Scribd
Upload
29 views1 page

Waiver and Quitclaim Sample Form

The document is a waiver, release, and quitclaim form signed by an employee resigning from their position. It acknowledges receipt of final payment, waives any claims against the employer, and releases the employer from any liability regarding the employment.

Uploaded by

Essy Antonano
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOC, PDF, TXT or read online on Scribd
29 views1 page

Waiver and Quitclaim Sample Form

The document is a waiver, release, and quitclaim form signed by an employee resigning from their position. It acknowledges receipt of final payment, waives any claims against the employer, and releases the employer from any liability regarding the employment.

Uploaded by

Essy Antonano
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOC, PDF, TXT or read online on Scribd
You are on page 1/ 1

Republic of the Philippines)

City/Province of Iloilo )S.S.


x--------------x

WAIVER RELEASE AND QUITCLAIM

I, ___________________________., Filipino, of legal age, ________(civil status), and a resident of


___________________________________________________________, Philippines, after being sworn to
in accordance with law, depose and state:

1. That by these presents, I hereby state that I have voluntarily resigned as


___________________(position) of ___________________;

2. That I hereby acknowledge to have received from my employer the sum of PESOS:
__________________________________________________ (P______________________) which is in
full and final satisfaction of my salary and other benefits that may be due me for the service which I have
rendered for the latter employer.

3. That I hereby declare that I have no further claims whatsoever against my employer, or any of its staff
and that I hereby release and forever discharge all of them from any and all claims, demands, cause of
action of whatever nature arising out of my employment with the latter;

4. I further agree that this WAIVER, RELEASE AND QUITCLAIM may be pleaded in bar to any suit or
proceeding (Civil, SSS, PhilHealth, Medicare, Labor, etc.) to which either I, or my heirs and assigns, may
have against my employer in connection with my employment with the latter and that the payment which I
have received as provided herein should not in any way be construed as an admission of liability on the
part of my employer and is voluntarily accepted by me and will, if need be, serve as full and final settlement
of any amount(s) due me or any claims or cause of action, either past, present, future, which I may have in
connection with my employment with my employer;

5. As such, I finally make manifest that I have no further claim(s) or cause of action neither against my
employer nor against any person connected with the administration and operation of the latter and forever
release the latter from any and all liability.

IN WITNESS WHEREOF, I have hereunto set my hand this _________________ at


_________________________________, Philippines.

___________________________
Affiant

SUBSCRIBED AND SWORN TO BEFORE ME this ________________ in Iloilo City, Philippines by affiant
who presented to me his/her __________ Card with No. __________, issued in _____________,
Philippines.

Doc. No. ___                                                                       


Page No. ___                                                           
Book No. ___                                                          
Series of 2022

(turn-over of bank properties)

You might also like

pFad - Phonifier reborn

Pfad - The Proxy pFad of © 2024 Garber Painting. All rights reserved.

Note: This service is not intended for secure transactions such as banking, social media, email, or purchasing. Use at your own risk. We assume no liability whatsoever for broken pages.


Alternative Proxies:

Alternative Proxy

pFad Proxy

pFad v3 Proxy

pFad v4 Proxy