CIS Bayad Center, Inc.

Business Solutions Center, Meralco Complex

Ortigas Avenue, Pasig City
Helpdesk Department
Tel No.: 6348870, Fax No.: 6348869/9142165
INCIDENT REPORT FORM
TPA Code / Name : AB4U
Date and Time Reported : April 12, 2022
Reported by : Jeza E. Brigola
Transaction Date : April 11-12
Upload Date (for late upload only) : N/A
Merchant Details : N/A
Kind of Problem :
Late Upload Wrong System Date Late Deposit
Holiday Depository Bank Problem Erroneous Deposit
Others, please specify
Nature of Problem : Late declaration of work suspension from SSS Bogo due to
(Please indicate the full details) typhoon Agaton.

Good Day,

This is to report that SSS Bogo late in declaration of work suspension from April 11-12, 2022 due to
typhoon Agaton. But the teller had two transactions in April 11, 2022 at 8-10 am before the late
declaration of work suspension. there’s no cash left at vault, all previous collections were deposited.

Prepared by:
JEZA E. BRIGOLA
Signature over Printed Name
(No Signature, No Ticket No.)