Department Of Labor And Employment Page 2
ADVERTISEMENT
1
2Republic of the Philippines
DEPARTMENT OF LABOR AND
RKS Form 5
Page 2 of _
EMPLOYMENT
2010
pages
_____________________________
(Field Office/Regional Office)
Instruction: Use additional sheets if necessary following the same format.
LIST OF PERMANENTLY TERMINATED WORKERS DUE TO
CLOSURE/RETRENCHMENT
Name of Establishment
____________________________________________________________
Floor/Bldg./No./Street/Subdivision
____________________________________________________
________________________________________________________________________
________
Barangay/City/Municipality
__________________________________________________________
Zip Code/Province ________________________________
GEOCODE: l l l l l l
l l l l
Date of Filing of RKS Form 5 (mm/dd/yyyy): l l l l l l l l l
No
Contact
Salary
Name of Worker
Position Titile
Address
.
Number/s
(P)*
(Last Name, First Name, M. I.)
(2)
(3)
(4)
(5)
(6)
(1)
1.
2.
3.
4.
5.
6.
7.
8.
9.
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
* Indicate weather per hour, per day or per month.
ADVERTISEMENT
0 votes
Related Articles
Related forms
Les Form Si-206 - Certificate Of Self-insurance - Florida Department Of Labor And Employment Security
Legal
Les Form Afsu-10 - Financial Affidavit - State Of Florida Department Of Labor And Employment Security
Legal
Les Form Dwc-1a - Wage Statement - Florida Department Of Labor And Employment Security - Division Of Workers' Compensation
Legal
Related Categories
Parent category: Business