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Form 2E (Photo Documentation)_PCM (1).docx
1. 1 of 12
Department of the Interior and Local Government
CY 2022 Seal of Good Local Governance
Certified Form 2E (Photo Documentation)
FDP 1st Conspicuous Place
FDP 2nd Conspicuous Place
FDP 3rd Conspicuous Place
Financial Administration
INSTRUCTIONSFOR THEDILG FIELDOFFICE:PLEASE READ BEFOREPROCEEDING.(1) DocumentLGUcomplianceby
takingphotographsappropriateforthe boxes providedfor eachassessment area. (2) Photosshouldrepresentthe subject matter with
clarity andwithout anyform of distortion. (3) Use of a high-resolutioncameraisrecommended.(4)Write down your observationsor
findings(e.g., address/location,status) on the space provided;short bullet-typestatements will do. (5) This accomplishedFormisa
requiredattachmentto Form2E (DILG FieldOffice).
2. 2 of 12
Department of the Interior and Local Government
CY 2022 Seal of Good Local Governance
Certified Form 2E (Photo Documentation)
Photo-documentation of the LDRRMO workspace Early Warning System (1)
(At least 1 marker for top 1 hazard)
Early Warning System (2)
(At least 1 marker for top 2 hazard)
Early Warning System
(Audible, early and wide warning alarm system)
Disaster Preparedness (1)
INSTRUCTIONSFOR THEDILG FIELDOFFICE:PLEASE READ BEFOREPROCEEDING.(1) DocumentLGUcomplianceby
takingphotographsappropriateforthe boxes providedfor eachassessment area. (2) Photosshouldrepresentthe subject matter with
clarity andwithout anyform of distortion. (3) Use of a high-resolutioncameraisrecommended.(4)Write down your observationsor
findings(e.g., address/location,status) on the space provided;short bullet-typestatements will do. (5) This accomplishedFormisa
requiredattachmentto Form2E (DILG FieldOffice).
3. 3 of 12
Department of the Interior and Local Government
CY 2022 Seal of Good Local Governance
Certified Form 2E (Photo Documentation)
Early Warning System
(Rain gauge- automated or indigenous)
Early Warning System
(IEC materials on EWS)
Evacuation Center
(Wide Angle Shot from outside, showing building)
Evacuation Center
(Showing the Facilities)
Disaster Preparedness (2)
INSTRUCTIONSFOR THEDILG FIELDOFFICE:PLEASE READ BEFOREPROCEEDING.(1) DocumentLGUcomplianceby
takingphotographsappropriateforthe boxes providedfor eachassessment area. (2) Photosshouldrepresentthe subject matter with
clarity andwithout anyform of distortion. (3) Use of a high-resolutioncameraisrecommended.(4)Write down your observationsor
findings(e.g., address/location,status) on the space provided;short bullet-typestatements will do. (5) This accomplishedFormisa
requiredattachmentto Form2E (DILG FieldOffice).
4. 4 of 12
Department of the Interior and Local Government
CY 2022 Seal of Good Local Governance
Certified Form 2E (Photo Documentation)
Stockpiled Goods SAR/ Emergency Response Team Equipment
For Top 1 hazard
SAR/ Emergency Response Team Equipment
For Top 2 hazard
SAR/ Emergency Response Team Equipment
(Motorized Vehicle)
Disaster Preparedness (3)
INSTRUCTIONSFOR THEDILG FIELDOFFICE:PLEASE READ BEFOREPROCEEDING.(1) DocumentLGUcomplianceby
takingphotographsappropriateforthe boxes providedfor eachassessment area. (2) Photosshouldrepresentthe subject matter with
clarity andwithout anyform of distortion. (3) Use of a high-resolutioncameraisrecommended.(4)Write down your observationsor
findings(e.g., address/location,status) on the space provided;short bullet-typestatements will do. (5) This accomplishedFormisa
requiredattachmentto Form2E (DILG FieldOffice).
5. 5 of 12
Department of the Interior and Local Government
CY 2022 Seal of Good Local Governance
Certified Form 2E (Photo Documentation)
LDRRM Operations Center
(Actual Facility)
Others
(if any)
Disaster Preparedness (4)
INSTRUCTIONSFOR THEDILG FIELDOFFICE:PLEASE READ BEFOREPROCEEDING.(1) DocumentLGUcomplianceby
takingphotographsappropriateforthe boxes providedfor eachassessment area. (2) Photosshouldrepresentthe subject matter with
clarity andwithout anyform of distortion. (3) Use of a high-resolutioncameraisrecommended.(4)Write down your observationsor
findings(e.g., address/location,status) on the space provided;short bullet-typestatements will do. (5) This accomplishedFormisa
requiredattachmentto Form2E (DILG FieldOffice).
6. 6 of 12
Department of the Interior and Local Government
CY 2022 Seal of Good Local Governance
Certified Form 2E (Photo Documentation)
Established Senior Citizens Center
Wide Angle Shot from outside, showing building
(For Cities and Municipalities only)
Established Senior Citizens Center
showing building indoors
(For Cities and Municipalities only)
Social Protection and Sensitivity
INSTRUCTIONSFOR THEDILG FIELDOFFICE:PLEASE READ BEFOREPROCEEDING.(1) DocumentLGUcomplianceby
takingphotographsappropriateforthe boxes providedfor eachassessment area. (2) Photosshouldrepresentthe subject matter with
clarity andwithout anyform of distortion. (3) Use of a high-resolutioncameraisrecommended.(4)Write down your observationsor
findings(e.g., address/location,status) on the space provided;short bullet-typestatements will do. (5) This accomplishedFormisa
requiredattachmentto Form2E (DILG FieldOffice).
7. 7 of 12
Department of the Interior and Local Government
CY 2022 Seal of Good Local Governance
Certified Form 2E (Photo Documentation)
Citizens’ Charter for Business Permits
(For Cities and Municipalities only)
Business One Stop Shop
(For Cities and Municipalities only)
Business-Friendliness and Competitiveness
INSTRUCTIONSFOR THEDILG FIELDOFFICE:PLEASE READ BEFOREPROCEEDING.(1) DocumentLGUcomplianceby
takingphotographsappropriateforthe boxes providedfor eachassessment area. (2) Photosshouldrepresentthe subject matter with
clarity andwithout anyform of distortion. (3) Use of a high-resolutioncameraisrecommended.(4)Write down your observationsor
findings(e.g., address/location,status) on the space provided;short bullet-typestatements will do. (5) This accomplishedFormisa
requiredattachmentto Form2E (DILG FieldOffice).
8. 8 of 12
Department of the Interior and Local Government
CY 2022 Seal of Good Local Governance
Certified Form 2E (Photo Documentation)
Sanitary Landfill
(For Cities and Municipalities only, if present)
MRF/Similar Facility
(For Cities and Municipalities only)
Residual Containment Area (RCA)
(For Cities and Municipalities only, if present)
Other SWM Facilities
(For Cities and Municipalities only)
Environmental Management
INSTRUCTIONSFOR THEDILG FIELDOFFICE:PLEASE READ BEFOREPROCEEDING.(1) DocumentLGUcomplianceby
takingphotographsappropriateforthe boxes providedfor eachassessment area. (2) Photosshouldrepresentthe subject matter with
clarity andwithout anyform of distortion. (3) Use of a high-resolutioncameraisrecommended.(4)Write down your observationsor
findings(e.g., address/location,status) on the space provided;short bullet-typestatements will do. (5) This accomplishedFormisa
requiredattachmentto Form2E (DILG FieldOffice).
9. 9 of 12
Department of the Interior and Local Government
CY 2022 Seal of Good Local Governance
Certified Form 2E (Photo Documentation)
Tourist Information and Assistance Center/Desk Tourism Tracking System (Database/Recordbook)
Published narrative of history and culture Others, please identify
Tourism, Heritage Development, Culture and the Arts
INSTRUCTIONSFOR THEDILG FIELDOFFICE:PLEASE READ BEFOREPROCEEDING.(1) DocumentLGUcomplianceby
takingphotographsappropriateforthe boxes providedfor eachassessment area. (2) Photosshouldrepresentthe subject matter with
clarity andwithout anyform of distortion. (3) Use of a high-resolutioncameraisrecommended.(4)Write down your observationsor
findings(e.g., address/location,status) on the space provided;short bullet-typestatements will do. (5) This accomplishedFormisa
requiredattachmentto Form2E (DILG FieldOffice).
10. 10 of 12
Department of the Interior and Local Government
CY 2022 Seal of Good Local Governance
Certified Form 2E (Photo Documentation)
Youth Development Facility Youth Development Facility
Youth Development
INSTRUCTIONSFOR THEDILG FIELDOFFICE:PLEASE READ BEFOREPROCEEDING.(1) DocumentLGUcomplianceby
takingphotographsappropriateforthe boxes providedfor eachassessment area. (2) Photosshouldrepresentthe subject matter with
clarity andwithout anyform of distortion. (3) Use of a high-resolutioncameraisrecommended.(4)Write down your observationsor
findings(e.g., address/location,status) on the space provided;short bullet-typestatements will do. (5) This accomplishedFormisa
requiredattachmentto Form2E (DILG FieldOffice).
11. 11 of 12
Department of the Interior and Local Government
CY 2022 Seal of Good Local Governance
Certified Form 2E (Photo Documentation)
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Remarks and Additional Photos (if any)
You can use this page for otherinformation,highlightsand additional photographs.Pleaselimitadditional photos/remarks
to two pagesonly.
INSTRUCTIONSFORTHEDILG FIELDOFFICE:PLEASE READ BEFOREPROCEEDING.(1) DocumentLGUcomplianceby
takingphotographsappropriateforthe boxes providedfor eachassessment area. (2) Photosshouldrepresentthe subject matter with
clarity andwithout anyform of distortion. (3) Use of a high-resolutioncameraisrecommended.(4)Write down your observationsor
findings(e.g., address/location,status) on the space provided;short bullet-typestatements will do. (5) Identify the indicatorand
governancearea to the photo is related.
12. 12 of 12
Department of the Interior and Local Government
CY 2022 Seal of Good Local Governance
Certified Form 2E (Photo Documentation)
Click here to enter text. Click here to enter text.
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