Routing and Action Slip Repaired

Republic of the Philippines
CITY GOVERNMENT OF BUTUAN

City Hall Bldg., J.P. Rosales Ave., Doongan, Butuan City
Phone: (085) 817-5598

Email: cmo.butuan@gmail.com
Website: http://www.butuan.gov.ph
CGB.F.004.REV02
ROUTING AND ACTION SLIP

SUBJECT: Control Number:
REQUEST LETTER FOR SIGNATURE
ACTION ADDITIONAL SENDER

FROM FOR/TO DATE REQUESTED REMARKS/INSTRUCTIONS
NO. SURNAME INITIALS
CEDD OCM 08APRIL24 13 LIBRES
Action Requested Number:
1. For Urgent & Appropriate 5. Submit Written Report 9. Comments & 12. Rewrite/Redraft
Action (Research, Provide Info, Recommendations
Investigate)
2. See Me/Call Me 6. Perusal 10. Further Instruction 13. Approval/Signature
3. Indorsement 7. File/Reference 11. Write/Draft Reply 14. Limit Disclosure
Phone: (085) 817-5598

CGB.F.004.REV02

REQUEST AIRCON CLEANING 497-2024
CEDD CGSD 02APRIL24 13 LIBRES
Investigate)
Phone: (085) 817-5598

CGB.F.004.REV02

ENDORSEMENT OF REQUEST LETTER OF CENTRAL MINDANAO 489-2024
UNIVERSITY COLLEGE ADMISSION TEST IN BUTUAN CITY
Phone: (085) 817-5598
CGB.F.004.REV02

CEDD CAD 02APRIL24 13 LIBRES
Investigate)

INVENTORY OF SPORTS EQUIPMENT 488-2024
Phone: (085) 817-5598
CGB.F.004.REV02

Investigate)

SUBMIT POST ACTIVITY REPORT OF WOMENS MONTH CELEBRATION 487-2024
Phone: (085) 817-5598
CGB.F.004.REV02
LARO NG LAHI
Investigate)
Phone: (085) 817-5598

CGB.F.004.REV02

REQUEST OF FUND UTILIZATION 478-2024
CEDD CAD 01APRIL24 13 LIBRES
Investigate)
Phone: (085) 817-5598

CGB.F.004.REV02

ENDORSEMENT OF LIST LIBRARY BOOKS 450-2024
CEDD OCM 26MAR24 3 LIBRES
Investigate)
4. Confidential Document 8. Dissemination/Dispatch

Phone: (085) 817-5598
CGB.F.004.REV02

FINANCIAL ASSISTANCE 276-2024

CEDD OCM 01MAR24 13 For Signature LIBRES
Investigate)
4. Confidential Document 8. Dissemination/Dispatch
Phone: (085) 817-5598

CGB.F.004.REV02
NOTE: Please do not detach from the document.
Phone: (085) 817-5598

CGB.F.004.REV02
GUIDELINES
1. General Rules
ON REPRODUCTION – always keep a clean copy of this form on 8.5x13
folio-size bond paper for easy and economical reproduction at your
respective divisions/sections/units. The back of used paper may be
utilized for photocopying as long as they are clean and not crumpled.
Make sure that the reproduction is whole and not missing any text or
boxes.
ON PROTOCOL – neither casually hand over your documents or papers

without this routing slip, nor hand them over with a blank one. Do not
return or reroute documents without filling up routing slip, even if they
are lost and found, misrouted or if you think that you cannot act on the
subject documents. In any case, completely accomplish the next available
row, especially the “Action Requested No.” column, and state in the
“ADDITIONAL REMARKS/INSTRUCTIONS” column why you are
rerouting subject documents, regardless of whether you took action or
not. Do not keep your receiver guessing as this adds up to delays; put it in
writing.
2. The SUBJECT Box

Write legibly. Your handwriting does not have to be too large if you avoid
erasures and too much haste. Do not hesitate to write relevant
information, such as dates, document identification numbers, names of
contact persons, etc., which may help the recipient to link the subject
documents to other related documents/transactions.
3. The FROM and TO Columns

The usual abbreviations of departments/divisions/sections/units names
will do. Print legibly; use block letters instead of longhand in these boxes
to eliminate guessing. The FROM column represents the “senders” while
the TO column represents the “recipients”. The “originator” is understood
to be the sender at the first box of the FROM column.
4. The DATE Column
Phone: (085) 817-5598

CGB.F.004.REV02
Write the day number first, followed by the month abbreviation (e.g. 14
Feb. or 01 Apr.), then the year underneath this. Do not use numbers with
slashes or hyphens.
For example: 01 FEB. 09/13/00 13/09
2017 or 09-13-17 or 09/13/17
(CORRECT) (Wrong) (Wrong)
As a rule, the date to be written should be the date of signing on the

INITIAL column.
5. The Action Requested No. Column

This refers to the column for which a list of choices has been made integral
to the Form (bottom of form; choices are numbered 1 to 14). Only the
number/s of the appropriate choice/s should be written in this column.
This column indicates the action that you as a sender, requires how the
recipient should act on the routed document.
5.1. For urgent & appropriate action – This action request no. is used for
urgent matters that need to be addressed within the day and should be
prioritized. This action also includes:
1.1 Issue orders (e.g. Memo)
1.2 Please facilitate this request
1.3 Reroute
5.2. See Me/Call Me – Action request no. used for when there is a need to
discuss a certain request/report. Include also the urgency (e.g. As soon as
possible (ASAP))
5.3. Indorsement -This request requires an Indorsement letter
attachment addressed to the person being indorsed in order to provide a
brief context to the recipient
Phone: (085) 817-5598

CGB.F.004.REV02
5.4. Confidential Document – This action request is used only for

confidential documents. Provide under the additional
remarks/instructions column to whom the document is addressed to.
5.5. Submit Written Report – Used for requests/documents that require:
5.1 Additional Information
5.2 Further Research
5.3 Investigation
5.6. File/Reference – Action request number used for routing documents
to be:
6.1 For filing/Reference Docs
6.2 Provision of existing data
5.7. Perusal – Used for documents subject for review
5.8. Dissemination – Used for requesting information dissemination,
distribution of copies of documents or any piece of information.
5.9. Comments and Recommendation – Action request number is used

when additional comments and recommendations are necessary.
5.10. Further Instruction – Request number used when specifying any
further instructions.
5.11. Write/Draft Reply – Used for creation/drafting reply
5.12. Rewrite/Redraft - Used for revisions
5.13. Approval/Signature – Used for when documents need approval and
signature
5.14. Limit Disclosure – For provision of public records and
nonconfidential information/data
*Note: Be short and concise when putting additional remarks/instructions to avoid
confusion.
6. The ADDITIONAL REMARKS/INSTRUCTIONS Column

This is where the specifics of the action requested can be written together
with any other essential remarks that will help the receiver act decisively
and more efficiently.
7. The SENDER Column
A sender must completely fill up the corresponding boxes under this
column to attest the validity of the routing. The sender must be the
Phone: (085) 817-5598

CGB.F.004.REV02
highest ranking officer/personnel present at the sending

branches/divisions/units at the time of routing.
7.1 The SURNAME Column
The sender’s last name must legibly be written here.
7.2 The INITIALS Sub-Column
The sender’s short signature must be written here.
8. The CONTROL NUMBER Box

The box will be filled up exclusively by the Receiving Personnel (RP) of
the originating office (first sender under the FROM Column). The control
number and the name and initials of the Receiving Personnel (RP) shall
be affixed inside this box.
9. The Routing and Action Slip shall be an integral part of every document
which needs to be acted upon and should not be detached from the
document.
10. After having processed the document/filled up the information needed,
the document with its respective slip is passed on to the next processor,
and so on, following the same procedure.
11. When the document reaches the office/person fully satisfying the action
requested, said office/person keeps the documents for file or if
necessary, photocopies it and furnishes the Records Section a copy.
Phone: (085) 817-5598

CGB.F.004.REV02

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Republic of the Philippines

CITY GOVERNMENT OF BUTUAN

Phone: (085) 817-5598