Document Code

DEPARTMENT OF THE INTERIOR AND LOCAL GOVERNMENT FM-SP-DILG-07-01

CITIZEN'S CHARTER SERVICE REQUEST FORM Rev. No. Eff. Date
06.15.21
Page
of 1 1
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SERVICE TITLE: PROCESSING OF BARANGAY OFFICIALS DEATH AND BURIAL REFERENCE NO.
ASSISTANCE (BODBA) FOR FUND ALLOCATION BY THE DEPARTMENT OF BUDGET DATE OF REQUEST
AND MANAGEMENT (DBM)
NAME OF CLIENT/ORGANIZATION:
Documentary Requirements Kindly Check the
(As of June 1, 2023) Documents Needed

1. Oath of Office CONTACT DETAILS:

2. Certification that the barangay official was incumbent at the

time of his/her death (Issued by the DILG C/MLGOO or Punong
Barangay)

3. Original or Certified true copy of Death Certificate of the

deceased barangay official

4. Photocopy of Government-issued ID of claimant OTHER NEEDED INFORMATION, if any:

Claimant’s documents whichever is applicable: Original Relationship to the DBO:

or Certified True Copy

a) Marriage Certificate, if the claimant is the widow/widower

of the deceased barangay official
SIGNATURE:
b) Birth Certificate, if claimant is a son/daughter of the
deceased barangay official

c) Birth Certificate of the deceased or affidavit of two

disinterested parties, if the deceased barangay official is
single and the claimant is his/her parent/brother/sister. RECEIVED BY: DATE AND TIME RECEIVED

d) In case of multiple designated beneficiaries/claimants of

deceased barangay officials, only one check shall be issued to
the person whom the beneficiaries agreed from among
themselves to receive the check. Provided, however, that a
Waiver of Rights and/or Special Power of Attorney shall be
executed as supporting document.

e) A designated beneficiary/legal heir who is a minor shall be

represented by a guardian. An affidavit of Guardianship shall
be executed for the purpose.
Receiving Officer
f) If the claimaint is the Common-Law/Live-in partner of the
DBO, the legal heir shall execute a Waiver of Rights. ENDORSED TO RESPONSIBLE OFFICER: DATE AND TIME ENDORSED

Other supporting documents:

g) Photocopy of Police Report, in case the matter of death of

the deceased barangay official is not a natural cause.

h) Joint Affidavit of Two (2) Disinterested Persons or

Photocopy of Birth Certificate in case of discrepancy in the
name of the deceased barangay official.

i) For beneficiaries of IPMRs, if applicable, in the absence of

the documents mentioned above, affidavit of two (2)
disinterested persons shall be required.

j) other supporting documents

REMARKS:
Name/Unit and Designation
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ACKNOWLEDGEMENT RECEIPT
This is to acknowledge the service/s you have requested: REFERENCE NO.
Service Title: Processing of Barangay Officials Date Received Expected Date of Release Date of Release in
Death and Burial Assistance (BODBA) For Fund case of extension
Allocation By The DBM
Republic of the Philippines
DEPARMENT OF THE INTERIOR AND LOCAL GOVERNMENT

NAME OF RESPONSIBLE OFFICER/UNIT/DESIGNATION: CONTACT DETAILS:

OFFICE ADDRESS:

REMARKS: