hardship forms

I. Total Distance from Poblacion to School EDP Code

A. TOTAL DISTANCE FROM POBLACION TO SCHOOL

B. First Leg Distance:

From: To:

Mode of Transportation

Frequency of Trips per hr/day/wk/month

Travel Time (1 way in hrs:mins)

Average Fare 1 way

C. Second Leg Distance:

From: To:




Average Fare 1 way

D. Third Leg Distance:

From: To:




Average Fare 1 way

II. Grade Class Size

Prepared by: Verified by:

Reviewed by: Recommending Approval:

Approved:

Name Position

For CY 2013

Public Schools District Supervisor

________________________________

IGNACIO W. ZUBIRI

City Mayor

DEPARTMENT OF EDUCATION

__________________________ EDILBERTO L. OPLENARIA

District Steward OIC-Schools Division Superintendent

Region X-Northern Mindanao

DIVISION OF MALAYBALAY CITY

HARDSHIP POST FORM

School Principal

__________________________

Annex A

District: ___________________

(1) (2) (3) (4) (5) (6) (7) (8) (9) (10)

Certified Correct: Reviewed by: Approved:

Instructions:

Column 8 - prescribed rates are as follows: Column 9 - number of days present in a month

5-10 km. - 15% Column 10 - Basic Salary x Rate x No. of Days Present/22

Column 7 - Mode of transportation may include hiking, animal ride and banca ride. 11-20 km. - 20%

21 km & above - 25%

For the month of _____________, 2013

EDILBERTO L. OPLENARIA

OIC-Schools Division Superintendent




PAYROLL WORKSHEET

Special Hardship Allowance for Teachers/Administrators assigned to a Hardship Post

Column 6 - Distance in kilometers of the hardship post from the

nearest point of available regular motorized land/water transport

Total Days

Present

Monthly

Allowance

Public Schools District Supervisor District Steward

_______________________________ ___________________________

RATEMode of

TransportationNAME POSITION TITLE

PLACE OF ASSIGNMENT

(School) SG - Step BASIC SALARY Distance

Annex B

District: ___________________

No. of classes RATE

(1) (2) (3) (4) (5) (6) (7) (8) (9) (10)

Certified Correct: Reviewed by: Approved:

Instructions:

Column 5 - Actual Basic Salary Column 8 - prescribed rates are as follows: Column 9 - number of days present in a month

Column 6 - Specify the grade level taught (e.g. Grade 3 and 4) Handling classes of 2 grades - 15% Column 10 - Basic Salary x Rate x No. of Days Present/22

Column 7 - Number of classes of 2 or more grades Handling classes of 3 grades - 20%

Handling classes of 4 or more grades - 25%

POSITION TITLE PLACE OF ASSIGNMENT

(School) SG - Step BASIC SALARY

CLUSTER TYPE

Public Schools District Supervisor

_______________________________




PAYROLL WORKSHEET

Special Hardship Allowance for Multi-Grade Teachers

For the month of _____________, 2013

Grade LevelsTotal Days

Present

Monthly

Allowance


OIC-Schools Division SuperintendentMulti-Grade Coordinator

___________________________

NAME OF TEACHER

Annex C

4

Basic Literacy Elementary Secondary Special Projects

(1) (2) (3) (4) (5) (6) (7) (8) (9) (10) (11) (12)

Certified Correct: Approved:

Instructions:

Column 9 - Number of learning levels handled Column 10 - prescribed rates are as follows: Column 11 - number of days present in a month

Handling 1 learning level - 15% Column 12 - Basic Salary x Rate x No. of Days Present/22

Handling 2 different learning levels - 20%

Handling 3 or more learning levels - 25%

For the month of _____________, 2013




PAYROLL WORKSHEET

Special Hardship Allowance for Mobile Teachers and ALS Coordinators

OIC-Schools Division Superintendent

Monthly

Allowance

_______________________________

EPS-ALS

RateNo. of Learning

Level/s Handled


NAME POSITION TITLE SG - StepBASIC

SALARY

LEARNING LEVEL (please check)Total Days

Present

Annex D

hardship forms

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