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Checklist for Revalidation of Drug-Cleared & Drug-Free Barangay

Barangay
Inspector DCC Number
Date of Revalidation Date Declared

Basic Documents for


Document Required Comments
Revalidation
Municipal/City Level
Establishment Ordinance Certified Copy
of Community Org. Structure Printed
Based Program of Printed
Rehabilitation Instruction
Program (DDB List of Enrolled Orig Certification
Reg. 4, S. Clients
2016: Oplan
Sagip) List of Graduates Orig Certification

Establishment Ordinance Certified Copy


of Balay
Silangan (DDB Org. Structure Printed
Reg. 2, S.
2018 )
Program of Printed
Instruction
List of Enrolled Orig Certification
Clients
List of Graduates Orig Certification

PDEA Certified Color Coded List Supporting documents


BADAC
Watchlist Yellow-CBRP Certification indicating the
date of admission signed by
the CBRP Director or the
equivalent. In cases of
completion, the date from
admission to completion must
be reflected in said certificate
Gray-Transferred/ Certification indicating the
Cannot be found address where the said
personality transferred, if
applicable signed by the
Barangay Captain and shall
be attested by the Municipal
Police Station Commander/
Municipal Chief of Police
Blue-Died Certification issued by the
Barangay Captain and shall
be attested by the Municipal
Police Station
Commander/Municipal Chief
of Police. Further, a death
certificate issued by the
Office of the Registrar
General shall also be
attached
Green-Facility- Certification indicating the
based date of admission signed by
Rehabilitation the FBRP Director or the
Program/Treatme equivalent. In cases of
nt and completion, the date from
Rehabilitation admission to completion must
Center be reflected in said certificate

Red- Certified copy of the Spot


Arrested/Neutrali Report of the apprehending
zed unit together with the
photocopy of the Arrest and
Booking Form of the arrested
drug personality/ies
Drug-Free Policy List of the Composition of the
Workplace Ordinance Drug-Free Workplace
Program Committee;
(Government
Agencies) List of the Composition of the
Assessment Team; and

Employee Assistance
Program
Orientation After Activity Report,
Attendance, Program and
Photo
Advocacy, After Activity Report,
Education and Attendance, Program and
Training Photo
Random Drug After Activity Report,
Testing Attendance, Program and
Photo
Hanging of “This is a Drug Free
Banner Workplace; Let’s keep it this
Way.”
Drug-Free Private Certification issued by the
Workplace Companies within Department of Labor and
Program Brgy AOR Employment attesting that
(Private said private establishment
Sectors) had complied the
requirements for the
implementation of drug-free
workplace program in the
private sector
BADAC Regular Program, Attendance,
Meeting Minutes and Photo
Special Program, Attendance,
Minutes and Photo
Advocacy (At Anti-Drug After Activity Report,
least once a Symposium Program, Attendance, and
month) Photo
Other Advocacies After Activity Report,
Program, Attendance, and
Photo
Other anti-drug Activities After Activity Report,
advocacies (At Program, Attendance, and
least once a Photo
month)

Recommendation:
___________________________________________________________________
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Revalidated by:

__________________________________
Signature Over Printed Name

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