CLIENT/ACCOUNTABLE PUBLIC OFFICER BUREAU OF THE TREASURY PROVINCIAL OFFICE

STEP 1 STEP 2 Send to btrcamsur2020@gmail.com

Prepares & submits the required documents. (refer to the the scanned docs.
checklist) Informs client of NO
insufficiency of
documents Are the needed data and forms complete?
YES

STEP 3
BTr will send electronic copy of

Authority to Accept Payment (ATAP)

that you will present to the nearest

bank for payment.

Send the electronic copy of the Confirmation Letter upon

STEP 6
receipt of bank validated dep. slip and ATAP from the

STEP 4 applicants. Print 3 copies Personal Copy, Office Copy and

Client presents ATAP to AGDB for
COA Copy)
payment of bond premium
* The CL shall be subject to cancellation depending
on the evaluation of authenticity by the Provincial
Head of the submitted documents (soft copy via-
email)prescribed under Treasury Circular No. 02-
2009 dated August 6, 2009.

STEP 5
Send the scanned validated slip and ATAP

(received by the bank) to

btrcamsur2020@gmail.com
Sir/Ma'am,

Attached in this email is the Fidelity Bond Application/Scanned copy of dep. slip and ATAP of

Name of Applicant: Position: Date of Maturity/Expiration of B

Preferred Bond Coverage ( 1, 2 3 years) _________________

Preferred/ Nearest LBP or DBP

Bank: Where you will make your (e.g. LBP-Naga)
payment

Mode of Payment:
Cash
Check

Sender Name:
Contact No.
 (NGA, LGU , GOCC,- eg. DEPED- Juan ES, Naga City)

Date of Maturity/Expiration of Bond:

CHECKLIST FOR FIDELITY BOND REQUIREMENTS:

NEW APPLICANT (newly appointed applicants & with expired bond )

* Bring the Previous Confirmation Letter of those former bondees that has been replaced.

SIGNATORIES ( eg. Principal & Disbursing Officer)

□ List of Bonded Accountable Public Officer/s (ATTACHMENT 2)

□ Fidelity Bond Application Form ( FBAF)
□ Passport size photo ( taken within the last 3 months prior to the date of application)
□ Appointment
□ Certification of accountability from Accounting Dep't. (DEPED-DIVISION OFFICE)
□ Designation (If designated other than the position stated in his/her appointment)
□ Assignment Order
* For those applicants with pending case, copies of
pertinent pleadings, orders and resolutions filed or issued
by the disputing parties, prosecutory or investigatory
Property Custodian offices shall be attached to the bond application.

□ List of Bonded Accountable Public Officer/s (ATTACHMENT 2)

□ Fidelity Bond Application Form ( FBAF)
□ Passport size photo ( taken within the last 3 months prior to the date of application)
□ Appointment
□ Designation (If designated other than the position stated in his/her appointment)

RENEWAL ( Applied Fidelity Bond before the maturity date)

SIGNATORIES ( eg. Principal & Disbursing Officer)

□ Previous Confirmation letter

□ List of Bonded Accountable Public Officer/s (ATTACHMENT 2)
□ Fidelity Bond Application Form ( FBAF)
□ Certification of accountability from Accounting Dep't. (DEPED)

PROPERTY CUSTODIAN

□ Previous Confirmation letter

□ List of Bonded Accountable Public Officer/s (ATTACHMENT 2)
□ Fidelity Bond Application Form ( FBAF)

* For those applicants with pending case, copies of pertinent

pleadings, orders and resolutions filed or issued by the
disputing parties, prosecutory or investigatory offices shall be
attached to the bond application.
 ANNEX C
REVISED SCHEDULE

I CASH ACCOUNTABILITY
MINIMUM CASH MAXIMUM CASH
AMOUNT OF BOND BOND PREMIUM
ACCOUNTABILITY ACCOUNTABILITY
75% of their Total Cash Bond Premium shall not be less
5,001.00 9,000.00 Accountability than P150
9,001.00 12,000.00 9,000.00 150.00
12,001.00 15,000.00 11,250.00 168.75
15,001.00 18,000.00 13,500.00 202.50
18,001.00 21,000.00 16,750.00 251.25
21,001.00 25,000.00 18,900.00 283.50
25,001.00 30,000.00 22,500.00 337.50
30,001.00 35,000.00 26,250.00 393.75
35,001.00 40,000.00 30,000.00 450.00
40,001.00 50,000.00 37,500.00 562.50
50,001.00 60,000.00 45,000.00 675.00
60,001.00 80,000.00 60,000.00 900.00
80,001.00 100,000.00 75,000.00 1,125.00
100,001.00 250,000.00 100,000.00 1,500.00
250,001.00 500,000.00 225,000.00 3,375.00
500,001.00 750,000.00 350,250.00 5,253.75
750,001.00 1,000,000.00 500,000.00 7,500.00
1,000,001.00 2,500,000.00 750,000.00 11,250.00
2,500,001.00 5,000,000.00 1,500,000.00 22,500.00
5,000,001.00 25,000,000.00 3,500,000.00 52,500.00
25,000,001.00 75,000,000.00 4,000,000.00 60,000.00
75,000,001.00 100,000,000.00 5,000,000.00 75,000.00
100,000,001.00 500,000,000.00 8,000,000.00 120,000.00
500,000,001.00 1,000,000,000.00 11,000,000.00 165,000.00

II PROPERTY ACCOUNTABILITY
1. Government Securities 30% of their Total Value Value rounded x 1.5% = Premium
off to the nearest
2. Equipment 30% of their Total Value hundred x 1.5% = Premium
3. Supplies & Materials 50% of their Total Value x 1.5% = Premium

III FOR ACCOUNTABLE FORMS

a) Internal Revenue Stamp
b) Documentary Stamp
c) Customs Documentary Stamp
d) Cash Tickets
e) Postage and Other Stamp Stocks x 1.5% = Premium
10% of their Total Value
f) Cattle Registration Certificates Value Rounded Off
g) Marriage Certificates to the nearest hundred
h) Auto Driver Certificates
i) Motor Vehicle License
j) Other Accountable Forms having face value