Model

Barangay
Citizen
Charter

1|Page
 Message
Mission and Vision
Performance Pledge

2|Page
 Table of Contents

Content Page
Introduction
How to Use the Guidebook
Frontline Services 1
Performance Pledges
Application for Barangay Business Permit 2
Application for Barangay Clearance
Application for the Use of Barangay Properties and
Facilities
Request for Barangay Certification 3
Freedom of Information Request
Issuance of Community Tax Certificate 4
Registration of Transient 5
Screening of Patient for Health Services 7
Enrolment to Daycare Center 5
Filing of Complaint
Request for Certificate to File Action
Forms 6
Application for Barangay Clearance (Barangay
Form 1)
Request for Barangay Certification (Barangay
Form 2)
Order of Payment (Barangay Form 100)
Feedback Form (Barangay Form 100)
Directory 7

3|Page
Frontline Services

Frontline Services Fees How long Where to go? Reference

will it Page
take?
1 Office of Barangay
Application for
Secretary,
Barangay 15
P_______ Barangay Hall,
Business minutes
Barangay____________,
Permit
Tanay, Rizal
2 Office of Barangay
Request for Secretary,
15
Barangay P_______ Barangay Hall,
minutes
Certification Barangay____________,
Tanay, Rizal
3 Office of Barangay
Avail Justice Lupong Tagapamayapa,
P_______
Service Barangay____________,
Tanay, Rizal
4 Barangay Health Center,
Avail Health 30 Barangay
Free
Service minutes ____________________,
Tanay, Rizal
5 Barangay Daycare
Registration for
30 Center, Barangay
Daycare Free
minutes __________________,
Service
Tanay, Rizal
6

4|Page
 At the Barangay Hall

Application for Barangay Business Permit

Who may avail?

Stores or retailers with fixed business establishments within the barangay whose gross
sales or receipts for the preceding does not exceed P30,000.00 (Section 152a of RA7160).

What are the requirements?

 Duly accomplished Application for Barangay Business Permit Form

(Barangay Form 1);
 Duly accomplished Individual Record of Barangay Inhabitant Form (RBI
Form B), if applicable;
 Original and photocopy of Business name registration;
 Basis for computing taxes, fees and charges, eg. Business capitalization,
income tax returns, etc)
 Occupancy Permit, if required;
 Contract of Lease;
 Community Tax Certificate;
 Original copies of 2 valid government-issued ID;
 Authorization Letter, if thru authorized representative
 Presentation of valid ID and submission of photocopy of valid ID of
representative; and
 Payment of taxes, fees and charges

When to file?

Mondays to Fridays, 8:00am to 5:00pm

How long will it take?

1 – 2 days

How to avail the service?

Response Person in
Step Client Service Provider Forms
Time Charge
a. Approaches Frontline- a. Greets applicant 5 minutes Frontline Barangay
Barangay Treasury Office Officer (FO) Form 1
(BTO) RBI Form B

b. Fills out and submits duly b. Gives Barangay Form 1

accomplished Application for and RBI Form B to be filled
1 Barangay Business Permit out by applicant
Form (Barangay Form 1);
Individual Record of
Barangay Inhabitant Form
(RBI Form B); and
documentary requirements

5|Page
 c. Presents IDs, if personally
filed; and if filed by a
representative, applicant’s
ID, representative ID and
authorization letter
a. Goes to the collecting
officer to pay required fees
and pays the required fees
2
b. Receives Official Receipt
(OR)
a. Returns to the FO to
submit Barangay Form 1 and
OR
3 Permit
b. Signs receipt portion of
Barangay Form 1 and
receives Barangay Business
Permit
c. Fills-out Feedback Form
(Barangay Form 100) and
drops accomplished
Barangay Form 100 to
Feedback Form drop box
6|Page
c Reviews and validate
submission
 Verifies applicant’s
information in
Barangay Profiling
Information System
 Initials RBI Form B
 Assesses eligibility
for renewal based on
record of business
 Fill-out assessments
of applicable fees at
the back of Barangay
Form 1
 Returns Barangay
Form 1 and directs
the applicant to the
collecting office to
pay required fees
a. Receives Barangay Form 5 minutes Cashier Barangay
1 and payment Form 1 and
OR
b. Issues OR and directs the
applicant to return to the FO
to submit Barangay Form 1
and OR
a. Receives OR 10 minutes FO Barangay
 Checks payment Business
details Permit
 Notes down OR
details at the bottom Secretary RBI Form B
part of Barangay
Form 1 Punong
 Encodes applicant Barangay
information in the
database
 Prepares Barangay
Business Permit
 Signs RBI Form B
 Signs and seals
Barangay Business
b. Asks the applicant to
receive Barangay Business
Permit by signing at the
receipt portion of Barangay
Form 1
c. Asks the applicant to fill-
out Barangay Form 100 and
to drop the accomplished
form to feedback drop box
Barangay
d. Tells client parting words, Form 100
“Have a nine day!”
 Application for Barangay Clearance
Who may avail?

a) Any business or activity located or conducted within the territorial jurisdiction of

the barangay before the city or municipality may issue a license or permit to said business
or activity (Section 152c of RA7160).

b) Barangay resident of more than 6 months.

What are the requirements?

 Duly accomplished Application for Barangay Clearance Form (Barangay

Form 2).
 Duly accomplished Individual Record of Barangay Inhabitant Form (RBI
Form B), if applicable.
 Community Tax Certificate;
 Original copies of 2 valid government-issued ID;
 Contract of Lease, if applicable;
 Authorization Letter, if thru authorized representative
 Presentation of valid ID and submission of photocopy of valid ID of
representative;
 Payment of clearance fees;
 Other requirements:

1 For construction-related permits

 Original and photocopy Real Property Tax Clearance (land,
improvement, machinery);
 Original and photocopy of Proof of ownership
(Original/Transfer Certificate of Title, Deed of Sale, etc);
 Original and photocopy of Tax Declaration;
 Original and photocopy of RPT payment clearance; and
 1 complete set of plan together with bills of materials

2 For City/Municipal Business Permit (New/Renewal)

 Basis for computing taxes, fees and charges, eg. Business

capitalization, income tax returns, etc)
 Occupancy Permit, if required;

3 For Zonal/Locational Permit

 Original and photocopy Real Property Tax Clearance (land,

improvement, machinery);
 Original and photocopy of Proof of ownership
(Original/Transfer Certificate of Title, Deed of Sale, etc);
 Original and photocopy of Tax Declaration;
 Original and photocopy of RPT payment clearance; and
 Vicinity/Sketch Map
7|Page
 4 For Tricycle Operators Permit

 Original and photocopy of OR and CR/Sales Invoice

 Proof of payment Barangay TODA membership dues

When to file?

Mondays to Fridays, 8:00am to 5:00pm

How long will it take?

1 – 2 days

How to avail the service?

Response Person in
Step Client Service Provider Forms
Time Charge
a. Approaches Frontline a. Greets applicant 5 minutes Frontline Barangay
Officer (FO) Officer (FO) Form 2

b. Fills out and submits duly b. Gives Barangay Form 2 to RBI Form B
accomplished Application for be filled out by applicant
Barangay Clearance Form
(Barangay Form 2);
Individual Record of
Barangay Inhabitant Form
(RBI Form B) and
documentary requirements

c. Presents IDs, if personally c Reviews and validate

filed; and if filed by a
1 representative, applicant’s
ID, representative ID and
authorization letter
a. Goes to the collecting
officer to pay required fees
and pays the required fees
2
b. Receives Official Receipt
(OR)
a. Returns to FO to submit
3
Barangay Form 2 and OR
submission
 Verifies applicant’s
information in
Barangay Profiling
Information System
 Initials RBI Form B
 Fill-out assessments
of applicable fees at
the back of Barangay
Form 2
 Returns Barangay
Form 2 and directs
the applicant to the
collecting office to
pay required fees
a. Receives Barangay Form 5 minutes Cashier Barangay
2 and payment Form 2 and
OR
b. Issues OR and directs the
applicant to return to the FO
to submit Barangay Form 2
and OR
a. Receives OR 10 minutes FO Barangay
Clearance

8|Page

b.1 Signs receipt portion of
Barangay Form 2 and
receives Barangay Business
Permit
b.2 Proceeds for Image
capture, fingerprint biometics
and signature for Individual
applicant
c. Fills-out Feedback Form
(Barangay Form 100) and
drops accomplished
Barangay Form 100 to
Feedback Form drop box
Application for Barangay Clearance
Service Process Workflow
9|Page
 Checks payment Punong
details Barangay RBI Form B
 Notes down OR
details at the bottom Secretary
part of Barangay
Form 2
 Encodes applicant
information in the
database
 Prepares Barangay
Clearance
 Signs RBI Form B
 Signs and seals
Barangay Clearance
b. Asks the applicant to
receive Barangay Clearance
by signing at the receipt
portion of Barangay Form 2
c. Asks the applicant to fill-
out Barangay Form 100 and
to drop the accomplished
form to feedback drop box
Barangay
d. Tells client parting words, Form 100
“Have a nine day!”
 Request for Barangay Certification
Who may avail?

Barangay resident who is residing in the barangay for more than 6 months.

What are the requirements?

 Duly accomplished Request for Barangay Certification Form (Barangay

Form 3);
 Duly accomplished Individual Record of Barangay Inhabitant Form B (RBI
Form B)
 Community Tax Certificate, if applicable;
 Presentation of 2 valid government-issued ID
 Payment of certification fees

When to file?

Mondays to Fridays, 8:00am to 5:00pm

How long will it take?

30 minutes

How to avail the service?

Step Client
a. Approaches Frontline-
Barangay Treasury Office
(BTO)
b. Fills out and submits duly
accomplished Request for
Barangay Certification Form
(Barangay Form 3) and
Record of Barangay
Inhabitant Form B (RBI Form
B); and documentary
requirements
1 c. Presents IDs, if personally
filed; and if filed by a
representative, applicant’s
ID, representative ID and
authorization letter
Response Person in
Service Provider Forms
Time Charge
a. Greets applicant 5 minutes Frontline Barangay
Officer (FO) Form 3
RBI Form B
b. Gives Barangay Form 3
and RBI Form 3 to be filled
out by applicant
c Reviews and validate
submission
 Verifies applicant’s
information in
Barangay Profiling
Information System
 Initials RBI Form B
 Fill-out assessments
of applicable fees at
the back of Barangay
Form 3
 Returns Barangay
Form 3 and directs
the applicant to the
collecting office to
pay required fees

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 a. Goes to the collecting a. Receives Barangay Form 5 minutes Cashier Barangay
officer to pay required fees 3 and payment Form 3 and
and pays the required fees OR
2
b. Receives Official Receipt b. Issues OR and directs the
(OR) applicant to return to the FO
to submit Barangay Form 3
and OR
a. Returns to the FO to a. Receives OR 10 minutes FO Barangay
submit Barangay Form 3 and  Notes down OR Certification
OR details at the bottom Secretary
part of Barangay
Form 3 Punong
 Encodes applicant Barangay
information in the
database
 Prepares Barangay
Certification
 Signs and seals
Barangay
Certification

3 b. Asks the applicant to

receive Barangay
Certification by signing at the
receipt portion of Barangay
Form 3

b. Signs receipt portion of c. Asks the applicant to fill-

Barangay Form 3 and
receives Barangay Business
Permit
c. Fills-out Feedback Form
(Barangay Form 100) and
drops accomplished
Barangay Form 100 to
Feedback Form drop box
out Barangay Form 100 and
to drop the accomplished
form to feedback drop box
Barangay
d. Tells client parting words, Form 100
“Have a nine day!”

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 Application for the Use of Barangay-Owned Properties
and Facilities
Who may avail?

Any person/s or group/organization who may use barangay-owned properties and

facilities

What are the requirements?

 Duly accomplished Application for the Use of Barangay-owned Properties

and Facilities Form (Barangay Form 4);
 Duly accomplished Records of Barangay Inhabitant Form B (RBI Form B),
if applicable
 Community Tax Certificate;
 Original copies of 2 valid government-issued ID;
 Authorization Letter, if thru authorized representative
 Presentation of valid ID and submission of photocopy of valid ID of
representative;
 Payment of fees;

When to file?

Mondays to Fridays, 8:00am to 5:00pm

How long will it take?

1 – 2 days

How to avail the service?

Response Person in
Step Client Service Provider Forms
Time Charge
a. Approaches Frontline a. Greets applicant 5 minutes FO Barangay
Officer FO Form 4

b. Fills out and submits duly RBI Form B

accomplished Application to b. Gives Barangay Form 4 to
Use Barangay-owned be filled out by applicant
Properties and Facilities
Form (Barangay Form 4)
and Records of Barangay
Inhabitant Form B (RBI Form
1
B); and documentary
requirements

c. Presents IDs, if personally

filed; and if filed by a
representative, applicant’s
ID, representative ID and
authorization letter
c Reviews and validate
submission
 Verifies applicant’s
information in
Barangay Profiling
Information System

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  Initials RBI Form B
 Fill-out assessments
of applicable fees at
the back of Barangay
Form 4
 Returns Barangay
Form 4 and directs
the applicant to the
collecting office to
pay required fees
a. Goes to the collecting a. Receives Barangay Form 5 minutes Cashier Barangay
officer to pay required fees 4 and payment Form and
and pays the required fees OR
2
b. Receives Official Receipt b. Issues OR and directs the
(OR) applicant to return to the FO
to submit Barangay Form 4
and OR
a. Returns to the FO to a. Receives OR 10 minutes FO Barangay
submit Barangay Form 4 and  Notes down OR Chief Permit to
OR details at the bottom Tanod use
part of Barangay Barangay-
Form 4 Secretary owned
 Encodes applicant Properties
information in the Punong and
database Barangay Facilities
 Verifies applicant’s
information in
Barangay Profiling
Information System
 Fills out Permit
portion of the
Barangay Form 4
3  Signs Approval
Portion of Barangay
Form 4
b. Signs receipt portion of b. Asks the applicant to
Barangay Form 3 and receive Barangay Permit by
receives Barangay Business signing at the receipt portion
Permit of Barangay Form 4
c. Fills-out Feedback Form c. Asks the applicant to fill-
(Barangay Form 100) and out Barangay Form 100 and
drops accomplished to drop the accomplished
Barangay Form 100 to form to feedback drop box Barangay
Feedback Form drop box Form 100
d. Tells client parting words,
“Have a nine day!”

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 Freedom of Information (FOI) Request

Who may avail?

Any Filipino citizen can make an FOI request (EO No 2, s. 2016).

What are the requirements?

 Duly accomplished Freedom of Information Request Form (Barangay

Form 5)
 Duly accomplished Records of Barangay Inhabitants Form B (RBI Form
B), if applicable
 Presentation and submission of one (1) government-issued ID; and
 Payment of fees

When to file?

Mondays to Fridays, 8:00am to 5:00pm

How long will it take?

Within 15 working days

How to avail the service?

Response Person in
Step Client Service Provider Forms
Time Charge
a. Approaches Frontline a. Greets applicant 5 minutes Frontline Barangay
Officer (FO) Officer (FO) Form 5

b. Fills out and submits duly b. Gives Barangay Form 5 RBI Form B
accomplished Freedom of and RBI Form B to be filled
Information Request Form out by applicant
(Barangay Form 5) and
Records of Barangay
Inhabitant Form B (RBI Form
B); and documentary
requirements

c. Presents IDs, if personally c Reviews and validate

1 filed; and if filed by a
representative, applicant’s
ID, representative ID and
authorization letter
submission
 Verifies applicant’s
information in
Barangay Profiling
Information System
 Initials RBI Form B
 Fill-out assessments
of applicable fees at
the back of Barangay
Form 5
 Returns Barangay
Form 5 and directs
the applicant to the

14 | P a g e

a. Goes to the collecting
officer to pay required fees
and pays the required fees
2
b. Receives Official Receipt
(OR)
a. Returns to the Frontline-
BTO to submit Barangay
Form 5 and OR
3 copy”, signs and
b. Signs receipt portion of
Barangay Form 5 and
receives Barangay Business
Permit
c. Fills-out Feedback Form
(Barangay Form 100) and
drops accomplished
Barangay Form 100 to
Feedback Form drop box
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collecting office to
pay required fees
a. Receives Barangay Form 5 minutes Cashier Barangay
5 and payment Form 5 and
OR
b. Issues OR and directs the
applicant to return to the FO
to submit Barangay Form 5
and OR
a. Receives OR 10 minutes FO Certified
 Notes down OR document
details at the bottom Secretary or record
part of Barangay
Form 5
 Encodes applicant
information in the
database
 Verifies applicant’s
information in
Barangay Profiling
Information System
 Photocopies original
records or
documents
 Signs RBI Form B
 Stamps “Certified
seals Certified
Document or Record
b. Asks the applicant to
receive Barangay
Certification by signing at the
receipt portion of Barangay
Form 5 Barangay
Form 100
c. Asks the applicant to fill-
out Barangay Form 100 and
to drop the accomplished
form to feedback drop box
d. Tells client parting words,
“Have a nine day!”
 Issuance of Community Tax Certificate
(with deputation from Local Treasurer)

Who may avail?

1. Individual liable to Community Tax – (1) Every inhabitants of the barangay

eighteen (18) years of age or over who has been regularly employed on a wage or salary
basis for at least thirty (30) consecutive working days during any calendar year; (2)
engaged in business or occupation; (3) owns real property with an aggregate assessed
value of one thousand pesos (P1,000) or more; and (4) is required to file an income tax
returns (Section 157 of RA7160).

2. Juridical persons liable to Community Tax – Every corporation no matter how

created or organized, whether domestic or resident foreign, engaged in or doing business
in the Philippines and owns real property with assessed value of Five Thousand Pesos
(P5,000.00) or more (Section 158 of RA7160).

What are the requirements?

 Duly accomplished Application for Barangay Clearance Form (Barangay

Form 3) / Records of Barangay Inhabitant Form B (RBI Form B)
 Presentation of valid government-issued ID
 Authorization Letter, if thru authorized representative
 Presentation of valid ID and submission of photocopy of valid ID of
representative;
 Payment of community tax

When to file?

Mondays to Fridays, 8:00am to 5:00pm

How long will it take?

30 minutes

How to avail the service?

Response Person in
Step Client Service Provider Forms
Time Charge
a. Approaches Frontline a. Greets applicant 5 minutes Frontline Barangay
Officer (FO) Officer (FO) Form 3

b. Fills out and submits duly b. Gives Barangay Form 3 / RBI Form B
accomplished Application for RBI Form B to be filled out by
Barangay Clearance Form applicant
1 (Barangay Form 3) / Records
of Barangay Inhabitant Form
B (RBI Form B); and
documentary requirements

c. Presents IDs, if personally c Reviews and validate

filed; and if filed by a submission

16 | P a g e
 representative, applicant’s
ID, representative ID and
authorization letter
a. Goes to the collecting
officer to pay required fees
and pays the required fees
2
b. Receives Community Tax
Certificate (CTC)
17 | P a g e
 Verifies applicant’s
information in
Barangay Profiling
Information System
 Initials RBI Form B
 Fill-out assessments
of applicable fees at
the back of Barangay
Form 3
 Returns Barangay
Form 3 and directs
the applicant to the
collecting office to
pay required fees
a. Receives Barangay Form 5 minutes Cashier Barangay
3 and payment Form 3 and
OR
b. Issues CTC
 Registration of Transient

Who may avail?

All transients who stays/resides/engages in any household, dormitories, boarding

houses, apartments, bed spaces and rooms including warehouses, hotels, inns,
apartelles, motels, pension houses for a period of more than three (3) days.

What are the requirements?

 Duly accomplished Transient Registration Form (Barangay Form 6)

 Presentation of Community Tax Certificate (CTC); and
 Original and photocopy of valid government-issued ID card

When to file?

Mondays to Fridays, 8:00am to 5:00pm

How long will it take?

15 minutes

How to avail the service?

Response Person in
Step Client Service Provider Forms
Time Charge
a. Approaches Frontline a. Greets applicant 5 minutes Frontline Barangay
Officer (FO) Officer (FO) Form 6

b. Fills out and submits duly b. Gives Barangay Form 3 /

accomplished Transient RBI Form B to be filled out by
Registration Form (Barangay applicant
Form 6) and documentary
requirements

c. Presents IDs and c Reviews and validate

proceeds for image capture,
fingerprint biometric and
1 signature
submission
 Verifies applicant’s
information in
Barangay Profiling
Information System
 Captures image,
fingerprint biometric
and signature
 Initials Barangay
Form 6
 Encodes applicant
information in
Barangay Profiling
Information System

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 Fills-out Feedback Form a. Asks the applicant to fill- 10 minutes FO Barangay
(Barangay Form 100) and out Barangay Form 100 and Form 100
drops accomplished to drop the accomplished
Barangay Form 100 to form to feedback drop box
2 Feedback Form drop box

b. Tells client parting words,

“Have a nine day!”

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 Screening of Patient for Health Care Services

Who may avail?

Any person may avail health care service of the barangay.

What are the requirements?

 Duly accomplished Patient Information Sheet (Barangay Form 7)

When to file?

Monday -
Tuesday -
Wednesday - Pre-natal care and children Immunization
Thursday -
Friday -

How long will it take?

30 minutes

How to avail the service?

Response Person in
Step Client Service Provider Forms
Time Charge
a. Approaches Barangay a. Greets applicant 5 minutes BHS-FO Barangay
Health Station Frontline Form 7
Officer (BHS-FO)
b. Gives Barangay Form 7 to
b. Fills out and submits duly be filled out by applicant
accomplished Patient
Information Form (Barangay
Form 7) and documentary
requirements c Reviews and validate
submission
1 c. Proceeds for vital sign  Verifies applicant’s
taking information in
Barangay Profiling
Information System
 Interviews and gets
vital sign

d. Asks the patient to take a

seat until his/her number is
d. Receives queuing number called
and takes a seat
a. Cooperates in a. Assesses the patient 10 minutes Health Prescription
consultation Care
b. Prescribes medication / Provide
Immunization / laboratory (HCP)
2
examinations

c. Directs the patient to

BHS-FO for the instruction

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 Returns to BHS-FO for the Gives instruction on BHS-FO
3 instructions medication, laboratory tests,
and follow-up

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 Enrolment to Daycare Center

Who may avail?

Parents or guardian of child ages 4 years and below shall enroll their child/ren to
Barangay Daycare Center.

What are the requirements?

 Duly accomplished Sociodemographic Profile Sheet (Barangay Form 8);

 Photocopy of Child’s Birth Certificate; and
 Authorization Letter from parent, if thru authorized representative/guardian
 Presentation of government-issued ID of parent and submission of
photocopy of valid ID of representative

When to file?

Mondays to Fridays, 8:00am to 5:00pm

How long will it take?

30 minutes

How to avail the service?

Response Person in
Step Client Service Provider Forms
Time Charge
a. Approaches Daycare a. Greets applicant 5 minutes DCC-FO Barangay
Center-Frontline Officer Form 8
(DCC-FO)

b. Fills out and submits duly b. Gives Barangay Form 8 to

accomplished be filled out by applicant
Sociodemographic Profile
Sheet (Barangay Form 8)

c. Presents IDs, if personally c Reviews and validate

1 filed; and if filed by a submission
representative, applicant’s  Verifies applicant’s
ID, representative ID and information in
authorization letter Barangay Profiling
Information System
 Interviews
parent/guardian

d. Receives list of d. Gives list of requirements

requirement and schedule of and schedule of parent’s
parent’s orientation orientation

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 Filing of Complaint

Who may avail?

Any person who has cause of action against another involving any matter within
the authority of the lupon may complain, orally or in writing, to the barangay lupon
chairman.

What are the requirements?

 2 copies of Duly accomplished Complainant’s Form (KP Form 7);

 Duly accomplished Records of Barangay Inhabitant Form B (RBI Form B),
if applicable;
 Presentation of valid ID;
 Community Tax Certificate
 Payment of filing fees

When to file?
Mondays to Fridays, 8:00am to 5:00pm

How long will it take?

30 minutes

How to avail the service?

Response Person in
Step Client Service Provider Forms
Time Charge
a. Approaches Frontline a. Greets applicant 5 minutes FO KP Form 7
Officer (FO)
RBI Form B
b. Fills out and submits duly b. Gives KP Form 7 and
accomplished Complainant’s RBI Form B to be filled out by
Form (KP Form 7)0 and applicant
Records of Barangay
Inhabitant Form B (RBI Form
B); and documentary
requirements

c. Presents IDs c Reviews and validate

1 submission
 Verifies applicant’s
information in
Barangay Profiling
Information System
 Initials RBI Form B
 Fill-out assessments
of applicable fees at
the back of KP Form
7
 Returns KP Form 7
and directs the
applicant to the

23 | P a g e

a. Goes to the collecting
officer to pay required fees
and pays the required fees
2
b. Receives Official Receipt
(OR)
a. Returns to the FO to
submit KP Form 7 and OR
3 b. Signs receipt portion of
KP Form 7 and receives its
duplicate copy
c. Fills-out Feedback Form
(Barangay Form 100) and
drops accomplished
Barangay Form 100 to
Feedback Form drop box
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collecting office to
pay required fees
a. Receives KP Form 7 and 5 minutes Cashier KP Form 7
payment and OR
b. Issues OR and directs the
applicant to return to the FO
to submit KP Form 7 and
OR
a. Receives OR 10 minutes FO KP Form 7
 Notes down OR
details at the bottom Secretary
part of KP Form 7
 Encodes applicant Punong
information in the Barangay
database
 Verifies applicant’s
information in
Barangay Profiling
Information System
 Signs RBI Form B
 Signs KP Form 7
b. Gives duplicate copy of
the signed KP Form 7 and
informs the complainant to
wait for the issuance of
Notice of Hearing
c. Asks the applicant to fill-
out Barangay Form 100 and
to drop the accomplished Barangay
form to feedback drop box Form 100
d. Tells client parting words,
“Have a nine day!”
 Handling Cases of Violence against Women and their
Children

Who may avail?

Abused women (wife, former wife, live-in relationship, dating relationship or sexual
relationship) and their children, below 18 years old, legitimate or illegitimate or 18 years
old and above who are incapable of taking care of themselves, including children who are
not her biological children but who are under her care.

What are the requirements?

Statement of the victim

When to file?

7:00 AM to 7:00 PM

How long will it take?

30 minutes

How to avail the service?

Victim-Survivor/Concerned Response Person in

Step Service Provider Forms
Citizen Time Charge
a. Approaches VAWC Desk a. Greets applicant 5 minutes VAWC DO Barangay
Officer (VAWC DO) Form 9
Barangay
b. Gives permission to take b. Makes sure the victim- Form 10
information survivor is comfortable in a Barangay
 Submits to medical safe and private room giving Form 11
services her water and other
 Applies for immediate needs such as
Barangay Protection food, first aid and clothing
Order  Assesses situation
 Gets initial
information that can
be determine present
1
and possible risks
 Facilitates referral to
the nearest medical
facility if immediate
medical attention is
needed using
Referral Form
(Barangay Form 10)
 Informs her rights
and the remedies
available and the
processes involved

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  Assists the victim-
survivor to file
Application for
Barangay Protection
Order, if she decides
to have BPO
 Records the incident
using Barangay
Form 9
 Logs VAW cases in
the Logbook
 Reports the incident
within 4 hours to the
PNP and MSWD

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 Application for Barangay Protection Order

Who may avail?

The offended party; parents or guardians of the offended party; ascendants,

descendants or collateral relatives within 4th civil degree of consanguinity or affinity, social
workers of DSWD or social workers of local government units; police officers, Punong
Barangay or Kagawad or at least 2 citizens of the barangay who have personal knowledge
of the commission of the crime

What are the requirements?

 Duly accomplished Application for Barangay Protection Order (VAWC

Form 3);
 Duly accomplished Records of Barangay Inhabitant Form B (RBI Form B),
if applicable;
 Presentation of valid ID;
 Community Tax Certificate

When to file?

Anytime

How long will it take?

30 minutes

How to avail the service?

Response Person in
Step Client Service Provider Forms
Time Charge
a. Approaches Frontline a. Greets applicant 5 minutes FO KP Form 7
Officer (FO)
RBI Form B
b. Fills out and submits duly b. Gives KP Form 7 and
accomplished Complainant’s RBI Form B to be filled out by
Form (KP Form 7)0 and applicant
Records of Barangay
Inhabitant Form B (RBI Form
B); and documentary
requirements
1 c. Presents IDs c Reviews and validate
submission
 Verifies applicant’s
information in
Barangay Profiling
Information System
 Initials RBI Form B
 Fill-out assessments
of applicable fees at
the back of KP Form
7

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a. Goes to the collecting
officer to pay required fees
and pays the required fees
2
b. Receives Official Receipt
(OR)
a. Returns to the FO to
submit KP Form 7 and OR
3 b. Signs receipt portion of
KP Form 7 and receives its
duplicate copy
c. Fills-out Feedback Form
(Barangay Form 100) and
drops accomplished
Barangay Form 100 to
Feedback Form drop box
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 Returns KP Form 7
and directs the
applicant to the
collecting office to
pay required fees
a. Receives KP Form 7 and 5 minutes Cashier KP Form 7
payment and OR
b. Issues OR and directs the
applicant to return to the FO
to submit KP Form 7 and
OR
a. Receives OR 10 minutes FO KP Form 7
 Notes down OR
details at the bottom Secretary
part of KP Form 7
 Encodes applicant Punong
information in the Barangay
database
 Verifies applicant’s
information in
Barangay Profiling
Information System
 Signs RBI Form B
 Signs KP Form 7
b. Gives duplicate copy of
the signed KP Form 7 and
informs the complainant to
wait for the issuance of
Notice of Hearing
c. Asks the applicant to fill-
out Barangay Form 100 and
to drop the accomplished Barangay
form to feedback drop box Form 100
d. Tells client parting words,
“Have a nine day!”
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Barangay Form 2

Eligibility/Exam Records Request Form (ERRF) Republic of the Philippines Date Accomplished by Client:
(Revised 01192011) CIVIL SERVICE COMMISSION
OFFICE NAME Time Accomplished by Client:
CIVIL SERVICE COMMISSION
OFFICE NAME Time Received by ESD/ERS P erso nnel:
REQUEST FOR ELIGIBILITY/EXAMINATION RECORDS Initials o f ESD/ERS P erso nnel:
Certification of Eligibility Authentication of Eligibility Others
(no/lost original certificate; attach Declaration) (attach original certificate)
PERSONAL INFORMATION (Please print. ) Gender:
Name Used at the Time Civil Status:
of Issuance/Exam: Last Name First Name Middle Name Presently employed? Yes No
Current Name: If yes, please specify:
Address Used at the Time of Issuance/Exam: Company:
Current Address: Address:
Date of Birth: Place of Birth:
Purpose/s of Request: Employment Replacement of Lost Certificate Did Not Receive Original Certificate
Promotion Replacement of Old/Torn/Worn-out Certificate Others
ELIGIBILITY/EXAMINATION DATA (Please print.)
Title of Eligibility/Exam: Rating Obtained: Date of Effectivity:
Date of Issuance/Exam: Registration/Certificate/Card/Resolution No.:
Place of Issuance/Exam: Registration/Certificate/Card/Resolution Date:
Requested By:

Signature of the Eligible/Examinee Right Thumb Print Authorized Representative

Signature at the Time of Issuance/Exam (Printed Name & Signature)
Contact No. (Examinee/Eligible) Contact No.
ACTION TAKEN
CHECKED DATA AGAINST THE ML CHECKED DATA AGAINST THE PSP
Book No. Page No. Seq./Line No. In Order Not In Order
School Code/Batch No. Examinee/Reg. No. Photo/Picture
Date Issued/Released: Signature
NO AVAILABLE RECORD Date of Birth
REMARKS REMARKS
Name/Signature/Initials: Security Form No.:
1st Verifier: 2nd Verifier: 1st Validator: 2nd Validator:
Date: Date: Date: Date:
RELEASE OF REQUEST/S Released by Received by
Fee: O.R. No.: Date:
Date: Action Officer Signature of Eligible/Representative Time:
(Please see Guide and Checklist of Requirements at the back page.)

About the service:

Barangay Certification is issued upon the request of the client for verifying
residency, good standing in the community, no pending case filed in the barangay and
for such other purposes.

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Agricultural Support Services: Planting materials distribution system, Operations of
farm produce collection and buying stations

Health Services: Maintenance of barangay health center

Maintenance of barangay roads and bridges; and maintenance of water supply systems

Multi-purpose hall, multipurpose pavement, plaza, sports center and other similar
facilities;
Information and reading center; and satellite or public market, where viable

Social welfare services: maintenance of daycare center

Services related to general hygiene and sanitation; and solid waste collection; and
maintenance of katarungang pambarangay

A brief statement regarding the services concerned.

• Public Interface of the service concerned to be addressed (e.g.,
Reservation, Passenger amenities by Railways, Mail Delivery, Premium
services by Post etc.)
• Commitment to Standards (Time frame, Quality of service)
• Our Staff : What to except from them?
Where are they located?
• Keeping you informed : What information do you need?
• If things go wrong : What could go wrong;
Whom to contact;
What to expect to set it right.
• How you can help us?

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