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REPUBLIC OF THE PHILIPPINES:
DEPARTMENT OF THE INTERIOR AND LOCAL GOVERNMENT
BUREAU OF LOCAL GOVERNMENT SUPERVISION
25% Floor, DILG-NAPOLCOM Center,
EDSA corner Quezon Avenue, Quezon Cit
DILG
PROVINCIAL OFFICE
MEMORANDUM
APR 2 5 2018
FOR : ALL DILG REGIONAL DIRECTORS
ATTN : LTIA REGIONAL FOCAL PERSONS (RFPq) Time:
‘SUBJECT : GUIDELINES ON THE OBSERVANCE OF THE STANDARD
DOCUMENTATION REPORT FOR 2038 — LUPONG
‘TAGAPAMAYAPA INCENTIVES AWARDS (LTIA) NATIONAL
ENTRIES
DATE i FEBRUARY 15, 2018
Pursuant to Executive Order 394 series of 1997 which mandates this Bureau to provide
tachnical and secretariat support to the LTTA National Awards Committee (NAC), the
following guidelines on the observance of the STANDARD DOCUMENTATION REPORT
are hereby Issued in consonance with DILG MC No. 2016-58 to facilitate the uniform.
submission of the official nomination documents of National Entries for 2018 LTIA
Implementation:
4, Only the LTIA Forms prescribed under the aforesaid issuance shall be used. Any
alteration, addition, or omission is strictly prohibited. Non-compliance therewitn
shall constitute disqualification or imposition of deduction of points.
2, In accomplishing the prescribed forms, the folowing template shail be Followed:
Typeface: Verdana
Font size: 10 pt
Spacing: 1.45
Paper size: Ad (8.3 x 11.7 Inches)
3. All nomination documents of each Lupon National Finalist shail be arranged in
following order:
@, Original copy of LTEA Form 05 - Official Entry Form duly accomplished and
signed by the members of the Regional Awards Committee (RAC) or LTIA Form
05-A: Non-Submission of Official Entry in case there is no qualified Lupon
National Finalist
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b. Origina: spy of LTEA Form 031 - Performa . Evaluation Form duly
accomplished and signed by the members of RAC
©. Original copy of LTZA Form 02 - Consolidated Performance Evaluation
Form duly accomptished and signed by the members of RAC
4, Original copy of LTIA Form 03 [R} ~ Comparative Performance Evaluation
Form duly accomplished and signed by the members of RAC
e. Certified true copy of LTIA Farm 03 [P] - Comparative Performance
Evaluation Form duly accomplished and signed by the members of the
concerned Provincial Awards Committee (PAC)
f. Certified true copy of LTZA Form 03 [¢/M] - Comparative Perfarmance
Evaluation Form duly accomplished and signed by the members of the
concerned City/Municipal Awards Committee (C/MAC)
9. Original copy of LTIA Form 04 ~ Performance Validation Report Form duly
accomplished and signed by the members of the RAC, if there Is a te between
the Regional Finalists
Original copy of LTIA Form 06 - Summary of Ca:
i, Original copy of LTZA Form 07 - Performance Mighlights duly accarnpiished
and signed by the Lupon Secretary, Lupon Chairperson, C/MLGOO, and RFP
J. Original copy of LTIA Form 07-A - List of Cases duly accomplished and
Signed by the Lupon Secretary and Lupon Chairperson.
k. Original copy of LTIA Form 07-B - Lupon Profile
1. Annexes (Annexes A-K)
All attachments (documents and photos) shal! be arrange
and marked as follows:
in the following order
ANNEX A: OBSERVANCE OF SETTLEMENT PROCEDURE AND DEADLINES
‘+ ANNEX A-1: Two (2} ghotes with caption of the Record Book and sample
entries in the record book
+ ANINEX A-2: Four (4) photos with caption of on-going procedure
(mediation, conciliation or arbitration)
ANNEX B: SYSTEMATIC MAINTENANCE OF RECORDS
‘+ ANNEX B-1; Two (2) photos with caption of the Record Book
+ ANNEX B-2: Two (2) ahotos with caption of Computerized record of cases
+ ANNEX B-3: Two (2) photos with caption of Compilation of Minutes of
Lugon meetings with Attendance Sheets
* ANNEX B-4: Two (2) photos with caption of Compilation of Reports
submitted to the Court and OTLG
* ANNEX B-5: Photo with caption of filing cabinets
ANNEX C: TIMELY SUBMISSION OF REPORTS TO CONCERNED AGENCIES
© ANNEX C-1: Certified true copies of Transmittal Letters of Report to Court
© ANNEX C-2: Certified true copies of Transmittal Letters of Report to DILG
ANNEX D: COMPLIANCE WITH THE TERMS OF SETTLEMENT OR AWARD
* Certified true copies of five (5) sample proof of compliance
(Acknowledgment Receipts, Ledger, etc.)
ANNEX &: CONDUCT OF MONTHLY MEETINGS EXCLUSIVELY ON
KATARUNGANG PAMBARANGAY (KP) MATTERS.
‘+ ANNEX E-t: Certified true copies of Notices of Meatings (lanuary-
December}
5 Dasst
hats
ere
+ ANAK &2: Certified true copies of Minutes c etings (January-
December)
+ ANNEX
December)
ANNEX E-4: Three (3) photos with caption of on-going meetings
ANNEX F: SETTLEMENT TECHNIQUE
‘+ Two (2) photos with caption for each Settlement Technique used by the
‘Lupong Tagapamayapa (LT)
ANNEX G: COORDINATION WITH CONCERNED AGENCIES
4 ANNEX G-1: Two (2) photos with caption for each coordination activity
with concerned agencies relating to disputes fled
+ ANNEX G-2: Certified true copies of any proof of coordination (Letters or
other written documents)
ANNEX H: SUSTAINED INFORMATION DRIVE
+ ANNEX H-1: Two (2) photos with cation for each Information drive used
by the Lupong Tagapameyapa in the promotion of KP in their community
‘+ ARINEX H-2: Copies of pamphiats, leaflets, tarpaulins and other 16¢
materials
ANNEX Z: KP TRAININGS OR SEMINARS WITHIN THE ASSESSMENT PERIOD
+ ANNEX I-1: Two (2) photos with caption for each training conductes
+ ANNEX I-2: Certified true coples of any proof of trainings canducted
(Activity Design, Certificate of Participation, Attendance Sheets, etc.)
“Twa (2) photos with caption for each training attended
Certitied true copies of any proof of trainings attended
(lavitation Letter, Certificate of Particloation, Attendance Sheets, etc.)
ANNEX J: AREA OR FACILITY FOR KP ACTIVITIES
+ Three (3) photos with caption of the bullding or space used exclusively for
KP and LT concerns
ANNEX K: FINANCIAL OR NON-FINANCIAL SUPPORT
+ Certified true capies of any proof of support such as but not limited to the
following: Deed of Donation, MOA, Resolution, Appropriations Ordinance,
Acknowledgement Receipts, Vouchers, ete,
Certified true copies of Attendance Sheets (lanuary-
All Annexes must have a pagé number at the lower right hand comer for every
pege.
In providing information for each criterion in the LTZA Farm 7 - Performance
Highlights, please include a footnote to indicate the supporting documents
provided, as illustrated:
(REX OR FACILITY FOR KATARUNGANG EANARANGAY
: Activities.
(guttding. "The Lupong Tagapameyapa Office Is located at the second
| structure floor of the Barangay Hall. It is furnished with tabies and
| oespace | chairs, computer and printer and filing cabinets.
i
|
f
f
| attachments:
| See Annex J ~ Photos of KP fice (page 39) a)
vad Se "ON Hed 2 oes6. No photos shall be inserted in LTZA Form 7 - Performance Highlights. As such,
all photos must only be included in the Annexes. Likewise, the following minimum
specifications for photos shall be observed:
Size: 3R (9 x 13 cm)
Colored
Should not be pixelated
Should not be distorted
7. Only those documents expressly provided under DILG MC No. 2016-58 and
contained herein shall be included In the official nomination entries. Inclusion of
unnecessary and irrelevant attachments or documents not related to KP
implementation within the assessment period is strongly discouragad,
8. All official nomination documents of the National Entries shail be scanned and
Packaged in a Single PORTABLE DOCUMENT FORMAT (PDF) File property
amed as provided under Item No, 4 of ONLINE SUBMISSION GUIDELINES of DILG
MC No, 2016-58, Likewise all scanned pages must be in portrait/reading view.
8. The concerned RAC shall submit all official National Entries to the Google Drive
account of the National Secretariat not later than 5:00 PM of the last working day
of the month of Apri.
10, As provided under Item No. 11 of the AWARD GUIDELINES of DILG MC No, 2016-
58, the following shall constitute disqualification or imposition of deduction of
points:
a, Submission of incomplete documents
b. Non-complionce with the prescribed Standard Documentation
Report Requirements
©. Late Submission of Lupon National Finalists to the National
Secretariat, the Recognition and Awards Division (RAD)
For queries and concems, you may contact the LTIA National Secretariat at (02) 876-DILG
local 4204/4205 or (02) 9251153.
For compliance, -
( Maiponogy
ATTY. ODILON L. PASARABA, CESO V
01C-Diractor
Head, LTIA National Secretariat
1 fee
Ss
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