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DEPARTMENT OF THE INTERIOR AND LOCAL GOVERNMENT
CITIZEN'S CHARTER SERVICE REQUEST FORM
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SERVICE TITLE: ISSUANCE OF DEPARTMENT AUTHORITY TO LGUS FOR THE PURCHASE OF MOTOR VEHICLESREFERENCE NO.
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DATE OF REQUEST
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NAME OF CLIENT/ORGANIZATION:
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Documentary Requirements*Kindly Check the documents Needed
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CONTACT DETAILS:
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1. LCE Request-letter
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2. Certificate of Availability of Funds from Local Accountant, or the Head of the Accounting Unit, or in case of his/her absence, the Local Treasurer or Budget Officer ( with the date of issuance, fund source and the appropriated amount), issued 6 months prior to request of vehicleOTHER NEEDED INFORMATION:
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3. Certified true copy of an Ordinance approving such purchase (i.e., first two and last pages of the said Ordinance and the page indicating the appropriated amount, per vehicle, to be purchased, and reflecting the name of office the budget was appropriated), and current Sanggunian Resolution on fund utilization in case of trust funds such as, unexpended DRRM fund balances from the previous year(s), and funds transferred/donated to the requesting-LGU from higher-level LGUs, government corporations, etc.;
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SIGNATURE:
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4. Updated (current calendar year) inventory/accounting of all existing motor vehicles showing their status/conditions/worthiness (e.g., good, fair, repairable or unserviceable) duly certified by the LGU’s Property/Supply Officer/ Accountable officer. Provided that the same shall not be required if the requesting LGU has already submitted a copy of the same to the concerned DILG office.RECEIVED BY:DATE AND TIME RECEIVED
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Receiving Officer
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**Refer to section 5.6 DILG MC 2022-105, for further details on the documentary requirements
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B. Technical Description of Purchase of Motor Vehicles
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Motor Vehicle Types Under DILG’s Approval
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1. Car (sedan or hatchback) with engine displacement not exceeding 2500cc, if gasoline-fed or 3500cc, if diesel-fed, or AFV **

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2. Passenger Van and Pick-Up Type Vehicle with engine displacement not exceeding 2500cc, if gasoline-fed, or 3000cc, if diesel-fed, or AFVENDORSED TO RESPONSIBLE OFFICER:DATE AND TIME ENDORSED
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Name/Unit and Designation
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3. Multi-Purpose Vehicle (MPV), with an engine displacement not exceeding 2500cc, if gasoline-fed or 2800cc, if diesel-fed, or AFV**

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4. Sports Utility Vehicle (SUV) with an engine displacement not exceeding 2700cc, if gasoline-fed, or 3000cc, if diesel-fed, or AFV**
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5. Van with engine displacement not exceeding 2500 cc if gasoline-fed, or 2800 cc , if diesel-fed, or AFV. A multicab is considered a van.
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6. All-Terrain Vehicle (ATV) with engine displacement not exceeding 800 cc
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** Note: Allowed specifications may vary depending on the intended use and/or user, as stated in Annex A DBM BC 2022-1, dated February 11, 2022
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REMARKS:
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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:Date ReceivedExpected Date of ReleaseDate 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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