Location via proxy:   [ UP ]  
[Report a bug]   [Manage cookies]                
Scribd Logo
Upload

Welcome to Scribd!

  • Application For Barangay Official'S Death Benefit Claim: Dilg-Nboo DBC Form 001

    Uploaded by

    Jologs Jr Logenio
    342 views1 page
    This document is an application form for claiming the death benefit of a deceased barangay official. It requests information such as the name and position of the barangay official, the barangay and location where they served, their date of election/appointment and date of death. The claimant must sign and date the form, and attach a certified copy of the death certificate, before submitting it to the appropriate DILG office.

    Original Description:

    Death Benefit Claim form for brgy

    Original Title

    DBC NewForm

    Copyright

    © © All Rights Reserved

    Available Formats

    DOCX, PDF, TXT or read online from Scribd

    Did you find this document useful?

    Is this content inappropriate?

    Report this Document
    This document is an application form for claiming the death benefit of a deceased barangay official. It requests information such as the name and position of the barangay official, the barangay and location where they served, their date of election/appointment and date of death. The claimant must sign and date the form, and attach a certified copy of the death certificate, before submitting it to the appropriate DILG office.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as docx, pdf, or txt
    342 views1 page

    Application For Barangay Official'S Death Benefit Claim: Dilg-Nboo DBC Form 001

    Uploaded by

    Jologs Jr Logenio
    This document is an application form for claiming the death benefit of a deceased barangay official. It requests information such as the name and position of the barangay official, the barangay and location where they served, their date of election/appointment and date of death. The claimant must sign and date the form, and attach a certified copy of the death certificate, before submitting it to the appropriate DILG office.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as docx, pdf, or txt
    of 1

    DILG-NBOO

    DBC Form 001

    APPLICATION FOR BARANGAY OFFICIAL’S DEATH BENEFIT CLAIM

    Instructions: This form shall be accomplished by the claimants and submitted immediately to the
    DILG HUC/ICC/CC/Municipal Office.

    NAME OF BARANGAY OFFICIAL: ____________________________________________________

    POSITION: _____________________________________________________

    BARANGAY: _____________________________________________________

    CITY/MUNICIPALITY: _____________________________________________________

    PROVINCE: ______________________________________________________________

    DATE OF ELECTION/APPOINTMENT: ____________________________________________________

    DATE OF DEATH: _______________________________________________________

    SIGNATURE OVER PRINTED NAME OF CLAIMANT

    ________________________________
    DATE ACCOMPLISHED

    ATTACHMENT:
    Certified True Copy of Death Certificate

    You might also like