for knowingly punching timecard or logging in attendance for other employees 353
Form No. 66 Notice to explain for refusal to transfer to another assignment 355
Form No. 67 Notice to explain for willful breach of trust on account of mitigating circumstance 356
 

SAMPLE NOTICES TO EXPLAIN FOR OFFENSES WHERE

THE PENALTY IMPOSED IS DISMISSAL

 

Form No. 68 Notice to explain for abandonment of work 359
Form No. 69 Another sample notice to explain for abandonment of work 360
Form No. 70 Notice to explain for willful breach of trust 362
 

SAMPLE NOTICES TO EXPLAIN FOR OFFENSES WHERE

PREVENTIVE SUSPENSION IS IMPOSED AND THE PENALTY IS DISMISSAL

 

Form No. 71 Sample notice to explain for serious misconduct 363
Form No. 72 Another sample notice to explain for serious misconduct 365
Form No. 73 Notice to explain for willful breach of trust or loss of confidence 368
 

SAMPLE NOTICES OF HEARING OR CONFERENCE

 

Form No. 74 Notice of hearing or conference for willful breach of trust 370
Form No. 75 Notice of hearing or conference for serious misconduct-use of company fund 371
Form No. 75-A Sample Attendance Sheet of the Hearing/Conference 229
 

SAMPLE NOTICES IMPOSING WARNING AS A PENALTY

 

Form No. 76 Notice imposing warning for violation of the company policy on general cleanliness 374
Form No. 77 Notice imposing warning for littering 375
Form No. 78 Notice imposing warning for smudging 377
Form No. 79 Notice imposing warning for disorderly filing 378
Form No. 80 Notice imposing warning for eating in a place within office premises other than the designated dining area. 379
Form No. 81 Notice imposing warning for taking unauthorized undertime 381
Form No. 82 Notice imposing warning for violation of coffee break schedule 383
Form No. 83 Notice imposing warning for violation of lunch break schedule 384
Form No. 84 Notice imposing warning for abandoning post 386
Form No. 85 Notice imposing warning for absence without leave (AWOL) 388
Form No. 86 Notice imposing warning for failure to give notice for absence due to sickness 390
Form No. 87 Another sample notice imposing warning for failure to give notice for absence due to sickness 391
Form No. 88 Notice imposing warning for tardiness 393
Form No. 89 Notice imposing warning for failure to log in attendance 394
Form No. 90 Notice imposing warning for failure to log out attendance 396
Form No. 91 Notice imposing warning for knowingly punching timecard or logging in attendance for other employees 397
Form No. 92 Notice imposing warning for unauthorized alteration made on one’s timecard or attendance sheet 399
Form No. 93 Notice imposing warning for unauthorized alteration made on other’s timecard with consent of such employee 401
Form No. 94 Notice imposing warning for unauthorized alteration made on other’s timecard without the consent of such employee 402
Form No. 95 Notice imposing warning for unauthorized removal of one’s timecard or attendance sheet 404
Form No. 96 Notice imposing warning for unauthorized removal of another’s timecard or attendance sheet 406
Form No. 97 Notice imposing warning for unauthorized concealment of one’s timecard or attendance sheet 407
Form No. 98 Notice imposing warning for unauthorized concealment of another’s timecard or attendance sheet 409
Form No. 99 Notice imposing warning for intentional destruction of one’s timecard or attendance sheet 410
Form No. 100 Notice imposing warning for intentional destruction of another’s timecard or attendance sheet 412
Form No. 101 Notice imposing warning for reporting for work not in prescribed dress code 414
Form No. 102 Notice imposing warning reporting for work not in prescribed uniform (barong or blouse) 415
Form No. 103 Notice imposing warning for reporting for work not in prescribed uniform (pants or skirt) 417
Form No. 104 Another sample notice imposing warning for reporting for work not in prescribed uniform (pants or skirt) 418
Form No. 105 Notice imposing warning for reporting for work not in prescribed uniform (blazer) 420
Form No. 106 Notice imposing warning for failure to wear ID card 422
Form No. 107 Notice imposing warning for refusal to wear ID card 423
Form No. 108 Notice imposing warning for deliberate destruction of ID card 425
Form No. 109 Notice imposing warning for mutilation of ID card 427
Form No. 110 Notice imposing warning for alteration of entries in the ID card 429
Form No. 111 Notice imposing warning for concealment of one’s ID card 430
Form No. 112 Notice imposing warning for concealment of another’s ID card 432
Form No. 113 Notice imposing warning for unauthorized and improper use of ID card 434
Form No. 114 Another sample notice imposing warning for unauthorized and improper use of ID card 436
Form No. 115 Notice imposing warning for loitering in unrestricted area 437
Form No. 116 Notice imposing warning for loitering in restricted area 438
Form No. 117 Notice imposing warning for insubordination due to refusal to subject oneself to physical examinations 440
Form No. 118 Notice imposing warning for insubordination due to refusal to subject oneself to executive checkup 442
Form No. 119 Notice imposing warning for refusal to abide by auditing procedure 444
Form No. 120 Notice imposing warning for refusal to abide by security and safety regulations 445
Form No. 121 Notice imposing warning for refusal to transfer to another assignment 447
Form No. 122 Notice imposing warning for refusal to perform one’s task 449
Form No. 123 Notice imposing warning for insubordination for refusal to render overtime work 451
Form No. 124 Notice imposing warning for refusal to report for holiday work 452
Form No. 125 Notice imposing warning for refusal to issue disciplinary action to subordinate 454
Form No. 126 Notice imposing warning for refusal to obey the lawful orders of superior 456
Form No. 127 Notice imposing warning for refusal to give information in a company investigation 458
 

NOTICES IMPOSING THE PENALTY OF SUSPENSION

 

Form No. 128 Notice imposing suspension for taking unauthorized undertime 460
Form No. 129 Notice imposing suspension for knowingly punching timecard or logging in attendance for other employees 461
Form No. 130 Notice imposing suspension for refusal to transfer to another assignment 463
Form No. 131 Notice imposing a lesser penalty of suspension due to mitigating circumstance involving misappropriation of company fund 466
 

SAMPLE NOTICES OF DISMISSAL

 

Form No. 132 Notice of dismissal for abandonment of work 470
Form No. 133 Another sample notice of dismissal for abandonment of work 472
Form No. 134 Notice of dismissal for loss of trust or willful breach of trust 473
 

SAMPLE NOTICES OF DISMISSAL WITH

CORRESPONDING PREVENTIVE SUSPENSION

 

Form No. 135 Notice of dismissal for serious misconduct 475
Form No. 136 Another notice of dismissal for serious misconduct 479
Form No. 137 Notice for loss of trust or willful breach of trust 485
Form No. 137-A Notice of Extension of Preventive Suspension 488
POST-EMPLOYMENT FORMS
Form No. 138 Clearance Form 490
Form No. 139 Sample Release, Waiver, and Quitclaim 492
Form No. 140 Sample Acceptance of Resignation where the employee resigns pending investigation of offense 495
Form No. 141 Sample Acceptance of Resignation No Pending Case 341

 

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