SGLGB Form No.

2023 Seal of Good Local Governance for Barangay (SGLGB)

Barangay Documentary Checklist and Certification Page

BARANGAY:
CITY/MUNICIPALITY:
PROVINCE:
REGION:

INDICATORS
1.1 COMPLIANCE WITH THE
BARANGAY FULL DISCLOSURE
POLICY (BFDP) BOARD
DOCUMENTARY CHECKLIST
MINIMUM REQUIREMENT MOVs Data Source Remarks
Core Governance Area 1: Financial Administration and Sustainability
1.1.1 Posted the following CY 2022 financial ☐ BFDP Monitoring Form A of the DILG Advisory dated
documents in the BFDP board, pursuant to DILG March 25, 2022
MC No. 2014-81 and DILG MC No. 2022-027: ☐ Photo Documentation of the BFDP board displaying
the nine documents:

Annual Report Annual Report

a) Barangay Financial Report
b) Barangay Budget
c) Summary of Income and Expenditures
d) 20% Component of the NTA Utilization
e) Annual Procurement Plan or Procurement List
☐ Barangay Financial Report
☐ Barangay Budget
☐ Summary of Income and Expenditures
☐ 20% Component of the NTA Utilization
☐ Annual Procurement Plan or Procurement List

Quarterly Report Quarterly Report

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

Monthly Report Monthly Report

☐ Itemized Monthly Collections and Disbursements
g) Itemized Monthly Collections and Disbursements (October-December 2022)
(October-December 2022)
 1.1.2 Accomplished prescribed BFR form with the ☐ Barangay Financial Report on Statement of Receipt
"stamp receipt" of the Office of the C/M Accountant. and Expenditure (Annex 7)

1.2 INNOVATIONS ON REVENUE 1.2.1 Increase in local resources in 2022 ☐ Barangay Budget Preparation Form 2 of 2021 and
GENERATION OR EXERCISE OF 2022
CORPORATE POWERS

1.3 APPROVAL OF THE BARANGAY 1.3.1 Presence of a Barangay Appropriation ☐ Approved Barangay Appropriation Ordinance
BUDGET ON THE SPECIFIED Ordinance approved on or before December 31,
TIMEFRAME 2021.

Consideration: Approval until March 31, 2022.

1.4 ALLOCATION FOR STATUTORY 1.4.1 With allocated funds for the following ☐ Approved Barangay Appropriation Ordinance with
PROGRAMS AND PROJECTS AS statutory programs and projects: allocated funds for the following statutory programs and
MANDATED BY LAWS AND/OR projects:
OTHER ISSUANCES a) Senior Citizens (per R.A. 9994 and DBM Local
Budget Memorandum No. 82);
☐ Senior Citizens (per R.A. 9994 and DBM Local
b) Persons with Disability (per R.A. 9442 and DBM Budget Memorandum No. 82);
Local Budget Memorandum No. 82);
☐ Persons with Disability (per R.A. 9442 and DBM
c) At least 20% of the NTA is allocated for Local Budget Memorandum No. 82);
development programs (DILG-DBM JMC No. 2017-
01); ☐ 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; ☐ At least 1% of the NTA for the Barangay Council for
and, the Protection of Children (BCPC) per RA 9344; and,

e) At least 5% from total budget allocated for GAD ☐ At least 5% from total budget allocated for GAD
plans and programs per RA 9710. plans and programs per RA 9710.

1.5 POSTING OF THE BARANGAY 1.5.1 Barangay Citizens’ Charter posted at a ☐ Photo documentation of the Barangay CitCha (name
CITIZEN’S CHARTER (CitCha) conspicuous place (barangay hall, market, transport of the barangay should be visible)
terminal or multi-purpose hall)

1.6 RELEASE OF THE 1.6.1 Compliance with Section 20 of the SK Reform

SANGGUNIANG KABATAAN (SK)
FUNDS OF THE BARANGAY
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
☐ 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
SANGGUNIANG KABATAAN (SK)
FUNDS OF THE BARANGAY MOVs for 1.6.1.1:
☐ a) Copy of the written agreement; and
☐ 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
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- MOV for 1.6.1.2:
SK Agreement but with current account: ☐ a) 12 monthly deposit slips reflecting the Account
No./ Name of Barangay SK

1.6.1.3 If the barangay does not have SK Officials ☐ a) Proof of transfer of the 10% SK fund to the trust
or with SK Officials but no quorum and/or No SK fund of the barangay such as deposit slip or Official
Bank Account: 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

1.6.2 Presence of Annual Barangay Youth ☐ Certification from the C/MLGOO on current number
Investment Program (ABYIP) for 2022 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
ASSEMBLY FOR CY 2022 (2ND Assembly for CY 2022 (any modality, i.e., online, semester barangay assembly duly signed/approved by
SEMESTER) face-to-face, hybrid) the Punong 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
BARANGAY DISASTER RISK compliant to the Provisions of NDRRMC, DILG, BDRRMC compliant to composition requirements
REDUCTION AND MANAGEMENT DBM, and CSC JMC No. 2014-01 covering CY 2022.
COMMITTEE (BDRRMC)
2.1 FUNCTIONALITY OF THE
BARANGAY DISASTER RISK
REDUCTION AND MANAGEMENT
COMMITTEE (BDRRMC)
2.2 EXTENT OF RISK ASSESSMENT 2.2.1 Conducted an activity in relation to Risk
AND EARLY WARNING SYSTEM
(EWS)
2.3 EXTENT OF PREPAREDNESS
FOR EFFECTIVE RESPONSE AND
RECOVERY
2.1.2 Approved Barangay Disaster Risk Reduction ☐ Approved BDRRM Plan covering CY 2022
and Management (BDRRM) Plan covering CY 2022
2.1.3. Allocation of 5% of the Estimated Revenue
from Regular Sources as BDRRM Fund
2.1.4 a) At least 50% accomplishment of the
physical targets in the BDRRM Plan
OR
2.1.4 b) At least 50% fund utilization of the 70%
component of CY 2022 BDRRMF - Preparedness
component as of December 31, 2022.
Assessment in the barangay not earlier than 2019
2.2.2 A certified Barangay Risk/Hazard Map
2.2.3 An established Early Warning System for the ☐ Photo documentation of EWS for the top two (2)
top two (2) hazards present in the barangay
2.3.1. A barangay must have a permanent or
alternate evacuation center
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) Generator set/alternative sources
of energy
d) First aid kit
e) Flashlight with batteries
f) Personal Protective Equipment
(PPE)
☐ Enacted Appropriation Ordinance
☐ Accomplishment Report
☐ Annual Report on the utilization of the BDRRMF
☐ 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
hazards in the barangay
☐ Photo documentation of the permanent or 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
BARANGAY ANTI-DRUG ABUSE appropriate committees (Committees on Operations BADAC with its composition and appropriate
COUNCIL (BADAC) and on Advocacy) compliant to DILG-DDB JMC No. committees (Committees on Operations and on
2018-01 Advocacy)

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

3.1.3 Allocation of substantial amount for anti-illegal ☐ Approved Barangay Appropriation Ordinance
drugs initiative

3.1.4 Approved BADAC Plan of Action covering CY ☐ Approved BADAC Plan of Action
2022

3.1.5 Submission of Consolidated Information ☐ Transmittal of CIR (stamp received) to

Report (CIR) to CADAC/MADAC and Local PNP CADAC/MADAC and Local PNP Unit
Unit

3.1.6 a) At least 50% accomplishment of the ☐ Annual BADAC Accomplishment and Fund Utilization
physical targets in the BADAC Plan of Action Report submitted not later than the 20th day of January
(stamp received) to the CADAC/MADAC
OR

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

PAPs in the CY 2022 BADAC Budget

3.2 FUNCTIONALITY OF THE 3.2.1. Organized BPOC with its composition ☐ Executive Order or similar issuance indicating correct
BARANGAY PEACE AND ORDER compliant to the provisions of EO 366 s. of 1996 membership in accordance to the EO 366 s. of 1996
COMMITTEE (BPOC)

3.2.2 Approved Barangay Peace and Order and ☐ Approved BPOPS Plan
Public Safety (BPOPS) Plan in accordance to DILG
MC 2017-142 covering CY 2022

3.2.3 a) At least 50% accomplishment of the ☐ Accomplishment Report (in any format) submitted to
physical targets in the BPOPS Plan the C/M POC on the prescribed schedules (stamp
received)
OR

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

3.3.2. Systematic maintenance of records 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
(Case Record Book) OR Digital Record Filing on 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
administration of the Katarungang Pambarangay sheets (at 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 3.4.1 Organized Barangay Tanod ☐ EO or similar issuance on the organization of the
STRENGTHENING CAPACITIES OF Barangay Tanod covering 2022
BARANGAY TANOD

3.4.2 Attendance of barangay tanod to necessary ☐ Certified true copy of any proof of training such as
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 Emergency ☐ EO or similar issuance on the organization of
DURING HEALTH EMERGENCIES Response Team (BHERT) with its composition BHERTs
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 ☐ Executive Order or similar issuance on the
BARANGAY VIOLENCE AGAINST designated Barangay VAW Desk Officer establishment of Barangay VAW Desk and designated
WOMEN (VAW) DESK VAW Desk Officer

4.1.2 Attendance of the Barangay VAW Desk ☐ Certified true copy of any proof of training such as
Officer to at least one (1) training/orientation related Certificate of Completion and/or Participation (at least
to gender-sensitive handling of VAW Cases not 1)
earlier than 2019

4.1.3 Approved 2022 Barangay Gender and ☐ Approved 2022 Barangay Gender and Development
Development (GAD) Plan and Budget (GAD) Plan and Budget

4.1.4 Submission of Monthly Accomplishment ☐ Monthly Accomplishment Reports for CY 2022

Reports on the incidence of VAW and violence (October-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

Consideration: Submission of 4th quarter report of

2022 on the incidence of VAW and VAC to
C/MSWDO and C/MLGOO

4.1.5 Updated database on VAW cases reported to ☐ Updated database of VAW cases reported to the
the barangay, with the following information at the barangay, with the following information at the
minimum: 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
☐ total number of VAW cases received
☐ number of cases documented for violating RA 9262
☐ number of cases documented for violating other
VAW-related laws

☐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
Consideration: Clustered Health Station/Center
accessed by several barangays in a
city/municipality

4.2.2. Appointment of a Barangay Health Worker ☐ EO or similar issuance on the Appointment of BHW
(BHW)

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

4.2.4. Availability of the following health services in ☐ Photo documentations of the operations of the
the BHS/C such as: BHS/C

☐ Barangay Issuances on the provision of the four (4)

a) immunization listed health services:
b) maternal and child healthcare (a) immunization
c) family planning (b) maternal and child healthcare
d) health education (c) family planning
(d) health education

4.3 FUNCTIONALITY OF THE 4.3.1. Organized BDC with its composition ☐ EO or similar issuances organizing/reconstituting the
BARANGAY DEVELOPMENT compliant to Section 107 of RA 7160 BDC with its composition compliant to Section 107 of
COUNCIL (BDC) RA 7160

4.3.2. Conducted public hearings/ barangay ☐ Minutes (at least 2) of the public hearings/barangay
assemblies for public consultation assemblies with attendance sheet

4.3.3 Approved Barangay Development Plan ☐ Barangay Development Plan with BDC and SB
Resolutions adopting such
 4.3.4 a) At least 50% accomplishment of the ☐ CY 2022 Accomplishment Report of the BDP
physical targets in 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 ☐ EO or similar issuance designating a Kasambahay
KASAMBAHAY LAW Kasambahay Desk Officer (KDO) Desk and a KDO

4.4.2 Maintenance/updating of a Kasambahay ☐ Updated Kasambahay Report Form 2 (Kasambahay

Masterlist Masterlist) as of December 2022

4.5. FUNCTIONALITY OF THE 4.5.1 Organization of the Barangay Council for ☐ Executive Order or similar issuance on the
BARANGAY COUNCIL FOR THE Protection of Children (BCPC) with its composition establishment of Barangay Council for Protection of
PROTECTION OF CHILDREN compliant to the provisions of DILG MC No. 2021- Children (BCPC)
(BCPC) 039

4.5.2 Attendance of the Members of the Barangay ☐ Certified true copy of any proof of training such as
Council for Protection of Children (BCPC) to at Certificate of Completion and/or Participation (at least
least one (1) training/orientation related to their 1)
functions not earlier than 2019

4.5.3 Approved BCPC Annual Work and Financial ☐ Approved BCPC Annual Work and Financial Plan
Plan (AWFP)

4.5.4 Database on Children disaggregated by age, ☐ Updated database on children

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 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 MECHANISM FOR GENDER AND 4.6.1 Organized Barangay GAD Focal Point System ☐ EO or similar issuance organizing the Barangay
DEVELOPMENT (GAD) GAD Focal Point System
4.7. MAINTENANCE OF UPDATED
RECORD OF BARANGAY
INHABITANTS (RBIs)
4.8. FUNCTIONALITY OF THE
BARANGAY NUTRITION
COMMITTEE (BNC)
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 ​
5.3 ISSUANCE OF BARANGAY
CLEARANCE NOT COVERED BY
DILG MC NO. 2019-177 SUCH AS: barangay hall
RESIDENCY, INDIGENCY, ETC,
WITHIN SEVEN (7) WORKING DAYS
4.7.1 Updated RBI for two semesters of CY 2022 ☐ Accomplished RBI Form A of two semesters of CY
2022
4.8.1 Organization of the Barangay Nutrition ☐ EO or similar issuance organizing the Barangay
Committee (BNC) Nutrition Committee (BNC)
4.8.2 Presence of Barangay Nutrition Action Plan ☐ Accomplished Barangay Nutrition Action Plan
(BNAP) (BNAP) of CY 2022
4.8.3 Decrease in Malnutrition Rate in the barangay ☐ Report on Operation Timbang (OPT) Plus CY 2021
and 2022
4.8.4 a) At least 50% accomplishment of the ☐ Accomplishment Report on BNAP for CY 2022
physical targets in the BNAP
OR
4.8.4 b) At least 50% fund utilization rate of the CY
2022 BNAP Budget
Essential Governance Area 2: Business-Friendliness and Competitiveness
5.1.1 Enacted Barangay Tax Ordinance pursuant to ☐ Enacted Barangay Tax Ordinance
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 and Clearance Fees on business permit and locational
locational clearance for building permit pursuant to clearance for building permit and locational clearance
DILG MC No. 2019-177 for building permit, in accordance with 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
Barangay Clearance for Business permit and Business permit and locational clearance purposes.
locational clearance purposes pursuant to DILG MC
No. 2019-177
5.3.1 Presence of a Citizens’ Charter on the ☐ Photo documentation of the Citizens’ Charter on the
issuance of barangay clearance posted in the issuance of barangay clearance only (name of the
barangay should be visible)
Essential Governance Area 3: Environmental Management
6.1.FUNCTIONALITY OF THE
BARANGAY ECOLOGICAL SOLID
WASTE MANAGEMENT
COMMITTEE (BESWMC)
6.2 EXISTENCE OF A SOLID WASTE 6.2.1 Presence of a Materials Recovery Facility
MANAGEMENT FACILITY
PURSUANT TO R.A. 9003
6.3 PROVISION OF SUPPORT
MECHANISMS FOR SEGREGATED
COLLECTION
6.1.1 Organized BESWMC with composition
compliant to DILG MC No. 2018-112
6.1.2 Approved Solid Waste Management
Program/Plan with corresponding fund allocation
6.1.3 Attendance of BESWMC to necessary
training related activities to promoting
environmental protection, preservation and
awareness not earlier than 2019
6.1.4 a) At least 50% completion rate on PPAs in
the BESWMP
OR
6.1.4 b) At least 50% utilization rate of CY 2022
BESWM Budget
(MRF)/ Materials Recovery System (MRS)
-Established MRF operated by the barangay
-MRS
-Clustered MRF
6.3.1 Enacted Barangay Ordinance or similar
issuance on segregation of wastes at-source
covering 2022
☐ EO or similar issuance on the organization of the
BESWMC
☐ Approved Solid Waste Management Program/Plan
with corresponding fund allocation
☐ Certified true copy of any proof of training such as
Certificate of Completion and/or Participation (at least
1)
☐ Accomplishment Report on BESWM for CY 2022
For MRF operated by the barangay:
☐ Photo documentation of the MRF/MRF Records of
the barangay
For MRS:
☐ MOA with junkshop
☐ 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)
☐ Ordinance or similar issuance on segregation of
wastes at-source
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 Punong Barangay

RECEIVED BY:

CITY/MUNICIPAL SGLGB ASSESSOR

Name and Signature of SGLGB Assesor (City Director/C/MLGOO)

DATE RECEIVED: