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Authorization to Deduct
COA authorization to deduct from Retirement Gratuity/Terminal Leave
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In connection with my application for Retirement/Survivorship/Separation benefits, I
hereby authorize the Accounting Office, Planning, Finance and Management Sector (PFMS),
to deduct from my
Retirement Gratuity (RA 1616)
Terminal Leave, whatever
outstanding accounts I still have from the following offices/lending cooperatives:
Accounting Office, PFMS (COA BILL)
PWA
Procurement/Property Services, GSO
COA Multi-Purpose Cooperative
SLAGA
PhilGASEA
CREMC
_________________________________
Retiree/Claimant-Date
(Signature over Printed Name)