Department of the Interior and Local Government Form 2E:

CY 2022 Seal of Good Local Governance Documentation

Financial Administration
INSTRUCTIONS FOR THE LGOO FROM THE PROVINCE/ C|MLGOO: PLEASE READ BEFORE PROCEEDING. (1) Document
LGU compliance by taking photographs appropriate for the boxes provided for each assessment area. (2) Photos should represent
the subject matter with clarity and without any form of distortion. (3) Use of high resolution camera is recommended. (4) Write down
your observations or findings on the space provided, short bullet type statements will do. (5) You can also use the Remarks page for
other information, highlights and additional photographs (limit additional photos to one (1) page only).(6) This accomplished Form is a
required attachment to Form 2E (DILG Field Officer).

FDP 1st Conspicuous Place

FDP 2nd Conspicuous Place

FDP 3rd Conspicuous Place

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 Department of the Interior and Local Government
CY 2022 Seal of Good Local Governance

Form 2E:
Documentation

Disaster Preparedness (1)

INSTRUCTIONS FOR THE LGOO FROM THE PROVINCE/ C|MLGOO: PLEASE READ BEFORE PROCEEDING. (1) Document
LGU compliance by taking photographs appropriate for the boxes provided for each assessment area. (2) Photos should represent
the subject matter with clarity and without any form of distortion. (3) Use of high resolution camera is recommended. (4) Write down
your observations or findings on the space provided, short bullet type statements will do. (5) You can also use the Remarks page for
other information, highlights and additional photographs (limit additional photos to one (1) page only).(6) This accomplished Form is a
required attachment to Form 2E (DILG Field Officer).

Gawad KALASAG award Early Warning System (1) (At least 1

marker for top 1 hazard)

Early Warning System (2) Early Warning System

(At least 1 marker for top 2 hazard) (Audible, early and wide warning alarm system)

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 Form 2E:
Department of the Interior and Local Government Documentation
CY 2022 Seal of Good Local Governance

Disaster Preparedness (2)

INSTRUCTIONS FOR THE LGOO FROM THE PROVINCE/ C|MLGOO: PLEASE READ BEFORE PROCEEDING. (1) Document
LGU compliance by taking photographs appropriate for the boxes provided for each assessment area. (2) Photos should represent
the subject matter with clarity and without any form of distortion. (3) Use of high resolution camera is recommended. (4) Write down
your observations or findings on the space provided, short bullet type statements will do. (5) You can also use the Remarks page for
other information, highlights and additional photographs (limit additional photos to one (1) page only).(6) This accomplished Form is a
required attachment to Form 2E (DILG Field Officer).

Early Warning System Evacuation Center

(Rain gauge- automated or indigenous) (Required minimum facility 1)

Evacuation Center SAR/ Emergency Response Team Equipment

(Required minimum facility 2) For Top 1 hazard

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 Department of the Interior and Local Government
Form 2E:
CY 2022 Seal of Good Local Governance Documentation

Disaster Preparedness (3)

INSTRUCTIONS FOR THE LGOO FROM THE PROVINCE/ C|MLGOO: PLEASE READ BEFORE PROCEEDING. (1) Document
LGU compliance by taking photographs appropriate for the boxes provided for each assessment area. (2) Photos should represent
the subject matter with clarity and without any form of distortion. (3) Use of high resolution camera is recommended. (4) Write down
your observations or findings on the space provided, short bullet type statements will do. (5) You can also use the Remarks page for
other information, highlights and additional photographs (limit additional photos to one (1) page only).(6) This accomplished Form is a
required attachment to Form 2E (DILG Field Officer).

SAR/ Emergency Response Team Equipment SAR/ Emergency Response Team Equipment
For Top 2 hazard (Motorized Vehicle)

Stockpiled Goods LDRRM Operations Center

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 Department of the Interior and Local Government
CY 2022 Seal of Good Local Governance
Form 2E:
Documentation

Social Protection (1)

INSTRUCTIONS FOR THE LGOO FROM THE PROVINCE/ C|MLGOO: PLEASE READ BEFORE PROCEEDING. (1) Document
LGU compliance by taking photographs appropriate for the boxes provided for each assessment area. (2) Photos should represent
the subject matter with clarity and without any form of distortion. (3) Use of high resolution camera is recommended. (4) Write down
your observations or findings on the space provided, short bullet type statements will do. (5) You can also use the Remarks page for
other information, highlights and additional photographs (limit additional photos to one (1) page only).(6) This accomplished Form is a
required attachment to Form 2E (DILG Field Officer).

Accessibility of Entrance/Exit [Capitol/CM Hall] Wide Angle Accessibility of Entrance/Exit [Capitol/CM Hall] *If w/ ramps,
Shot, showing whole ramp photo showing result of Ramp Gradient Finder
*if no ramps, photo showing ground level entrance/ dropped curb/ lift

PWD Toilet [Capitol/CM Hall] PWD Toilet [Capitol/CM Hall]

[photo showing toilet with grab bar with wheelchair inside] [Front view of wheelchair entering toilet door]

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 Department of the Interior and Local Government
Form 2E:
CY 2022 Seal of Good Local Governance Documentation

Social Protection (2)

INSTRUCTIONS FOR THE LGOO FROM THE PROVINCE/ C|MLGOO: PLEASE READ BEFORE PROCEEDING. (1) Document
LGU compliance by taking photographs appropriate for the boxes provided for each assessment area. (2) Photos should represent
the subject matter with clarity and without any form of distortion. (3) Use of high resolution camera is recommended. (4) Write down
your observations or findings on the space provided, short bullet type statements will do. (5) You can also use the Remarks page for
other information, highlights and additional photographs (limit additional photos to one (1) page only).(6) This accomplished Form is a
required attachment to Form 2E (DILG Field Officer).

Accessibility of Entrance/Exit [Hospital/RHU] Wide Angle Shot, Accessibility of Entrance/Exit [Hospital/RHU] *If w/ ramps, photo
showing whole ramp showing result of Ramp Gradient Finder
*if no ramps, photo showing ground level entrance/ dropped curb/ lift

PWD Toilet [Hospital/RHU] PWD Toilet [Hospital/RHU]

[photo showing toilet with grab bar with wheelchair inside] [Front view of wheelchair entering toilet door]

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 Department of the Interior and Local Government
CY 2022 Seal of Good Local Governance
Form 2E:
Social Protection (3) Documentation

INSTRUCTIONS FOR THE LGOO FROM THE PROVINCE/ C|MLGOO: PLEASE READ BEFORE PROCEEDING. (1) Document
LGU compliance by taking photographs appropriate for the boxes provided for each assessment area. (2) Photos should represent
the subject matter with clarity and without any form of distortion. (3) Use of high resolution camera is recommended. (4) Write down
your observations or findings on the space provided, short bullet type statements will do. (5) You can also use the Remarks page for
other information, highlights and additional photographs (limit additional photos to one (1) page only).(6) This accomplished Form is a
required attachment to Form 2E (DILG Field Officer).

Accessibility of Entrance/Exit [Ter. Bldg/ TVET] Wide Angle Shot, Accessibility of Entrance/Exit [Ter. Bldg/ TVET] *If w/ ramps,
showing whole ramp photo showing result of Ramp Gradient Finder
*if no ramps, photo showing ground level entrance/ dropped curb/ lift

PWD Toilet [Ter. Bldg/ TVET] PWD Toilet [Ter. Bldg/ TVET]
[photo showing toilet with grab bar with wheelchair inside] [Front view of wheelchair entering toilet door]

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Department of the Interior and Local Government
CY 2022 Seal of Good Local Governance

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 Department of the Interior and Local Government
CY 2022 Seal of Good Local Governance
Form 2E:

Social Protection (4) Documentation

INSTRUCTIONS FOR THE LGOO FROM THE PROVINCE/ C|MLGOO: PLEASE READ BEFORE PROCEEDING. (1) Document
LGU compliance by taking photographs appropriate for the boxes provided for each assessment area. (2) Photos should represent
the subject matter with clarity and without any form of distortion. (3) Use of high resolution camera is recommended. (4) Write down
your observations or findings on the space provided, short bullet type statements will do. (5) You can also use the Remarks page for
other information, highlights and additional photographs (limit additional photos to one (1) page only).(6) This accomplished Form is a
required attachment to Form 2E (DILG Field Officer).

Established Senior Citizens Center Established Senior Citizens Center

Wide Angle Shot from outside, showing building showing building indoors

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 Department of the Interior and Local Government Form 2E:
CY 2022 Seal of Good Local Governance Documentation

Business-Friendliness and Competitiveness

INSTRUCTIONS FOR THE LGOO FROM THE PROVINCE/ C|MLGOO: PLEASE READ BEFORE PROCEEDING. (1) Document
LGU compliance by taking photographs appropriate for the boxes provided for each assessment area. (2) Photos should represent
the subject matter with clarity and without any form of distortion. (3) Use of high resolution camera is recommended. (4) Write down
your observations or findings on the space provided, short bullet type statements will do. (5) You can also use the Remarks page for
other information, highlights and additional photographs (limit additional photos to one (1) page only).(6) This accomplished Form is a
required attachment to Form 2E (DILG Field Officer).

Citizens’ Charter for Business

(For Cities and Municipalities only)

Business Permit and Licensing Office Citizen’s

Charter

Business One Stop Shop

(For Cities and Municipalities only)

Municipal Business One Stop Shop

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 Department of the Interior and Local Government
CY 2022 Seal of Good Local Governance

Form 2E:
Documentation

Environmental Management
INSTRUCTIONS FOR THE LGOO FROM THE PROVINCE/ C|MLGOO: PLEASE READ BEFORE PROCEEDING. (1) Document
LGU compliance by taking photographs appropriate for the boxes provided for each assessment area. (2) Photos should represent
the subject matter with clarity and without any form of distortion. (3) Use of high resolution camera is recommended. (4) Write down
your observations or findings on the space provided, short bullet type statements will do. (5) You can also use the Remarks page for
other information, highlights and additional photographs (limit additional photos to one (1) page only).(6) This accomplished Form is a
required attachment to Form 2E (DILG Field Officer).

Sanitary Landfill/ Alternative Technology MRF/ Similar Facility

(For Cities and Municipalities only) (For Cities and Municipalities only)

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 Department of the Interior and Local Government
Form 2E:
CY 2022 Seal of Good Local Governance Documentation

Tourism, Heritage Development, Culture and the Arts

INSTRUCTIONS FOR THE LGOO FROM THE PROVINCE/ C|MLGOO: PLEASE READ BEFORE PROCEEDING. (1) Document
LGU compliance by taking photographs appropriate for the boxes provided for each assessment area. (2) Photos should represent
the subject matter with clarity and without any form of distortion. (3) Use of high resolution camera is recommended. (4) Write down
your observations or findings on the space provided, short bullet type statements will do. (5) You can also use the Remarks page for
other information, highlights and additional photographs (limit additional photos to one (1) page only).(6) This accomplished Form is a
required attachment to Form 2E (DILG Field Officer).

Tourist Information and Assistance Center/Desk Tourism data (Database/Recordbook)

Published narrative of history and culture

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 Department of the Interior and Local Government Form 2E:
CY 2022 Seal of Good Local Governance Documentation

Additional Photos (if any)

INSTRUCTIONS FOR THE LGOO FROM THE PROVINCE/ C|MLGOO: PLEASE READ BEFORE PROCEEDING. (1) Document
LGU compliance by taking photographs appropriate for the boxes provided for each assessment area. (2) Photos should represent
the subject matter with clarity and without any form of distortion. (3) Use of high resolution camera is recommended. (4) Write down
your observations or findings on the space provided, short bullet type statements will do. (5) You can also use the Remarks page for
other information, highlights and additional photographs (limit additional photos to one (1) page only).(6) This accomplished Form is a
required attachment to Form 2E (DILG Field Officer).

Click here to enter text. Click here to enter text.

Click here to enter text. Click here to enter text.

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