Republic of the Philippines

Schools Division Office - Valenzuela

Department of Education

For Appointment

• Form 212 w/latest picture (Passport size white background)
• Oath
• Form 211 (Medical Certification)
• PRC License, Certification of Registration & Report of Rating (certified true copy of principal)
• NBI Clearance
• Sworn Statement of Assets and Liabilities
• Transcript of Records (certified true copy of principal)
• First Day of Service (FDS)
• BIR Tax Identification Number
• PhilHealth Number

FOR EVALUATION RATING FORM (Teacher II)

• 2 years teaching experience or
• 20 MA units & 1-year of teaching experience
• School Indorsement letter/Transmittal
• Letter of Application for ERF’s evaluation
• ERF Forms (with Principal’s Signature under Performance Rating)
• Sworn Statement with Documentary Stamp
• Latest Performance Rating Form
• Service Record
• Permit to Study (Original and certified true copy)
• Transcript of Records (Basic and Masters) (Original and certified true copy)
• Service Record from other Division (if any)
• Latest Payslip (certified true copy)

FOR EVALUATION RATING FORM Teacher III

• 20 years of teaching experience
• 20 MA units and or MA Equivalent Completed Academic Req.
• School Indorsement from the Principal
• ERF Forms
• Sworn Statement with documentary stamp
• Service Record
• Permit to Study (Original and certified true copy)
• Transcript of Records (Basic and Masters) (Original and certified true copy)
• Approved curriculum for MA course
• Thesis book (if MA graduate)
• Service Record from other division (if any)
• Latest Payslip (certified true copy)

ERF IMPLEMENTATION

• Personal Data Sheet (Original)
• PRC License, Rating, and Certification
• Administrative Certification of No Pending Case
• Latest Payslip
• Latest Payslip (certified true copy)

FOR RECLASSIFICATION OF APPOINTMENT Head Teacher

• C.S. Form 212 (Personal Data Sheet)
• Position Description Form
• Supplementary Information Sheet
• Information Sheet
• Certified photocopy of NOSCA and SARO
• Administrative Certification of No Pending Case
• Certified photocopy of approved ERF
• Certified photocopy of PRC License
• Latest Payslip (certified true copy)

Master Teacher

• C.S. Form 212 (Personal Data Sheet)
• Position Description Form
• Certified photocopy of NOSCA and SARO
• Administrative Certification of No Pending Case
• Certified photocopy of PRC License
• Form 211 (Medical)
• Latest Payslip (certified true copy)

PROMOTION TO MASTER TEACHER I & II

• Indorsement/Transmittal
• Recommendation of the School Principal
• School Rank List (By Subject Area)
• C.S. Form 212 (Personal Data Sheet)
• Certified photocopy of PRC License & Report of Rating
• Position Description Form (PDF)
• Original TOR (Basic & MA) with
• Form 211 (Medical )
• Administrative Certification of No Pending Case
• Latest payslip

PERMIT TO TRAVEL ABROAD (4 Copies each)

• Indorsement letter from the Principal
• Letter of Application
• Form 6
• Teacher’s Clearance
• Division Clearance
• Administrative Certification of No Pending Case
• Last Day of Service
• Expected Date of Departure
• Certification of Bonafide Employee
• Teacher’s Profile

PERMIT TO TEACH (4 Copies each)

• Indorsement letter from the Principal
• Letter of Request for Permit to Teach
• Form 86 (Medical)
• Certification of Class Schedule from the Private School
• Latest Performance Rating
• CSC Form 305 (Request for Permit to Teach)
• Information required in connection with the request for permission to Teach outside office hours

***Note: Teacher/Employee requesting permission to teach must have at least 2 years of satisfactory services in Public School at the time of application /request

PERMIT TO STUDY (4 Copies each)

• Indorsement letter from the Principal
• Letter of Request for Permit to Study
• School Curriculum signed by the Dean

***Note: Teacher/Employee requesting permission to study must have at least 2months before the date of enrollment

REQUEST FOR TRANSFER (Within the Division) (4 Copies each)

• Indorsement letter from the Principal
• Letter of Request

REQUEST FOR TRANSFER (To other Division) (4 Copies each)

• Indorsement letter from the Principal
• Letter of Request
• Administrative Certification of No Pending Case
• Performance Rating (Certified True Copy)

RETIREMENT (4 Copies each)

• Routing Slip
• GSIS Application for Retirement Under RA 660, RA 1616, PD 1146, and RA 8291 / Separation
• GSIS Application for Life Insurance Benefit
• Declaration of Pendency / Non – Pendency of Case
• Teacher’s Clearance
• Division Clearance
• Last Day of Service
• Ombudsman Clearance
• Administrative Certification of No Pending Case
• Certification of Last Payment (NCR/RPSU)
• Sworn Statement of Assets and Liabilities

RESIGNATION (4 Copies each)

• School Indorsement from the Principal
• Teacher’s Request Letter Thru the School Principal
• Teacher’s Clearance
• Division Clearance
• Last Day of Service
• Sworn Statement of Assets and Liabilities
• Performance Rating
• Administrative Certification of No Pending Case
• Declaration of Pendency / Non-Pendency of Case

APPROVED REQUEST FOR TRANSFER (4 Copies each)

• Teacher’s Clearance
• Division Clearance
• Last Day of Service
• Administrative Certification of No Pending Case
• Performance Rating (Certified True Copy)
• Sworn Statement of Assets and Liabilities
• Leave Card (Certified True Copy)

FOR SICK / VACATION / MATERNITY LEAVE

• Transmittal/ Indorsement from the principal
• Letter of application for sick/vacation / maternity leave
• CSC Form 6
  • Signed by the applicant
  • Principal
  • Personnel Officer

CSC Form 41 (Medical Certificate)

• noted or signed by the D.O. Physician
• with documentary stamp
• Last Day of Service
• Teacher’s Clearance
• Division Office Clearance
• No Administrative Pending Case
• Certified copy of leave card

FOR TRAVEL ABROAD (ONE MONTH before expected travel abroad)

• Transmittal/Indorsement from the principal
• Letter of application for travel abroad
• CSC Form 6
  • signed by the applicant
  • Principal
  • Personnel Officer
• Teacher’s Clearance
• Division Office Clearance
• Expected date of departure
• Certification of Bonafide
• No Administrative Pending Case
• Service Record (from Division Office)
• Last Day of Service
• Teachers Profile
• Request for Authority to Travel (FORM)

FOR RETURN TO DUTY

• Transmittal/Indorsement letter from the principal
• Letter of application for return to duty
• Form 86 (Health Examination Record)
  • noted by the D.O. Physician
• First Day of Actual Service
• Birth Certificate with registry
• Maternity leave or Death Certificate or Histopath

FOR CHANGE OF NAME

• Transmittal/Indorsement letter from the principal
• Letter of application for change of name
• Certification of Marriage with registry number

REQUEST FOR SERVICE RECORD/S FOR UPDATING OF GSIS

• Latest Payslip (photocopy only)
• Leave Card (certified by the Principal)
• Membership Profile from GSIS
• GSIS Updating Form From Admin Section

REQUEST FOR SERVICE RECORD/S FOR MATURITY OF PAG-IBIG AND GSIS

• Latest Payslip (photocopy only)
• Leave Card (certified by the Principal)
• GSIS / Pag-Ibig Forms from Admin Section

STUDY LEAVE under Magna Carta (H.A. 4670)

• Indorsement letter from the Principal
• Latest Efficiency Rating
• Form 86 (Medical)
• Form 6 (Application of Leave)
• Teacher’s Clearance
• Administrative Clearance
• Division Clearance
• Certification from the Principal that services can be dispensed with
• Study Leave Agreement
• Schedule of the teacher on study leave
• Last Day of Service
• Transcript of records
• Certification that he/she has not availed of R.A. 4670 before
• Sworn Statement of Assets and Liabilities

*** Teacher applying for study leave with pay should at least have rendered 7 years in the service

REQUIREMENTS FOR SENIOR HS TEACHER APPLICANTS

• Letter of intent which shall indicate the following information:
  • Statement of purpose/expression of interest
  • Track(s)/Strand(s)/Subjects(s) applying for
  • Preferred school(s), if any
• CSC Form 212, Revised 2017 (Personal Data Sheet) in two (2) copies with the latest 2×2 ID picture
• Certified photocopy of certificates of relevant specialized training, if any Certified copy of Voter’s ID and/or any proof of residency
• National Bureau of Investigation (NBI) clearance
• Omnibus certification of authenticity and veracity of all documents submitted, signed by the applicant

STUDY LEAVE under Magna Carta (H.A. 4670)

• Indorsement letter from the Principal
• Latest Efficiency Rating
• Form 86 (Medical)
• Form 6 (Application of Leave)
• Teacher’s Clearance
• Administrative Clearance
• Division Clearance
• Certification from the Principal that services can be dispensed with
• Study Leave Agreement
• Schedule of the teacher on study leave
• Last Day of Service
• Transcript of records
• Certification that he/she has not availed of R.A. 4670 before
• Sworn Statement of Assets and Liabilities

*** Teacher applying for study leave with pay should at least have rendered 7 years in the service