QUEZON CITY HEALTH DEPARTMENT QUEZON CITY HEALTH DEPARTMENT

Quezon City Quezon City

REQUEST FOR OFFSETTING REQUEST FOR OFFSETTING

Date: Date:

Name: Name:
Position: Position:

Requested Dates/Hours for Offsetting: Requested Dates/Hours for Offsetting:

R Re
eason for Offsetting: ason for Offsetting:

Excess Hours Earned as Of Excess Hours Earned as Of

Balance: Approval: Balance: Approval:
Less: Disapproval Due To: Less: Disapproval Due To:
Employee: Noted By: Employee: Noted By:

Signature Division Chief/ln-Charge Signature Division Chief/ln-Charge

Approved By: Approved By:

RAMONA ASUNCION DG ABARQUEZ, MD, MPH RAMONA ASUNCION DG ABARQUEZ, MD, MPH
City Government Department Head City Government Department Head
OlC-Quezon City Health Department OlC-Quezon City Health Department

QUEZON CITY HEALTH DEPARTMENT QUEZON CITY HEALTH DEPARTMENT

Quezon City Quezon City
REQUEST FOR OFFSETTING REQUEST FOR OFFSETTING

Date: Date:

Name: Name:
Position: Position:

Requested Dates/Hours for Offsetting: Requested Dates/Hours for Offsetting:

R Re
eason for Offsetting: ason for Offsetting:

Excess Hours Earned as Of Excess Hours Earned as Of

Balance: Approval: Balance: Approval:
Less: Disapproval Due To: Less: Disapproval Due To:
Employee: Noted By: Employee: Noted By:

Signature Division Chief/ln-Charge Signature Division Chief/ln-Charge

Approved By: Approved By:

RAMONA ASUNCION DG ABARQUEZ, MD, MPH RAMONA ASUNCION DG ABARQUEZ, MD, MPH
City Government Department Head City Government Department Head
OlC-Quezon City Health Department OlC-Quezon City Health Department