PhATSS Form A1

[For use by the Barangay]

LETTER OF REQUEST FOR VERIFICATION AND CERTIFICATION OF

ZERO OPEN DEFECATION (G1) STATUS

Date: June 18, 2021

Dr. Raymund Nadela

Municipal Health Officer
Municipality of Siayan
Province of Zamboanga del Norte

Dear Dr. Nadela:

This is to inform you that our barangay has complied with the criteria required for G1 or ZOD status as of
June 22, 2021, at 1:00 PM. Our barangay officials have done the following activities 3 to mobilize the
community in reaching the criteria for G1 or ZOD status:

1. House to house inspection

2. Passing a local ordinance
3. Conduct information drive to conduct ZOD verification and certification.

We take pride for having implemented the following innovative 4 approaches to achieve G1 status:

1. Imposing ZOD ordinance

2. Information drive for toilets to have soap,water and slippers.
3. Clean-up drive every month.

In this regard, we would like to request the Municipal Verification and Certification Team to conduct the
verification exercise and certify our status as a ZOD (G1) barangay. Enclosed is our report and other
attachments, for your reference.

Thank you very much.

Respectfully yours,

Samuel S. Senon
Barangay Captain

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3
Examples are forming barangay ZOD monitoring team, passing a local ZOD ordinance, conduct of
CLTS triggering activities, use of Goodbye Dumi! Hello Healthy! Campaign tools, etc.
4
Innovative approaches in terms of mobilizing community members, constructing toilets using
indigenous materials, appropriate toilet designs and enforcing the ZOD policy, etc