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    RBAS 4AF Survivorship Benefits CPS Form 4A Rev.02

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    Mecasio Gono Paa Jr
    This document from the Bureau of Fire Protection in the Philippines contains a form for computing survivorship benefits for deceased fire protection personnel with over 20 years of service. The form requests information on the deceased such as name, rank, unit, date of death and address. It also requires details on the deceased's years of creditable service, highest salary received, dependents and pension end dates. The form then outlines the computation of the pension rate based on years, months and days of service and calculates the monthly survivorship pension at 75% of the deceased's total salary multiplied by the total pension rate.

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    RBAS 4AF Survivorship Benefits CPS Form 4A Rev.02

    Uploaded by

    Mecasio Gono Paa Jr
    11 views1 page
    This document from the Bureau of Fire Protection in the Philippines contains a form for computing survivorship benefits for deceased fire protection personnel with over 20 years of service. The form requests information on the deceased such as name, rank, unit, date of death and address. It also requires details on the deceased's years of creditable service, highest salary received, dependents and pension end dates. The form then outlines the computation of the pension rate based on years, months and days of service and calculates the monthly survivorship pension at 75% of the deceased's total salary multiplied by the total pension rate.

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    This document from the Bureau of Fire Protection in the Philippines contains a form for computing survivorship benefits for deceased fire protection personnel with over 20 years of service. The form requests information on the deceased such as name, rank, unit, date of death and address. It also requires details on the deceased's years of creditable service, highest salary received, dependents and pension end dates. The form then outlines the computation of the pension rate based on years, months and days of service and calculates the monthly survivorship pension at 75% of the deceased's total salary multiplied by the total pension rate.

    Copyright:

    © All Rights Reserved
    Download as XLSX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as xlsx, pdf, or txt
    11 views1 page

    RBAS 4AF Survivorship Benefits CPS Form 4A Rev.02

    Uploaded by

    Mecasio Gono Paa Jr
    This document from the Bureau of Fire Protection in the Philippines contains a form for computing survivorship benefits for deceased fire protection personnel with over 20 years of service. The form requests information on the deceased such as name, rank, unit, date of death and address. It also requires details on the deceased's years of creditable service, highest salary received, dependents and pension end dates. The form then outlines the computation of the pension rate based on years, months and days of service and calculates the monthly survivorship pension at 75% of the deceased's total salary multiplied by the total pension rate.

    Copyright:

    © All Rights Reserved
    Download as XLSX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as xlsx, pdf, or txt
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    Republic of the Philippines

    Department of Interior and Local Government


    Bureau of Fire Protection
    NATIONAL HEADQUARTERS
    Agham Road, Brgy. Bagong Pag-asa, Quezon City
    Telefax Number: (02) 8426-0246 local 201
    rbas.nhq@bfp.gov.ph

    CPS FORM 4A
    SURVIVORSHIP BENEFITS
    (Deceased BFP Pers - more than 20 years in service)

    RANK/NAME :
    UNIT ASSIGNMENT :
    DATE OF DEATH :
    ADDRESS :

    I CREDITABLE YEARS IN SERVICE


    YEARS MONTHS DAYS
    DATE OF DEATH :
    DATE ENTERED SERVICE :
    TOTAL CREDITABLE YRS :

    II HIGHEST SALARY RECEIVED with one (1) rank higher from _______ to ____________
    without one (1) rank higher
    BASE PAY : ₱
    LONG PAY [ ] :
    HIGHEST SALARY RECEIVED : ₱

    III DEPENDENTS / DETAILS

    NAME RELATION BIRTH DATE END OF PENSION


    1
    2
    3
    4
    5

    IV COMPUTATION OF PENSION

    yrs. X 2.5% = %
    mos/12 x 2.5% = %
    days/360 x 2.5% = %
    TOTAL RATE %

    V MONTHLY SURVIVORSHIP PENSION (Total Salary x Total Rate x 75%)

    ₱ x % x 75% = ₱

    Prepared by: Noted by:

    Verified by:

    BFP-QSF-RBAS-004A Rev. 02 (02.01.23)

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