CLEARANCE FORM
Name of Employee : _____________________________________________ Date Hired : __________________________
Position : _____________________________________________ Date of Separation : __________________________
Department : _____________________________________________ Employment Status : __________________________
DEPARTMENT Remarks Signature Date
DC SUPERVISOR
HR DEPARTMENT
___________________________
Signature of Employee
Date: _________________
CLEARANCE FORM
Name of Employee : _____________________________________________ Date Hired : __________________________
Position : _____________________________________________ Date of Separation : __________________________
Department : _____________________________________________ Employment Status : __________________________
DEPARTMENT Remarks Signature Date
DC SUPERVISOR
HR DEPARTMENT
___________________________
Signature of Employee
Date: _________________