BRENT HOSPITAL AND COLLEGES INCORPORATED

Human Resource Department

EMPLOYEE REQUEST FORM (ERF)

DEPT/COLLEGE/
POSITION
OFFICE
Number of Employees Date
needed Needed

( ) Replacement
Nature of ( ) Approved vacant position in the plantilla
Request ( ) New position
( ) Additional co-worker

Replacement of ___________________________________ due to

( ) Resignation ( ) Transfer ( ) Retirement

( ) Maternity Leave ( ) Promotion ( ) Suspension

Justification ( ) Sick Leave ( ) Personal Leave ( ) AWOL

other justification
_______________________________________________________________________________________
_______________________________________________________________________________________
_______________________________________________________________________________________

Type of
( ) Regular ( ) Part Time ( ) Substitute ( ) Casual ( ) Contractual ( ) Reliever
Employment
Duration
from: to:

Special Skills

Other
Qualifications

Note: Please attach Job Description for New Position

Requested by Recommended by

( ) APPROVED
( ) DISAPPROVED

Principal/Dean/Dept. Head School/Medical/Finance/Admin Director CEO

date date date

FOR HRD : ACTION TAKEN

Name of Hired
Employee
Date of Effectivity