Page 25 - GFSI-Cover Module 2
P. 25

PAYROLL DISCREPANCY / QUERY FORM


            1. Name: (First Name, Middle Initial, Last Name)     2. Mobile No.:

            3. Branch/Assigned location:                         4. Position:

            Check the following that applies to you:             Please specify the period covered:
                      Underpaid (lacking no. of days worked / time  Period from:                    to:
                      Overpaid                                   Period from:                    to:
                      Uncredited Overtime                        Period from:                    to:
                      Uncredited Night Service Differential
                      Uncredited Holiday Pay                     Period from:                    to:
                      Uncredited Leave with pay (Sick/Vacation Leave)    Period from:                    to:
                      Overcomputation of Lates/UT/Days of Absent  Period from:                    to:
                      Unjustifiable/unexpected deduction         Period from:                    to:
                      Others                                     Period from:                    to:
            Please specify other concerns:

            Employee's Signature                                 Date Filed:


            Received by HR Personnel:                            Remarks:

            Notes: Please attach the payslip together with this form. Please submit three (3) days after the payroll releasing and three (3) days
            before the cut-off date. Late forms submitted shall not be entertained. All discrepancy/charges shall be credited on the next incoming
            payroll date.




                             PAYROLL DISCREPANCY / QUERY FORM



            1. Name: (First Name, Middle Initial, Last Name)     2. Mobile No.:

            3. Branch/Assigned location:                         4. Position:

            Check the following that applies to you:             Please specify the period covered:
                      Underpaid (lacking no. of days worked / time)  Period from:                    to:
                      Overpaid                                   Period from:                    to:
                      Uncredited Overtime                        Period from:                    to:
                      Uncredited Night Service Differential      Period from:                    to:
                      Uncredited Holiday Pay                     Period from:                    to:
                      Uncredited Leave with pay (Sick/Vacation Leave)    Period from:                    to:
                      Overcomputation of Lates/UT/Days of Absent  Period from:                    to:
                      Unjustifiable/unexpected deduction         Period from:                    to:
                      Others                                     Period from:                    to:
            Please specify other concerns:

            Employee's Signature                                 Date Filed:

            Received by HR Personnel:                            Remarks:

            Notes: Please attach the payslip together with this form. Please submit three (3) days after the payroll releasing and three (3) days
            before the cut-off date. Late forms submitted shall not be entertained. All discrepancy/charges shall be credited on the next incoming
            payroll date.
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