Republic of the Philippines Document Code
Department of the Interior and Local Government FM-QP-R03-LGMED-27-01
DMGC, City of San Fernando, Pampanga Rev. No. Eff. Date Page
0 10.16.17 1 of 2
PROCESSING OF BARANGAY OFFICIALS DEATH BENEFIT CLAIMS (BODBC)
Checklist of Documentary Requirements
Date Received
Name of Barangay Official
Address
Position
Term of Office
Name of Claimant
Relationship with the Official
INCOMPLETE
Documentary Requirements COMPLETE (specify the
deficiancies)
1. Death Certificate duly authenticated by concerned
Local Civil Registrar
2. Indorsement of City/ Provincial Director
3. Certificate of Incumbency (issued by HUC Director
and C/MLGOO)
4. Marriage Certificate if the claimant is the Spouse of
Barangay Official
5. Birth Certificate of Claimant to show proof of
relationships to the concerned Barangay Officials duly
authenticated by the Local Registar
6. if Single, Birth Certificate of the deceased or affidavit
of two disinterested parties if the claimat is a parent
7. Special Power of Attorney
REMARKS/ ACTION TO BE TAKEN:
PREPARED BY:
Republic of the Philippines Document Code
Department of the Interior and Local Government FM-QP-R03-LGMED-27-01
DMGC, City of San Fernando, Pampanga Rev. No. Eff. Date Page
0 10.16.17 1 of 2