ADMINISTRATIVE ORDER NO.

23 COMPLIANCE REPORT TEMPLATE

(1) NAME OF DEPARTMENT/AGENCY/LGU: MUNICIPAL SOCIAL WELFARE AND DEVELOPMENT OFFICE- SAN FERNANDO, ROMBLON

(2) SUBMITTED UPDATED CITIZEN’S CHARTER TO ARTA ON JULY 25, 2020: [*] Yes [ ] No

(3) LIST OF ALL FRONTLINE SERVICES AND CORRESPONDING LEGAL BASIS

LEGAL BASIS OFFICE/AGENCY REGULATIONS
GOVERNMENT Governing Law(s) Specific Provision in the Issuance/Policy Date of Effectivity Other Issuances/Policies it Effectively
SERVICE (Number and Short Title)1 Governing Law(s) as Title Repeals/Amends
Basis2
ISSUANCE OF MC 14-2009
CERTIFICATE OF
INDIGENCY
ISSUANCE OF MC 14-2009
COMPREHENSIV
E SOCIAL CASE
STUDY REPORT
ISSUANCE OF MC 14-2009
REFERRALS
ISSUANCE OF R. A 10754
PWD ID
ISSUANCE OF R. A 9994
SENIOR CITIZEN
ID AND

1
Number and short title of the governing law which mandates and gives power to the agency or LGU to regulate and/or offer the service
2
Cite section number and quote provision identified in the governing law

1
 PURCHASE
BOOKLET

(4) SERVICE INFORMATION PER GOVERNMENT SERVICE3

GOVERNMENT SERVICE: Issuance of Certificate of Indigency

SERVICE INFORMATION
LIST OF REQUIREMENTS LIST OF STEPS AND PROCEDURES
Requirement Legal Basis Client Steps/Procedures as indicated in the Legal Basis Total Processing Total Fees to be Paid
Citizen’s Charter Time

Certificate of indigency from MC 14 2009 1. Proceed to MSWD office for interview MC 14 2009 15 minutes
the Barangay Captain of client.
2. Produce, record and issue certificate MC 14 2009 10 minutes
of indigency received the documents.

TOTAL

GOVERNMENT SERVICE: Issuance of Comprehensive Social Case Study

SERVICE INFORMATION
LIST OF REQUIREMENTS LIST OF STEPS AND PROCEDURES
3
Please note that one table is to be filled-up per Government Service.
To fill up:
a) List down all requirements applicable to the government service
b) Per requirement, cite legal basis/rationale why requirement is essential
c) Steps/Procedures should be listed in the Client's perspective
d) If applicable, legal basis of each step/procedure may be indicated in column 4
e) Input the total processing time for the service in working days and/orhours
f) Input the sum of all fees paid for the service

2
 Requirement Legal Basis Client Steps/Procedures as indicated in the Legal Basis Total Processing Total Fees to be Paid
Citizen’s Charter Time

Medical Abstract, Certificate MC 14 2009 1. Conduct interview and assessment. MC 14 2009 24hours
of Indigency from the 2. Record and issue Social Case Study MC 14 2009 24 hours
Barangay Captain, Report
Physician/hospital referral

TOTAL

GOVERNMENT SERVICE: Issuance of PWD ID

SERVICE INFORMATION
LIST OF REQUIREMENTS LIST OF STEPS AND PROCEDURES
Requirement Legal Basis Client Steps/Procedures as indicated in the Legal Basis Total Processing Total Fees to be Paid
Citizen’s Charter Time

Medical certificate from the R. A 10754 1. Conduct office interview of the client R. A 10754 15 minutes
Municipal Health Office and assessment.
stating the disability of the 2. Record and issue of PWD ID. R. A 10754 10 minutes
client, whole body picture of 3. Bring the ID to Mayor’s office for R. A 10754 15 minutes
PWD, 1x1 ID picture (1pc.) approval.

TOTAL

GOVERNMENT SERVICE: Issuance of referrals

SERVICE INFORMATION
LIST OF REQUIREMENTS LIST OF STEPS AND PROCEDURES
Requirement Legal Basis Client Steps/Procedures as indicated in the Legal Basis Total Processing Total Fees to be Paid

3
 Citizen’s Charter Time

Hospital referral and MC 14 2009 1. Conduct interview MC 14 2009 15 minutes

Barangay 2. Record and issue referral MC 14 2009 15 minutes
Indigency/Barangay
clearance

TOTAL

GOVERNMENT SERVICE: Issuance of Senior Citizen’s ID and Purchase Booklet

SERVICE INFORMATION
LIST OF REQUIREMENTS LIST OF STEPS AND PROCEDURES
Requirement Legal Basis Client Steps/Procedures as indicated in the Legal Basis Total Processing Total Fees to be Paid
Citizen’s Charter Time

Birth certificate / Baptismal, R. A 9994 1. Secure and submit accomplished R. A 9994 15 minutes
latest community tax application form from MSWDO/OSCA
certificate, latest ID picture 2. . Proceed to Mayor’s office for R. A 9994 15minutes
1x1 (4 pcs.) signature of ID and Booklets.
3. Go back to MSWDO/OSCA for claim R. A 9994 15 minutes
of ID’s and Booklets.

TOTAL