2024 Compiled SGLGB Forms
2024 Compiled SGLGB Forms
BARANGAY:
CITY/MUNICIPALITY:
PROVINCE:
REGION:
DOCUMENTARY CHECKLIST
INDICATORS MINIMUM REQUIREMENT
Core Governance Area 1: Financial Administration and Sustainabilit
1.1 COMPLIANCE WITH THE 1.1.1 Posted the following CY 2023 financial
BARANGAY FULL DISCLOSURE documents in the BFDP
1.1.2 Accomplished and board,
signed pursuant
BFR withto DILG
POLICY (BFDP) BOARD
1.2 INNOVATIONS MC
1.2.1No.
ON REVENUE received 2014-81 and
stampinfrom
Increase DILG
localthe MC of
Office
resourcesNo. 2022-027:
inthe
CYC/M
2023
GENERATION OR EXERCISE
1.3 APPROVAL OF THE OF Accountant
1.3.1 Presence of a Barangay Appropriation
CORPORATE
BARANGAY POWERS
BUDGET
1.4 ALLOCATION FOR ON THE Ordinance
1.4.1 approved
With on orfunds
allocated before
forDecember 31,
the following
SPECIFIED TIMEFRAME
STATUTORY PROGRAMS AND 2022
statutory programs and projects:
PROJECTS AS MANDATED BY
LAWS AND/OR OTHER a) At least 20% of the NTA is allocated for
ISSUANCES development programs;
b) Not less than five percent (5%) shall be set
aside as the Local Disaster Risk Reduction and
Management Fund;
c) Gender and Development;
d) Senior Citizens and Persons with Disabilities;
e) Implementation of the programs of the Local
Councils for the Protection of Children; and
f) Ten percent (10%) for the Sangguniang
Kabataan
3.3.2. System
Systematic
3.3.3. maintenance of records of cases
Meetings:
Conducted
3.3.4. monthly meetings for the
Trainings:
3.4 ORGANIZATION AND administration
Attendance of the
of LT
3.4.1 Structure: Katarungang
to KP training or Pambarangay
seminar not
earlier
STRENGTHENING CAPACITIES OrganizedthanBarangay
CY 2020 Tanod with its composition
3.4.2 Trainings:
OF
3.5 BARANGAY
BARANGAYTANOD
INITIATIVES compliant
Attendance toof
3.5.1 Organizedthe provisions
barangay
Barangay of DILG
tanod MC No.
to necessary
Health and
2003-42
training
DURING HEALTH EMERGENCIES Emergencynot earlier
ResponsethanTeam
2020 (BHERT)
3.5.2 Poster or tarpaulin containing the with its
active
composition
telephone compliant
and/or to theNumbers
cellphone provisions
of of
theDILG
MC No. 2020-023
Barangay, Punong Barangay and BHERT
Members posted in conspicuous public places
within the barangay jurisdiction
RECEIVED BY:
DATE RECEIVED:
ance for Barangay
st
CKLIST
MOVs
stration and Sustainability
☐ Three (3) BFDP Monitoring Form A of the DILG Advisory
covering
☐ Annex the
B of1st to 3rd quarter monitoring
DBM-DOF-DILG data signed by the
JMC No. 2018-1
City Director/C/MLGOO, Punong Barangay
☐ SRE for 2022 and 2023, signed by Barangay and Barangay
Treasurer
Secretary
and Punong Barangay; and
☐ Approved Barangay Appropriation Ordinance signed by the
Sangguniang BarangayAppropriation
☐ Approved Barangay Members (SBMs), SK Chairperson,
Ordinance;
Barangay Secretary, and Punong Barangay.
☐ Annual Investment Program signed by Barangay
Treasurer, Barangay Secretary, and Punong Barangay;and
OR
☐ Updated
ApprovedLocalized Flow Chart
Accomplishment of Referral
Report on BCPC System
AWFP for CY
2023 with received stamp by the
☐ EO (signed by the PB) or similar issuance City/Municipality Inter-
Agency Monitoring
(resolution/ordinance
☐ RBI Monitoring Form Task Force
signed
C; and (IMTF)
by the PB, Barangay Secretary
and SBMs)
☐ List organizing
of barangays
EO (signed by thewith the
PB)RBI Barangay
covering
or similar GAD
the Focal
issuance Point System
1st Semester of
covering
CY 2023 January
(generated
(resolution/ordinance to October
from the 2023
BIS-BPS) certified by the
☐ Approved CY 2023signed BNAP by the PB,
signed Barangay
by the BNC Secretary
C/MLGOO
and SBMs) organizing the Barangay Nutrition Committee
☐ Operation Timbang (OPT) Plus Form 1A (Barangay Tally
(BNC) covering
andAccomplishment January
Summary SheetReport to October
of Preschoolers 2023
with Weight & Height
☐ on CY 2023 BNAP;
Measurement
Certification
☐ Photo by Age Group,
on the submitted
documentation Sex and Nutritional
BCG Status) of
BNAP Accomplishment
of the established
CYs
Report2022 and 2023;
for CYsigned and
2023 signed by the C/MLGOO
☐ Ordinance by the PB, Barangay Secretary and
SBMs)
☐ on the establishment
EO (signed of a BCG
by the PB) or similar issuance
(resolution/ordinance signed by
☐ Proof of conduct of at least one (1) the PB, Barangay Secretary
Advocacy
and SBMs) on by
Campaign/Awareness
☐ EO (signed thethe
designated SMB issuance
(Photo/Social
PB) or similar toMedia
manage thePAR/AR,
Post, BCG
etc.) and Competitiveness
(resolution/ordinance
ndliness signed by the PB, Barangay Secretary
and SBMs) Barangay
☐ Enacted on the established group volunteers
Tax Ordinance signed by the PB,
Barangay Secretary and SBMs
☐ Enacted Barangay Ordinance (signed by the PB, Barangay
Secretary
☐ Approved andresolution
SBMs) relative to Barangay
authorizing Clearance Fees on
the City/Municipal
business
Treasurer permit and locational
to collect fees of
☐ Photo documentation forthe clearance
Barangay for
Citizens’Clearance building
Charter forthe
on permit
Business
permit
issuance
nmental andoflocational
barangayclearance
Management certificationpurposes
only (name signed by PB,
of the barangay
Barangay
should be Secretary
visible) and SBMs
☐ EO (signed by the PB) or similar issuance
(resolution/ordinance
☐ Approved Solid Waste signed by the PB,Program/Plan
Management Barangay Secretary
and
☐ SBMs)
covering
At leastCY on the
2023
one organization
with corresponding
(1) copy of the
of proof of trainingBESWMC
fund such
allocation
as Certificate
of Completion
☐ and/or Accomplishment
Three (3) Monthly Participation Reports covering July-
September
For 2023 by the barangay:
MRF operated
Photo
☐ EO documentation
(signed by the PB)oforthe MRF/MRF
similar issuance Records of the
barangay
(resolution/ordinance signed by the PB, Barangay Secretary
and SBMs) on segregation of wastes at-source
the purpose of the Seal of Good Local Governance for
HE PUNONG BARANGAY
ngay
ASSESSOR
City Director/C/MLGOO)
D:
2024 SEAL OF GOOD LOCAL GOVERNANCE FOR BARANGAY
Year Under Review: CY 2023
City/Municipal Consolidated Performance Assessment Form
HUC/ICC/CC/
MUNICIPALITY:
PROVINCE:
REGION:
Note: If the barangay has been renamed – Both the old and new names must be cited in the Performance Assessment Forms and in the MOV folder of the barangay
I hereby certify that the information herein are true and correct, and are accordingly supported by required documents as reviewed by the undersigned.
Date Accomplished:
1 Barangay A Barangay A is located in an area with security challenges, such as conflict and high crime rates.
2
Barangay B The barangay lacks the necessary resources, such as funding, personnel, or infrastructure, to participate in the assessments.
3
7
TOTAL 2
2024 SEAL OF GOOD LOCAL GOVERNANCE FOR BARANGAY
Year Under Review: CY 2023
Provincial Consolidated Performance Assessment Form
PROVINCE:
REGION:
We hereby certify that the information herein are true and correct, and are accordingly supported by required documents as reviewed by the undersigned.
Date Accomplished:
Note: Based on the Provincial Order re Creation of the PPAT, please include ALL MEMBERS.
1 City A Barangay A Barangay A is located in an area with security challenges, such as conflict and high crime rates.
2
Municipality A Barangay A The barangay lacks the necessary resources, such as funding, personnel, or infrastructure, to participate in the assessments.
3
TOTAL 2 2
2024 SEAL OF GOOD LOCAL GOVERNANCE FOR BARANGAY
Year Under Review: CY 2023
Regional Consolidated Performance Assessment Form
REGION:
We hereby certify that the information herein are true and correct, and are accordingly supported by required documents as reviewed by the undersigned.
Date Accomplished:
1 Province A City A Barangay A Barangay A is located in an area with security challenges, such as conflict and high crime rates.
2
Province B Municipality A Barangay A The barangay lacks the necessary resources, such as funding, personnel, or infrastructure, to participate in the assessments.
3
7
TOTAL 2 2 2
2024 SEAL OF GOOD LOCAL GOVERNANCE FOR BARANGAY
Year Under Review: CY 2023
National Consolidated Performance Assessment Form
We hereby certify that the information herein are true and correct, and are accordingly supported by required documents as reviewed by the undersigned.
Chairperson:
Vice-Chairperson:
Liga ng mga Barangay (LnB) National President
Members:
Date Accomplished:
1 Region I Province A City A Barangay A Barangay A is located in an area with security challenges, such as conflict and high crime rates.
2
Region II Province A Municipality A Barangay A The barangay lacks the necessary resources, such as funding, personnel, or infrastructure, to participate in the assessments.
3
7
TOTAL 2 2 2 2