Annex “A”

Monthly Cumulative Monitoring Report

On Road Clearing Operations
(Pursuant to PRRD’s Directive and DILG Memorandum Circular No. 2019-121 dated 29 July 2019 and DILG MC No. 2019-167 dated 4 October 2019)

Region ______
Province of __________________________
City/Municipality of _______________________
Barangay __________________________
(for the month of ______________________________ CY _________)

Conducted Road Clearing

Operations Location of Road Clearing Operations
[Check appropriate column] [Street name/Address] Date of Operation Action Taken Remarks
YES NO

Prepared by: Attested by:

_______________________________________________ ______________________________________________________
Punong Barangay City/Municipal/Mayor