Instructions in filling up the forms

Form A - INVENTORY OF LGU FACILITIES USED AS PERMANENT EVACUATION CENTER

Kindly read the instructions before filling out the form.

Column Fields
A Region
B Province
C Municipality
D Barangay

E Name of Facility

F Exact Location
f.1 Street
f.2 Purok (District)
f.3 Sitio

G Year Constructed
H Funding Source
I Facility Area
i.1 Lot area
i.2 No. of Storeys
i.3 Total Floor Area
i.4 Estimated Floor Area Used For Accommodation
J Available Utilities
j.1 Water
j.2 Electricity
j.3 Communications
j.4 Type of Communications Device Available
K Use of Facility During Normal Times
L Status of the Facility
Form B - INVENTORY OF LGU FACILITIES USED AS TEMPORARY EVACUATION CENTER

Column Fields
A Region
B Province
C Municipality
D Barangay

E Name of Facility

F Exact Location
f.1 Street
f.2 Purok (District)
f.3 Sitio
G Year Constructed
H Funding Source
I Facility Area
i.1 Lot area
i.2 No. of Storeys
i.3 Total Floor Area
i.4 Estimated Floor Area Used For Accommodation
J Available Utilities
j.1 Water
j.2 Electricity
j.3 Communications
j.4 Type of Communications Device Available
K Type of Facility
k.1 Type
k.2 If Other please specify
L Status of the Facility
Form C - LIST OF LGUS WITH NO PERMANENT EVACUATION CENTERS

Column Fields
A Region
B Province
C Municipality
D Estimated Vulnerable Population
E Reason for not having EC yet
F WITH Proposed Location
f.1 Exact Site Location
f.2 for Total
LGUsLot Area
with no proposed evacuation center
G location, can they share evacuation facility of
Neighboring LGUs
SED AS PERMANENT EVACUATION CENTER

Instruction
Choose the Region where the evacuation center is from the drop-down menu.
Choose the Province where the evacuation is from the drop-down menu.
Choose the Municipality that covers the evacuation center from the drop down menu.
Choose the Barangay where the evacuation center is from from the drop down menu.
Indicate name of facility being used as evacuation center (i.e. Barangay San Jose
Evacuation Center; Maasin Elementary School; Brgy. Lamuan Multi-purpose Hall;
Osmena Gymnasium; etc)

Provide the exact address of the facility.

In the street column, provide the street address including building/lot/block number.
If either purok or sitio, or both are not available, indicate N/A.

Indicate the year when the facility was constructed/completed

Indicate the funding source for the facility. (i.e. local development fund, LGSF, grant,
loan, etc.) If the project is from a grant or loan, indicate name of development partner.

Indicate the total lot area of the facility including staging and outdoor areas in sqm.
Indicate the number of floors of the facility.
Indicate total floor area of the building including all indoor facilities in sq. m
indicate floor areac used sleeping quarters (in sq. m)
Indicate whether the following utilities are available in the evacuation center
Select Yes or No from the drop down menu
Select Yes or No from the drop down menu
Select Yes or No from the drop down menu if any facility for communication (satellite
phone,
Indicatedata connection,
which landline,
communications wifi etc)
devices are available in the facility (i.e. landline phone,
satellite
Indicate phone, wifi, mobile
other function of thedata, mobile
facility whenphone, etc)used as Evacuation Center (i.e
not being
function hall, multi-purpose hall, etc)
Select Yes in the drop down menu under l.1 column if the facility is operational and No
if non operational. and state the reason why it is non-operational under column l.2
SED AS TEMPORARY EVACUATION CENTER

Instruction
Choose the Region where the evacuation center is from the drop-down menu.
Choose the Province where the evacuation is from the drop-down menu.
Choose the Municipality that covers the evacuation center from the drop down menu.
Choose the Barangay where the evacuation center is from from the drop down menu.
Indicate name of facility being used as evacuation center (i.e. Barangay San Jose
Evacuation Center; Maasin Elementary School; Brgy. Lamuan Multi-purpose Hall;
Osmena Gymnasium; etc)

Provide the exact address of the facility.

In the street column, provide the street address including building/lot/block number.
If either purok or sitio, or both are not available, indicate N/A.

Indicate the year when the facility was constructed/completed

Indicate the funding source for the facility. (i.e. local development fund, LGSF, grant,
loan, etc.) If the project is from a grant or loan, indicate name of development partner.

Indicate the total lot area of the facility including staging and outdoor areas in sqm.
Indicate the number of floors of the facility.
Indicate total floor area of the building including all indoor facilities in sq. m
indicate floor areac used sleeping quarters (in sq. m)
Indicate whether the following utilities are available in the evacuation center
Select Yes or No from the drop down menu
Select Yes or No from the drop down menu
Select Yes or No from the drop down menu if any facility for communication (satellite
phone,
Indicatedata connection,
which landline,
communications wifi etc)
devices are available in the facility (i.e. landline phone,
satellite phone, wifi, mobile data, mobile phone, etc)
Select the type of facility/building that is being used as evacuation center from the drop
down menu. If the building was constructed primarily as evacuation center but being
used as a multi-purpose facility during normal times, select "permanent evacuation
If the answer
center" in k.1
from the is "Other" please specify
menu
Select Yes in the drop down menu under l.1 column if the facility is operational and No
if non operational. and state the reason why it is non-operational under column l.2
ENT EVACUATION CENTERS

Instruction
Choose the Region of the locality with no evacuation center from the drop-down menu.
Choose the Province of the locality with no evacuation center from the drop-down menu.
Choose the Municipality of the locality with no evacuation center from the drop-down
menu.
Indicate the reason the locality does not have/is not able to build a permanent
Indicate
evacuationthe estimated
center yet.number
(ie., nooflocal
persons in the
funding for locality
it, LGU that
doesare
notvuinerable to calamity
have the capacity to
build structure, LGU couldnt secure funding from the National Government/any other
In tge LGU(s)
funding hashave
institution location(s)
for it despite for a permanent
requests, LGU does not evacuation
see the cente, kindly
need for provide the
a permanent
following
evacuation information
center, etc)in the columns under the section of the form:
indicate the address of the proposed location
Select yes
indicate theortotal
no from the of
lot area drop
thedown menulocation
proposed in column g.1 to answer whether it is
in sqm.
possible for the population of the locality to share the evacuation center of the
neighboring LGU. If this is possible, kindly indicate the name of the LGU that can
accommodate the population in column g.2.
 INVENTORY OF LGU PERMANENT EVACUATION CENTER
REGION ____
FORM A
Exact Location Facility Area Available Utilities
(F) (I) (J)
Year Funding
Region Province Municipality Barangay Name of Facility
Sn Constructed Source
(A) (B) (C) (D) (E)
(G) (H)
Street Purok (if Sitio (if Lot Area (in Total Floor Area Area for
No. of Storeys Water Electricity Communication
Name applicable) applicable) sq.m) (in sq. m) Accommodation
(i.2) (j.1) (j.2) (j.3)
(f.1) (f.2) (f.3) (i.1) (i.3) (i.4)

1 REGIO NAGUILIAN EVACUATION MURDONG

NV LA UNION NAGUILIAN BARIQUIR CENTER 2023 DPWH/LGU 12000 1 2,983.54 682.1 YES YES MOBILE PHONE

2
3

4
5

6
7

10

11

12

13

14

15
 Status of the Facility (Operation or Non-
s
operational)
(L)
Use of Facility During Normal
Times
Type of Communications
(K)
Yes/No If No, Specify Reason
Device Available, if any
(l.1) (l.2)
(j.4)

YES OPERATIONAL
 INVENTORY OF LGU FACILITIES USED AS TEMPORARY EVACUATION CENTER
REGION ____
FORM B
Exact Location Facility Area Available Utilities
(F) (I) (J)
Year Funding
Region Province Municipality Barangay Name of Facility
Sn Constructed Source
(A) (B) (C) (D) (E) Street Purok (if Sitio (if Lot Area (in Total Floor Area Area for
(G) (H) No. of Storeys Water Electricity Communication
Name applicable) applicable) sq.m) (in sq. m) Accommodation
(i.2) (j.1) (j.2) (j.3)
(f.1) (f.2) (f.3) (i.1) (i.3) (i.4)

REGIO ILOCOS
1 NI NORTE YES YES

2
3

4
5

6
7

10

11

12

13

14

15
 Type of Facility (e.g. school, Municipal Hall, Status of the Facility (Operation or Non-
s
Multipurpose Bldg) operational)
(K) (L)

Type of Communications If Other please

Type Yes/No If No, Specify Reason
Device Available, if any specify
(k.1) (l.1) (l.2)
(j.4) (k.2)
 List of LGUs With No Permanent Evacuation Center (EC)
REGION ____
FORM B
WITH Proposed Location
(F) LGUs with no proposed location for EC
(G)
Estimated Vulnerable
Region Province Municipality Reason for not having EC yet
Sn Population
(A) (B) (C) (E) Exact Site Total Lot Area
(D) Can they share EC
Location (sq. m) with neighboring
(f.1) (f.2) LGU(s)
(g.1)
1

2
3
4
5
6
7
8
9
10
11
12
13
14
15
s with no proposed location for EC
(G)

Name of LGUs
(g.2)