2023 SGLGB Form 2 Data Capture Form DCF

2023 SEAL OF GOOD LOCAL GOVERNANCE FOR BARANGAY
Year Under Review: CY 2022 SGLGB Form No. 2

Data Capture Form
BARANGAY:
CITY/MUNICIPALITY:
PROVINCE:
REGION:
Core Governance Area No. 1:

Financial Administration and Sustainability
1.1 Compliance with the Barangay Full Disclosure Policy (BFDP)

MINIMUM REQUIREMENT MEANS OF VERIFICATION
1.1.1 Posted the following CY 2022 financial documents in the BFDP BFDP Monitoring Form A of the DILG Advisory dated
board, pursuant to DILG MC No. 2014-81 and DILG MC No. 2022- March 25, 2022
027:
Photo Documentation of the BFDP board displaying the

Instruction: Put a check ✓ on the box that following documents:
YES NO corresponds to your assessment.
ANNUAL REPORT
ANNUAL REPORT a. Barangay Financial Report
a. Barangay Financial Report; b. Barangay Budget;
b. Barangay Budget; c. Summary of Income and Expenditures;
c. Summary of Income and Expenditures; d. 20% Component of the NTA Utilization;
d. 20% Component of the NTA Utilization; e. Annual Procurement Plan or Procurement List;
e. Annual Procurement Plan or Procurement List;

QUARTERLY REPORT
QUARTERLY REPORT f. List of Notices of Award (4th Quarter of CY 2022);
f. List of Notices of Award (4th Quarter of CY

and
2022); and
MONTHLY REPORT MONTHLY REPORT
g. Itemized Monthly Collections and g. Itemized Monthly Collections and Disbursements

Disbursements (Oct-Dec, CY 2022). (Oct-Dec, CY 2022).
October 2022
November 2022
December 2022
1.1.2 Accomplished prescribed BFR form with the "stamp receipt" of the Barangay Financial Report on Statement of Receipt and
Office of the C/M Accountant. Expenditure (Annex 7)
YES NO Instruction: Put a check ✓ on the box that

corresponds to your assessment.
PROCESSING OF RESULTS REMARKS

YES NO
Met all the minimum requirements on
Compliance with the Barangay Full Disclosure
Policy (BFDP)?
Met all the minimum requirements on
Compliance with the Barangay Full Disclosure
Policy (BFDP)?
1.2. Innovations on revenue generation or exercise of corporate powers

1.2.1 Increase in local resources in 2022.

Barangay Budget Preparation Form 2 of 2021 and 2022
YES NO
Instruction: Put a check ✓ on the box that
To compute for the percentage increase in local resources:
Total amount obtained from local resources in CY 2022 - Total
amount obtained from local resources in CY 2021 = n
(n / Total amount obtained from local resources in 2021) x 100 =

percentage increase in local resources
Total amount obtained from local resources in:

CY 2021:
CY 2022:
Percentage Increase:

YES NO
Met the minimum requirement on innovations
on revenue generation or exercise of corporate
powers?
1.3. Approval of the Barangay Budget on the Specified Timeframe

1.3.1 Presence of a Barangay Appropriation Ordinance approved on or Approved Barangay Appropriation Ordinance
before December 31, 2021.
YES NO Instruction: Put a check ✓ on the box that Date of Approval:

Approved on or before December 31, 2021
Approved within January 1, 2022 - March 31,

2022 (Consideration)

YES NO
Met the minimum requirement on 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
Approved Barangay Appropriation Ordinance

1.4.1 With allocated funds for the following 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 NTA is allocated for
development programs (DILG-DBM JMC No.
2017-01);
d. At least 1% of the NTA for the Barangay

Council for the Protection of Children (BCPC) per
RA 9344;
e. At least 5% from total budget allocated for

GAD plans and programs per RA 9710.

YES NO
Met the minimum requirement on Allocation for
Statutory Programs and Projects as Mandated
by Laws and/or Other Issuances?
1.5. Posting of the Barangay Citizens’ Charter (CitCha)

1.5.1 Barangay Citizens’ Charter posted at a conspicuous place. (e.g., Photo documentation of the Barangay CitCha (name of
barangay hall, market, transport terminal or multi-purpose hall) the barangay should be visible)
YES NO

YES NO
Met the minimum requirement on the posting
of Barangay CitCha?
1.6. Release of the Sangguniang Kabataan (SK) Funds by the Barangay

1.6.1
Compliance with Section 20 of the SK Reform Act of 2015 and Item
3.2 of DBM-DILG-NYC JMC No. 1, s. 2019 dated January 23, 2019:

MOVs for 1.6.1.1:
a) Copy of the written agreement; and

1.6.1.1. If the barangay is with Barangay-SK
Agreement for the annual or semestral or
quarterly release/deposit:
b) Proof of deposit reflecting the Account No./ Name of
Barangay SK (1 deposit slip for annual, 2 deposit slips
for semestral, 4 deposit slips for quarterly
MOV for 1.6.1.2:
a) 12 monthly deposit slips reflecting the Account No./

1.6.1.2. If the barangay is without an agreement Name of Barangay SK
with the SK, but with current account:
MOV for 1.6.1.3:
1.6.1.3. If the barangay is without SK Officials or

with SK Officials but no quorum and/or No SK
Bank Account:
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.
MOV for 1.6.2:
1.6.2 Presence of Approved Annual Barangay Youth Investment Program Certification from the C/MLGOO on current number of
(ABYIP) for CY 2022 SK officials
(Applicable only for Barangays with 5 and above SK

officials; NA if 4 and below SK Officials) Please supply information
Total Number of SK Officials:
YES NO NA
corresponds to your assessment. If with 5 and above SK officials:
Approved Annual Barangay Youth Investment Program

(ABYIP) for 2022

YES NO
Met all minimum requirements on Release of
the Sangguniang Kabataan (SK) Funds by the
Barangay?
1.7. Conduct of Barangay Assembly for CY 2022 (2nd Semester)

1.7.1 Conducted the 2nd semester Barangay Assembly for CY 2022 Post Activity Report on the conduct of the 2nd
( via any modality, i.e., online, face-to-face, hybrid).
semester barangay assembly duly signed/approved by
the Punong Barangay (Annex D of DILG MC No. 2022-
131)
YES NO

YES NO
Met the minimum requirement on Conduct of
Barangay Assembly for CY 2022 (2nd Semester)?
End of Core Governance Area No. 1: Financial Administration and Sustainability

Data Capture Form
BARANGAY:
CITY/MUNICIPALITY:
PROVINCE:
REGION:

Disaster Preparedness
2.1. Functionality of the Barangay Disaster Risk Reduction and Management Committee (BDRRMC)
Established BDRRMC with its composition compliant to the
2.1.1 Provisions of NDRRMC, DILG, DBM, and CSC JMC No. 2014-01 Executive Order or similar issuance creating the
BDRRMC compliant to composition requirements
covering CY 2022.
YES NO
Instruction: Put a check ✓ on the box that Date of EO or similar issuance:
Approved Barangay Disaster Risk Reduction and Management Approved BDRRM Plan CY 2022
2.1.2 (BDRRM) Plan covering CY 2022
Coverage Year:
YES NO
Allocation of 5% of the Estimated Revenue from Regular Sources Enacted Appropriation Ordinance
2.1.3 as BDRRM Fund
YES NO
Instruction: Put a check ✓ on the box that To compute % allocation for BDRRMF:
corresponds to your assessment. (BDRRMF Allocated / Estimated Total Revenue from Regular Sources)
x 100
Please supply the following information:
Estimated revenue
from regular sources:
Amount of BDRRMF
for FY 2022:
Percent-allocation for
BDRRMF:
2.1.4 Physical/Financial Accomplishment:

Accomplishment Report
YES NO corresponds to your assessment. To compute Physical Accomplishment Rate:
a. At least 50% accomplishment of the physical (Total number of activities/projects accomplished / Total number of
targets in the BDRRM Plan activities/projects reflected in the BDRRM plan) x 100

% of programs, project, and activities are completed
OR
Annual Report on the utilization of the LDRRMF
To compute % utilization:
b. At least 50% fund utilization of the 70% (Total Amount Utilized)/(Total Amount Allocated) x 100
component of CY 2022 BDRRMF - Preparedness
component as of December 31, 2022.
Amount utilized (as of Dec. 31,
2022):
Amount allocated for LDRRMF CY
2022 (Preparednessfor
Percent-utilization component):
BDRRMF:

YES NO
Met all minimum requirements on the
Functionality of the Barangay Disaster Risk
Reduction and Management Committee
(BDRRMC)?
2.2. Extent of Risk Assessment and Early Warning System (EWS)

2.2.1 Conducted an activity in relation to Risk Assessment in the Post-Activity Report of activities such as Climate and
barangay not earlier than 2019 Disaster Risk Assessment, Participatory Disaster Risk
Assessment, BDRRM Planning, etc.
YES NO
Instruction: Put a check ✓ on the box that Please supply the following information:
Activity Title:
Date of Activity:
2.2.2 A certified Barangay Risk/Hazard Map Photo documentation of the certified Barangay
Risk/Hazard Map
YES NO
2.2.3 An established Early Warning System for at least the top two (2) Photo documentation of EWS for the top two (2)
hazards present in the barangay hazards in the barangay
YES NO TOP 1 Hazard:

TOP 2 Hazard:

YES NO
Met all minimum requirements on the Extent
of Risk Assessment and Early Warning System
(EWS)?
2.3. Extent of Preparedness For Effective Response And Recovery

2.3.1 A barangay must have a permanent or alternate evacuation Photo documentation of the permanent/alternate
center evacuation center
YES NO Please supply the following information:

Permanent evacuation center Location:

OR
Alternate evacuation center Location:
2.3.2
A barangay must have the following disaster supplies/equipment: Photo Documentation of disaster supplies equipment

a. Communication equipment (i.e., 2 way

radio,mobile phone)
b. Rescue vehicle/Barangay patrol
c. Generator set/alternative sources of energy
d. First aid kit
e. Flashlight with batteries
f. Personal Protective Equipment (PPE)

YES NO
Met all minimum requirements on the Extent
of Preparedness For Effective Response And
Recovery?
End of Core Governance Area No. 2: Disaster Preparedness

2023 SEAL OF GOOD LOCAL GOVERNANCE FOR BARANGA
Data Capture Form
BARANGAY:
CITY/MUNICIPALITY:
PROVINCE:
REGION:

Safety, Peace and Order
3.1. Functionality of the Barangay Anti-Drug Abuse Council (BADAC)

3.1.1 Organized BADAC with its composition and appropriate Executive Order or similar issuance creating the
BADAC with its composition and appropriate
committees (Committees on Operations and on Advocacy)
committees (Committees on Operations and on
compliant to DILG-DDB JMC No. 2018-01 Advocacy)
YES NO
3.1.2 Established Rehabilitation Referral Desk with Designated EO or similar issuance establishing the
Duty Officer Rehabilitation Referral Desk
YES NO
3.1.3 Allocation of substantial amount for anti-illegal drugs Approved Barangay Appropriation Ordinance
initiative
YES NO
3.1.4 Approved BADAC Plan of Action covering 2022 as year under Approved BADAC Plan of Action
review
YES NO
3.1.5 Submission of Consolidated Information Report (CIR) to Transmittal of CIR (stamp received) to
CADAC/MADAC and Local PNP Unit. CADAC/MADAC and Local PNP Unit
YES NO
Annual BADAC Accomplishment and Fund
Utilization Report submitted not later than the
20th day of January (stamp received) to the
CADAC/MADAC
To compute Physical Accomplishment Rate:
(Total number of activities/projects accomplished / Total
a. At least 50% accomplishment of the number of activities/projects reflected in the BADAC Plan
physical targets in the BADAC Plan of of Action) x 100
Action

OR
b. At least 50% fund utilization rate of the To compute % utilization:
PAPs in the BADAC Plan of Action (Total Amount Utilized)/(Total Amount Allocated) x 100

Amount utilized (as of
Dec. 31, 2022):
Amount allocated for
BADAC PAPs:
Percent-
utilization:

YES NO
Functionality of the Barangay Anti-Drug
Abuse Council (BADAC)?
3.2. Functionality of the Barangay Peace and Order Committee (BPOC)

3.2.1 Organized BPOC through an Executive Order or Sangguniang Executive Order or similar issuance indicating
Barangay Resolution, with its composition compliant to the correct membership in accordance to the EO
provisions of EO 366 s. of 1996 366 s. of 1996
YES NO
3.2.2 Approved Barangay Peace and Order and Public Safety Approved BPOPS Plan
(BPOPS) Plan in accordance to DILG MC 2017-142 covering
2022 as year under review
YES NO

Accomplishment Report (in any format)
submitted to the C/M POC on the prescribed
schedules (stamp received)
a. At least 50% accomplishment of the To compute Physical Accomplishment Rate:

(Total number of activities/projects accomplished / Total
physical targets in the BPOPS Plan number of activities/projects reflected in the BPOPS Plan)
x 100
OR
b. At least 50% fund utilization rate of the To compute % utilization:
PAPs in the BPOPs Plan (Total Amount Utilized)/(Total Amount Allocated) x 100

Amount utilized
(as of Dec. 31, 2022):
Amount allocated for
Peace
Percent-and Order PAPs:
utilization:

YES NO
Functionality of the Barangay Peace and
Order Committee (BPOC)?
3.3. Functionality of the Lupong Tagapamayapa (LT)

3.3.1 Organized Lupong Tagapamayapa Appointment of the Lupong Tagapamayapa
YES NO
3.3.2 Systematic maintenance of records (record of cases)

For barangays of cities: Computer For barangays of cities: 2 photos with caption of
database with searchable information the computer database with searchable
information
For barangays of municipalities: Manual For barangays of municipalities: 1 photo, with

Records (Case Record Book) OR Digital caption on the manual and digital file
Record Filing (scanned copy of KP files)
3.3.3 Copies of minutes of meetings with attendance

Conducted monthly meetings for the administration of the
sheets (at least 3 minutes covering meetings
Katarungang Pambarangay
conducted in 2022)
YES NO
3.3.4 Attendance of LT to KP training or seminar not earlier than Certified true copy of any proof of training such
2019 as Certificate of Completion and/or Participation
(at least 1)
YES NO

YES NO
Met the minimum requirement on
theFunctionality of the Lupong
Tagapamayapa (LT)?
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
YES NO
3.4.2 Attendance of barangay tanod to necessary training not Certified true copy of any proof of training such
earlier than 2019 as Certificate of Completion and/or Participation
(at least 1)
YES NO

YES NO
Organization and Strengthening Capacities
of Barangay Tanod?
3.5. Barangay Initiatives During Health Emergencies

3.5.1 Organized Barangay Health and Emergency Response Team EO or similar issuance on the organization of
(BHERT) with its composition compliant to the provisions of BHERTs
DILG MC No. 2020-023
YES NO
3.5.2 Poster or tarpaulin containing the active telephone and/or Photo documentation of poster and/or tarpaulin
cellphone Numbers of the Barangay, Punong Barangay and
BHERT Members posted in conspicuous public places within
the barangay jurisdiction
YES NO
YES NO
Barangay Initiatives During Health
Emergencies?
3.6. Conduct of Monthly Barangay Road Clearing Operations (BaRCO)

Monthly BarCo Reports for October-December

3.6.1 Conducted BaRCO on a monthly basis in 2022
2022
YES NO

YES NO
Conduct of Monthly Barangay Road
Clearing Operations (BaRCO)?
End of Core Governance Area No. 3: Safety, Peace and Order

ed
ed
Data Capture Form
BARANGAY:
CITY/MUNICIPALITY:
PROVINCE:
REGION:
Essential Governance Area No. 1:

Social Protection and Sensitivity
4.1. Functionality of Barangay Violence Against Women (VAW) Desk

4.1.1 Established Barangay VAW Desk and designated Barangay VAW Executive Order or similar issuance on the
Desk Officer establishment of Barangay VAW Desk and designated
VAW Desk Officer
YES NO
4.1.2 Attendance of the Barangay VAW Desk Officer to at least one (1) Certified true copy of any proof of training such as
training/orientation related to gender-sensitive handling of VAW Certificate of Completion and/or Participation (at least
Cases not earlier than 2019 1)
YES NO
4.1.3 Approved 2022 Barangay Gender and Development (GAD) Plan Approved 2022 Barangay Gender and Development
and Budget (GAD) Plan and Budget
YES NO
4.1.4 Monthly Accomplishment Reports for CY 2022

Submission of Monthly Accomplishment Reports on the incidence (October-December 2022)
of VAW and violence 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
Consideration: Submission of 4th Quarter Report of 2022 on the

incidence of VAW and VAC to C/MSWDO and C/MLGOO
YES NO
4.1.5 Updated database on VAW cases reported to the barangay, with Updated database on VAW cases reported to the
the following information at the minimum: barangay
YES NO
Total number of VAW cases received
Total number of cases documented for violating

RA 9262
Total number of cases documented for violating
other VAW-related laws
Assistance provided to victim-survivors
4.1.6 Physical/Financial Accomplishment: CY 2022 GAD Accomplishment Report

YES NO corresponds to your assessment. (Total number of activities/projects accomplished / Total number of
activities/projects reflected in the GAD Plan) x 100
a. At least 50% accomplishment of the physical Please supply the following information:
targets in the GAD Plan % of programs, project, and activities are completed
OR
b. At least 50% fund utilization rate of the CY To compute % utilization:
2022 GAD Budget (Total Amount Utilized)/(Total Amount Allocated) x 100

Amount utilized
(as of Dec. 31, 2022):
Amount allocated for GAD PAPs:

Percent-utilization:

YES NO
Functionality of Barangay Violence Against
Women (VAW) Desk?
4.2. Access to Health and Social Welfare Services in the Barangay

4.2.1 Presence of a Barangay Health Station/Center Photo documentation of the BHS/C
YES NO Instruction: Put a check ✓ on the box that

Barangay Health Station/Center operated by

the barangay
Clustered Clustered Health Station/Center

accessed by several barangays in a
city/municipality (Consideration)
4.2.2 Appointment of Barangay Health Worker (BHW) EO or similar issuance on the appointment of BHW
YES NO
4.2.3 Appointment of Barangay Nutrition Scholar (BNS) EO or similar issuance on the appointment of BNS
YES NO
4.2.4 Availability of health services in the Barangay Health

Station/Center (BHS/C): Photo documentations of the operations of the BHS/C
Instruction: Put a check ✓ on the box that Barangay Issuances on the provision of health services
a. Immunization
b. Maternal and child healthcare
c. Family Planning
d. Health Education

YES NO
Met all minimum requirements on the Access
to Health and Social Welfare Services in the
Barangay?
4.3. Functionality of the Barangay Development Council (BDC)

4.3.1 Organized BDC with its composition compliant to Section 107 of EO or similar issuance organizing the BDC with its
RA 7160 composition compliant to Section 107 of RA 7160
YES NO
4.3.2 Conducted public hearings/ barangay assemblies for public

consultation Minutes (at least 2) of the public hearings/barangay
assemblies with attendance sheet
YES NO
4.3.3 Approved Barangay Development Plan Barangay Development Plan with BDC and SB
Resolutions adopting such
YES NO
4.3.4 Physical/Financial Accomplishment: CY 2022 Accomplishment Report of the BDP

activities/projects reflected in the BDP) x 100
targets in the BDP % of programs, project, and activities are completed
OR
2022 BDP Budget (Total Amount Utilized)/(Total Amount Allocated) x 100

Amount utilized
(as of Dec. 31, 2022):
Amount allocated for PAPs in the
BDP:

YES NO
Functionality of the Barangay Development
Council (BDC)?
Functionality of the Barangay Development
Council (BDC)?
4.4. Implementation of the Kasambahay Law

4.4.1 Kasambahay desk with a designated Kasambahay Desk Officer EO or similar issuance designating a Kasambahay Desk
(KDO) and a KDO
YES NO
4.4.2 Maintenance/updating of Kasambahay Masterlist Updated Kasambahay Report Form 2 (Kasambahay

Masterlist) as of December 2022
YES NO

YES NO
Implementation of the Kasambahay Law?
4.5. Functionality of the Barangay Council for the Protection of Children (BCPC)
4.5.1 Organization of the Barangay Council for Protection of Children Executive Order or similar issuance on the
(BCPC) with its composition compliant to the provisions of DILG establishment Barangay Council for Protection of
MC No. 2021-039 Children (BCPC)
YES NO
4.5.2 Certified true copy of any proof of training such as

Attendance of the Members of the Barangay Council for Certificate of Completion and/or Participation (at least
Protection of Children (BCPC) to at least one (1) 1)
training/orientation related to their functions not earlier than
2019
YES NO
4.5.3 Approved BCPC Annual Work and Financial Plan Approved BCPC Annual Work and Financial Plan (AWFP)
YES NO
4.5.4 Database on Children disaggregated by age, sex, ethnicity, with or Updated database on children
with disabilities, OSCY, etc. updated as of December 31, 2022
YES NO
4.5.5 Updated Localized Flow Chart of Referral System not earlier than Updated Localized Flow Chart of Referral System
2019
YES NO
4.5.6 Physical/Financial Accomplishment: CY 2022 Approved Accomplishment Report on BCPC

Plan
activities/projects reflected in the BCPC Plan) x 100
a. At least 50% completion rate on PPAs in the Please supply the following information:
BCPC Plan % of programs, project, and activities are completed
OR
b. At least 50% utilization rate of CY 2022 BCPC To compute % utilization:
AWFP Budget (Total Amount Utilized)/(Total Amount Allocated) x 100

Amount utilized
(as of Dec. 31, 2022):
BCPC Plan:

YES NO
Functionality of the Barangay Council for the
Protection of Children (BCPC)?
4.6. Mechanism for Gender and Development (GAD)

4.6.1 Organized Barangay GAD Focal Point System EO or similar issuance organizing the Barangay GAD
Focal Point System
YES NO

YES NO
Met the minimum requirement on the
Mechanism for Gender and Development
(GAD)?
4.7. Maintenance of Updated Record of Barangay Inhabitants (RBIs)

4.7.1 Updated RBI for two semesters of CY 2022 Accomplished RBI Form A of two semesters of CY 2022
YES NO

YES NO
Maintenance of Updated Record of Barangay
Inhabitants (RBIs)?
4.8. Functionality of the Barangay Nutrition Committee (BNC)

4.8.1 Organization of the Barangay Nutrition Committee (BNC) EO or similar issuance organizing the Barangay Nutrition
Committee (BNC)
YES NO
Instruction: Put a check ✓ on the box that Date of EO or similar issuance:
4.8.2 Presence of Barangay Nutrition Action Plan (BNAP) Accomplished Barangay Nutrition Action Plan (BNAP) of
CY 2022
YES NO
Instruction: Put a check ✓ on the box that Coverage Year:
4.8.3 Decrease in Malnutrition Rate in the barangay Report on Operation Timbang (OPT) Plus of CY 2021
and 2022
YES NO
corresponds to your assessment. To compute for the percentage decrease in malnutrition rate:
(Malnutrition Rate for CY 2021) - (Malnutrition Rate for CY 2022)

/(Malnutrition Rate for CY 2021) x 100
CY 2021:
CY 2022:
Percentage Decrease:
4.8.4 Physical/Financial Accomplishment: CY 2022 Accomplishment Report of the BNAP

activities/projects reflected in the BNAP) x 100
targets in the BNAP % of programs, project, and activities are completed
OR
2022 BNAP Budget (Total Amount Utilized)/(Total Amount Allocated) x 100

Amount utilized
(as of Dec. 31, 2022):
BNAP:

YES NO
Functionality of the Barangay Nutrition
Committee (BNC)?
End of Essential Governance Area No. 1: Social Protection and Sensitivity

Data Capture Form
BARANGAY:
CITY/MUNICIPALITY:
PROVINCE:
REGION:

Business Friendliness and Competitiveness
5.1. Power to Levy Other Taxes, Fees, or Charges

5.1.1 Enacted Barangay Tax Ordinance pursuant to Sec. 129 of the LGC Enacted Barangay Tax Ordinance
YES NO

YES NO
Met the minimum requirement on the Power
to Levy Other Taxes, Fees, or Charges?
5.2. Compliance to Section 11 of RA 11032 of the Ease of Doing Business Law

5.2.1 Enacted Barangay Ordinance relative to Barangay Clearance fees

Enacted Barangay Ordinance relative to Barangay
on business permit and locational clearance for building permit Clearance Fees on business permit and locational
pursuant to DILG MC No. 2019-177 clearance for building permit, in accordance with MC
No. 2019-177.
YES NO
5.2.2
Approved resolution authorizing the City/Municipal Treasurer to Approved resolution authorizing the City/Municipal
collect fees for Barangay Clearance for Business permit and Treasurer to collect fees for Barangay Clearance for
locational clearance purposes pursuant to DILG MC No. 2019-177. Business permit and locational clearance purposes.
YES NO

YES NO
Compliance to Section 11 of RA 11032 of the
Ease of Doing Business Law?
5.3. Issuance of Barangay Clearance not covered by DILG MC No. 2019-177 such as: residency, indigency, etc, within seven (7) working days
5.3.1 Presence of a Citizens’ Charter on the issuance of barangay Photo documentation of the Citizens’ Charter on the
clearance posted in the barangay hall issuance of barangay clearance only (name of the
barangay should be visible)
Photo documentation of the Citizens’ Charter on the
issuance of barangay clearance only (name of the
barangay should be visible)
YES NO

YES NO
Issuance of Barangay Clearance not covered by
DILG MC No. 2019-177 such as: residency,
indigency, etc, within seven (7) working days?
End of Essential Governance Area No. 2: Business Friendliness and Competitiveness

Data Capture Form
BARANGAY:
CITY/MUNICIPALITY:
PROVINCE:
REGION:

Environmental Management
6.1. Functionality of the Barangay Ecological Solid Waste Management Committee (BESWMC)
6.1.1 Organized BESWMC with composition compliant to DILG MC No. EO or similar issuance on the organization of the
2018-112 BESWMC
YES NO
6.1.2 Approved Solid Waste Management Program/Plan with

Approved Solid Waste Management Program/Plan with
corresponding fund allocation corresponding fund allocation
YES NO
6.1.3 Certified true copy of any proof of training such as

Attendance of BESWMC to necessary training relative to Certificate of Completion and/or Participation (at least
promoting environmental protection, preservation and awareness 1)
not earlier than 2019
YES NO
6.1.4 Physical/Financial Accomplishment: Monthly Accomplishment Reports for 2022

activities/projects reflected in the BESWMP) x 100
a. At least 50% completion rate on PPAs in the Please supply the following information:
BESWMP % of programs, project, and activities are completed
OR
b. At least 50% utilization rate of CY 2022 To compute % utilization:
BESWM Budget (Total Amount Utilized)/(Total Amount Allocated) x 100

Amount utilized
(as of Dec. 31, 2022):
BESWM Plan:

YES NO
Functionality of the Barangay Ecological Solid
Waste Management Committee (BESWMC)?
Functionality of the Barangay Ecological Solid
Waste Management Committee (BESWMC)?
6.2. Existence of a Solid Waste Management Facility Pursuant to R.A. 9003

6.2.1 Presence of a Materials Recovery Facility (MRF)/ Materials

Recovery System (MRS)

Established MRF operated by the barangay For MRF operated by the barangay:
Photo documentation of the MRF/MRF Records of the
barangay
MRS For MRS:

MOA with junkshop;
Mechanism to process biodegradable wastes;
MOA with service provider for collection/treatment of

special, hazardous, and infectious waste
Clustered MRF 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)

YES NO
Existence of a Solid Waste Management
Facility Pursuant to R.A. 9003?
6.3. Provision of Support Mechanisms for Segregated Collection

6.3.1 Enacted Barangay Ordinance or similar issuance on segregation of Ordinance or similar issuance on segregation of wastes
wastes at-source at-source
YES NO

YES NO
Provision of Support Mechanisms for
Segregated Collection?
End of Essential Governance Area No. 3: Environmental Management

Data Capture Form
CERTIFICATION
I hereby certify that all information contained in this assessment report are true and correct, and are
correspondingly supported by MOVs as reviewed by the undersigned.
City/Municipal SGLGB Assessor
Name and Signature of the SGLGB Assessor (City Director/C/MLGOO)

2023 SGLGB Form 2 Data Capture Form DCF

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2023 SEAL OF GOOD LOCAL GOVERNANCE FOR BARANGAY

Year Under Review: CY 2022 SGLGB Form No. 2

Core Governance Area No. 1:

1.1 Compliance with the Barangay Full Disclosure Policy (BFDP)

Photo Documentation of the BFDP board displaying the

a. Barangay Financial Report; b. Barangay Budget;

b. Barangay Budget; c. Summary of Income and Expenditures;

c. Summary of Income and Expenditures; d. 20% Component of the NTA Utilization;

e. Annual Procurement Plan or Procurement List;

QUARTERLY REPORT f. List of Notices of Award (4th Quarter of CY 2022);

f. List of Notices of Award (4th Quarter of CY

MONTHLY REPORT MONTHLY REPORT

g. Itemized Monthly Collections and g. Itemized Monthly Collections and Disbursements

YES NO Instruction: Put a check ✓ on the box that

PROCESSING OF RESULTS REMARKS

1.2. Innovations on revenue generation or exercise of corporate powers

1.2.1 Increase in local resources in 2022.

(n / Total amount obtained from local resources in 2021) x 100 =

Total amount obtained from local resources in:

PROCESSING OF RESULTS REMARKS

1.3. Approval of the Barangay Budget on the Specified Timeframe

YES NO Instruction: Put a check ✓ on the box that Date of Approval:

Approved on or before December 31, 2021

Approved within January 1, 2022 - March 31,

PROCESSING OF RESULTS REMARKS

Approved Barangay Appropriation Ordinance

Instruction: Put a check ✓ on the box that

a. Senior Citizens (per R.A. 9994 and DBM Local

b. Persons with Disability (per R.A. 7277 and

d. At least 1% of the NTA for the Barangay

e. At least 5% from total budget allocated for

PROCESSING OF RESULTS REMARKS

1.5. Posting of the Barangay Citizens’ Charter (CitCha)

PROCESSING OF RESULTS REMARKS

1.6. Release of the Sangguniang Kabataan (SK) Funds by the Barangay

Instruction: Put a check ✓ on the box that

a) Copy of the written agreement; and

MOV for 1.6.1.2:

a) 12 monthly deposit slips reflecting the Account No./

MOV for 1.6.1.3:

1.6.1.3. If the barangay is without SK Officials or

(Applicable only for Barangays with 5 and above SK

Approved Annual Barangay Youth Investment Program

PROCESSING OF RESULTS REMARKS

1.7. Conduct of Barangay Assembly for CY 2022 (2nd Semester)

PROCESSING OF RESULTS REMARKS

End of Core Governance Area No. 1: Financial Administration and Sustainability

Core Governance Area No. 2:

Please supply the following information:

2.1.4 Physical/Financial Accomplishment:

Please supply the following information:

Annual Report on the utilization of the LDRRMF

PROCESSING OF RESULTS REMARKS

2.2. Extent of Risk Assessment and Early Warning System (EWS)

YES NO TOP 1 Hazard:

PROCESSING OF RESULTS REMARKS

2.3. Extent of Preparedness For Effective Response And Recovery

YES NO Please supply the following information:

Permanent evacuation center Location:

Instruction: Put a check ✓ on the box that

a. Communication equipment (i.e., 2 way

c. Generator set/alternative sources of energy

d. First aid kit