Employee Mortuary Registration

A. Employee Information

First Name

First name is required.

Middle Name

I don't have a middle name

Last Name

Last name is required.

Extension Name

Employee ID No.

Employee ID is required.

Office / Department

Position / Designation

Employment Status

Permanent

Coterminous

Elective

Temporary

Casual

Salary Grade

Date of Birth

Date of birth is required.

Civil Status

Single

Married

Widowed

Separated

Residential Address

Contact Number

B. Family / Beneficiary Information

You may add multiple family members. This section is optional but recommended.

No family beneficiaries added yet. Click “Add” to include one.

C. Designated Beneficiary/ies

For employees who wish to designate a specific person to receive the mortuary benefit (especially those who are single or have no immediate family).

No designated beneficiaries added yet.

D. Employee Declaration

I hereby certify that the information provided in this Employee Mortuary Information and Beneficiary Management Form, including my personal, family, and beneficiary details, is true and correct to the best of my knowledge and belief.

I understand that this information shall be used by the Human Resource Management Office (HRMO) for the verification and processing of my Mortuary Benefit, in accordance with the Memorandum Circular of the Municipal Government of Abuyog governing its availment, and other applicable rules and requirements.

I undertake to promptly inform the HRMO of any changes in my information and acknowledge that the grant of the benefit shall be subject to the provisions and requirements of Memorandum Circular No. 09-001, Series of 2026.

I have read, understood, and agree to the Employee Declaration above. *

You must accept the declaration to proceed.