CITIZEN’S CHARTER

This is your guide to availing of services of the city government of Tayabas.

APPLICATION FOR GSIS SEPARATION/RETIREMENT BENEFIT & PAG IBIG PROVIDENT BENEFIT CLAIM

ABOUT THE SERVICE:

Human Resource Development Office strictly observes the GSIS and PAG-IBIG policies, rules and regulations to expedite the processing of employees’ retirement benefits

OFFICE DIVISION:

Human Resource Management Office

TYPE OF TRANSACTION:

G2C - Government to Customer

Classification:

Simple

WHO MAY AVAIL:

Retired/Separated Government Employee and Officials

CHECKLIST OF REQUIREMENTS:

CHECKLIST OF REQUIREMENTS	WHERE TO SECURE
GSIS Separation/Retirement Benefit:
1. Duly Accomplished Application form for Retirement/Separation/Life Insurance Benefits (2 original copies)	Human Resource Management Office/ can be downloaded at: https://www.gsis.gov.ph/downloads/forms/20170707-FORMS Retirement-Separation-Life_Insurance-06302017.pdf
2. Service Record (2 original copies)	Human Resource Management Office
3. Declaration of Pendency/ Non-Pendency of Case (DPNPC) to be submitted upon receipt from GSIS (1 original copy)	Human Resource Management Office/GSIS
Pag IBIG Provident Benefit Claim
1. Duly Accomplished Application form for PAG-IBIG Provident Benefit Claim (2 original copies)	Human Resource Management Office/ can be downloaded at: https://www.pagibigfund.gov.ph/document/pdf/dlforms/providentrelated/PFF285_ApplicationProvidentBenefitsClaim_V08.pdf
2. Pag-IBIG Loyalty Card/Loyalty Card Plus or one (1) valid ID of the member (1 Photocopy)	Applicant
3. Service Record (1 original copies)	Human Resource Management Office
4. GSIS Clearance (1 photocopy)	GSIS
5. PSA Authenticated Copies of Birth Certificate	PSA

CLIENT STEPS:

CLIENT STEPS	DEPARTMENT ACTIONS	FEES TO BE PAID	PROCESSING TIME	PERSON RESPONSIBLE
1. Applicant to submit accomplished separation/retirement form/ accomplished PAG-IBIG Provident Benefit Claim form with complete attachments	1.1 Check and receives GSIS application form for separation/retirement/accomplished PAG-IBIG Provident Benefit Claim and attachments	None	5 minutes	Jeanne C. Cabriga Administrative Officer IV Human Resource Management Office
	1.2 Log the data of the applicant	None	2 minutes	Jeanne C. Cabriga Administrative Officer IV Human Resource Management Office
	1.3 Forward the application for signature of Agency Authorized Officer	None	3 minutes	Jeanne C. Cabriga Administrative Officer IV Human Resource Management Office or Mary Jane Z. Calupig Human Resource Management Officer Human Resource Management Office
	1.4 Prepares receiving copy of application form for file copy to be received by the applicant and GSIS/ PAGIBIG	None	5 minutes	Jeanne C. Cabriga Administrative Officer IV Human Resource Management Office
	1.5 Transmit the application forms and its attachments to the GSIS/ PAG_IBIG	None	1 Day	Jeanne C. Cabriga Administrative Officer IV Human Resource Management Office
	1.6 Advise the applicant to wait for the notification of claim approval from GSIS and PAG-IBIG	None	2 minutes	Jeanne C. Cabriga Administrative Officer IV Human Resource Management Office
For GSIS: 2. Prepare for the submission of Declaration of Pendancy/ Non Pendancy of Case (DPNPC)
	TOTAL:	None	1 Day, 17 minutes
		END OF TRANSACTION