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DEPARTMENT OF THE INTERIOR AND LOCAL GOVERNMENT
CITIZEN'S CHARTER SERVICE REQUEST FORM
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SERVICE TITLE: PROCESSING OF BARANGAY OFFICIALS DEATH AND BURIAL ASSISTANCE (BODBA) FOR FUND ALLOCATION BY THE DEPARTMENT OF BUDGET AND MANAGEMENT (DBM)REFERENCE NO.
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DATE OF REQUEST
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NAME OF CLIENT/ORGANIZATION:
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Documentary Requirements
(As of June 1, 2023)		Kindly Check the Documents Needed
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1. Oath of OfficeCONTACT DETAILS:
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2. Certification that the barangay official was incumbent at the time of his/her death (Issued by the DILG C/MLGOO or Punong Barangay)
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3. Original or Certified true copy of Death Certificate of the deceased barangay official
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4. Photocopy of Government-issued ID of claimantOTHER NEEDED INFORMATION, if any:
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Claimant’s documents whichever is applicable: Original or Certified True Copy Relationship to the DBO:
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a) Marriage Certificate, if the claimant is the widow/widower of the deceased barangay official
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b) Birth Certificate, if claimant is a son/daughter of the deceased barangay officialSIGNATURE:
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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.
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RECEIVED BY:DATE AND TIME RECEIVED
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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.
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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.
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f) If the claimaint is the Common-Law/Live-in partner of the DBO, the legal heir shall execute a Waiver of Rights.Receiving Officer
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ENDORSED TO RESPONSIBLE OFFICER:DATE AND TIME ENDORSED
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Other supporting documents:
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g) Photocopy of Police Report, in case the matter of death of the deceased barangay official is not a natural cause.
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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.
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i) For beneficiaries of IPMRs, if applicable, in the absence of the documents mentioned above, affidavit of two (2) disinterested persons shall be required.
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j) other supporting documents
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REMARKS:Name/Unit and Designation
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ACKNOWLEDGEMENT RECEIPT
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This is to acknowledge the service/s you have requested:REFERENCE NO.
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Service Title: Processing of Barangay Officials Death and Burial Assistance (BODBA) For Fund Allocation By The DBMDate Received

Expected Date of Release

Date of Release in case of extension



Republic of the Philippines
DEPARMENT OF THE INTERIOR AND LOCAL GOVERNMENT

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NAME OF RESPONSIBLE OFFICER/UNIT/DESIGNATION:CONTACT DETAILS:
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OFFICE ADDRESS:
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REMARKS:
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