Office or Division:

MSWD Office

Classification:

Simple

Type of Transaction:

G2C

Who may avail:

Indigent individual or family with financial difficulty

CHECKLIST OF REQUIREMENTS

WHERE TO SECURE

1.    Hospitalization

1.1   Certification of Indigency (1 original, 2 photocopy)

1.2   Medical Abstract/Certificate(1 original,2 photocopy)

1.3   Hospital bill(1 original, 2 photocopy)

Barangay Hall of  client’s present address

Hospital or institution where the client was confined or treated

Hospital or institution where the client was confined or treated

2.    Laboratory exams and other medical procedures

2.1   Certification of Indigency (1 original,2 photocopy)

2.2   Doctor’s recommendation for laboratory exam or other medical procedures( 3 photocopy)

Barangay Hall of client’s present address

Hospital where the patient was confined and/or examined

3.    Burial assistance

3.1   Death certificate ( 3 photocopy)

3.2   Certification of Indigency (1 original,2 photocopy)

3.3   One valid ID card of client (3 photocopy, bring original for verification)

Local Civil Registry

Barangay Hall of  client’s present address

SSS/GSIS/Driver’s License/SC ID/Company ID/School ID/Voter’s Registration Record/Postal ID

4.    4. Purchase of Medicines

4.1   Latest prescription of medicines ( 3 photocopy)

4.2   Certification of Indigency (1 original,2 photocopy)

Hospital/Clinic the patient was treated or examined

Barangay Hall of client’s present address

CLIENT STEPS

AGENCY ACTIONS

FEES TO BE PAID

PROCESSING TIME

PERSON RESPONSIBLE

1.    Sign in the client logbook

1.    Give the logbook to the client

none

1 minute

Admin. Aide III-

MSWDO

2.    Submit required documents

2.    Receive and review the completeness of the documents

none

2 minutes

Admin. Aide III-

MSWDO

3.    Submit for interview and assessment

3. Intake interview with the    client

3.1  Make assessment

   Report

3.2 Review and sign the assessment report

none

5 minutes

12 minutes

2 minutes

Admin. Aide III-

MSWDO

Municipal Social Welfare Development Officer-MSWDO

4.    Process documents for assistance

4.Give instruction to the client where to submit the documents.

none

5 minutes

Admin. Aide III-

MSWDO

5.    Receive financial assistance

6.1 Sign the voucher

6.    Extend financial assistance

3 minutes

Municipal Treasurer-

Municipal Treasury