SGLGB Form No.

1
2023 Seal of Good Local Governance for Barangay (SGLGB)
Documentary Checklist

BARANGAY:
CITY/MUNICIPAL:
PROVINCE:
REGION:

PART A - DOCUMENTARY CHECKLIST

INDICATORS MINIMUM REQUIREMENT MOVs
Core Governance Area 1: Financial Administration and Sustainability
1.1 COMPLIANCE WITH THE 1.1.1 Posted the following CY 2022 financial ☐ BFDP Monitoring Form A of the DILG Advisory dated
BARANGAY FULL DISCLOSURE documents in the BFDP board, pursuant to DILG March 25, 2022
POLICY (BFDP) BOARD MC No. 2014-81 and DILG MC No. 2022-027: ☐ Photo Documentation of the BFDP board displaying the
nine documents:
Annual Report
a) Barangay Financial Report Annual Report
b) Barangay Budget ☐ Barangay Financial Report
c) Summary of Income and Expenditures ☐ Barangay Budget
d) 20% Component of the IRA Utilization ☐ Summary of Income and Expenditures
e) Annual Procurement Plan or Procurement ☐ 20% Component of the IRA Utilization
List ☐ Annual Procurement Plan or Procurement List

Quarterly Report Quarterly Report

f) List of Notices of Award (4th Quarter of CY ☐ List of Notices of Award (4th Quarter of CY 2022)
2022)

Monthly Report
Monthly Report ☐ Itemized Monthly Collections and Disbursements (October-
g) Itemized Monthly Collections and December 2022)
Disbursements (October-December 2022)

1.2 INNOVATIONS ON REVENUE 1.2.1 Increase in local resources in 2022
GENERATION OR EXERCISE OF
CORPORATE POWERS
1.3 APPROVAL OF THE
BARANGAY BUDGET ON THE
SPECIFIED TIMEFRAME
1.4 ALLOCATION FOR
STATUTORY PROGRAMS AND
PROJECTS AS MANDATED BY
LAWS AND/OR OTHER
ISSUANCES
1.5 POSTING OF THE
BARANGAY CITIZEN’S
CHARTER (CitCha)
1.1.2 Accomplished prescribed BFR form with ☐ Barangay Financial Report on Statement of Receipt and
the "stamp receipt" of the Office of the C/M Expenditure (Annex 7)
Accountant.
☐ Barangay Budget Preparation Form 2 of 2021 and 2022
1.3.1 Presence of a Barangay Appropriation ☐ Approved Barangay Appropriation Ordinance
Ordinance approved on or before December 31,
2021.
Consideration: Approval until March 31, 2022.
1.4.1 With allocated funds for the following ☐ Approved Barangay Appropriation Ordinance
statutory programs and projects:
a) Senior Citizens (per R.A. 9994 and DBM Local
Budget Memorandum No. 82);
b) Persons with Disability (per R.A. 7277 and
DBM Local Budget Memorandum No. 82);
c) At least 20% of the IRA is allocated for
development programs (DILG-DBM JMC No.
2017-01);
d) At least 1% of the IRA/NTA for the Barangay
Council for the Protection of Children (BCPC) per
RA 9344; and,
e) At least 5% from total budget allocated for
GAD plans and programs per RA 9710.
1.5.1 Barangay Citizens’ Charter posted at a ☐ Photo documentation of the Barangay CitCha (name of the
conspicuous place (barangay hall, market, barangay should be visible)
transport terminal or multi-purpose hall)
1.6 RELEASE OF THE 1.6.1 Compliance with Section 20 of the SK ☐ a) Copy of the written agreement; and
SANGGUNIANG KABATAAN (SK) Reform Act of 2015 and Item 3.2 of DBM-DILG- ☐ b) Proof of deposit reflecting the Account No./ Name of
FUNDS OF THE BARANGAY NYC JMC No. 1, s. 2019 dated January 23, Barangay SK (1 deposit slip for annual, 2 deposit slips for
2019: semestral, 4 deposit slips for quarterly
1.6.1.1 If the barangay has Barangay-SK
Agreement for the annual or semestral or
quarterly release/deposit:

1. 6.1.2 If the barangay does not have
Barangay-SK Agreement but with current
account:
1.6.1.3 If the barangay does not have SK
Officials or with SK Officials but no quorum
and/or No SK Bank Account:
1.6.2 Presence of Annual Barangay Youth
Investment Program (ABYIP) for 2022
☐ a) 12 monthly deposit slips reflecting the Account No./
Name of Barangay SK
☐ a) Proof of transfer of the 10% SK fund to the trust fund of
the barangay such as deposit slip or Official Receipt or
corresponding legal form/document issued by the
city/municipal treasurer if the barangay opted that the
corresponding SK fund be kept as trust fund in the custody of
the C/M treasurer
☐ Certification from the C/MLGOO on current number of SK
officials

(Applicable only for Barangays with 5 and above If with 5 and above SK officials:
SK members) ☐ Approved Annual Barangay Youth Investment Program
(ABYIP) for 2022

1.7 CONDUCT OF BARANGAY 1.7.1 Conducted the 2nd semester Barangay ☐ Post Activity Report on the conduct of the 2nd semester
ASSEMBLY FOR CY 2022 (2ND Assembly for CY 2022 (any modality, i.e., online, barangay assembly duly signed/approved by the Punong
SEMESTER) face-to-face, hybrid) Barangay (Annex D of DILG MC No. 2022-131)
Core Governance Area 2: Disaster Preparedness
2.1 FUNCTIONALITY OF THE 2.1.1 Established BDRRMC with its composition ☐ Executive Order or similar issuance creating the BDRRMC
BARANGAY DISASTER RISK compliant to the Provisions of NDRRMC, DILG, compliant to composition requirements covering CY 2022
REDUCTION AND MANAGEMENT DBM, and CSC JMC No. 2014-01
COMMITTEE (BDRRMC)

2.1.2 Approved Barangay Disaster Risk ☐ Approved BDRRM Plan CY 2022

Reduction and Management (BDRRM) Plan CY
2022
 2.1.3. Allocation of 5% of the Estimated Revenue ☐ Enacted Appropriation Ordinance
from Regular Sources as BDRRM Fund

2.1.4 a) At least 50% accomplishment of the ☐ Accomplishment Report

physical targets in the BDRRM Plan

OR

2.1.4 b) At least 50% fund utilization of the 70% ☐ Annual Report on the utilization of the LDRRMF
component of CY 2022 LDRRMF - Preparedness
component as of December 31, 2022.

2.2 EXTENT OF RISK 2.2.1 Conducted an activity in relation to Risk
ASSESSMENT AND EARLY Assessment in the barangay not earlier than
WARNING SYSTEM (EWS) 2019
2.2.2 A certified Barangay Risk/Hazard Map
2.2.3 An established Early Warning System for
the top two (2) hazards present in the barangay
2.3 EXTENT OF PREPAREDNESS 2.3.1. A barangay must have a permanent or
FOR EFFECTIVE RESPONSE alternate evacuation center
AND RECOVERY 2.3.2 A barangay must have the following
disaster supplies/equipment:
a) Communication equipment (i.e., 2 way
radio,mobile phone)
b) Rescue vehicle/Barangay patrol
c) Generatorset/alternative sources of energy
d) First aid kit
e) Flashlight with batteries
f)Personal Protective Equipment (PPE)
☐ Post-Activity Report of activities such as Climate and
Disaster Risk Assessment, Participatory Disaster Risk
Assessment, BDRRM Planning, etc.
☐ Photo documentation of the certified Barangay
Risk/Hazard Map
☐ Photo documentation of EWS for the top two (2) hazards in
the barangay
☐ Photo documentation of the permanent/alternate
evacuation center
☐ Photo Documentation of disaster supplies equipment
☐ Communication equipment (i.e., 2 way radio,mobile phone)
☐ Rescue vehicle/Barangay patrol
☐ Generatorset/alternative sources of energy
☐ First aid kit
☐ Flashlight with batteries
☐ Personal Protective Equipment (PPE)

Core Governance Area 3: Safety, Peace and Order

3.1 FUNCTIONALITY OF THE 3.1.1​​Organized BADAC with its composition and ☐ Executive Order or similar issuance creating the BADAC
BARANGAY ANTI-DRUG ABUSE appropriate committees (Committees on with its composition and appropriate committees (Committees
COUNCIL (BADAC) Operations and on Advocacy) compliant to DILG- on Operations and on Advocacy)
DDB JMC No. 2018-01
3.1 FUNCTIONALITY OF THE
BARANGAY ANTI-DRUG ABUSE
COUNCIL (BADAC)

3.1.2 Established Rehabilitation Referral Desk ☐ EO or similar issuance establishing the Rehabilitation
with Designated Duty Officer Referral Desk

3.1.3 Allocation of substantial amount for anti-
illegal drugs initiative
3.1.4 Approved BADAC Plan of Action covering
2022 as year under review
3.1.5 Submission of Consolidated Information
Report (CIR) to CADAC/MADAC and Local PNP
Unit
3.1.6 a) At least 50% accomplishment of the
physical targets in the BADAC Plan of Action
OR
☐ Approved Barangay Appropriation Ordinance
☐ Approved BADAC Plan of Action
☐ Transmittal of CIR (stamp received) to CADAC/MADAC
and Local PNP Unit
☐ Annual BADAC Accomplishment and Fund Utilization
Report submitted not later than the 20th day of January
(stamp received) to the CADAC/MADAC

3.1.6. b) At least 50% fund utilization rate of the

PAPs in the of the CY 2022 BADAC Budget

3.2 FUNCTIONALITY OF THE 3.2.1. Organized BPOC through an Executive ☐ Executive Order or similar issuance indicating correct
BARANGAY PEACE AND ORDER Order or Sangguniang Barangay Resolution, with membership in accordance to the EO 366 s. of 1996
COMMITTEE (BPOC) its composition compliant to the provisions of EO
366 s. of 1996
3.2.2 Approved Barangay Peace and Order and ☐ Approved BPOPS Plan
Public Safety (BPOPS) Plan in accordance to
DILG MC 2017-142 covering 2022 as year under
review
3.2.3 a) At least 50% accomplishment of the ☐ Accomplishment Report (in any format) submitted to the
physical targets in the BPOPS Plan C/M POC on the prescribed schedules (stamp received)

OR

3.2.3. b) At least 50% fund utilization rate of of

the CY 2022 BPOPs Budget

3.3 FUNCTIONALITY OF THE 3.3.1. Organized Lupong Tagapamayapa ☐ Appointment of the Lupong Tagapamayapa
LUPONG TAGAPAMAYAPA (LT)
3.3 FUNCTIONALITY OF THE
LUPONG TAGAPAMAYAPA (LT)

3.3.2. Systematic maintenance of records (record

of cases)
For barangays of cities: Computer database with ☐ For barangays of cities: 2 photos with caption of the
searchable information computer database with searchable information

For barangays of municipalities: Manual Records ☐ For barangays of municipalities: 1 photo, with caption on
(Case Record Book) OR Digital Record Filing the manual and digital file
(scanned copy of KP files)

3.3.3. Conducted monthly meetings for the ☐ Copies of minutes of meetings with attendance sheets (at
administration of the Katarungang Pambarangay least 3 minutes covering meetings conducted in 2022)

3.3.4. Attendance of LT to KP training or seminar ☐ Certified true copy of any proof of training such as
not earlier than 2019 Certificate of Completion and/or Participation (at least 1)

3.4 ORGANIZATION AND
STRENGTHENING CAPACITIES
OF BARANGAY TANOD
3.4.1 Organized Barangay Tanod ☐ EO or similar issuance on the organization of the Barangay
Tanod covering 2022
3.4.2 Attendance of barangay tanod to ☐ Certified true copy of any proof of training such as
necessary training not earlier than 2019 Certificate of Completion and/or Participation (at least 1)

3.5 BARANGAY INITIATIVES 3.5.1 Organized Barangay Health and ☐ EO or similar issuance on the organization of BHERTs
DURING HEALTH EMERGENCIES Emergency Response Team (BHERT) with its
composition compliant to the provisions of DILG
MC No. 2020-023
3.5.2 Poster or tarpaulin containing the active ☐ Photo documentation of poster and/or tarpaulin
telephone and/or cellphone Numbers of the
Barangay, Punong Barangay and BHERT
Members posted in conspicuous public places
within the barangay jurisdiction
3.6. CONDUCT OF MONTHLY 3.6.1 Conducted BaRCO on a monthly basis in ☐ Monthly BarCo Reports for October-December 2022
BARANGAY ROAD CLEARING 2022
OPERATIONS (BaRco)
Essential Governace Area 1: Social Protection and Sensitivity
4.1 FUNCTIONALITY OF 4.1.1. Established Barangay VAW Desk and
BARANGAY VIOLENCE AGAINST designated Barangay VAW Desk Officer
WOMEN (VAW) DESK
4.1.2 Attendance of the Barangay VAW Desk
Officer to at least one (1) training/orientation
related to gender-sensitive handling of VAW
Cases not earlier than 2019
4.1.3 Approved 2022 Barangay Gender and
Development (GAD) Plan and Budget
☐ Executive Order or similar issuance on the establishment
of Barangay VAW Desk and designated VAW Desk Officer
☐ Certified true copy of any proof of training such as
Certificate of Completion and/or Participation (at least 1)
☐ Approved 2022 Barangay Gender and Development (GAD)
Plan and Budget

4.1.4 Submission of Monthly Accomplishment ☐ Monthly Accomplishment Reports for CY 2022 (October-
Reports on the incidence of VAW and violence December 2022)
against children (VAC) to C/MSWDO and
C/MLGOO within 10 working days of the ensuing
month (stamp received), pursuant to the Advisory
dated March 3, 2021
4.1.5 Updated database on VAW cases reported ☐ Updated database of VAW cases reported to the barangay
to the barangay, with the following information at
the minimum:

a) total number of VAW cases received

☐number of cases documented for violating
RA 9262
☐number of cases documented for violating
other VAW-related laws

b)assistance provided to victim-survivors

4.1.6 a) At least 50% accomplishment of the ☐ CY 2022 GAD Accomplishment Report

physical targets in the GAD Plan

OR

4.1.6 b) At least 50% fund utilization rate of the

CY 2022 GAD Budget

4.2 ACCESS TO HEALTH AND 4.2.1. Presence of a Barangay Health ☐ Photo documentation of the BHS/C
SOCIAL WELFARE SERVICES IN Station/Center
THE BARANGAY 4.2.2. Appointment of a Barangay Health Worker ☐ EO or similar issuance on the Appointment of BHW
(BHW)
4.2 ACCESS TO HEALTH AND
SOCIAL WELFARE SERVICES IN
THE BARANGAY

4.2.3. Appointment of a Barangay Nutrition ☐ EO or similar issuance on the appointment of BNS

Scholar (BNS)
4.2.4. Availability of the following health services ☐ Photo documentations of the operations of the BHS/C
in the BHS/C:
Barangay Issuances on the provision of the four (4) listed
a) immunization health services:
b) maternal and child healthcare
c) family planning ☐ immunization
d) health education ☐ maternal and child healthcare
☐ family planning
☐ health education

4.3 FUNCTIONALITY OF THE 4.3.1. Organized BDC with its composition
BARANGAY DEVELOPMENT compliant to Section 107 of RA 7160
COUNCIL (BDC)
4.3.2. Conduct of public hearings/ barangay
assemblies for public consultation
4.3.3 Approved Barangay Development Plan
4.3.4 a) At least 50% accomplishment of the
physical targets in the BDP
☐ EO or similar issuances organizing/reconstituting the BDC
with its composition compliant to Section 107 of RA 7160
☐ Minutes (at least 2) of the public hearings/barangay
assemblies with attendance sheet
☐ Barangay Development Plan with BDC and SB
Resolutions adopting such
☐ CY 2022 Accomplishment Report of the BDP

OR

4.3.4 b) At least 50% fund utilization rate of the

CY 2022 BDP Budget

4.4 IMPLEMENTATION OF THE 4.4.1 Kasambahay Desk with designated
KASAMBAHAY LAW Kasambahay Desk Officer (KDO)
4.4.2 Maintenance/updating of a Kasambahay
Masterlist
4.5. FUNCTIONALITY OF THE 4.5.1 Organization of the Barangay Council for
BARANGAY COUNCIL FOR THE Protection of Children (BCPC) with its
PROTECTION OF CHILDREN composition compliant to the provisions of DILG
(BCPC) MC No. 2021-039
4.5.2 Attendance of the Members of the
Barangay Council for Protection of Children
(BCPC) to at least one (1) training/orientation
related to their functions not earlier than 2019
☐ EO or similar issuance designating a Kasambahay Desk
and a KDO
☐ Updated Kasambahay Report Form 2 (Kasambahay
Masterlist) as of December 2022
☐ Executive Order or similar issuance on the establishment
of Barangay Council for Protection of Children (BCPC)
☐ Certified true copy of any proof of training such as
Certificate of Completion and/or Participation (at least 1)

4.6 MECHANISM FOR GENDER
AND DEVELOPMENT (GAD)
4.7. MAINTENANCE OF 4.7.1 Updated RBI for two semesters of CY 2022 ☐ Accomplished RBI Form A of two semesters of CY 2022
UPDATED RECORD OF
BARANGAY INHABITANTS (RBIs)
Essential Governance Area 2: Business-Friendliness and Competitiveness
5.1 POWER TO LEVY OTHER
TAXES, FEES OR CHARGES
5.2. COMPLIANCE TO SECTION
11 OF RA 11032 OR THE EASE
OF DOING BUSINESS ​
4.5.3 Approved BCPC Annual Work and ☐ Approved BCPC Annual Work and Financial Plan (AWFP)
Financial Plan
4.5.4 Database on Children disaggregated by ☐ Updated database on children
age, sex, ethnicity, with or with disabilities,
OSCY, etc. updated as of December 31, 2023
4.5.5 Updated Localized Flow Chart of Referral ☐ Updated Localized Flow Chart of Referral System
System not earlier than 2019
4.5.6 a) At least 50% completion rate on PPAs in ☐ CY 2022 Approved Accomplishment Report on BCPC Plan
the BCPC Plan
OR
4.5.6 b) At least 50% utilization rate of CY 2022
BCPC AWFP Budget
4.6.1 Organized Barangay GAD Focal Point ☐ EO or similar issuance organizing the Barangay GAD
System Focal Point System
5.1.1 Enacted Barangay Tax Ordinance pursuant ☐ Enacted Barangay Tax Ordinance
to Sec. 129 of the LGC
5.2.1 Enacted Barangay Ordinance relative to ☐ Enacted Barangay Ordinance relative to Barangay
Barangay Clearance fees on business permit Clearance Fees on business permit and locational clearance
and locational clearance for building permit for building permit.
pursuant to DILG MC No. 2019-177
5.2.2 Approved resolution authorizing the ☐ Approved resolution authorizing the City/Municipal
City/Municipal Treasurer to collect fees for Treasurer to collect fees for Barangay Clearance for Business
Barangay Clearance for Business permit and permit and locational clearance purpose
locational clearance purposes pursuant to DILG
MC No. 2019-177
5.3 ISSUANCE OF BARANGAY 5.3.1 Presence of a Citizens’ Charter on the ☐ Photo documentation of the Citizens’ Charter on the
CLEARANCE NOT COVERED BY issuance of barangay clearance posted in the issuance of barangay clearance only (name of the barangay
DILG MC NO. 2019-177 SUCH AS: barangay hall should be visible)
RESIDENCY, INDIGENCY, ETC,
WITHIN SEVEN (7) WORKING
DAYS

Essential Governance Area 3: Environmental Management

6.1.FUNCTIONALITY OF THE 6.1.1 Organized BESWMC with composition ☐ EO or similar issuance on the organization of the
BARANGAY ECOLOGICAL SOLID compliant to DILG MC No. 2018-112 BESWMC
WASTE MANAGEMENT 6.1.2 Approved Solid Waste Management ☐ Approved Solid Waste Management Program/Plan with
COMMITTEE (BESWMC) Program/Plan with corresponding fund allocation corresponding fund allocation

6.1.3 Attendance of BESWMC to necessary ☐ Certified true copy of any proof of training such as
training related activities to promoting Certificate of Completion and/or Participation (at least 1)
environmental protection, preservation and
awareness not earlier than 2019
6.1.4 a) At least 50% completion rate on PPAs in ☐ Monthly Accomplishment Reports for 2022
the BESWMP
OR
6.1.4 b) At least 50% utilization rate of CY 2022
BESWM Budge
6.2 EXISTENCE OF A SOLID 6.2.1 Presence of a Materials Recovery Facility ☐ For MRF operated by the barangay: Photo documentation
WASTE MANAGEMENT FACILITY (MRF)/ Materials Recovery System (MRS) of the MRF/MRF Records of the barangay
PURSUANT TO R.A. 9003
-Established MRF operated by the barangay For MRS:
-MRS ☐MOA with junkshop
-Clustered MRF ☐Mechanism to process biodegradable wastes
☐MOA with service provider for collection/treatment of
special, hazardous, and infectious waste

For Clustered MRFs:

☐MOA with the host barangay (applicable for barangay-
clustered MRFs)
☐MOA or LGU document indicating coverage of
city/municipal MRF (applicable for barangays clustered to the
Central MRF of City/Municipality)
6.3 PROVISION OF SUPPORT 6.3.1 Enacted Barangay Ordinance or similar ☐ Ordinance or similar issuance on segregation of wastes at-
MECHANISMS FOR issuance on segregation of wastes at-source source
SEGREGATED COLLECTION covering 2022

This is to respectfully submit the attached Means of Verifications (MOVs) for the purpose of the Seal of Good Local Governance for
Barangay (SGLGB) assessment.
SUBMITTED BY:

PRINTED NAME AND SIGNATURE OF THE PUNONG BARANGAY

NAME OF BARANGAY

RECEIVED BY:

CITY/MUNICIPAL PERFORMANCE ASSESSMENT TEAM SECRETARIAT

DATE RECEIVED: