Complete Staff Work Routing Form: Action Requested: Timeline/Deadline: Justification/Legal Basis

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COMPLETE STAFF WORK ROUTING FORM

Document/Subject
For:

Action Requested:(For approval/confirmation, signature, information and/or further instruction)

Timeline/Deadline: (When is an action expected to be accomplished)

Justification/Legal Basis (Appropriate laws, executive/administrative orders, memorandum circulars, MOU, MOA,
MO, among others)

Comments/Recommendations:
(i.e. Legal issues, technical Date
Name and Div/Section Date
impacts, financial considerations,
manpower placement, among Signature Received Released
others)

Certification of Fund Availability: (As necessary)


Amount _________ _____________________
Chief, Accounting

Summary of Attachments: (List relevant documents and tabulate for easy reference & evaluation)
 A/s

Submitted by:

Name & Signature : Date Prepared: Designation: :

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