1 26 23 - LTIA-Assessment-Form

2023 LUPONG TAGAPAMAYAPA INCENTIVES AWARDS (LTIA)
ASSESSMENT FORM
A. IDENTIFYING INFORMATION
Lupong Tagapamayapa : Region :
City: Award Category :
Province:
B. EVALUATION CRITERIA
General Instruction: Please do not forget to include your observations in the remarks column.
ASSIGNED SCORE
TABLE
CRITERIA POINT POINT
ASSESS ON-SITE
SCORE VALUE
MENT
I. EFFICIENCY IN OPERATION 42 0
A. Observance of Settlement Procedure and Settlement

20
Deadlines
1. a) Proper recording of every dispute/complaint
5 points - submitted/presented the record book or logbook

reflecting all the required details
2.5 points - submitted/presented the record book or logbook

reflecting some of the necessary details 5
O point - no presented record book or logbook
Note: Check if the record contains docket number, names of the

parties, date and time filed, nature of the case and disposition
ASSESSMENT FORM
Province:
ASSIGNED SCORE
TABLE
ASSESS ON-SITE
SCORE VALUE
MENT
b) Sending of Notices/Summons to parties within the

prescribed period (within the next working day upon
receipt of complaint)
5 points - submitted/presented 80-100% of summons with

complete and accurate information issued within the prescribed
period

period
5
period
0 point – have not submitted/presented any summons/notices
Note: Scores will be given only when file copy of the summons
issued within the next working day is with date and time
stamped of the receipt.
ASSESSMENT FORM
Province:
ASSIGNED SCORE
TABLE
ASSESS ON-SITE
SCORE VALUE
MENT
2. Settlement and Award Period

(with at least 10 settled cases within the assessment period)
a.) Mediation (within 15 days from initial confrontation with
the Lupon Chairman)
b.) Conciliation (15 days from initial confrontation with the
Pangkat)
c.) Conciliation (with extended period not to exceed

another 15 days) 10
d.) Arbitration (within 15 days from the date of the

agreement to arbitrate)
e.) Conciliation beyond 46 days but not more than 60 days

(clearly meritorious cases)
ASSESSMENT FORM
Province:
ASSIGNED SCORE
TABLE
ASSESS ON-SITE
SCORE VALUE
MENT
10 points – 80-100% cases were resolved using any mode of

ADR (supported by minutes of proceedings) within the prescribed
period
8 points - 60-79% cases were resolved using any mode of ADR

(supported by minutes of proceedings) within the prescribed
period

period

period
2 points - 1-19 % cases were resolved using any mode of ADR

period
0 point - 0 cases were resolved using any mode of ADR

ASSESSMENT FORM
Province:
ASSIGNED SCORE
TABLE
ASSESS ON-SITE
SCORE VALUE
MENT
B. Systematic Maintenance of Records 5
1. Records of Cases
For Cities - computer database with searchable case

information - 2 points
For Municipalities: 2
a. Manual Records - 1
b. Digital Record Filing - 1
2. Copies of Minutes of Lupon meetings with attendance

1
sheets and notices
ASSESSMENT FORM
Province:
ASSIGNED SCORE
TABLE
ASSESS ON-SITE
SCORE VALUE
MENT
3. Copies of reports submitted to the Court and to the

1
DILG on file
4. All records are kept on file in a secured filing cabinet(s) 1
C. C. Timely Submissions to the Court and the DILG 7
1. To the Court:
Submitted/ presented copies of settlement agreement to the
Court from the lapse of the ten-day period repudiating the 5
mediation/ conciliation settlement agreement, or within five (5)
calendar days from the
ASSESSMENT FORM
Province:
ASSIGNED SCORE
TABLE
ASSESS ON-SITE
SCORE VALUE
MENT
5.0 points = 80%-100% submitted on time
1.0 point = 1%-19% submitted on time
0 point = 0% of reports submitted on tim
2. To the DILG (Monthly) 2
2 points - Submitted/presented of the required report to the

DILG within the prescribed period
1 point – submitted/presented partial report of the DILG

within the prescribed period.
0 point - the required report to the DILG was not submitted or

submitted beyond the prescribed period
D. Conduct of Monthly Meetings Exclusively on KP Matters 10

ASSESSMENT FORM
Province:
ASSIGNED SCORE
TABLE
ASSESS ON-SITE
SCORE VALUE
MENT
● Notice of Meeting 2
2.0 points – minimum of 12 meetings with KP-related

matters, complete details, each Lupon member must sign
(indicating their name, date and time of receipt) when
receiving notices of meeting.
1.0 point – anything beyond the compliance document,

with incomplete details
0 point = no data presented
● Minutes of the Meeting 8

ASSESSMENT FORM
Province:
ASSIGNED SCORE
TABLE
ASSESS ON-SITE
SCORE VALUE
MENT
Number of months with KP-related meetings with
minutes and attendance sheets conducted:
8.0 points = 12 months

6.0 points = 9-11 months
1.0 point = 1-2 months
0 point = no meeting
II. EFFECTIVENESS IN SECURING THE SETTLEMENT OF

INTERPERSONAL DISPUTE OBJECTIVE OF THE 30 0
KATARUNGANG PAMBARANGAY
A. Quantity of settled cases against filed 10 10

ASSESSMENT FORM
Province:
ASSIGNED SCORE
TABLE
ASSESS ON-SITE
SCORE VALUE
MENT
With a minimum of 10 cases settled, the percentage of
cases received by the Lupon resulting to settlement:
10.0 points = 100%

8.0 points = 80%-99%
10
6.0 points = 60%-79%
4.0 points = 40%-59%
2.0 points = 1%-39%
0 point = 0%
To Compute:
Total number of settled cases x 100
Total no. of cases filed - cases outside the jurisdiction
of KP
B. Quality of Settlement of Cases 2 2

•Zero case repudiated 1
•Non-recurrence of cases settled 1

ASSESSMENT FORM
Province:
ASSIGNED SCORE
TABLE
ASSESS ON-SITE
SCORE VALUE
MENT
1 point - for non-recurrence and zero cases repudiated (out
of the total number of settled cases)
0 point - at least one (1) (out of the total number of settled

cases)
C. At least 80% compliance with the terms of settlement or

8 8
award after the cases have been settled
8 points = 80% -100% compliance with the terms of
8
settlement or award
6
settlement or award
4
settlement or award
2
settlement or award
1 point = 49% and below compliance with the terms of
1
settlement or award
ASSESSMENT FORM
Province:
ASSIGNED SCORE
TABLE
ASSESS ON-SITE
SCORE VALUE
MENT
III. CREATIVITY AND RESOURCEFULNESS OF THE LUPONG
TAGAPAMAYAPA
30 0
A. A. Settlement Technique utilized by the Lupon 10
10 points – five or more settlement techniquecutilized

8 points – at least four settlement technique utilized
6 points - at least 3 settlement technique utilized
4 points - at least 2 settlement technique utilized
2 points - at least 1 settlement technique utilized 10
0 points – no report
Note: Settlement technique to be considered are those that

are within the KP process and procedures.
B. Coordination with Concerned Agencies relating to

disputes filed (PNP, DSWD, DILG, DAR, DENR, Office of the 5 5
Prosecutor, Court, DOJ, CHR, etc.)
ASSESSMENT FORM
Province:
ASSIGNED SCORE
TABLE
ASSESS ON-SITE
SCORE VALUE
MENT
5 points - with proof of coordination relative to the filed
disputes
0 point - without proof of coordination relative to the filed

disputes
C. Sustained information drive to promote Katarungang

5
Pambarangay
1. For Cities
• IEC materials developed 2
• IEC activities conducted 1
• Innovative Campaign Strategy 2
2. For Municipalities
• IEC materials developed 2
• IEC activities conducted 2
• Innovative Campaign Strategy 1
ASSESSMENT FORM
Province:
ASSIGNED SCORE
TABLE
ASSESS ON-SITE
SCORE VALUE
MENT
D. D. KP Training or seminar participated within the
10
assessment period
Organized skills training participated by the Lupong
10
Tagapamayapa
ASSESSMENT FORM
Province:
ASSIGNED SCORE
TABLE
ASSESS ON-SITE
SCORE VALUE
MENT
Trainings or seminars should cover the following, and the

Lupon should be able to articulate during validation their
learnings therefrom:
1) General/basic orientation or review of the KP system

2) Skills training on conduct of KP proceedings e.g. relevant
ADR systems, KP case management
3) Advanced knowledge on laws, policies, and standards in
relation to the KP system e.g. gender and human rights,
criminal/civil justice
10 points = at least 6 qualified training/seminar

4.0 points = at least 3 qualified training/seminar
2.0 points = at least 2 qualified training/seminar
0 point = No qualified information training/seminar
IV. AREA OR FACILITY FOR KP ACTIVITIES 5 5

ASSESSMENT FORM
Province:
ASSIGNED SCORE
TABLE
ASSESS ON-SITE
SCORE VALUE
MENT
• Building structure or space
For cities – the office or space should be exclusive for KP

matters 5
For municipalities – KP office or space may be shared or

used for other Barangay matters.
V. FINANCIAL OR NON-FINANCIAL SUPPORT 3 3

1. City, Municipal, Provincial, or NGAs 2
2. People's Organizations, NGOs or Private Sector 1
TOTAL SCORE 100
National Board of Judge

Date: ________________ (Signature over printed Na
ASSESSMENT FORM
Province:
ASSIGNED SCORE
TABLE
ASSESS ON-SITE
SCORE VALUE
MENT
GAPAMAYAPA INCENTIVES AWARDS (LTIA)
ASSESSMENT FORM
Award Category :
ations in the remarks column.
REMARKS/OBSERVATION
ASSESSMENT FORM
Award Category :
REMARKS/OBSERVATION
ASSESSMENT FORM
Award Category :
REMARKS/OBSERVATION
ASSESSMENT FORM
Award Category :
REMARKS/OBSERVATION
ASSESSMENT FORM
Award Category :
REMARKS/OBSERVATION
ASSESSMENT FORM
Award Category :
REMARKS/OBSERVATION
ASSESSMENT FORM
Award Category :
REMARKS/OBSERVATION
ASSESSMENT FORM
Award Category :
REMARKS/OBSERVATION
ASSESSMENT FORM
Award Category :
REMARKS/OBSERVATION
ASSESSMENT FORM
Award Category :
REMARKS/OBSERVATION
ASSESSMENT FORM
Award Category :
REMARKS/OBSERVATION
ASSESSMENT FORM
Award Category :
REMARKS/OBSERVATION
ASSESSMENT FORM
Award Category :
REMARKS/OBSERVATION
ASSESSMENT FORM
Award Category :
REMARKS/OBSERVATION
ASSESSMENT FORM
Award Category :
REMARKS/OBSERVATION
ASSESSMENT FORM
Award Category :
REMARKS/OBSERVATION
National Board of Judges

(Signature over printed Name)

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2023 LUPONG TAGAPAMAYAPA INCENTIVES AWARDS (LTIA)

A. Observance of Settlement Procedure and Settlement

1. a) Proper recording of every dispute/complaint

5 points - submitted/presented the record book or logbook

2.5 points - submitted/presented the record book or logbook

O point - no presented record book or logbook

Note: Check if the record contains docket number, names of the

b) Sending of Notices/Summons to parties within the

5 points - submitted/presented 80-100% of summons with

3 points - submitted/presented 50-79% of summons with

0 point – have not submitted/presented any summons/notices

2. Settlement and Award Period

c.) Conciliation (with extended period not to exceed

d.) Arbitration (within 15 days from the date of the

e.) Conciliation beyond 46 days but not more than 60 days

10 points – 80-100% cases were resolved using any mode of

8 points - 60-79% cases were resolved using any mode of ADR

6 points - 40-59% cases were resolved using any mode of ADR

4 points - 20-39% cases were resolved using any mode of ADR

2 points - 1-19 % cases were resolved using any mode of ADR

0 point - 0 cases were resolved using any mode of ADR

For Cities - computer database with searchable case

2. Copies of Minutes of Lupon meetings with attendance

3. Copies of reports submitted to the Court and to the

4. All records are kept on file in a secured filing cabinet(s) 1

C. C. Timely Submissions to the Court and the DILG 7

2. To the DILG (Monthly) 2

2 points - Submitted/presented of the required report to the

1 point – submitted/presented partial report of the DILG

0 point - the required report to the DILG was not submitted or

D. Conduct of Monthly Meetings Exclusively on KP Matters 10

2.0 points – minimum of 12 meetings with KP-related

1.0 point – anything beyond the compliance document,

0 point = no data presented

● Minutes of the Meeting 8

8.0 points = 12 months

II. EFFECTIVENESS IN SECURING THE SETTLEMENT OF

A. Quantity of settled cases against filed 10 10

10.0 points = 100%

B. Quality of Settlement of Cases 2 2

•Non-recurrence of cases settled 1

0 point - at least one (1) (out of the total number of settled

C. At least 80% compliance with the terms of settlement or

A. A. Settlement Technique utilized by the Lupon 10

10 points – five or more settlement techniquecutilized

Note: Settlement technique to be considered are those that

B. Coordination with Concerned Agencies relating to

0 point - without proof of coordination relative to the filed

C. Sustained information drive to promote Katarungang

Trainings or seminars should cover the following, and the

1) General/basic orientation or review of the KP system

10 points = at least 6 qualified training/seminar

IV. AREA OR FACILITY FOR KP ACTIVITIES 5 5

For cities – the office or space should be exclusive for KP

For municipalities – KP office or space may be shared or

V. FINANCIAL OR NON-FINANCIAL SUPPORT 3 3

2. People's Organizations, NGOs or Private Sector 1

TOTAL SCORE 100

National Board of Judge

ations in the remarks column.

ations in the remarks column.

ations in the remarks column.