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CCSRF-BODBA

The document outlines the Citizen's Charter Service Request Form for processing burial assistance for deceased barangay officials. It details the documentary requirements needed for various claimants, including certifications, death certificates, and identification documents. Additionally, it provides instructions for cases involving minors, multiple claimants, and discrepancies in documentation.

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DILG Aloran
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23 views1 page

CCSRF-BODBA

The document outlines the Citizen's Charter Service Request Form for processing burial assistance for deceased barangay officials. It details the documentary requirements needed for various claimants, including certifications, death certificates, and identification documents. Additionally, it provides instructions for cases involving minors, multiple claimants, and discrepancies in documentation.

Uploaded by

DILG Aloran
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as XLSX, PDF, TXT or read online on Scribd
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Document Code

DEPARTMENT OF THE INTERIOR AND LOCAL GOVERNMENT


FM-SP-DILG-07-01
CITIZEN'S CHARTER SERVICE REQUEST FORM Rev. No. Eff. Date Page
00 06.15.21 of 1 1

SERVICE TITLE: PROCESSING OF BARANGAY OFFICIALS' DEATH AND REFERENCE NO.


BURIAL ASSISTANCE (BODBA) FOR FUND ALLOCATION BY THE DATE OF REQUEST
DEPARTMENT OF BUDGET AND MANAGEMENT (DBM) NAME OF CLIENT/ORGANIZATION:
Kindly Check
Documentary Requirements the
(as of August 1, 2024) Documents
Needed
Basic Requirements
1. Certification that the barangay official was incumbent at the
time of his/her death using the prescribed template (issued by CONTACT DETAILS:
the DILG C/MLGOO)
2. Certified true copy of the death certificate of the deceased
barangay official
3. Photocopy of any valid government-issued ID of the
claimant
If Claimant is the Widow/Widower: (Certified or True Copy) OTHER NEEDED INFORMATION, if any:
4. Marriage Certificate Relationship to the DBO:

If Claimant is the Parent of the deceased Barangay Official : (Certified or


SIGNATURE:
True Copy)
4. Birth Certificate of the deceased barangay official
If Claimant is the Son/Daughter or Brother/Sister of the deceased
barangay official
4. Birth Certificate of the claimant RECEIVED BY: DATE AND TIME RECEIVED
If claimaint is the Common-Law Spouse/Parent of the deceased
barangay official:
4. The legal heir shall execute an Affidavit or Special Power
of Attorney
In the absence of primary and secondary beneficiaries/ claimants:
4. An affidavit of two (2) interested persons or affidavit of
self-adjudication shall be executed by the claimant to
support that he/she is the only heir of the deceased barangay
official
If a designated beneficiary/legal heir is a minor :
5. 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
In the case of multiple designated beneficiaries/claimants of deceased
barangay officials:
5. A Special Power of Attorney, which shall be executed as
supporting document, except if the claimant is spouse. Only
one check shall be issued to the person whom the
beneficiaries agreed from among themselves to receive the
check.
Other supporting documents from the claimant (whichever is Receiving Officer
applicable): ENDORSED TO RESPONSIBLE OFFICER: DATE AND TIME ENDORSED
6. Photocopy of Police Report, in case the matter of death of
the deceased barangay official is not a natural cause
7. Affidavit of two (2) disinterested parties shall be executed
if there is a discrepancy in the name of the deceased
barangay official or claimant
8. For beneficiaries of IPMRs, if applicable, in the absence of
the documents mentioned above, affidavit of two (2)
disinterested persons shall be required
9. Other supporting documents
REMARKS:
Name/Unit and Designation
--------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
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 Date of Release in
Death and Burial Assistance (BODBA) For Fund Release 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:

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