PGIS Citizens Charter 2023 1st Edition

PROVINCIAL GOVERNMENT OF ILOCOS SUR
CITIZEN’S CHARTER
2023, 1st Edition
AGENCY PROFILE
I. Mandate:
Section 16 of the Republic Act 7160 otherwise known as the “Local
Government Code of 1991,” mandates that all Local Government Units shall
exercise the powers expressly granted, those necessarily implied therefrom,
as well as powers necessary, appropriate, or incidental for its efficient and
effective governance, and those which are essential to the promotion of the
general welfare. Within their respective territorial jurisdictions, local
government units shall ensure and support, among other things, the
preservation and enrichment of culture, promote health and safety, enhance
the right of the people to a balanced ecology, encourage and support the
development of appropriate and self-reliant scientific and technological
capabilities, improve public morals, enhance economic prosperity and social
justice, promote full employment among their residents, maintain peace and
order, and preserve the comfort and convenience of their inhabitants.
II. Vision:
An opportunity-driven heritage province aimed at healthy, diverse, self-
reliant, and resilient communities with sustainable biodiversity and vibrant
economy
III. Mission:
Creation of a regenerative province driven by smart governance towards a
just economy and inclusive communities
IV. Service Pledge / Quality Policy:

We, the civil servants of the Provincial Government of Ilocos Sur, commit to
create a vibrant economy in a sustainable environment with healthy, diverse
and self-reliant people living in resilient, safe and peaceful heritage
province.
We further sustain a regenerative province committed to provide a just

economy by creating inclusive communities thru smart governance.
We finally pledge to perpetually develop the effectiveness of the quality

management system compliant to international standards, statutory and
regulatory requirements towards organizational excellence through
continuous growth of competent officials and efficient employees.
1
LIST OF SERVICES
Governor’s Office
External Services
1. Application for the Ilocos Sur Educational
9 – 11
Assistance and Scholarship Program
2. Renewal of Ilocos Sur Educational
11
Assistance and Scholarship Program
3. Releasing Medicines to Governor’s Office
11 – 12
Orders
4. Request for Special Recruitment Activity
12 – 13
(SRA)
5. Local Recruitment Activity 13 – 14
6. Application for Special Program for
14 – 15
Employment of Students (SPES)
7. Application for Government Internship 15 – 16
8. Provision of Necessary Requested
Document/s Available at the Provincial 16
Youth Development Office
9. Assistance to Youth Organizations and
Youth Serving Organizations in the
Registration of National Youth Commission 17 - 18
Youth Organization Registration Program
(NYC YORP)
10. Provision of Technical, Logistical, and
Other Support in the Implementation of 18 – 19
Youth Programs
Internal Services
1. Releasing Medicines to Government
Hospital under the Provincial Government 21 – 22
of Ilocos Sur
Provincial Administrator’s Office
External Services
1. Assistance to the Overseas Filipino
24 – 25
Workers and/or their Relatives
Provincial Human Resource Management Office
Internal Services
1. Issuance of Clearance Form (CS Form No.
27 – 28
7)
2. Issuance of Personnel Documents 28 – 29
3. Leave Administration 29 – 33
Sangguniang Panlalawigan Office
External Services
1. Provision of Resolutions, Ordinances, and
35 – 37
Other Legislative Records Upon Request
2. Filing of Administrative Complaints Against
37 – 39
Elective Officials
2
3. Access to Books and Other Reference
39 – 40
Materials
4. Borrowing of Books 40 – 41
5. Returning of Books 41 – 42
Provincial Planning and Development Division
External Services
1. Assistance to CSOs 44 – 46
2. Client Assistance for Data / Information 46 – 47
3. Issuance of Provincial Land Use and
47 – 48
Zoning Clearance
Provincial Budget Office
Internal Services
1. Certification of Fund Availability
50
(Processing Appointment)
(Processing of Job Order of Contractual 50 – 51
Employees)
51 – 58
(Processing of Obligation Request)
4. Preparation of Financial Plan (Annual
58 – 60
Budget)
5. Preparation of Financial Plan
60 – 61
(Supplemental Budget / Special Budget)
Provincial Legal Office
External Services
1. Legal Consultation to Walk-in Clients 63 – 64
2. Legal Representation 64 – 65
External / Internal Services
1. Legal Transaction 67 – 68
Internal Services
1. Provision Legal Opinion to PGIS Officials 70 – 71
2. Legal Review of Documents 71 – 72
Provincial Treasurer’s Office
External Services
1. Payment of Tax on Transfer of Real
74 – 75
Property Ownership
Provincial Assessor’s Office
External Services
1. Request for Appraisal from LGUs and
77 – 78
Other Government Agencies
2. Request for Certification / Certified
78 – 80
Photocopy of Real Property Records
3. Request for Annotation 80 – 82
4. Request for Assessment Transactions 82 – 85
5. Request for Assessment Transactions of
85 – 88
Newly Declared Real Properties
Provincial General Services Office
External Services
3
1. Lease of Heavy Equipment 90 – 91
2. Borrowing of Heavy Equipment Requested 92 – 93
3. Provision of Materials and Motor Vehicle
93
Requested
Internal Services
1. Processing of Clearances from Property
95 – 97
Accountabilities
Ilocos Sur Provincial Jail Office
External Services
1. Receiving of Person Deprived of Liberty
99 – 104
(PDL)
2. Releasing of Person Deprived of Liberty
104 – 109
(PDL)
3. Visiting Procedure 109 – 111
Provincial Disaster Risk Reduction and
Management Office
External Services
1. Emergency Response, Search and
113 – 114
Rescue
2. Conduct of Training, Seminar and Lectures 114
3. Provision of Disaster Drills and Medic
114 – 115
Services
Provincial Social Welfare and Development Office
External Services
1. Aide to Individual in Crisis Situation (AICS) 117 – 118
2. Senior Citizen and Person with Disabilities
118 – 119
(PWD)
3. Disaster Relief 119 – 120
4. CICL and Battered Women and Victims of
120 – 121
Child Abuse
5. Balay Taripato (Home for the Aged) 121 – 123
Ilocos Sur District Hospital – Tagudin
External Services
1. Emergency Room Registration Process 125 – 126
2. Admission Process 126 – 127
3. Statement of Account Process 127 – 128
4. PhilHealth Processing 128 – 129
5. Payment Process 129 – 130
6. Dental Consultation Process 130 – 132
7. Laboratory Examination Process 132 – 134
8. Birth Certificate Registration Process 134 – 136
9. Release of Hospital Documents Process 136 – 137
10. Retrieval of Patient’s Old Chart Process 137
11. Retrieval of Patient’s Old Chart Process
138 – 139
(Without Hospital Card)
12. Purchasing Medicines Process 139 – 140
13. Radiology Examinations Process 140 – 142
14. Medical Social Service Assistance Process 142 – 143
4
15. Blood Transfusion Assistance Process 143 – 144
16. Assistance on Discount at Emergency
Room and Out-Patient Department 144 – 145
Services Process
17. Sponsored PhilHealth Process 145 – 146
18. Process for Malasakit or DOH MAIP
147 – 148
Assistance
19. Assistance from POS (Point of Service)
148 – 149
PhilHealth Process
20. Kangaroo-Mother Care Process 149 – 150
21. Screening Test for Newborn 150 – 151
22. Nursing Satellite Consultation Process 151 – 153
23. Emergency Room Consultation Process 153 – 154
24. Admission Process 154 – 156
Ilocos Sur District Hospital – Salcedo
External Services
1. Emergency Services 158 – 160
2. Out-Patient Services 160 – 162
3. Admission Services 162 – 164
4. Laboratory Services 164 – 165
5. Radiology 166 – 168
6. Medical Records 168 – 174
Ilocos Sur District Hospital – Narvacan
External Services
1. Admitting Department Services 176
2. Animal Bite Treatment Center (ABTC)
176 – 177
Services
3. Billing Services 177 – 178
4. Laboratory Services (Dengue Fast Lane) 178 – 180
5. Laboratory Services (Out-Patient) 180 – 181
6. Medical Records Services (Emergency
181 – 182
Room Patients and In-Patients)
7. Medical Records Services (Out-Patients) 182 – 183
8. Nursing Services 183 – 185
9. Out-Patient Department Services 185 – 186
10. Pharmacy Services (Emergency Room
186
Patients and In-Patients)
11. Pharmacy Services (Out-Patients) 186 – 187
12. PhilHealth Services 187 – 188
13. Radiology Services 188 – 190
14. TB DOTS Services 190 – 191
Ilocos Sur District Hospital – Magsingal
External Services
1. Admitting Services 193 – 194
2. Billing Services 194 – 195
3. Dental Services 195 – 196
4. Emergency Room Services 196 – 198
5. Laboratory Services 198 – 202
5
6. Medical Records Services 203 – 204
7. Medical Social Services (Patient in
204 – 205
Isolation Unit)
8. Medical Social Services (Regular Patients) 205 – 206
9. Nursing Services 206 – 211
10. Out-Patient Services 211 – 213
11. Pharmacy Services (Out-Patient) 213 – 214
12. Pharmacy Services (In-Patient) 214
13. PhilHealth Section Services 215 – 216
Ilocos Sur District Hospital – Sinait
External Services
1. Admission Procedures 218 – 219
2. Billing Section Services 219 – 220
3. Dietary Services 220 – 221
4. Emergency Room Procedures 221 – 223
5. Issuance of Birth Certificate 223 – 224
6. Issuance of Death Certificate 224 – 225
7. Issuance of Medical Certificate 225 – 227
8. Issuance of Medico-Legal Certificate 227 – 228
9. Laboratory Procedures 228 – 229
10. Minor Procedures 230
11. Out-Patient Procedures 230 – 232
12. PhilHealth Services Procedures 233
13. X-Ray Procedures 234 – 235
Ilocos Sur Community College
External Services
1. Enrollment of New Students (Freshmen) –
237 – 240
Baccalaureate Programs
2. Enrollment of New Students (Upper
Classmen, 2nd Semester Freshmen) – 240 – 242
3. Enrollment of Irregular Students –
243 – 245
4. Enrollment of Transferees – Baccalaureate
245 – 248
Programs
5. Enrollment of Senior High School – ALS
248 – 249
Completer
6. Enrollment of Senior High School
249 – 250
(Transferees) – Grade 12
7. Enrollment of Technical Vocational
250 – 254
Program (Regular)
8. Enrollment of Technical Vocational
254 – 256
Program (Scholar)
Office of the Provincial Agriculturist
External Services
1. Requests for Fruit Tree Seedlings 258
2. Requests for Tilapia Fingerlings / Spatted
259 – 260
Oyster Hangings
6
Provincial Veterinary Office
External Services
1. Issuance of Veterinary Health Certificate
262 – 263
and Shipping Permit
2. Shipping in Animals 263 – 264
3. Consultation Diagnosis and Treatment of
264
Animals
4. Vaccination and Deworming of Pet
264 – 265
Animals
5. Release of Vaccine and Veterinary Drugs 265
Provincial Environment and Natural Resources
Management Office
External Services
1. Request for Seedlings (Forest and Fruit
267 – 268
Trees)
2. Request for Governor’s Clearance for
268 – 269
Cutting
3. Issuance of Sand and Gravel (Commercial
270 – 275
/ Industrial and Small-Scale Mining)
4. Issuance of Governor’s Permit 275 – 277
5. Request for Mangrove Propagules and
277 – 278
Beach Plant Seedlings
6. Request for Solid Waste Management-
278 – 279
Related Pamphlets and Magazines
7. Actions on Environmental Nuisance
279 – 280
Complaints
8. Provision of Technical Assistance in the
Conduct of Waste Analysis and 281 – 282
Characterization Study (WACS)
Provincial Tourism Development and Promotion
Office
External Services
1. Provision of Tour Guiding Services 284 – 285
2. Visitor Arrival 285 – 286
3. Management of Caniaw Heritage and
286 – 287
Forest Park
4. Assistance on Department of Tourism
288
(DOT) Accreditation Online Application
7
GOVERNOR’S OFFICE
External Services
8
1. APPLICATION FOR THE ILOCOS SUR EDUCATIONAL ASSISTANCE AND
SCHOLARSHIP PROGRAM
This process covers the procedures on the provision of college assistance and scholarship
program of the Provincial Government of Ilocos Sur for the indigent but deserving students of
the province.
Office or Division: Governor’s Office – Education and Scholarship Division

(Provincial Education and Scholarship Affairs Office)
Classification: Simple
Type of Transaction: G2C – Government to Citizen
Who may avail: College Students
Must be indigent but deserving student/s
Must be a resident of Ilocos Sur for at least one (1) year
Must be enrolled in the following schools: University of Northern
Philippines, Ilocos Sur Community College, Ilocos Sur
Polytechnic State College and North Luzon Philippines State
College
CHECKLIST OF REQUIREMENTS WHERE TO SECURE
Accomplished Application Form (1 scanned Download at Ilocos Sur Educational Assistance
copy) and Scholarship Program Facebook Page
Form 137/138 for Senior High School School attended
Graduate (1 scanned copy)
Report of Grades / Rating if the student is School attended
already in college (1 scanned copy)
Certificate of Good Moral Character (1 School attended
scanned copy)
Certificate of Residency (1 original copy) Barangay Hall
Latest Income Tax Return (ITR) of both Bureau of Internal Revenue (BIR)
parents (1 scanned copy)
If the parents of the applicants are not filing Barangay Hall
ITR, a Certificate of Indigency shall be
submitted (1 original copy)
1.5 x 1.5 picture with white background (2 Studio / Photo Shop / Photo Center
pieces)
FEES TO PROCESSING PERSON
CLIENT STEPS AGENCY ACTION
BE PAID TIME RESPONSIBLE
1.1 Request for an 1.1 Issue Application None 2 Minutes Project Staff
Application Form to the walk-
Form in client
1.2 Submit 1.2 Receive and None 3 Minutes For UNP –
accomplished verify filled-out Administrative
ISEASP application form Aide IV & one
Application and Project Staff
Form with the completeness of
attached documentary For ISCC &
documentary requirements NLPSC –
requirements Administrative
Aide II & one
Project Staff
For ISPSC –
Administrative
Aide II & one
Project Staff
1.3 Receive 1.3 Issue Qualifying None 3 Minutes For UNP –
Qualifying Examination Administrative
Permit
9
Examination Aide IV & one
Permit Project Staff
For ISCC &

NLPSC –
Administrative
Aide II & one
Project Staff
For ISPSC –
Administrative
Aide II & one
Project Staff
1.4 Wait for the 1.4 Announce None 5 Minutes Immediate
announcement schedule of Ilocos Supervisor /
from the Sur Educational Head,
Provincial Assistance and Administrative
Education and Scholarship Aide IV, & two
Scholarship Program Administrative
Affairs Office (ISEASP) Aide II
regarding the qualifying
schedule of the examination
qualifying through the
examination ISEASP
Facebook Page
or through text
message
1.5 Undergo 1.5 Facilitate the None 1 Hour, 30 Immediate
ISEASP qualifying Minutes Supervisor /
qualifying examination of Head,
examination the applicants / Administrative
examinees Aide IV, two
Administrative
Aide II & three
Project Staff
1.6 Wait for the 1.6 Conduct the None 20 days Administrative
checking of checking of Aide IV, two
answer sheets answer sheets of Administrative
of all all examinees Aide II & three
examinees Project Staff
1.7 Wait for the 1.7 Announce None 3 Minutes Immediate
announcement passers through Supervisor /
of passers the ISEASP Head,
Facebook Page Administrative
and in the Aide IV
Provincial Capitol
Bulletin Board
1.8 Undergo 1.8 Conduct None 15 Minutes Immediate
orientation orientation to new Supervisor /
scholars Head
1.9 Request for 1.9 Issue Certificate None 2 Minutes Administrative
Certificate of of Scholarship Aide IV and two
Scholarship Administrative
Aide II
1.10 Submit 1.10 Receive None 2 Minutes Administrative
Enrollment original copy of Aide IV, two
Form Enrollment Form Administrative
10
Aide II & three
Project Staff
20 Days, 2
TOTAL: None Hours, 5
Minutes
2. RENEWAL OF ILOCOS SUR EDUCATIONAL ASSISTANCE AND SCHOLARSHIP

PROGRAM
This process covers the procedures on the provision of college assistance and scholarship
program of the Provincial Government of Ilocos Sur for the indigent but deserving students of
the province.
Office or Division: Governor’s Office – Education and Scholarship Division (Provincial

Education and Scholarship Affairs Office)
Who may avail: College Students
Must be indigent but deserving student/s
Must be a resident of Ilocos Sur for at least one (1) year
Must be enrolled in the following schools: University of Northern
Philippines, Ilocos Sur Community College, Ilocos Sur Polytechnic
State College and North Luzon Philippines State College
Report of Rating (1 original copy) School attended
Original Copy of Enrollment Form School attended
FEES TO BE PROCESSING PERSON
PAID TIME RESPONSIBLE
1. Submit Report 1. Issue None 3 Minutes Administrative
of Rating Application Aide IV, two
Form to the Administrative
walk-in client Aide II & three
Project Staff
2. Submit 2. Receive and None 2 Minutes Administrative
accomplished verify filled-out Aide IV, two
ISEASP application Administrative
Application form and Aide II & three
Form with the completeness Project Staff
attached of
documentary documentary
requirements requirements
TOTAL: None 5 Minutes
3. RELEASING MEDICINES TO GOVERNOR’S OFFICE ORDERS

The Botika ti Probinsya ti Ilocos Sur (BPIS) renders health care and service by providing quality,
affordable and available medicines to indigent constituents of Ilocos Sur.
Office or Division: Governor’s Office – Botika ti Probinsya ti Ilocos Sur

Classification: Complex
Who may avail: Indigent people of Ilocos Sur
Order Slip (1 original copy) Provincial Social Welfare and Development
Office (PSWDO)
Prescription (1 photocopy) Provincial Social Welfare and Development
Office (PSWDO)
11
2. Submit Order 1.1 Receive and None 2 Minutes Pharmacist /
Slip and validate Order Sales Clerk
Prescription Slip and BPIS
from Governor’s Prescription from
Office the Governor’s
Office
1.2 Prepare the items None 10 Minutes Pharmacist /
and check Sales Clerk
expiration date BPIS
1.3 Check and verify None 2 Minutes GSO Personnel
the medicines to GSO
be released
2. Receive the 2.1 Release the None 5 Minutes Pharmacist /
ordered ordered Sales Clerk
medicines medicines to the BPIS
client
2.2 Encode the Order None 10 Minutes Encoder / Sales
Slip through Clerk
Point of Sales BPIS
(POS) and
update the stock
card monthly
2.3 File the G.O. slips None 2 Minutes Encoder
for reference BPIS
4. REQUEST FOR SPECIAL RECRUITMENT ACTIVITY (SRA)

It refers to the authority granted to an agency to conduct recruitment outside and an overseas
recruitment activity by private agencies, land-based or sea-based.
Office or Division: Governor’s Office – Public Employment Service Office

Type of Transaction: G2B – Government to Business
Who may avail: All
Letter of intent addressed to the Head of Employer / Establishment
PESO
Company Profile Employer / Establishment
BIR Certificate of Registration (1 photocopy) Bureau of Internal Revenue
Latest Business Permit (1 photocopy) Local Government Unit
SEC / DTI Registration (1 photocopy) Department of Trade and Industry
Job Order / List of Vacancies with Employer / Establishment
Qualifications
Company official contact person with Human Resource Head
complete contact details and position
POEA Certificates (for agencies only) Philippine Overseas Employment Administration
a. Certificate of No Pending Case
(1 photocopy)
b. Company Client List (1
photocopy)
12
1. Submit all the 1.1 Check the None 15 Minutes PESO Staff
requirements to completeness of PESO
the PESO documents
submitted and
receive the same
and advise client
to wait for text if
the Certificate of
No Objection is
already ready for
issuance
2. Wait for the 2.1 Validate the None 5 Hours PESO Staff
Certificate of No veracity of the PESO
Objection to be documents
issued submitted
2.2 Check the None 2 Hours, 10 PESO Staff
availability of Minutes PESO
schedule and
venue to the
department
concerned
2.3 Prepare None 30 Minutes PESO Staff
Certificate of No PESO
Objection
3. Receive 3. Release the None 5 Minutes PESO Staff
Certificate of No Certificate of No PESO
Objection for the Objection to the
conduct of SRA agency
TOTAL: None 1 Day
5. LOCAL RECRUITMENT ACTIVITY

It refers to the activity undertaken by human resource management in order to attract
appropriate job candidates locally and it is exclusively designed for the recruitment of only one
requesting company in a day.

Who may avail: All
Letter of intent addressed to the Head of Employer / Establishment
PESO
Company Profile Employer / Establishment
BIR Certificate of Registration (1 photocopy) Bureau of Internal Revenue
Latest Business Permit (1 photocopy) Local Government Unit
SEC / DTI Registration (1 photocopy) Department of Trade and Industry
List of vacancies with qualifications (with Employer
number of vacancy per position and place of
assignments)
Company SSS Certificate (1 photocopy) Social Security System
PhilHealth Certificate (1 photocopy) PhilHealth
Company official contact person with Human Resource Head
complete contact details and position
DOLE Certificates (for agencies only) Department of Labor and Employment
c. DO 18-A/PRPA (1 photocopy)
13
d. Certificate of No Pending Case
(1 photocopy)
e. Company Client List(1
photocopy)
Certificate of Compliance – Occupational Department of Labor and Employment
Safety and Health
1. Submit all the 1.2 Check the None 10 Minutes PESO Staff
requirements to completeness of PESO
the PESO documents
submitted and
receive the same
and advise client
to wait for text if
the Certificate of
No Objection is
already ready for
issuance
2. Wait for the 2.1 Validate the None 5 Hours PESO Staff
Certificate of No veracity of the PESO
Objection to be documents
issued submitted
2.2 Check the None 2 Hours, 15 PESO Staff
availability of Minutes PESO
schedule and
venue to the
department
concerned
2.3 Prepare None 30 Minutes PESO Staff
Certificate of No PESO
Objection
3. Receive 3. Release the None 5 Minutes PESO Staff
Certificate of No Certificate of No PESO
Objection for the Objection to the
conduct of SRA agency
TOTAL: None 1 Day
6. APPLICATION FOR SPECIAL PROGRAM FOR EMPLOYMENT OF STUDENTS (SPES)

The Special Program for Employment of Students (SPES) is a DOLE’S youth employment-
bridging program which purpose is to provide temporary employment to less fortunate but
deserving students, out-of-school youth and dependents of displaced or would-be displaced
workers during summer or any time of the year to augment their expenses for schooling.

Who may avail: Students, Out-of-School Youth and Dependents of Displaced
Workers (15 – 30 years old)
Resume with 2x2 pictures (1 original copy) Applicant
Birth Certificate (1 photocopy) Philippine Statistics Authority
Certificate of Indigency (1 original copy) Barangay
Additional Requirements:
 If parent/s is/are working: Bureau of Internal Revenue
14
Parent’s latest Income Tax Return (1
photocopy)
 If parent/s is/are working but Bureau of Internal Revenue
do/does not have an Income Tax
Return:
Certificate of Tax Exemption or
Affidavit of Non-filing of Income Tax
Return or Certificate of Employment
with Compensation
 For student: School Registrar
Latest school card duly verified by
the school registrar (1 photocopy)
 For Out-of-School Youth (OSY): Barangay
Certificate as OSY with good moral
character / no derogatory record (1
original copy)
1. Submit the 1.2 Evaluate and None 15 Minutes PESO Staff
complete check the PESO
requirements completeness of
needed in the documents
applying submitted and
receive the same
7. APPLICATION FOR GOVERNMENT INTERNSHIP

It aims to provide young workers, particularly the poor / indigent, opportunity to demonstrate
their talents and skills in the field of public service with the ultimate objective of attracting the
best and brightest who want to pursue a career in government service.

Who may avail: Fresh Graduates
Accomplished Application Form (1 original PESO Office
copy)
2x2 picture with white background (2 pieces) Studio / Photo Shop / Photo Center
Birth Certificate (1 photocopy) Philippine Statistics Authority
Recent Class Card or Registration Form 137 School Registrar
/ Transcript of Records
Certificate of Indigency (1 original copy) Barangay
15
1. Submit the 1.2 Evaluate and None 15 Minutes PESO Staff
complete check the PESO
requirements completeness of
needed in the documents
applying submitted and
receive the same
8. PROVISION OF NECESSARY REQUESTED DOCUMENT/S AVAILABLE AT THE

PROVINCIAL YOUTH DEVELOPMENT OFFICE
This process covers the procedures for the provision of document/s available at the Provincial
Youth Development Office to provide immediate and appropriate actions to their concerns.
Office or Division: Governor’s Office – Provincial Youth Development Office

Type of Transaction: G2C – Government to Citizen; G2G – Government to
Government
Who may avail: Youth of Ilocos Sur, ANNAK Council, Sangguniang Kabataan,
Local Youth Development Officer, Government Agencies
Personal appearance of the client Client
Relevant document/s to the case of the client Client
1. Proceed at the 1.1 Interview the None 2 Minutes Project Staff
Provincial Youth client regarding Provincial
Development their request Youth
Office located at Development
the 1st Floor of Office
the Provincial 1.2 Request the client None 2 Minutes Project Staff
Farmers to fill up the Provincial
Livelihood necessary Youth
Development information from Development
Center the office’s Office
logbook
1.3 Prepare the None 3 Minutes Project Staff
requested Provincial
document/s Youth
requested by the Development
client Office
2. Receive the 2. Make the client None 1 Minute Project Staff
requested receive their Provincial
document/s requested Youth
document by Development
letting them sign Office
in the receiving
logbook
16
9. ASSISTANCE TO YOUTH ORGANIZATIONS AND YOUTH SERVING ORGANIZATIONS IN
THE REGISTRATION OF NATIONAL YOUTH COMMISSION YOUTH ORGANIZATION
REGISTRATION PROGRAM (NYC YORP)
To assist youth organizations and youth serving organizations in registering for the National
Youth Commission’s program, YORP.

Who may avail: Youth Organization and Youth Serving Organization of Ilocos Sur
Personal appearance of client or online- Client
based client
Duly Accomplished Registration YORP Client
Form
Filled out Organization Directory of Client
Advisers and Officers
Filled out Organization List of Members in Client
Good Standing
Copy of Constitution and By-Laws of Client
Organization
Certification of school of organization from School / Barangay
Head of the School or Certificate from the
Barangay Acknowledging the presence
1. Proceed at the 1. Give a briefing None 2 Minutes Project Staff
Provincial about YORP Provincial Youth
Youth Registration and Development
Development its requirements Office
Office located to the client
at the 1st Floor
of the
Provincial
Farmers
Livelihood
Development
Center
2. Provides 2.1 Request client to None 2 Minutes Project Staff
necessary provide the Provincial Youth
information to necessary Development
the Provincial requirement for Office
Youth registration
Development 2.2 Gather / Review None 4 Minutes Project Staff
Office Staff documents given Provincial Youth
by the client Development
Office
2.3 Prepare client’s None 4 Minutes Project Staff
documents by Provincial Youth
directly inputting Development
all required Office
details using
gmail.com
2.4 Send the None 1 Minute Project Staff
necessary list of
requirements to
17
NYC YORP Provincial Youth
Email Development
Office
3. Receive 3.1 Provide further None 2 Minutes Project Staff
further instruction to the Provincial Youth
instruction client Development
from the Office
Provincial 3.2 An email will be None 5 Minutes Project Staff
Youth sent from NYC Provincial Youth
Development YORP for Development
Staff verification / Office
approval of the
application
3.3 File the notice of None 2 Minutes Project Staff
Approval for Provincial Youth
record and Development
disclosure Office
purposes to the
Client
TOTAL: None 22 minutes
10. PROVISION OF TECHNICAL, LOGISTICAL, AND OTHER SUPPORT IN THE

IMPLEMENTATION OF YOUTH PROGRAMS
This covers the procedures for the provision of technical, logistical, and other support in
implementing youth-related programs in the Province to provide immediate and appropriate
actions to their concerns.

Who may avail: Youth of Ilocos Sur, ANNAK Council, Sangguniang Kabataan,
Local Youth Development Officer
Personal appearance of the client or Client
online-based client
Communication letter or request letter Client
If personal 1.1 Review the None 4 Minutes Designated
appearance client’s request PYD Officer /
1. Proceed to the letter and Project Staff
Provincial interview them Provincial
Youth Youth
Development Development
Office located Office
at 1st Floor of 1.2 Prepare the None 5 Minutes Designated
the Provincial client’s PYD Officer /
Farmers requested Project Staff
Livelihood assistance Provincial
Development (technical, Youth
Center logistical, and Development
other support) Office
If online-based
request
1. Send
communication
18
letter or
request letter
to the
Provincial
Youth
Development
Office
2. Receive 2. Provide the None 1 Minute Designated
requested requested PYD Officer /
assistance assistance to Project Staff
the client Provincial
Youth
Development
Office
19
GOVERNOR’S OFFICE
Internal Services
20
1. RELEASING OF MEDICINES TO GOVERNMENT HOSPITAL UNDER THE PROVINCIAL
GOVERNMENT OF ILOCOS SUR
This Botika ti Probinsya ti Ilocos Sur (BPIS) renders health care and service by providing
quality, affordable and available medicines to the eight (8) government hospitals of Ilocos Sur.
Office or Division: Governor’s Office – Botika ti Probinsya ti Ilocos Sur

Type of Transaction: G2G – Government to Government
Who may avail: Eight (8) Government Hospitals of Ilocos Sur
Requisition Issuance Slip (RIS) from the Requesting hospital
hospitals (1 original copy)
Procurement Certificate from the Chief of Requesting hospital
Hospital (1 original copy)
For Dangerous Drugs, Accomplished PDEA Requesting hospital
Local Order Permit and Authorization (1
original copy)
1. Submit 1.1 Receive None 1 Minute Sales Clerk In-
Requisition Requisition Charge
Issuance Slip Issuance Slip BPIS
(RIS) to the (RIS) from the
Pharmacist / hospital
Sales Clerk 1.2 Check RIS with None 2 Minutes Pharmacist /
properly Sales Clerk
accomplished BPIS
supporting
documents:
a. Certification
from the
Chief of
Hospital;
b. PDEA Local
Order Permit
and
Authorization
(for
dangerous
drugs)
1.3 Prepare ordered None 15 Minutes Pharmacist /
items and verifies Sales Clerk
expiration date BPIS
2. Receive stocks 2.1 Release the None 5 Minutes Pharmacist /
and participate stocks and assist Sales Clerk
in the the General BPIS
counterchecking Services Officer
of the stocks and hospital General
requested representative in Services Officer
the GSO
counterchecking
of the stocks Representative
requested as to Hospital
quantity and
quality
2.2 Encode and None 10 Minutes Encoder
prepare BPIS
21
Temporary
Delivery Receipts
2.3 Verify encoded None 5 Minutes Pharmacist /
items against RIS Sales Clerk
BPIS
2.4 Print Accounts None 5 Minutes Encoder
Receivable BPIS
monthly
2.5 File documents None 2 Minutes Sales Clerk
accordingly BPIS
22
PROVINCIAL ADMINISTRATOR’S OFFICE
External Services
23
1. ASSISTANCE TO THE OVERSEAS FILIPINO WORKERS AND/OR THEIR RELATIVES
This process covers the procedures on the provision of assistance to the Overseas Filipino
Workers and their relatives so as to provide immediate and appropriate actions to their
concerns.
Office or Division: Provincial Administrator’s Office

Who may avail: Overseas Filipino Workers (OFW) and/or their Relatives
Personal Appearance of Client Client
Relevant document/s to the case of the client Client
1.1 Proceed at the 1.1 Interview the None 4 Minutes Designated
designated client who is the Migrant Desk
Migrant Desk OFW and/or their Officer
Office located relatives Provincial
at the 1st Floor Administrator’s
of the Provincial Office
Capitol
1.2 Provide 1.2 Gather all details None 3 Minutes Designated
necessary needed to assess Migrant Desk
information to the problem Officer
the Migrant and/or concerns Provincial
Desk Officer of the client Administrator’s
Office
1.3 Fill up details on None 5 Minutes Designated
the Case Migrant Desk
Management Officer
System Form Provincial
Administrator’s
Office
1.4 Prepare the None 3 Minutes Designated
client’s case Migrant Desk
report by directly Officer
inputting all Provincial
required details of Administrator’s
the client and Office
identified problem
as well as the
recommendations
/ solutions that
can address the
problem through
OWWA – Region
1 website
1.5 Send the case None 1 Minute Designated
report to OWWA Migrant Desk
– Region 1 Officer
website – case Provincial
management Administrator’s
system link Office
2. Receive further 2.1 Provide further None 1 Minute Designated
instruction from instruction to the Migrant Desk
the Migrant client Officer
Desk Officer
24
Provincial
Administrator’s
Office
2.2 Receive notice None 1 Day Designated
from OWWA – Migrant Desk
Region 1 Officer
acknowledging Provincial
the sent case Administrator’s
report of the client Office
2.3 File the None 1 Minute Designated
accomplished Migrant Desk
case report Officer
Provincial
Administrator’s
Office
TOTAL: None 1 Day, 18
Minutes
25
PROVINCIAL HUMAN RESOURCE
MANAGEMENT OFFICE
Internal Services
26
1. ISSUANCE OF CLEARANCE FORM (CS FORM NO. 7)
This process covers the issuance of Clearance Form (CS Form No. 7) for the purposes of Leave
of Absence for thirty (30) days or more, travel abroad, transfer, retirement, resignation or
separation from service of an employee / official of the Provincial Government of Ilocos Sur.
Office or Division: Provincial Human Resource Management Office

Who may avail: PGIS officials and employees holding plantilla positions
For Leave of Absence
Accomplished Application for Leave Form Office of the interested party
(2 original copies)
Medical Certificate (1 original copy) for Attending physician or proper medical authority
Sick Leave, Maternity Leave, and Magna
Carta for Women Special Leave Benefit)
Intent Letter (2 original copies) for Travel Interested party
Abroad
Office Clearance (2 original copies) Office of the interested party
For Transfer, Retirement, Resignation
or Separation from Service
Intent Letter (3 original copies) for transfer, Interested party
retirement or resignation
Death Certificate (1 photocopy) for PSA
separation through death
Decision (1 certified photocopy) for Provincial Human Resource Management Office –
separation through dismissal Administrative and Records Division
Office Clearance (2 original copies) Office of the interested party
1. Request at the 1.1 Prepare the CS None 2 Minutes Administrative
PHRMO Front Form No. 7 Officer V /
Desk for the HRMO Staff
issuance of CS PHRMO
Form No. 7 1.2 Input the None 8 Minutes Administrative
following Officer V /
information: HRMO Staff
PHRMO
 Date of
application;
 Purpose of
clearance;
 Effectivity /
Inclusive
period;
 Office of
assignment;
 Position /
Salary
Grade/Step;
 Name of
employee;
 Immediate
supervisor;
 Names of
clearing
27
officer /
officials
1.3 Print CS Form None 2 Minutes Administrative
No. 7 in Officer V /
quadruplicate HRMO Staff
copies PHRMO
2. Receive CS 2. Record at the None 3 Minutes Administrative

Form No. 7 log sheet and Officer V /
release to the HRMO Staff
interested party PHRMO
2. ISSUANCE OF PERSONNEL DOCUMENTS

This process covers the issuance of personnel documents such as Service Record and
Certificate of Employment to interested party as supporting documents for government or
personal transactions.

Who may avail: PGIS Officials and Employees
Official Receipt (1 original) Provincial Treasurer’s Office (PTO) – Revenue
Collection Division
1. Request at the 1. Advise None 1 Minute Administrative
PHRMO Front interested party Aide IV /
Desk to pay HRMO Staff
personnel corresponding PHRMO
document fee at the PTO
2. Pay 2.1 Advise Service 1 Minute Administrative
corresponding interested party Record – Officer V /
fee at PTO – to wait at the PHP 100 Administrative
Revenue designated Aide IV /
Collection waiting area Certificate of HRMO Staff
Division and Employment PHRMO
present Official – PHP 100
Receipt at
PHRMO – Loan
Front Desk Clearance –
PHP 200
2.2 Verify None 15 Minutes Community
employment Affairs Assistant
record of II (Service
interested party Record and
Loan
Clearance)
PHRMO
Administrative
Aide IV
(Certificate of
Employment)
PHRMO
28
2.3 Prepare and None 5 Minutes Community
print document Affairs Assistant
II (Service
Record)
PHRMO
Administrative
Aide IV
(Certificate of
Employment)
PHRMO
Administrative
Officer V
(Loan
Clearance)
PHRMO
2.4 Review and sign None 5 Minutes PHRM Officer
document PHRMO
3. Receive 3. Record at the None 3 Minutes Administrative
requested log sheet and Officer V /
document release to the Community
interested party Affairs Assistant
II /
Administrative
Aide IV / HRMO
Staff
PHRMO
TOTAL: Service 30 Minutes
Record –
PHP 100
Certificate of
Employment
– PHP 100
Loan
Clearance –
PHP 200
3. LEAVE ADMINISTRATION
This process covers the administration of application for leave of absence of officials and
employees of the Provincial Government of Ilocos Sur.

Who may avail: PGIS officials and employees holding plantilla positions
For Regular Vacation / Sick / Special
Privilege Leave
Accomplished Application for Leave Form Office of interested party
(2 original copies)
Medical Certificate for sick leave incurred Attending Physician
for 5 days or more(1 original copy)
29
Affidavit, in case medical consultation was Interested party
not availed of for sick leave incurred for 5
days or more (1 original copy)
For Leave of Absence for thirty (30)
days or more
(2 original copies)
Medical Certificate for sick leave (1 original Attending Physician
copy)
Office Clearance (2 original copies) Office of interested party
Accomplished Clearance Form (CS Form Provincial Human Resource Management Office –
No. 7) (4 original copies) Administrative and Records Division
For Vacation Leave / Special Privilege
Leave Abroad
Request Letter (2 original copies) Interested party
(2 original copies)
For Maternity Leave
(2 original copies)
Accomplished Notice of Allocation of Provincial Human Resource Management Office –
Maternity Leave Credits (CS Form No. 6a), Administrative and Records Division
if needed (2 original copies)
Medical Certificate issued by a Attending Physician
government or private physician, as proof
of pregnancy and estimated date of
delivery (1 original copy)
Solo Parents I.D., for solo parents who DSWD / PSWDO / MSWDO
want to avail the additional maternity leave
of 15 days (1 photocopy)
For Magna Carta for Women Special
Leave Benefit
(2 original copies)
Medical Certificate filled out by the proper Proper Medical Authority, e.g. Attending Surgeon
medical authorities accompanied by a
clinical summary (1 original copy)
For Paternity Leave
(2 original copies)
Proof of child’s delivery e.g. birth Attending Physician
certificate, medical certificate and Philippine Statistics Authority
marriage contract (1 photocopy)
For Solo Parent Leave
(2 original copies)
30
Solo Parent Identification Card (1 DSWD / PSWDO / MSWDO
photocopy)
For Study Leave
(2 original copies)
Letter Request expressing intent to avail Interested party
the leave privilege (2 original copies)
Memorandum of Agreement / Contract (4 Interested party
original copies)
For Violence Against Women and
Children (VAWC) Leave
(2 original copies)
Any of the following (1 original copy):
Barangay Protection Order (BPO) Barangay of interested party
Temporary / Permanent Court
Protection Order (TPO or PPO)
Certification issued by Punong Barangay or Court
Barangay / Kagawad or by
Prosecutor or Clerk of Court that
the application for BPO, TPO or
PPO has been filed, if protection
order is not yet issued
Police report specifying the details Police Station and Attending Physician
of the occurrence of violence on
the victim and medical certificate,
if BPO, TPO, PPO or the
certification is not available
For Rehabilitation Leave
(2 original copies)
Office Clearance (2 original copies), if 1 Office of interested party
month or more
No. 7) (4 original copies), if 1 month or Administrative and Records Division
more
Request letter supported by relevant Office of interested party
reports such as police report, if any (2
original copies)
Medical Certificate on the nature of Attending Physician
injuries, course of treatment involved, and
the need to undergo rest, recuperation and
rehabilitation, as the case may be (1
original copy)
Written concurrence of government Government Physician
physician if attending physician is a private
practitioner (1 original copy)
For Special Emergency (Calamity)
Leave
(2 original copies)
31
Certification issued by Punong Barangay Barangay
that the employee was directly affected by
natural calamity / disaster (1 original copy)
Photo documentation (1 original copy) Interested party
For Monetization of Leave Credits (50%)
(2 original copies)
Letter request stating the valid and Interested party
justifiable reasons (2 original copies)
For Terminal Leave
(2 original copies)
Proof of employee’s resignation or Interested party
retirement or separation from service (1
original copy)
For Adoption Leave
(2 original copies)
Pre-Adoptive Placement Authority (1 DWSD
authenticated copy)
1. Fill out the 1.1 Review None 5 Minutes Administrative
Application for completeness of Officer IV /
Leave Form, documentary Administrative
obtain requirements Aide IV / HRMO
recommending Staff
approval of PHRMO
immediate 1.2 Compute and None 10 Minutes Administrative
supervisor update leave Officer IV /
and/or head of credit balance in Administrative
office and the leave card Aide IV / HRMO
submit at the Staff
PHRMO Front PHRMO
Desk 1.3 Certify None 30 Minutes PHRM Officer
availability of PHRMO
leave credits
1.4 Endorse None 10 Minutes Administrative
Application for Aide IV / HRMO
Leave to the Staff
Governor’s PHRMO
Office or Vice
Governor’s
Office
1.5 Act on None 5 Days Governor or
Application for Vice Governor
Leave (Approval PGIS
or disapproval
by authorized
signatory)
1.6 Retrieve the None 5 Minutes Administrative
signed Aide IV / HRMO
Application for Staff
Leave and PHRMO
attached
documentary
requirements
32
1.7 Segregate HR None 5 Minutes Administrative
copy and Aide IV / HRMO
employee copy Staff
PHRMO
2. Receive copy 2. Release signed None 5 Minutes Administrative
of signed Application for Aide IV / HRMO
Application for Leave and Staff
Leave and attached PHRMO
attached documentary
documentary requirements
requirements
at PHRMO
TOTAL: None 5 Days, 1
Hour, 10
Minutes
33
SANGGUNIANG PANLALAWIGAN OFFICE
External Services
34
1. PROVISION OF RESOLUTIONS, ORDINANCES, AND OTHER LEGISLATIVE RECORDS
UPON REQUEST
The Office of the Secretary to the Sanggunian acts as custodian of resolutions, ordinances,
and other legislative measures undertaken and enacted by the Sangguniang Panlalawigan of
Ilocos Sur.
These records are available upon request and compliance of the necessary requirements.
Office or Division: Sangguniang Panlalawigan - Secretariat

Who may avail: All
Request Form (2 original) Sangguniang Panlalawigan – Secretariat at 3rd
Floor, Provincial Farmers Livelihood Development
Center
Official Receipt (Original) Provincial Treasury Office (PTO) at Ground Floor,
Provincial Capitol of Ilocos Sur
1. Secures 1.1 Ensures that the None 3 Minutes Receiving Clerk
request form, request form is – Administrative
properly fills- fully Division
out and submit accomplished
to the receiving
clerk 1.1.1 If
incomplete,
returns to the
client
1.2 Forwards the None 2 Minutes Receiving Clerk
request form to – Administrative
the approving Division
officer for proper
action
1.3 Approves the None 2 Minutes Provincial
request form Secretary or the
then forwards to Officer-in-
records division Charge
1.3.1 If
disapproved,
indicate reason
then informs the
client
1.4 Advises the None Receiving Clerk
client of the – Administrative
corresponding Division
fees to be paid
1.5 Retrieves and None 10 Minutes Administrative
reproduces the Aide / Assistant
requested – Records
number of Division
copies of the
document then
endorses to
administrative
division
35
2. Pays the 2. Collects Photocopy 2 Minutes Collecting
corresponding payment and and certified Officer –
fees at the issues Official true copy of Revenue
Provincial Receipt Resolutions, Collection
Treasury Ordinances Division – PTO
Office (PTO) and Codes –
PHP 100 / 3
pages
(additional
PHP 5 / page
in excess of
3)
Certification
of Approved
Resolutions,
Ordinances
and Codes –
PHP 50 /
page
Other
legislative
documents –
PHP 50 /
page
3. Presents the 3. Verifies None 2 Minutes Receiving Clerk
receipt of payment, – Administrative
payment to the records the O.R Division
receiving clerk No., releases
the document
and files the
request form
TOTAL: Photocopy 19 Minutes
and certified
true copy of
Resolutions,
Ordinances
and Codes –
PHP 100 / 3
pages
(additional
PHP 5 / page
in excess of
3)
Certification
of Approved
Resolutions,
Ordinances
and Codes –
PHP 50 /
page
Other
legislative
documents –
36
PHP 50 /
page
2. FILING OF ADMINISTRATIVE COMPLAINTS AGAINST ELECTIVE OFFICIALS

As provided in Section 61 of R.A. 7160 otherwise known as the Local Government Code of
1991, administrative complaint against any elective official of a municipality shall be filed before
the Sangguniang Panlalawigan.
Resolution No. XVI-64, Series of 2016 of the the Sangguniang Panlalawigan of Ilocos Sur
established the rule and procedures in conducting administrative investigation against elective
officials and appeals to be filed therein.
Office or Division: Sangguniang Panlalawigan – Committee on Justice and Good

Government (Blue Ribbon Committee)
Classification: Highly Technical
Who may avail: All
Verified Sworn Statement / Complaint Complainant
(1 Original)
Affidavit of Witness or Evidences in Complainant
support of the charge (1 Original duly
notarized)
Order of Payment (2 original) Sangguniang Panlalawigan – Secretariat at the 3rd
Floor, Provincial Farmers Livelihood Development
Center
Official Receipt (Original) Provincial Treasury Office (PTO) at Ground Floor,
Provincial Capitol of Ilocos Sur
1. Complainant 1.1 Receives the None 5 Minutes Receiving Clerk
submits a documents and - Administrative
verified sworn forwards to the Division
statement and Officer-in-
affidavit of Charge for
witness or verification
evidences in 1.2 Checks and None 2 Minutes Officer-in-
support of the validates Charge -
charge documents Administrative
Division
If verified,
issues Order of
payment and
advises the
client to pay the
corresponding
fees
If unverified,
informs the
client to submit
verified
complaint
2. Complainant 2. Collects Complaint 2 Minutes Collecting
pays the fees payment and Filing Fee – Officer –
at the issues Official PHP 1,500 / Revenue
Provincial Receipt complaint
37
Treasury Collection
Office (PTO) Appeal Filing Division - PTO
Fee – PHP
1,000 /
appeal
3. Complainant 3.1 Photocopies None 3 Minutes Receiving Clerk
presents the and attaches the – Administrative
receipt of Official Receipt Division
payment to the to the complaint
receiving clerk 3.2 Endorses the None 2 Minutes Receiving Clerk
complaint and – Administrative
supporting Division
documents to
the legislative
division
3.3 Calendars the None Within 7 Days Board
verified Secretary I –
administrative Legislative
complaint in the Division
Order of
Business
(agenda for
referral to the
Committee on
Justice and
Good
Government
(Blue Ribbon
Committee)
3.4 Issues notice None 7 Days upon Committee on
(Order) referral Justice and
requiring the Good
respondent to Government
submit verified (Blue Ribbon
answer within Committee)
15 days upon
receipt of the
order
4. Respondent 4.1 The committee None Within 10 Days Committee on
submits commences the after receipt of Justice and
verified answer preliminary and the answer Good
within 15 days formal Government
or 30 days if investigation. (Blue Ribbon
motion for Committee)
extension of
time is filed 4.2 Prepares None Within 7 days Committee on
committee from last Justice and
report in scheduled Good
accordance to committee Government
the findings of hearing (Blue Ribbon
the investigating Committee)
authority and
submits the
committee
report to the
Secretariat.
38
4.3 Receives the None 3 Minutes Receiving Clerk
committee – Administrative
report and Division
forwards to the
legislative
division
4.4 Calendars the None 7 Days Board
committee Secretary I –
report in the Legislative
Order of Division
Business
(agenda) for
proper
legislative action
4.5 Passes a None Within thirty Committee on
resolution, (30) days after Justice and
routes the said the final Good
resolution for deliberation Government
signature, and (Blue Ribbon
furnishes copies Committee)
the respondent
and all
interested
parties
TOTAL: Complaint
Filing Fee –
PHP 1,500 /
complaint
Appeal
Filing Fee –
PHP 1,000/
appeal
This service is covered under R.A. 7160, Section 61.
3. ACCESS TO BOOKS AND OTHER REFERENCE MATERIALS

This procedure outlines the process of providing assistance for easier and efficient retrieval of
information sources such as books, magazines, newspapers, and other reference materials
that clients can only access and use inside the library.
Office or Division: Sangguniang Panlalawigan – Library

Who may avail: All
Any Valid Government-issued Government Agencies (e.g. DFA,LTO, PhilHealth,
Identification Card Pag-Ibig, Postal Office, SSS, GSIS, PRC,
COMELEC, BIR)
1. Register at the 1. Monitor the None 1 Minute Library Staff
entrance desk registration Provincial
by writing at Library
the logbook
the following:
 Address;
39
 School /
Office;
 Time-in;
and
 Data about
material/s
needed
2. Deposit things 2. Issue baggage None 1 Minute Library Staff
to the baggage number to the Provincial
counter except client Library
cellphone,
cash, credit
cards,
important
documents or
any valuables
including
jewelries
inside the bag
3. Ask assistance 3.1 Assist the client None 2 Minutes Librarian /
to the librarian on the Library Staff
on duty to information Provincial
check the sources needed Library
location of the 3.2 Hand the None 3 Minutes Librarian /
information requested Library Staff
sources information Provincial
needed sources to the Library
client
4. BORROWING OF BOOKS
This procedure outlines the process of allowing the client to borrow books for home reading for
maximum of three (3) working days and maximum of three (3) books per client.

Who may avail: All
COMELEC, BIR)
the logbook
the following:
 Address;
 School /
Office;
 Time-in;
and
40
 Data about
material/s
needed
cellphone,
cash, credit
cards,
important
documents or
any valuables
including
jewelries
inside the bag
3. Ask assistance 3.1 Assist the client None 1 Minute Librarian /
to the librarian on the Library Staff
on duty to information Provincial
check the sources needed Library
location of the 3.2 Hand the None 1 Minute Librarian /
information requested Library Staff
sources information Provincial
needed sources to the Library
client
3.3 Require the None 1 Minute Librarian /
client to sign at Library Staff
the book card Provincial
Library
3.4 File the ID and None 1 Minute Librarian /
attach the book Library Staff
card Provincial
Library
4. RETURNING OF BOOKS
This procedure outlines the process of returning borrowed books by the client.

Who may avail: All
COMELEC, BIR)
Book/s to be returned Client
the logbook
the following:
 Address;
 School /
Office;
41
 Time-in;
and
 Data about
material/s
needed
cellphone,
cash, credit
cards,
important
documents or
any valuables
including
jewelries
inside the bag
3. Return the 3.1 Check the book None 4 Minutes Librarian /
book/s to the Library Staff
Librarian / Provincial
Librarian Staff Library
on or before 3.2 Return the None 1 Minute Librarian /
the due date client’s ID Library Staff
Provincial
Library
42
PROVINCIAL PLANNING AND
DEVELOPMENT OFFICE
External Services
43
1. ASSISTANCE TO CSOs
To assist Cooperatives, Associations, Non-Government Organizations and People’s
Organization on PROVINCIAL ACCREDITATION and in requesting of FINANCIAL SUPPORT.
Only CSOs from the province of Ilocos Sur is entitled for the assistance and only CSOs that
are registered either to DOLE, CDA or SEC may avail for financial support.
Office or Division: Provincial Planning and Development Office

Who may avail: Associations, Cooperatives, NGOs, POs (CSOs)
For Provincial Accreditation:
Letter of Application Client
Duly accomplished Application Form Capitol – PPDO
Profile indicating the purposes and Client
objectives of the organization
Board Resolution signifying intention for Client
accreditation for the purpose of
representation in the local specific body/
financial assistance
Certificate of Registration, or in the case of SEC / DOLE (Associations)
IPOs, CoR must be issued by NCIP CDA (Cooperative)
NCIP (IPOs)
List of current officers and members; Annual Client
Accomplishment Report for the immediately
preceding year
Financial Statement, at the minimum, signed Client
by the executive officers of the organization,
also of the immediately preceding year, and
indicating therein other information such as
the source(s) of funds
Copy of minutes of the latest meeting of the Client
organization
Photocopy of the president’s Identification Client
Card
For Financial Assistance:
Board Resolution requesting financial Client
assistance to the governor prepared by the
secretary and approved by the
president/chairman
Project Proposal with Work and Financial Client
Plan & 20% proponent equity – stating the
sources and details of proponents equity
participated in the project prepared by the
secretary and approved by the president and
officers
List of project beneficiaries officers Client
Audited Financial Statement for the past Client
three (3) years preceding the date of project
implementation. For NGO/PO which has
been in operation for less than three (3)
years, financial reports for the years in
operation and proof of previous
implementation of similar projects
Accomplishment Reports for 3 years / yearly Client
44
Endorsement of the Mayor LGU concerned
Certificate of resolution accreditation from Capitol – SP Office
the provincial government; Attestment of
publication
Affidavit of disclosure of related business Client
and or related consanguinity (notarized)
Certification of 20% proponent equity Client
Certification of similar implemented projects Client
Certificate of Registration with By-Laws and SEC / DOLE (Associations)
Articles of Incorporation of the Association CDA (Cooperative)
NCIP (IPOs)
TIN / Official Receipt BIR
Certificate of good standing/ compliance/ SEC / DOLE (Associations)
certificate of corporate filing of annual CDA (Cooperative)
reports NCIP (IPOs)
Photocopy of valid ID & board resolution in Client
transacting business or receiving the check
from PGIS (notarized)
Photographs and list of any similar Client
previously completed, if any, indicating the
source of funds for project implementation
MOA incorporating therein the following Capitol – PPDO
terms and condition
Resolution approving the projects to be Capitol – SP Office
funded from the tobacco excise tax (R.A.
7171) of the province of Ilocos Sur as
embodied in Provincial Resolution
Resolution authorizing the Governor to Capitol – SP Office
execute and enter into MOA between the
President / Chairman of the NGO and the
governor
All documents submitted not original should Secretary and Treasurer (for financial records)
be photocopied by the person keeping the
record – certified photocopy from the original
1. Log in 1. Interview None 2 Minutes Admin
Personnel
PPDO
2. Fill out Request 2. Forward the None 5 Minutes Admin
Form (RF) RF to the Personnel
concerned PPDO
division /
person
3. Inquire or 3. Consultation / None 45 Minutes Admin
present set of Review the Personnel
requirements presented PPDO
documents
4. Receive 4. Issue None 10 minutes Admin
Application Form Application Personnel
(Accreditation) or Form PPDO
MOA (Financial (Accreditation)
Assistance) or MOA
(Financial
Assistance)
45
5. Fill out 5. Record and file None 2 minutes Admin
Acknowledgement the RF and AF Personnel
Form (AF) PPDO
TOTAL: None 1 Hour, 4
Minutes
2. CLIENT ASSISTANCE FOR DATA / INFORMATION

To establish and maintain an effective, systematic and immediate delivery of services of the
Provincial Planning and Development Office specifically on the provision of data / information
to client/s such as socio-economic profile of the province including 32 municipalities and 2
cities, maps, plans and programs and others.

Who may avail: All
For Plans, Maps, Proposals and Ilocos Sur
Profile:
Request Letter (1 original, 1 photocopy) Client
Routing Slip ( 1 photocopy) or Written Note Governor’s Office
indicating approval from the Office of the
Governor (signed)
Request Form PPDO – Admin Division
Personnel
PPDO
2. Present Request 2. Review request None 5 Minutes Admin
Letter (RL) with and verify Personnel
Routing Slip / availability of PPDO
written note (both data (keep the
original and photocopy of
photocopy) RL)
3. Fill out Request 3. Forward the RL None 5 Minutes Admin
Form (RF) and RF to the Personnel
concerned and
division/ person concerned
division /
person
PPDO
4. Receive data or 4. Hand in the None 1 Minute Admin
further instructions data Personnel
PPDO
If data is
unavailable:
Refer client to the

concerned agency
or If data is
unavailable:
Let the client come
back upon the Maximum of 3
days
46
availability of the
request
5. Fill out 5. Record and file None 2 Minutes Admin
Acknowledgement the RF, AF and Personnel
Form (AF) photocopy of PPDO
RL
3. ISSUANCE OF PROVINCIAL LAND USE AND ZONING CLEARANCE
This outlines the process for the Issuance of Provincial Land Use and Zoning Clearance as one of
the requirements in securing Governor’s Permit for the CSAG/ ISAG permit holders. It is NOT a
mining permit.

Who may avail: Permittees for CSAG / ISAG
Zoning Clearance (1 original, 1 photocopy) LGU (signed by Municipal Zoning Administrator)
Digitized Location Map plotted in Google Mines and Geosciences Bureau (signed by
Earth with tabulated Technical Description Geodetic Engineer)
(WGS 84) (1 photocopy)
Environment Compliance Certificate (ECC) DENR
(1 photocopy)
Official Receipt for Zoning Clearance Provincial Treasurer’s Office
(original)
With vehicle/s:
Order of Payment for delivery trucks PENRMO
(ENRMO-ADM4-06) (original)
OR/CR (1 photocopy) LTO
Lease of Contract (for leased vehicles) (1 Owner/ borrower of vehicle/s
photocopy)
Other supporting documents:
Clearance (ENRMO-ADM4-02) (original) PENRMO
Application for Governor’s Permit (ENRMO- PENRMO
ADM4-03) (original)
Mayor’s Permit (1 photocopy) Mayor’s Office – LGU
Mayor’s Clearance (1 photocopy) Mayor’s Office – LGU
Order of Payment (ENRMO-ADM4-01) PENRMO
(original)
Certificate of Business Name Registration(1 DTI
photocopy)
Clearance (1 photocopy) Prosecutor’s Office
Personnel
PPDO
2. Fill out Request 2. Forward the None 4 Minutes Admin
Form (RF) RF to the Personnel
concerned PPDO
division /
person
47
3. Present Set of 3.1 Review and None 20 Minutes Administrative
Requirements verify Assistant II
documents PPDO
Upon conformity:
3.2 Prepare
Clearance (1
master copy
and 1
controlled
copy)
3.3 Sign None 2 Minutes Head of Office
Clearance PPDO
4. Receive signed 4. Issue None 1 Minute Admin
Clearance Clearance Personnel
(controlled PPDO
copy)
5. Fill out 5. Record and file None 2 Minutes Admin
Acknowledgement the RF, AF and Personnel
Form (AF) Clearance PPDO
(master copy)
attached with
photocopies of
the
requirements
48
PROVINCIAL BUDGET OFFICE
Internal Services
49
1. CERTIFICATION OF FUND AVAILABILITY (PROCESSING OF APPOINTMENT)
This process covers the procedures on the certification of fund availability particularly on the
processing of appointments issued by the Appointing Authority.
Office or Division: Provincial Budget Office

Who may avail: Provincial Human Resource Management Office
Appointment signed by the Appointing Provincial Human Resource Management Office
Authority (3 original copies)
Certificate of Availability of Funds (3 original Provincial Human Resource Management Office
copies)
1. Submit the 1.1 Check the None 5 Minutes AO V
Appointment plantilla position PBO
and Certificate to verify its
of Availability of existence and
Fund at the appropriation
Provincial 1.2 Countersign the None 4 Minutes SAO
Budget Office Certificate of PBO
Availability of
Fund
1.3 Approve the None 5 Minutes Provincial
Certificate of Budget Officer
Availability of PBO
Fund
2. Receive the 2. Release the None 2 Minutes ADAS II, AA IV,
Appointment Appointment and Project Staff
and Certificate Certificate of PBO
of Availability of Availability of
Fund Fund
2. CERTIFICATION OF FUND AVAILABILITY (PROCESSING OF JOB ORDER OF

CONTRACTUAL EMPLOYEES)
processing of job order of contractual employees.

Who may avail: Various Offices of the Provincial Government of Ilocos Sur
Job Order duly signed by the recommending Provincial Human Resource Management Office
official (1 original copy)
1. Submit the Job 1.1 Ascertain the None 10 Minutes AO V / AO IV /
Order at the availability of ADAS IV / AA
Provincial funds IV
Budget Office PBO
1.2 Countersign the None 3 Minutes SAO
Job Order PBO
50
1.3 Approve the Job None 5 Minutes Provincial
Order Budget Officer
PBO
2. Receive the 2. Release the None 1 Minute ADAS II, AA IV,
signed Job signed Job Order Project Staff
Order PBO
3. CERTIFICATION OF FUND AVAILABILITY (PROCESSING OF CERTIFICATE OF

APPROPRIATION, FUNDS AND OBLIGATION OF ALLOTMENT)
processing of Certificate of Appropriation, Funds and Obligation of Allotment (CAFOA).

Classification: Simple; Complex
Various Offices of the Provincial Government of Ilocos Sur;
Who may avail:
Provincial Government of Ilocos Sur Officials and Employees
SALARIES / RATA / ACA / PERA
Certificate of Appropriation, Funds and
Provincial Accounting Office
Obligation of Allotment (CAFOA)
Provincial Accounting Office / Provincial Human
Payroll / Voucher
Resource Management Office
Daily Time Record Office Concerned
Certification of Actual Spending of RATA Office Concerned
Application for Leave Office Concerned
If First Salary, include the following:
Oath of Office (1 original copy) Individual Concerned
Assumption to Duty (1 original copy) Individual Concerned
Approved Appointment (1 certified true
Individual Concerned
copy)
Statement of Assets, Liabilities, and Net
Worth
Daily Time Record Individual Concerned
MONETIZATION OF LEAVE CREDITS
Payroll / Voucher Provincial Accounting Office
Application for Leave Office Concerned
CLOTHING / UNIFORM ALLOWANCE
TERMINAL PAY
Provincial Human Resources Management Office
Voucher Provincial Human Resources Management Office
Clearances Individual Concerned
Statement of Assets, Liabilities, and Net
Worth
MID YEAR BONUS, YEAR END BONUS, CASH GIFT & PRODUCTIVITY ENHANCEMENT
BONUES and PERFORMANCE BASED BONUS
51
WAGES OF CONTRACTUAL EMPLOYEES
Office Concerned
Labor Payroll Office Concerned
Summary of Payroll Office Concerned
Daily Time Record Individual Concerned
Accomplishment Report Individual Concerned
Job Order (1 certified true copy) Provincial Human Resource Management Office
HONORARIUM FOR CONSULTANT
Office Concerned
Voucher Office Concerned
Contract of Service (For first honorarium,
1 original copy and for succeeding Provincial Human Resource Management Office
honorarium, 1 certified true copy)
TRAVELING EXPENSE
Office Concerned
Travel Order Office Concerned
Itinerary of Travel Office Concerned
Certificate of Appearance Office reported
OFFICE SUPPLIES, OTHER SUPPLIES, OTHER NEEDED IN THE OPERATION OF THE
OFFICE
Office Concerned
Purchase Request Office Concerned
OTHER INCIDENTAL EXPENSE INCURRED (such as waybill, purified water, stamps, etc.
Certificate of Appropriation, Funds and Office Concerned
TELEPHONE EXPENSE, CABLE, INTERNET, ELECTRICITY REGISTRATION / SEMINAR
FEE
NEWSPAPER SUBSCRIPTION
MEALS AND SNACKS / HOTEL ACCOMODATION
FUEL, OIL AND LUBRICANTS
REPAIR AND MAINTENANCE OF GOVERNMENT VEHICLE
52
DRUGS / MEDICINES, MEDICAL LABORATORY SUPPLIES, EQUIPMENT, FACILITIES,
FURNITURE AND FIXTURES, ETC.
OTHER OBLIGATION WHICH REQUIRES BIDDING SUCH AS PAYMENT OF FINISHED
PROJECTS, PURCHASE OF SUPPLIES
Publication of projects / proposed needs
activities / projects at PHILGEPS
If bidding takes place:
Abstract of Award
Acceptance
Inspection Report
If the obligation will be charged to 20%
Development Fund, the same supporting
documents enumerated above will be
required.
If the obligation will be charged to SEF and
RA 7171 and RA 8240, the same supporting
documents enumerated above and Program
of Work will be required.
1. Submit 1.1 Ascertain the
Certificate of availability of
Appropriation, funds, examine
Funds, and and verify the
Obligation of supporting
Allotment documents and
(CAFOA) and record the
supporting Obligation
documents at Request
the Provincial a. Salaries / RATA / None Regular – 6 AO V
Budget Office ACA / PERA Minutes PBO
Complex – 15
Minutes
b. Monetization of None Regular – 5 AO V
Leave Credits Minutes PBO
c. Clothing / None Regular – 5 AO V
Uniform Minutes PBO
Allowance
d. Terminal Pay None Regular – 5 AO V
Minutes PBO
Complex – 10
Minutes
e. Mid Year Bonus, None Regular – 5 AO V
Year End Bonus, Minutes PBO
Cash Gift &
Productivity
53
Enhancement
Bonus and
Performance
Based Bonus
f. Wages of None Regular – 6 AO V / AO IV /
Contractual Minutes ADAS IV / AA
Employees IV
Complex – 15 PBO
Minutes
g. Honorarium for None Regular – 6 AO IV / ADAS
Consultant Minutes IV / AA IV
PBO
h. Traveling None Regular – 10 AO IV / AA IV
Expense Minutes PBO
Complex – 15
Minutes
i. Office Supplies, None Regular – 10 AO IV / AA IV
Other Supplies, Minutes PBO
Other Needed in
the Operation of Complex – 15
the Office Minutes
j. Other Incidental None Regular – 10 AO IV / AA IV
Expense Minutes PBO
Incurred
Complex – 15
Minutes
k. Telephone None Regular – 10 AO IV / AA IV
Expense, Cable, Minutes PBO
Internet,
Electricity, Complex – 15
Registration / Minutes
Seminar Fee
l. Newspaper None Regular – 10 AO IV / AA IV
Subscription Minutes PBO
Complex – 15
Minutes
m. Meals and None Regular – 10 AO IV / AA IV
Snacks / Hotel Minutes PBO
Accommodation
Complex – 15
Minutes
n. Fuel, Oil and None Regular – 10 AO IV / AA IV
Lubricants Minutes PBO
Complex – 15
Minutes
o. Repair and None Regular – 10 AO IV / AA IV
Maintenance of Minutes PBO
Government
Vehicle Complex – 15
Minutes
p. Drugs / None Regular – 10 AO IV / AA IV
Medicines, Minutes PBO
Medical
Laboratory
54
Supplies, Complex – 15
Equipment, Minutes
Facilities,
Furniture and
Fixtures, etc.
q. Other Obligation None Regular – 10 AO IV / AA IV
which requires Minutes PBO
bidding such as
payment of Complex – 15
finished projects, Minutes
purchase of
supplies
If the obligation None Regular – 6 ADAS IV
will be charged to Minutes PBO
20%
Development Complex – 15
Fund Minutes
If the obligation None Regular – 6 AO V
will be charged to Minutes PBO
SEF and RA
7171 and RA Complex – 15
8240 Minutes
1.2 Countersign the None Regular – 4 SAO
Certificate of Minutes PBO
Appropriation,
Funds, and Complex – 10
Obligation of Minutes
Allotment
(CAFOA)
1.3 Approve None Regular – 5 Provincial
Certificate of Minutes Budget Officer
Appropriation, PBO
Funds, and Complex – 10
Allotment
(CAFOA)
1.4 Input the None Regular – 5 ADAS II
Certificate of Minutes AA IV / Project
Appropriation, Staff
Funds, and Complex – 10 PBO
Allotment
(CAFOA) in the
system and affix
the
corresponding
number
2. Receive the 2. Release the None 5 Minutes ADAS II
approved Certificate of AA IV / Project
Certificate of Appropriation, Staff
Appropriation, Funds, and PBO
Funds, and Obligation of
Obligation of Allotment
Allotment (CAFOA)
(CAFOA)
TOTAL: None Salaries / RATA /
ACA / PERA
55
Regular – 25
Minutes
Complex – 50
Minutes
Monetization of
Leave Credits
Regular – 24
Minutes
Clothing /
Uniform
Allowance
Regular – 24
Minutes
Terminal Pay
Regular – 24
Minutes
Complex – 45
Minutes
Mid Year Bonus,
Year End
Bonus, Cash
Gift &
Productivity
Enhancement
Bonus and
Performance
Based Bonus
Regular – 24
Minutes
Wages of
Contractual
Employees
Regular – 25
Minutes
Complex – 50
Minutes
Honorarium for
Consultant
Regular – 25
Minutes
Traveling
Expense
Regular – 29
Minutes
Complex – 50
Minutes
Office Supplies,
Other Supplies,
Other Needed in
the Operation of
the Office
Regular – 29
Minutes
Complex – 50
Minutes
56
Other Incidental
Expense
Incurred
Regular – 29
Minutes
Complex – 50
Minutes
Telephone
Expense, Cable,
Internet,
Electricity,
Registration /
Seminar Fee
Regular – 29
Minutes
Complex – 50
Minutes
Newspaper
Subscription
Regular – 29
Minutes
Complex – 50
Minutes
Meals and
Snacks / Hotel
Accommodation
Regular – 29
Minutes
Complex – 50
Minutes
Fuel, Oil and
Lubricants
Regular – 29
Minutes
Complex – 50
Minutes
Repair and
Maintenance of
Government
Vehicle
Regular – 29
Minutes
Complex – 50
Minutes
Drugs /
Medicines,
Medical
Laboratory
Supplies,
Equipment,
Facilities,
Furniture and
Fixtures, etc.
Regular – 29
Minutes
Complex – 50
Minutes
57
Other Obligation
which requires
bidding such as
payment of
finished
projects,
purchase of
supplies
Regular – 29
Minutes
Complex – 50
Minutes
If the obligation
will be charged
to 20%
Development
Fund
Regular – 25
Minutes
Complex – 50
Minutes
If the obligation
will be charged
to SEF and RA
7171 and RA
8240
Regular – 25
Minutes
Complex – 50
Minutes
3. PREPARATION OF FINANCIAL PLAN (ANNUAL BUDGET)

This process covers the procedures on the preparation of financial plan of the agency
particularly the Annual Budget.

Indorsement Letter (1 original copy) Office concerned
Local Budget Preparation Form No. 2 (1 Provincial Budget Office
original copy)
original copy)
original copy)
1. Submit Budget 1.1 Issue None 6 Minutes Governor
Proposals / Memorandum Provincial
Project Order to all offices Government of
Proposals to to submit budget / Ilocos Sur
Provincial project proposals
Budget Office 1.2 Disseminate the None 2 Days ADAS II / AA IV
Memorandum / Project Staff
Order PBO
58
1.3 Receive the None 3 Minutes ADAS II / AA IV
budget / project / Project Staff
proposals PBO
1.4 Coordinate with None 10 Days ADAS II / AA IV
the concerned / Project Staff
office in the PBO
preparation of the
supporting
document of the
budget such as
PPDF, AIP
Development
Fund, Work and
Financial Plan,
Gender and
Development
Plan and Disaster
Preparedness
Plan
1.5 Summarize / None 15 Days SAO / ADAS II /
Consolidate the AA IV / Project
proposals Staff
PBO
1.6 Issue None 6 Minutes Governor
Memorandum Provincial
Order on Government of
schedule of Ilocos Sur
Budget Hearing
2. Attend Budget 2. Assist the Local None 3 Hours Provincial
Hearing Chief Executive in Budget Officer
the conduct of and Staff
Budget Hearing PBO
3. Finalize the 3.1 Finalize the None 15 Days Provincial
Budget Executive Budget Budget Officer
Proposals and and Staff
submit to PBO
Provincial 3.2 Indorse the None 5 Minutes Governor
Budget Office Executive Budget Provincial
for to the Government of
consolidation Sangguniang Ilocos Sur
Panlalawigan for
legislative action
and authorization
3.3 Indorse the Local None 1 Day Sangguniang
Expenditure Panlalawigan
Program to the Provincial
Department of Government of
Budget and Ilocos Sur
Management
Regional Office I
for review
4. Get a copy of 4. Release copy of None 2 Minutes ADAS II / AA IV
the Approved the Local / Project Staff
Local Expenditure PBO
Expenditure Program
Program
59
Hours, 22
Minutes
4. PREPARATION OF FINANCIAL PLAN (SUPPLEMENTAL BUDGET / SPECIAL BUDGET)

This process covers the procedures on the preparation of financial plan of the agency
particularly Supplemental Budget / Special Budget.

Letter request (1 original copy) Office concerned
1. Submit letter 1.1 Acknowledge the None 3 Minutes ADAS II / AA IV
request for receipt of the PBO
Supplemental request for the
Budget to the allocation of funds
Office of the / Supplemental
Governor for Budget
his approval, 1.2 Consolidate all None 10 Minutes AO V
copy furnished requests for PBO
the Provincial Supplemental
Budget Office Budget
1.3 Present the draft None 2 Hours Provincial
Supplemental Budget Officer
Budget to the PBO
Local Chief
Executive for
finalization
1.4 Indorse the None 6 Minutes Governor
Supplemental Provincial
Budget to the Government of
Sangguniang Ilocos Sur
Panlalawigan for
legislative action
and authorization
1.5 Coordinate with None 1 Day SAO / AA IV
other offices in PBO
the preparation of
the supporting
documents of the
Supplemental
Budget
1.6 Indorse the None 1 Day Sangguniang
Supplemental Panlalawigan
Budget to Provincial
Department of Government of
Budget and Ilocos Sur
Management
Hours, 19
Minutes
60
NOTE: Supplemental Budget will only be prepared when there are savings and additional funds of
the agency such as increase in IRA, Local Taxes, etc.
61
PROVINCIAL LEGAL OFFICE
External Services
62
1. LEGAL CONSULTATION TO WALK-IN CLIENTS
This service refers to the provision of legal advice to all walk-in clients who comes to the Office
and seeks consultation on matters relating to legal problems.
Office or Division: Provincial Legal Office

Who may avail: All
COMELEC, BIR)
Supporting document / records Requesting Client
1.1 Register with 1.1 Evaluate the None 5 Minutes Officer-in-
the Officer-in- request by filling Charge (OIC)
Charge (OIC) up the client
by filling up the assessment
information in form
the Client’s
Logbook 1.2 Refer the client
to the Legal
1.2 Inform the OIC Assistant for
about his / her initial
request and assessment or
submit interview
pertinent
documents
2. Narrate his / 2.1 Do the initial None 10 Minutes Legal Assistant
her concern / assessment or
query and interview on the
provide the concern / query
needed of the client
supporting
documents / 2.2 Require the
records to the client to sign the
Legal assessment
Assistant form for
conformity of the
facts provided
2.3 Refer the client

to the Provincial
Legal Officer
(PLO) / Legal
Officer-in-
Charge for
further interview
3. Approach the 3.1 Interview the None 1 Hour PLO / Legal
PLO / Legal client, evaluate Officer-in-
Officer-in- the merits of the Charge
Charge for case and advise
further the client of the
interview appropriate
legal action /
remedy for his /
63
her concern or
query
3.2 Require the

client to submit
additional
evidence in
support of his /
her case, if
necessary
3.3 Prepare the

necessary
pleading, as the
case may be
4. Fill up Client 4. Receive the None 3 Minutes Officer-in-
Feedback filled-up Charge
Form Feedback Form
1 Hour, 18
TOTAL: None
Minutes
2. LEGAL REPRESENTATION
This service refers to the provision of legal advice to all walk-in clients who comes to the Office
and seeks consultation on matters relating to legal problems.

Who may avail: LGU and/or its Employees Sued in their Official Capacity
COMELEC, BIR)
Letter / Resolution requesting for Legal Requesting Client / Sanggunian Concerned
Representation
Ordinance authorizing the LCE to file / Requesting Client / Sanggunian Concerned
represent the LGU in court and in behalf of
the LGU
Supporting Documents / Records Requesting Client
1.1 Register with 1.1 Receive by None 5 Minutes Officer-in-
the Officer-in- filling up the Charge
Charge (OIC) Legal
by filling up the Representation
information in Slip
the Client’s
Logbook 1.2 Refer the client
to the Paralegal
1.2 Submit the for initial
requirements assessment or
and other interview
supporting
documents /
records of the
case
64
2. Provide 2.1 Do the initial None 10 Minutes Legal Assistant
information assessment and
about the interview, and
status of the check all the
case and other supporting
supporting documents /
documents / records of the
records client
2.2 Refer the client
to the PLO /
Legal Officer-in-
Charge for
further interview
3. Approach the 3.1 Interview the None 1 Hour Legal Office-in-
PLO / Legal client, evaluate Charge /
Officer-in- the merits of the Provincial Legal
Charge case and advise Officer (PLO)
the client of the
appropriate
legal action /
remedy for his /
her case
3.2 Require the
client to submit
additional
evidence in
support of his /
her case, if
necessary
3.3 Prepare the
necessary
pleading, as the
case may be
3.4 Inform the client
of the schedule
of hearing /
submission of
pleadings
3.5 Require the
client to appear
in all the
scheduled
hearings
1 Hour, 15
TOTAL: None
Minutes
65
External / Internal Services
66
1. LEGAL TRANSACTION
This service refers to the drafting and preparation of executive orders, resolution, ordinance,
contracts and/or deeds, affidavits and other legal documents that may be requested by clients,
either walk-in or PGIS employees.

G2C – Government to Citizen, G2B – Government to Business,
Type of Transaction:
G2G – Government to Government
Who may avail: All
Any Valid Government-issued Government Agencies (e.g. DFA, LTO, PhilHealth,
COMELEC, BIR)
Supporting document / records Requesting Client
1.1 Register with 1.1 Fill up and None 2 Minutes Staff-in-Charge
the Staff-in- provide the legal
Charge (OIC) transaction
by filling up the routing slip
information in
the Client’s 1.2 Refer the client
Logbook to the Legal
Assistant I for
1.2 Inform the initial
Staff-in- assessment
Charge about
the legal
document
needed
2. Provide 2.1 Do the initial None 10 Minutes Officer-in-
information assessment on Charge (OIC)
about the legal the legal
document document
needed and needed and the
other supporting
supporting documents /
documents / records
records provided
2.2 Draft the legal None 1 Hour Legal Assistant
document / Legal Officer-
needed Complicated in-Charge
Documents
(e.g. Executive
Order,
Resolution /
Ordinance) – 3
Days
2.3 Require the None 3 Minutes Legal Assistant
client to go over / Legal Officer-
the legal in-Charge
document and
verify the
contents /
information of
67
the legal
document
2.4 Revise the legal None 2 Minutes Legal Assistant
document by / Legal Officer-
incorporating in-Charge
the edit, if there
be any
2.5 Submit the legal None 2 Minutes Legal Assistant
document to the / Legal Officer-
Provincial Legal in-Charge
Officer (PLO) for
review
2.6 Review the legal None 5 Minutes Provincial Legal
document for Officer
any edit and
comment
2.7 Revise the legal None 5 Minutes Legal Assistant
document by / Legal Officer-
incorporating in-Charge
the edit or
correction of the
PLO and submit
to the PLO the
revised legal
document for
final review and
approval
2.8 Conduct a final None 2 Minutes Provincial Legal
review and Officer
approval of the
revised legal
document
2.9 Submit the final

legal document
to the OIC for
recording and
release
2.10 Record and None 1 Minute Officer-in-
release the Charge (OIC)
requested legal
document to the
client
3. Acknowledge None None None None
the receipt of
the legal
document
4. Fill up Client Receive the filled-up None 3 Minutes Office-in-
Feedback Feedback Form Charge
Form
3 Days, 1
TOTAL: None Hour, 35
Minutes
68
Internal Services
69
1. PROVISION OF LEGAL OPINION TO PGIS OFFICES
This service refers to rendering legal opinion to the Governor, Sangguniang Panlalawigan and
other PGIS Offices who shall request for enlightenment and/or interpretation of laws relative to
some legal issues such as but not limited to transactions, acts and/or crafting of legislative
measures.

Who may avail: Governor, Sangguniang Panlalawigan, and PGIS Offices
Notice of meeting and/or letter request for Requesting Client
legal opinion
1. Register with 1.1 Receive by None 2 Minutes Officer-in-
the Officer-in- filling up the Charge (OIC)
Charge (OIC) legal opinion
by filling up the routing slip and
information in forwards the
the Client’s notice of
Logbook and meeting and/or
submit the letter request to
notice of the Provincial
meeting and/or Legal Officer
letter request (PLO)
for legal
opinion 1.2 Review the None 3 Minutes Provincial Legal
notice of Officer (PLO)
meeting and/or
letter request
and assign
responsible
Officer to attend
meeting and/or
draft the legal
opinion
1.3 Make advance None 10 Days Provincial Legal
research on the Officer (PLO) /
subject matter of Legal Officer-in-
the meeting Charge
and/or legal
issue presented
1.4 Prepare the None 5 Days Legal Officer-in-
initial draft of the Charge
legal opinion
and submit it to
the PLO for
review
1.5 Review the draft None 10 Minutes Provincial Legal
legal opinion for Officer (PLO)
any edit and
comment
1.6 Revise the legal None 2 Minutes Legal Officer-in-
opinion by Charge
incorporating
the edit or
70
correction of the
PLO and submit
to the PLO the
revised legal
opinion for final
review and
approval
review and sign Officer (PLO)
the revised legal
opinion and
submit to the
OIC for
recording and
release
requested legal
document to the
client
receipt of the
legal opinion
15 Days And
TOTAL: None
20 Minutes
2. LEGAL REVIEW OF DOCUMENTS

This service refers to the review on the legality of documents entered into and/or to be executed
by the Governor, Sangguniang Panlalawigan and/or heads of the PGIS offices.

Who may avail: Governor, Sangguniang Panlalawigan, and Heads of PGIS Offices
Two copies of the document to be reviewed Requesting Client
1. Register with 1.1 Receive by filling None 10 Minutes Officer-in-
the Officer-in- up the document Charge (OIC)
Charge (OIC) review routing slip
by filling up the and forward the
information in document to the
the Client’s Provincial Legal
Logbook and Officer (PLO)
submit two
copies of the 1.2 Review the None 5 Minutes Provincial Legal
document to document and Officer (PLO)
be reviewed assign
responsible
officer for further
review
1.3 Review the None 3 Days Attorney IV /
document by Legal Assistant
providing I / Paralegal
comments and
recommendations
71
and submit it to
the PLO for
approval
1.4 Review the None 5 Minutes Provincial Legal
comments and Officer (PLO)
recommendations
for any edit and
comment
1.5 Revise the review None 5 Minutes Attorney IV /
by incorporating Legal Assistant
the edit or I / Paralegal
correction of the
PLO and submit
to the PLO the
revised review for
final review and
approval
review and sign Officer (PLO)
the revised review
and submit to the
OIC for recording
and release
requested legal
document to the
client
receipt of the
legal opinion
3 Days, 28
TOTAL: None
Minutes
72
PROVINCIAL TREASURER’S OFFICE
External Services
73
1. PAYMENT OF TAX ON TRANSFER OF REAL PROPERTY OWNERSHIP
This process covers the procedures on the payment of tax on transfer of real property
ownership at the Provincial Treasurer’s Office.
Office or Division: Provincial Treasurer’s Office – Revenue Collection Division

G2C – Government to Citizen; G2B – Government to Business;
Who may avail: All
Order of Payment Provincial Assessor’s Office
Latest / Updated Tax Declarations (1 Provincial / Municipal Assessor’s Office
certified photocopy)
Notarized Deed of Conveyance (1 Notary Public Office
certified photocopy)
AGENCY FEES TO BE PROCESSING PERSON
CLIENT STEPS
ACTION PAID TIME RESPONSIBLE
1. Submit 1. Verify the None 6 Minutes Local Revenue
complete documents Collection
documents and compute Officer III
the transfer PTO
fee
2. Pay the 2.1 Prepare the See Imposition of 10 Minutes Local Revenue
amount due Official Fees and Charges Collection
and receive Receipt and Below Officer III
the Official Certification PTO
Receipt, that the
Certification transfer fee
and was paid
documents 2.2 Return the 2 Minutes Local Revenue
documents, Collection
receive Officer III
payment and PTO
issue Official
Receipt and
Certification
TOTAL: a. Transfer Fee 18 Minutes
– 50% of 1%
of total
consideration
if monetary
consideration
is involved or
Fair Market
Value
whichever is
higher
 FMV – if
monetary
consideration
25%
surcharge and
2% interest
per month of
the transfer
fee if not paid
74
within 60 days
from the date
of notarization
of deed of
conveyance
b. Verification
Fee – PHP
100.00 per tax
declaration
c. Certification
Fee – PHP
100.00
d. Documentary
Stamp – PHP
30.00
75
PROVINCIAL ASSESSOR’S OFFICE
External Services
76
1. REQUEST FOR APPRAISAL FROM LGUs AND OTHER GOVERNMENT AGENCIES
This service refers to the requests for ocular inspection, validation / appraisal of real properties
and determination of its recommended fair market value as just compensation through a
Resolution of the Provincial Appraisal Committee.
Office or Division: Provincial Assessor’s Office

Who may avail: LGUs and Other Government Agencies in the Province of Ilocos
Sur
Letter Request (1 photocopy) LGU and Other Government Agencies
Tax Declaration of Property (1 photocopy) Municipal Assessor
Vicinity Map (1 photocopy) Municipal Assessor
Official Receipt for Payment of Appraisal Provincial Treasurer’s Office
Fee (1 original)
Other Requirements LGU / Property Owner
1. Submit letter 1.1 Receive request None 10 Minutes Governor’s
request and and refer to Office
other Provincial
necessary Assessor’s
documents Office once
approved
1.2 Receive and None 10 Minutes PAC Secretariat
record referred Administrative
request Assistant
1.3 Coordinate with None 15 Minutes PAC Secretariat

requesting LGU Administrative
/ Government Assistant
Agency and
schedule ocular
inspection
1.4 Conduct ocular None 1 – 2 Days Provincial
inspection Assessor
PAC Secretariat
*May require
additional day
depending on the
availability of
Municipal Assessor
1.5 Receive None 1 Hour PAC Secretariat
additional
requirements
and compute
recommended
just
compensation
*May require
additional time
depending on the
availability of
documents
77
1.6 Prepare PAC None 20 Minutes PAC Secretariat
Resolution
1.7 Approval of the None 1 Day PAC Member

PAC Resolution
2. Pay Appraisal 2. Issue Official Appraisal 15 Minutes Revenue

Fee Receipt upon Fee – PHP Collection
payment 500 Division –
Provincial
Treasurer’s
Office
3. Show Official 3. Record and None 5 Minutes PAC Secretariat
Receipt as release PAC
proof of Resolution
payment and
receive PAC
Resolution
TOTAL: Appraisal 3 Days, 2
Fee – PHP Hours, 15
500 Minutes
Per Tax
Declaration
2. REQUEST FOR CERTIFICATION / CERTIFIED PHOTOCOPY OF REAL PROPERTY

RECORDS
This service refers to the issuance of certifications of total landholdings, certification of no
property and certified photocopy of tax declaration and other real property records and
certification of disposal of records as may be requested by clients.

Type of Transaction: G2G – Government to Government; G2C – Government to Citizen;
Who may avail: All
Mandatory Requirements
Letter Request (1 original copy) Property Owner / Representative
Real Property Tax Receipt (if applicable) Municipal Treasurer’s Office
(1 original or photocopy)
Official Receipt for payment of Revenue Collection Division – Provincial Treasurer’s
Verification / Certification Fee (1 original Office
copy)
Special Power of Attorney / Letter of Property Owner
Authority if Client is not the Owner (if
applicable) (1 original or photocopy)
Additional Requirements
For Certificate of Landholdings / No Property
Certificate of Landholdings / No Property Municipal Assessor’s Office
(1 original copy)
Duly notarized Affidavit of No Properties Property Owner / Representative
in other Municipalities except Vigan City
and Candon City (1 original copy)
78
1. Submit letter 1.1 Receive request, None 10 Minutes Officer-in-
request and check documents Charge
other submitted as per Provincial
necessary checklist of Assessor’s
documents requirements, Office
collect additional
information if
necessary and
record the
transaction
1.2 Verify records None 5 Minutes Local
Assessment
Operations
Officer
Provincial
Assessor’s
Office
1.3 Prepare None 15 Minutes Designated
certification / Officer-in-
Photocopy Charge
document Provincial
Assessor’s
Office
1.4 Issue Order of None 5 Minutes Designated
Payment Officer-in-
Charge
Provincial
Assessor’s
Office
2. Pay 2.1 Issue Official Certification 15 Minutes Revenue
Certification Receipt upon Fee – PHP Collection
/ Verification payment 100 Officer
Fee and Provincial
show Verification Treasurer’s
Official Fee – PHP Office
Receipt as 100
proof of 2.2 Record the None 5 Minutes Designated
payment transaction Officer-in-
Charge
Provincial
Assessor’s
Office
2.3 Review None 10 Minutes Assigned Local
Certification, Assessment
stamp Operations
photocopied Officer
documents and Provincial
endorse for Assessor’s
approval Office
2.4 Recommendation None 10 Minutes Provincial
and approval Assessor
Provincial
Assessor’s
Office
79
3. Receive 3. Release None 5 Minutes Designated
documents approved Officer-in-
requested documents Charge
Provincial
Assessor’s
Office
TOTAL: Certification 1 Hour, 20
Fee – PHP Minutes
100
Verification
Fee – PHP
100
Per Tax
Declaration
3. REQUEST FOR ANNOTATION

This service refers to the requests for annotation of mortgages, bail bonds, adverse claims,
notices of levy / lien and other encumbrances and cancellation of annotation of mortgages in
the tax declaration and assessment roll of real properties; and cancellation of tax declaration
and demolition of building, as may be requested by the clients.

Who may avail: All
Real Property Tax Receipt (if applicable) Municipal Treasurer’s Office
(1 original or photocopy)
Official Receipt for payment of Revenue Collection Division – Provincial Treasurer’s
Verification / Annotation / Cancellation Office
Fee (1 original or photocopy)
Authority if Client is not the Owner (if
For Annotation of Encumbrances
Notice of Annotation (1 original copy) Provincial Assessor’s Office
Tax Declaration (1 photocopy) Property Owner / Representative
Real Estate Mortgage / Surety Bond / Property Owner / Representative
Adverse Claim / Lis Pendens and Other
Encumbrances (3 original or certified
photocopies)
For Cancellation of Annotation
Cancellation Real Estate Mortgage / Property Owner / Representative
Surety Bond / Adverse Claim / Lis
Pendens and Other Encumbrances (3
original or certified photocopies)
For Cancellation of Tax Declaration / Demolished Building
80
Endorsement from the Municipal Municipal Assessor
Assessor as per ocular inspection (1
original copy)
1. Submit 1.1 Receive request, None 15 Minutes Officer-in-
Letter fill up routing slip, Charge
Request check documents Provincial
and other submitted as per Assessor’s
necessary checklist of Office
documents requirements and
collect additional
information if
necessary
Record
transaction
1.2 Assess the None 10 Minutes Designated
completeness of Officer-in-
requirements and Charge
verify Record of Provincial
Assessment Assessor’s
Office
Issue Order of
Payment
2. Pay 2. Issue Official Verification 15 Minutes Revenue
Verification / Receipt upon Fee – PHP Collection
Annotation / payment 100 Officer
Cancellation Provincial
Fee Annotation / Treasurer’s
Cancellation Office
Fee – PHP
150
3. Show 3.1 Record the None 5 Minutes Designated
Official transaction and Officer-in-
Receipt as prepare Notice of Charge
proof of Annotation Provincial
payment Assessor’s
Office
3.2 Annotate / Cancel None 5 Minutes Local
encumbrance in Assessment
the assessment (Response may Operations
roll; If there is any require Officer
encumbrance, additional time) Provincial
advise client to Assessor’s
settle Office
3.3 Final review of None 15 Minutes Local
transactions Assessment
Operations
Officer
Provincial
Assessor’s
Office
81
Provincial
Assessor’s
Office
4. Receive 4. Release the None 5 Minutes Designated
annotated approved Officer-in-
documents documents Charge
Provincial
Assessor’s
Office
TOTAL: Verification 1 Hour, 15
Fee – PHP Minutes
100
Annotation /
Cancellation
Fee – PHP
150
Per Tax
Declaration
4. REQUEST FOR ASSESSMENT TRANSACTIONS

This service refers to the processing of assessment of real properties relative to the transfer of
ownership and revision / reclassification.

Who may avail: All
Official Receipt Real Property Tax (1 Municipal Treasurer’s Office
original or photocopy)
Official Receipt Certification / Verification Revenue Collection Division – Provincial Treasurer’s
/ Transfer Fee (1 original or photocopy) Office
Copy of Previous Tax Declaration (1 Municipal Assessor
photocopy)
Tax Declaration duly recommended by Municipal Assessor
Municipal Assessor (3 original copies)
FAAS duly recommended by Municipal Municipal Assessor
Assessor (2 original copies)
Endorsement Letter from Municipal Municipal Assessor
Notice of Assessment (2 original copies) Municipal Assessor
Authority if client is not the owner (if
For Reclassification of Property
Official Receipt – Ocular Inspection Fee Revenue Collection Division – Provincial Treasurer’s
(1 original or photocopy) Office
For Revision Based on Title (Old and New)
82
Photocopy of the Title duly authenticated Registry of Deeds / Municipal Assessor
by Municipal Assessor (2 photocopies)
For Revision Based on Subdivision / Consolidation
Copy of Approved Survey Plan or Sketch Property Owner
Plan as per Tax Declaration (2 original or
blueprint)
For Transfer of Real Property
Deed of Conveyance duly authenticated Property Owner
by the Municipal Assessor (2
photocopies)
Title duly authenticated by the Municipal Registry of Deeds / Municipal Assessor
Assessor (2 photocopies)
Certificate Authorizing Registration (2 Bureau of Internal Revenue
Copy of Approve Plan (if subdivided / Property Owner
consolidated property) (2 original or
blueprint)
Examining officer may require other documents depending on each and every transaction.
request and fill up routing slip, Charge
other check documents Provincial
necessary submitted as per Assessor’s
documents checklist of Office
requirements and
collect additional
information if
necessary
Record
transaction
1.2 Issue Order of None 5 Minutes Administrative
Payment Aide
Provincial
Assessor’s
Office
2. Pay 2. Issue Official Certification 15 Minutes Revenue
/ Transfer Provincial
Fee Verification Treasurer’s
Fee – 100 Office
Transfer Fee –
MV/CV x .005
3. Show 3.1 Record the None 5 Minutes Administrative
Official transaction and Aide
Receipt as endorse to the Provincial
proof of next division Assessor’s
payment Office
3.2 Verify records for None 10 Minutes Local
any Assessment
encumbrance or (Response may Operations
lien on the require Officer
property then additional time)
83
endorse to the Provincial
next division Assessor’s
Office
*May require ocular
inspection
3.3 Update TMCR None 20 Minutes Local
and Tax Map; Assessment
Cancel previous (Response may Operations
PIN; Assign new require Officer
PIN (if subdivided additional time) Provincial
and consolidated Assessor’s
property) then Office
endorse to the
next division
*If subdivided
property, trace back is
required
Check
assessment level
applied and
computation of
assessed value
of real property
*May require trace

back of records
*May require
corrective action
3.4 Final review of None 20 Minutes Assigned Local
Operations
Officer
Provincial
Assessor’s
Office
Provincial
Assessor’s
Office
3.6 Assign new Tax None 5 Minutes Local
Declaration Assessment
number and enter Operations
the same in the Officer
assessment roll; Provincial
Cancel the Assessor’s
previous Tax Office
Declaration
4. Receive 4. Record and None 5 Minutes Administrative
new TD/s release of the Aide / Local
and Notice approved Assessment
of documents Operations
Assessment Officer
84
Provincial
Assessor’s
Office
TOTAL: Certification 2 Hours, 5
Fee – PHP Minutes
100
Verification
Fee – 100
Transfer Fee
MV/CV x .005
Per Tax
Declaration
5. REQUEST FOR ASSESSMENT TRANSACTIONS OF NEWLY DECLARED REAL

PROPERTIES
This service refers to the processing of assessment of real properties relative to the declaration
of new land – titled and untiled, buildings and machineries.

Who may avail: All
Declaration of New Building, Machinery, Untitled and/or Titled Land
Official Receipt Real Property Tax (1 Municipal Treasurer’s Office
Tax Declaration duly recommended by Municipal Assessor
Municipal Assessor (3 original copies)
FAAS duly recommended by Municipal Municipal Assessor
Sworn Statement of Owner / Municipal Property Owner / Municipal Assessor
Assessor’s findings (Sec. 204) (2 original
copies)
Authority if client is not the owner (if
Endorsement Letter from Municipal Municipal Assessor
Notice of Assessment (2 original copies) Municipal Assessor
For New Building
Existing Tax Declaration (TD) of the Lot Municipal Assessor’s Office
reclassified based in actual use with the
corresponding TD of the Building (2
photocopies)
For New Untitled Land
Official Receipt Processing Fee (1 Revenue Collection Division – Provincial Treasurer’s
original or photocopy) Office
Affidavit of Ownership (1 original copy) Property Owner
85
Affidavit of Adjoining Owners (1 original Property Owner
copy)
Affidavit of No Improvement (if Property Owner
applicable) (1 original copy)
Certification of Barangay Captain (1 Barangay Captain of the place where the property is
original copy) located
Certification that the Land is Alienable CENRO
and Disposable (1 original copy)
Certification that the Land is not covered CENRO
by any public land application (1 original
copy)
V-37 (Technical Description and sketch CENRO
checked and filed in DENR) (1 original
copy)
Certification from the Municipal Mayor Municipal Assessor
and Municipal Assessor that their office
conducted ocular inspection on the
declared land (1 original copy)
Certification from the Department of Department of Tourism
Tourism (if applicable) (1 original copy)
For New Titled Land
Official Receipt Processing Fee (1 Revenue Collection Division – Provincial Treasurer’s
original or photocopy) Office
Title duly authenticated by Municipal Registry of Deeds / Municipal Assessor
Assessor (2 photocopies)
Affidavit of No Improvement (if Property Owner / Representative
applicable) (1 original copy)
Examining officer may require other documents depending on each and every transaction.
request and fill up routing slip, Charge
other check documents Provincial
necessary submitted as per Assessor’s
documents checklist of Office
requirements and
collect additional
information if
necessary
Record
transaction
1.2 Issue Order of None 5 Minutes Administrative
Payment Aide
Provincial
Assessor’s
Office
2. Pay 2. Issue Official Certification 15 Minutes Revenue
/ Transfer Provincial
Fee Verification Treasurer’s
Fee – 100 Office
Transfer Fee –
MV/CV x .005
86
3. Show 3.1 Record the None 5 Minutes Administrative
Official transaction and Aide
Receipt as endorse to the Provincial
proof of next division Assessor’s
payment Office
3.2 Verify records for None 10 Minutes Local
any Assessment
encumbrance or (Response may Operations
lien on the require Officer
property then additional time) Provincial
endorse to the Assessor’s
next division Office
*May require ocular

inspection
3.3 Update TMCR None 20 Minutes Local
and Tax Map; Assessment
Cancel previous (Response may Operations
PIN; Assign new require Officer
PIN (if subdivided additional time) Provincial
and consolidated Assessor’s
property) then Office
endorse to the
next division
*If subdivided
property, trace back is
required
Check
assessment level
applied and
computation of
assessed value
of real property
*May require trace

back of records
*May require
corrective action
3.4 Final review of None 20 Minutes Assigned Local
Operations
Officer
Provincial
Assessor’s
Office
Provincial
Assessor’s
Office
3.6 Assign new Tax None 5 Minutes Local
Declaration Assessment
number and enter Operations
the same in the Officer
assessment roll;
87
Cancel the Provincial
previous Tax Assessor’s
Declaration Office
4. Receive 4. Record and None 5 Minutes Administrative
new TD/s release of the Aide / Local
and Notice approved Assessment
of documents Operations
Assessment Officer
Provincial
Assessor’s
Office
TOTAL: Processing 2 Hours, 5
Fee – PHP Minutes
250
Per Tax
Declaration
88
PROVINCIAL GENERAL SERVICES OFFICE
External Services
89
1. LEASING OF HEAVY EQUIPMENT
To define the requirements in availing lease of heavy equipment owned by the Provincial
Government of Ilocos Sur for private / personal purposes or for government projects of
component municipalities or cities.
Office or Division: General Services Office

Who may avail: All
Request for Equipment Lease General Services Office – Front Desk
Order of Payment General Services Office – Front Desk
Official Receipt of Payment (1 Original, 1 Provincial Treasurer’s Office
photocopy)
Government-issued Identification Card of Client
Lessee (1 photocopy)
1. Forward letter 1.1 Receive letter None 3 Minutes Front Desk
request request and Staff
approved by forward to the General
the Office of General Services Office
the Governor Services Officer
1.2 Inform the None 3 Minutes General
Motorpool of the Services Officer
schedule and General
condition Services Office
equipment
1.3 Verify None 5 Minutes Mechanical
availability of the Shop General
equipment Foreman
requested General
Services Office
1.4 Prepare Order None 2 Minutes Administrative
of Payment and Aide III (Clerk I)
forward to the General
General Services Office
Services Officer
1.5 Sign Order of None 1 Minute General
Payment Services Officer
General
Services Office
1.6 Issue Order of None 1 Minute Front Desk
Payment Staff
General
Services Office
2. Pay Rental 2. Verify payment See 5 Minutes Administrative
Fees to the and prepare Imposition of Officer II
Provincial Contract of Charges (Administrative
Treasurer’s Lease below and Officer I)
Office and Additional General
present Official Fees Services Office
Receipt to
General
Services Office
90
3. Sign Contract 3.1 Process the None 5 Days Administrative
of Lease and Contract of Aide III (Clerk I)
submit Lease for General
photocopy of Signature of the Services Office
government- Provincial
issued Governor,
Identification Provincial
Card Treasurer and
General
Services Officer
and notary of the
Provincial Legal
Office
3.2 Notify the None 5 Minutes General
Motorpool for Services Officer
the release of General
the equipment Services Office
3.3 Record egress None 2 Minutes Administrative
of equipment Aide III (Clerk I)
General
Services Office
3.4 Transport None Dependent on Mechanical
equipment for the proximity of Shop General
release on site Motorpool to Foreman /
destination Heavy
Equipment
Operator
General
Services Office
TOTAL: See 5 Days, 27
Imposition Minutes
of Charges
below and
Additional
Fees
LEASE OF HEAVY EQUIPMENT qualified for multi-stage processing.
IMPOSITION OF CHARGES:
RENTAL RATES
Provincial Ordinance No. 037-18, s. 2018
Equipment Type Government Use/Day Private Use/Day
1. Dump Truck PHP 2,500.00 PHP 3,000.00
2. Water Truck 2,500.00 3,000.00
3. Vibratory Roller 2,500.00 4,500.00
4. Front End Loader 3,000.00 6,500.00
5. Motor Grader 3,000.00 6,500.00
6. Backhoe Loader 3,000.00 6,500.00
7. Dozer 4,500.00 8,500.00
ADDITIONAL FEES:
 Lowbed Trailer: Transportation Expenses to and from the destination:
- PHP 3,500.00 for the first 10 kilometers
- PHP 500 for every succeeding 1 kilometer
 Tractor Head: Fuel Expenses to and from the destination
91
2. BORROWING OF HEAVY EQUIPMENT REQUESTED
To define the requirements in borrowing of heavy equipment owned by the Provincial
Government of Ilocos Sur for private or government events upon the approval of the Office of
the Governor

Who may avail: All
Request Letter Client
1.2 Inform None 3 Minutes General
Motorpool of the Services Officer
schedule and General
condition Services Office
equipment
items requested Foreman
General
Services Office
1.4 Prepare None 5 Minutes Administrative
Equipment Aide III (Clerk I)
Lease General
Agreement Services Office
2. Undertake 2.1 Process None 5 Days Administrative
Equipment Equipment Aide III (Clerk I)
Lease Lease General
Agreement Agreement for Services Office
Signature of the
Provincial
Governor, the
Witnesses, and
notary of the
Provincial Legal
Officer
2.2 Notify the None 3 Minutes General
Motorpool for Services Officer
the release of General
the equipment Services Office
2.3 Record egress None 2 Minutes Administrative
of equipment Aide III (Clerk I)
General
Services Office
2.4 Transport None Dependent on Mechanical
equipment for the proximity of Shop General
release on site Motorpool to Foreman /
destination Heavy
92
Equipment
Operator
General
Services Office
3. Receive None
equipment
5 Days, 23
TOTAL: None
Minutes
3. PROVISION OF MATERIALS AND MOTOR VEHICLE REQUESTED

To define the requirements in borrowing of tents, table, chairs, and motor vehicle owned by the
Provincial Government of Ilocos Sur for private or government events upon approval of the
Office of the Governor

Who may avail: All
Request Letter Client
1.2 Inform / Instruct None 5 Minutes General
the Motorpool Services Officer
Division General
Services Office
items requested Foreman
General
Services Office
1.4 Deliver items None 5 Minutes Administrative
requested Aide III (Clerk I)
General
Services Office
2. Receive items 2. Log date of None 5 Minutes Mechanical
requested release and/or Shop General
start date of Foreman
operation General
Services Office
93
PROVINCIAL GENERAL SERVICES OFFICE
Internal Services
94
1. PROCESSING OF CLEARANCES FROM PROPERTY ACCOUNTABILITIES
To outline the activity for the processing of Clearances from Property Accountabilities in the
General Services Office, and to ensure that all the necessary documents needed are attached.

Who may avail: Employees of the Provincial Government of Ilocos Sur
Clearance Form (4 original) Provincial Human Resource Management Office
Clearance from Property/ Money Client’s Office
Accountability in their Office (1 photocopy)
Application for Leave with Medical Client’s Office
Certificate for Sick Leave, Maternity Leave
and Special Leave (1 photocopy)
Letter of Intent for Travel Abroad, Study, Client’s Office
Transfer. Retirement, Resignation and other
modes of separation (1 photocopy)
Order of Payment General Services Office – Front Desk
Official Receipt of Payment (1 original, 1 Provincial Treasurer’s Office
photocopy)
Statement of Property Accountability for General Services Office – Supply and Property
Travel Abroad, Sick Leave and other leave Management Division
concerning 30 days or more
Transfer of Property Accountability General Services Office – Supply and Property
Management Division
Invoice-Receipt for Property General Services Office – Supply and Property
Management Division
Property Acknowledgement Receipt General Services Office – Supply and Property
Management Division
1. Present 1.1. Receive and None 5 Minutes Front Desk
Clearance Form review Staff
with the Clearance General
following Form with the Services Office
supporting supporting
documents: documents
a. Clearance 1.2. Prepare Order None 1 Minute Front Desk
from of Payment Staff
Property/ General
Money Services Office
Accountability 1.3. Sign Order of None 1 Minute General
in their Office Payment Services Officer
b. Application General
for Leave with Services Office
Medical 1.4. Issue Order of None 1 Minute Front Desk
Certificate for Payment Staff
Sick Leave, General
Maternity Services Office
Leave and
Special
Leave
c. Letter of
Intent for
Travel
95
Abroad,
Study,
Transfer.
Retirement,
Resignation
and other
modes of
separation
2. Pay Clearance 2.1 Verify Payment PHP 100.00 1 Minute Front Desk
Fee to the Staff
Provincial General
Treasurer’s Services Office
Office and 2.2 Forward the None 1 Minute Front Desk
present Official Clearance Staff
Receipt to Form, General
General supporting Services Office
Services Office documents and
Official Receipt
to the Supply
and Property
Management
Division
2.3 Check None 30 Minutes Administrative
accountabilities Aide IV
(Bookbinder II)
General
Services Office
2.4 For temporary None 30 Minutes Administrative
transfer Aide IV
a. Prepare (Bookbinder II)
Statement of General
Property Services Office
Accountability
b. Prepare
Invoice-
Receipt for
Property
2.5 For permanent None 1 Hour Administrative
transfer Aide IV
a. Transfer of (Bookbinder II)
Property General
Accountability Services Office
b. Invoice-
Receipt for
Property
c. Property
Acknowledge-
ment Receipt
2.6 Issue the None 5 Minutes Administrative
documents Aide IV
relevant to the (Bookbinder II)
type of leave General
availed Services Office
3. Receive and 3.1 Receive and None 5 Minutes Administrative
process the review Aide IV
documents documents (Bookbinder II)
relevant to the submitted
96
type of leave General
availed, and Services Office
submit to the 3.2 Prepare None 5 Minutes Administrative
General Synopsis of Aide IV
Services Office Clearance (Bookbinder II)
Granted and General
forward the Services Office
Clearance
Form and all
supporting
documents to
the General
Services
Officer
3.3 Review all None 10 Minutes General
supporting Services Officer
documents and General
affix signature Services Office
in the
Clearance
Form
3.4 Forward to the None 1 Minute General
Front Desk Services Officer
General
Services Office
3.5 Photocopy None 5 Minutes Front Desk
signed Staff
Clearance General
Form for filing Services Office
and forward to
the Supply and
Property
Management
Division the
documents
relevant to the
type of leave
availed.
3.6 Release None 2 Minutes Front Desk
Clearance and Staff
supporting General
documents to Services Office
the client
4. Receive 4. File photocopy None 5 Minutes Front Desk
Clearance and of Clearance Staff
log in the Form General
logbook Services Office
2 Hours, 48
TOTAL: PHP 100.00
Minutes
97
ILOCOS SUR PROVINCIAL JAIL OFFICE
External Services
98
1. RECEIVING OF PERSON DEPRIVED OF LIBERTY (PDL)
A system designed to provide a standardized guideline in receiving PDLs at the Ilocos Sur
Provincial Jail.
Office or Division: Ilocos Sur Provincial Jail Office

Who may avail: PNP, PDEA, CIDG, RTC, MCTC, MTCC, BJMP and Provincial Jails
Commitment Order (1 original) Court
Information (1 original) Court
Medical Certificate and Pregnancy Test for PNP in coordination with RHU / Accredited
Female (1 original) Hospitals
Police Booking Sheet (1 original) PNP
Negative Result Antigen / RTPCR (1 PNP in coordination with RHU / Accredited
original) Hospitals
Vaccination Card RHU / Accredited Hospitals
1. Registration of 1.1 Gate 1 Guards None 3 Minutes Gate 1 Guards
Committing shall make sure
Officers at that the
Gate 1 committing
authorities as
well as the
incoming PDL/s
are wearing a
mask. Prior to
entering the jail
premises, they
are advised to
wash their
hands using the
handwashing
facility provided
right outside of
Gate 1 and have
their body
temperature
checked using
the thermal
scanner. Gate 1
Guards shall
then check for
their vaccination
cards and
negative antigen
result of the
incoming PDL.
1.2 Guards shall
properly log the
time in, purpose,
unit or court in
the provided
logbooks
99
1.3 Gate 1 Guards
shall ask or
demand
an Identification
Card in
exchange for a
color-coded Jail
ID.
1.4 Gate 1 Guard
shall
immediately
inform the
Administrative
Office through
radio after
registration
2. Identification / 2.1 The Receiving None 2 Minutes Receiving
Verification of Officer shall Officer
Committing courteously ask
Officers at the the Committing
Administrative Officers or
Office authorities their
respective
names, units /
court, name of
PDL and his/her
criminal case for
verification.
2.2 The Receiving
Officer shall
properly
endorse the
Committing
Officers to the
Administrative
Officer.
3. Checking of 3.1 The None 3 Minutes Administrative
commitment Administrative Officer
requirements Officer shall
review and
inspect the
requirements for
commitment
which are:
 Court Order
containing
the Criminal
Case,
Criminal
Case
Number and
Branch of
Court duly
signed by
the
Honorable
Judge;
100
 Information
containing
the facts of
the case
duly signed
by the
Prosecutor;
 Medical
Certificate;
and
 Police
Booking
Sheet
containing
personal
information
of the PDL.
3.2 The Administrative
Administrative Officer
Officer rejects
commitment of
PDL if any of the
above-
mentioned
requirements is
not available.
3.3 The Receiving Receiving
Officer shall sign Officer
the 3 copies of
Court Order and
return the 2
copies to the
Committing
Officer.
4. Medical Check 4.1 The Receiving None 5 Minutes Receiving
Up Officer shall Officer
accompany and
endorse the
incoming PDL to
the Nurse
Station.
4.2 The resident Resident Nurse
nurse or or Doctor
assigned doctor
shall check the
vital signs and
interview the
incoming PDL.
4.3 All information Resident Nurse
shall be or Doctor
reflected on the
Medical Record
Form.
5. Mugshot of 5.1 The Receiving None 2 Minutes Receiving
Incoming PDL Officer shall ask Officer
the incoming
PDL to wear the
101
prescribed PDL
uniform and
take
photographs
(front, left side
and right side).
Officer shall Officer
measure the
height and
weight of the
incoming PDL.
6. Logging and 6.1 The Receiving None 4 Minutes Receiving
Recording Officer shall Officer
properly log the
necessary
information
regarding the
case of the
incoming PDL.
6.2 A prison number Receiving
is assigned to Officer
the PDL.
take an
impression of
the incoming
PDL’s
fingerprint.
encode details
of the incoming
PDL to the
record form,
print and attach
it to the records
of the incoming
PDL.
7. Signing of 7.1 The Receiving None 1 Minute Receiving
Detainees Officer shall Officer
Manifestation accompany the
incoming PDL to
a Public
Attorney or
lawyer, if
present, and
have the
Detainees
Manifestation
signed.
7.2 If a Public
Attorney is not
present, the
Receiving
Officer shall
102
proceed to the
next procedure.
8. Records 8.1 The None 5 Minutes Administrative
Checking and Administrative Officer
Countersigning Officer shall
review all the
records of the
incoming PDL
complied in a
single folder
(carpeta). He /
She shall check
the accuracy of
the encoded
Detainee
Record Form 1
and ensure that
the information
in the Court
Order and
Information
matches that of
the encoded
information. The
carpeta of the
PDL shall be
returned to the
Receiving
Officer if errors
are found. He /
She shall
countersign the
Detainee
Record Form 2
after corrections
are made.
Officer
accompanies
the incoming
PDL to the
Provincial
Warden.
9. Body and 9.1 The Receiving None 5 Minutes Receiving
Baggage Officer shall Officer
Inspection conduct a body
search on the
PDL.
search and
inspect the
baggage of the
incoming PDL.
All contrabands
shall be
103
deposited in the
property
custodian. The
deposited items
shall be
returned once
the PDL is
released.
10. Interview and 10.1 The None 5 Minutes Provincial
Signing of Provincial Warden
Carpeta Warden reviews
the carpeta of
the PDL and
conducts an
interview
10.2 The Provincial
Provincial Warden
Warden shall
inform the PDL
of his rights and
privileges inside
the jail. He shall
also inform him /
her of the rules
and regulations.
10.3 The Provincial
Provincial Warden
Warden shall
sign the
Detainee
Record Form 2
and assign the
PDL to his / her
designated cell.
2. RELEASING OF PERSON DEPRIVED OF LIBERTY (PDL)

A system designed to provide a standardized guideline in releasing PDL’s at the Ilocos Sur
Provincial Jail.

Who may avail: Person Deprived of Liberty (PDL)
Release Order (1 original)
1. Registration of 1.1 Gate 1 Guards None 3 Minutes Gate 1 Guards
Sheriff / shall make sure
Process that the sheriff /
Server process server
or person
serving the
Release Order
are wearing a
104
mask. Prior to
entering the jail
premises, they
are advised to
wash their
hands using the
handwashing
facility provided
right outside of
Gate 1 and have
their body
temperature
checked using
the thermal
scanner. Gate 1
Guards shall
then check for
their vaccination
cards.
1.2 Guards shall Gate 1 Guards
properly log the
time in, purpose,
unit or court in
the provided
logbooks.
1.3 Gate 1 Guards Gate 1 Guards
shall ask or
demand for an
Identification
Card in
exchange for a
color-coded Jail
ID.
1.4 Gate 1 Guard Gate 1 Guards
shall
immediately
inform the
Administrative
Office through
radio after
registration.
2. Verification of 2.1 The Releasing None 3 Minutes Releasing
the Release Officer shall Officer
verify the
authenticity of
the Release
Order by
comparing the
Name, Criminal
Case and the
Criminal Case
Number with
that of the
Commitment
Order attached
to the carpeta of
the inmate.
105
2.2 The Releasing Releasing
inform the Court
concerned if
there are
discrepancies
found.
3. Preparation of 3. The Releasing None 5 Minutes Releasing
Release Officer shall Officer
Documents prepare the
Certificate of
Discharge from
Detention
(PJAIL4-05) (2
copies)
4. Signing of 4.1 The Releasing None 2 Minutes Releasing
Certificate of Officer shall ask Officer
Detention the witness of
the PDL to sign
at the Certificate
of Discharge
from Detention
(PJAIL4-05).
4.2 The Releasing Releasing
hand over the
Certificate of
Discharge from
Detention
(PJAIL4-05) to
the outgoing
PDL for
signature.
4.3 The Cell Mayor Cell Mayor
shall sign the
Certificate of
Discharge from
Detention
(PJAIL4-05) if
the outgoing
PDL has no
monetary /
property
obligation.
4.4 The outgoing Team Leader
PDL shall have
his / her
Certificate of
Discharge from
Detention
(PJAIL4-05)
signed by the
Team Leader.
5. Baggage 5.1 The outgoing None 4 Minutes Gate 2 Guards
Inspection PDL shall have
his / her
baggage
106
checked at Gate
2.
5.2 The baggage Gate 2 Guards
inspector shall
have their
Certificate of
Discharge from
Detention
(PJAIL4-05)
signed after
inspection.
6. Retrieval of 6.1 The outgoing None 2 Minutes Property
Deposited PDL shall go to Custodian /
Items the Property Releasing
Custodian to Officer
claim their
deposited items
/ properties, if
any.
6.2 The Property Property
Custodian, or Custodian /
Releasing Releasing
Officer on duty Officer
in their absence
shall sign the
Certificate of
Discharge from
Detention of the
outgoing PDL.
7. Review and 7.1 The Releasing None 2 Minutes Administrative
Countersigning Officer shall Officer
have the
outgoing PDL’s
Certificate of
Discharge from
Detention and
properly
endorse it to the
Administrative
Officer for
review and
countersigning.
Officer shall
review and
compare the
Criminal Case
and Criminal
Case Number/s
of the Release
Order form the
Commitment
Order.
Officer shall
107
check if the
outgoing PDL
has no other
pending cases
filed against
him.
Officer shall
countersign the
Certificate of
Discharge from
Detention and
shall
accompany the
outgoing inmate
to the Office of
the Provincial
Warden.
Officer shall
accompany the
outgoing PDL to
the Office of the
Provincial
Warden.
8. Signing / 8.1 The Provincial None 2 Minutes Provincial
Approval from Warden shall Warden
the Provincial interview the
Warden outgoing PDL
before signing
his Certificate of
Discharge from
Detention.
8.2 The PDL shall Provincial
give one (1) Warden
copy of the
Certificate of
Discharge from
Detention to the
Releasing
Officer after the
Provincial
Warden has
signed.
9. Gate 1 9.1 The outgoing None 2 Minutes Gate 1 Guards
Inspection PDL shall
present his
Certificate of
Discharge from
Detention to the
Gate 1 Guards
9.2 The Gate 1 Gate 1 Guards
Guards shall
perform an
inspection
108
before allowing
the PDL out of
the facility.
3. VISITING PROCEDURE
A system designed to provide a standardized guideline in receiving visitors of PDL’s, deliveries,
and admin visitors of Ilocos Sur Provincial Jail.

G2G – Government to Government; G2B – Government to
Business; G2C – Government to Citizen
Government Agencies, Non-Government Organizations, Private
Who may avail:
Entities and Relatives of PDLs
Valid Identification Card (I.D.) Government Agency/ Private Company
Vaccination Card RHU/ Accredited Hospitals
1. Registration of 1.1 Gate 1 Guards shall None 3 Minutes Gate 1 Guards
Visitor/s make sure that the
visitor is wearing a
mask. Prior to
entering the jail
premises, they are
advised to wash
their hands using
the handwashing
facility provided right
outside of Gate 1
and have their body
temperature
checked using the
thermal scanner.
Gate 1 Guard shall
then check for their
vaccination cards.
1.2 Gate 1 Guards shall Gate 1 Guards
courteously ask the
visitors to properly
sign the appropriate
logbooks upon
entering the main
gate and ask for a
valid ID.
issue a color-coded
visitor I.D. (PDL
visitor shall be given
a gray-colored I.D.,
while red colored
I.D. is for admin
visitors, and green
I.D. for deliveries.)
I.D’s shall be issued
109
in exchange for valid
I.D. of the visitor/s.
1.4 Upon registration, Gate 1 Guards
all admin visitors
shall be guided by
Gate 1 Guards to
the Admin Building.
Gate 1 Guards shall
inform the Admin
thru radio about
incoming admin
visitors.
2. Physical / 2.1 Items considered None 2 Minutes Gate 1 Guards
Baggage contraband or those
Inspection that are not allowed
inside the jail shall
be deposited to the
Gate 1 Guard. A
claim / baggage
number shall be
given to the visitors.
Pat Frisk search /
body search and
search the baggage
of all incoming
visitors of PDLs.
3. Vehicle 3.1 Gate 1 Guards shall None 2 Minutes Gate 1 Guards
Inspection conduct a proper
vehicle inspection
before allowing
them to enter the jail
premises.
4. Directing 4.1 Gate 1 Guards shall None 1 Minute Gate 1 Guards
Visitors courteously give
directions most
especially for first-
time visitors.
Judges, lawyers,
uniformed
personnel/s, and
other visitors on
official business
shall be
accompanied or
directed by Gate 1
Guards to the Admin
Building.
courteously give
directions to delivery
drivers to the
delivery area.
direct PDL visitors to
Gate 2.
110
5. Admission to 5.1 Gate 2 Guards shall None 2 Minutes Gate 2 Guards
the Visitors courteously ask the
Area PDL visitors to log in
before proceeding
to the PDL visiting
area.
double-check the
belongings /
baggage of the
visitor/s.
5.3 Admin Officer shall Admin Officer
courteously
entertain admin
visitors to the
Conference Room.
6. Physical / 6.1 Gate 2 Guards shall None 5 Minutes Gate 2 Guards
Baggage make an inspection
Inspection on all items brought
put by the PDL’s
visitor.
double-check /
inspect all items /
baggage brought
out by visitors
before allowing
them to leave the jail
premises.
inspect all vehicles
before leaving jail
premises.
recover the color-
coded I.D.s issued
to the visitor in
exchange for the
valid I.D.s.
7. Baggage Claim 7.1 Items deposited to None 1 Minutes Gate 1 Guards
Gate 1 Guards shall
be retrieved using
the claim / baggage
number issued to
the visitor during the
physical / baggage
inspection
conducted before
entering the jail
premise.
111
PROVINCIAL DISASTER RISK REDUCTION
AND MANAGEMENT OFFICE
External Services
112
1. EMERGENCY RESPONSE, SEARCH AND RESCUE
Emergency response and search and rescue operations are rendered during trauma, medical,
fire and drowning incidents.
Office or Division: Provincial Disaster Risk Reduction and Management Office

Who may avail: All
None None
1. Call PDRRMO 1.1 Receive call and None 30 Seconds LDRRM
Emergency ask necessary Assistant /
Hotlines: information like: Project Staff
GLOBE  Type of PDRRMO
(0917-577- incident and
7926) number of
(0917-535- victims
7926) involve
 Place and
time of
incident
 Personal
information
of the victim
(if informant
knows
about it)
 Informer’s
name
1.2 Dispatch
emergency
responders:
a. Emergency None 20 Seconds LDRRM
Medical Assistant /
Team Project Staff
PDRRMO
b. Water and None 15 Minutes LDRRM Officer
Rescue I
Team PDRRMO
c. Urban and None 30 Minutes LDRRM Officer
Rescue I
Team PDRRMO
d. Auxiliary None 10 Minutes LDRRM Officer
Fire Team I
PDRRMO
TOTAL: Medical
None Incidents – 50
Seconds
Water and
Rescue – 15
None
Minutes, 30
Seconds
Urban and
None
Rescue – 30
113
Minutes, 30
Seconds
Fire Incidents
None – 10 Minutes,
30 Seconds
2. CONDUCT OF TRAINING, SEMINAR AND LECTURES

DRRM training, seminars and lectures are provided to requesting parties.

Type of Transaction: G2C – Government to Citizen; G2G – Government to Government
Who may avail: All
Request Letter Submitted to Governor’s Office – for Approval
1. Send / Submit 1.1 Receive the None 20 Minutes LDRRM
request letter approved Assistant /
with the request letter Project Staff
approval of the PDRRMO
Governor 1.2 Inform the None LDRRM
request to the Assistant /
Department Project Staff
Head and PDRRMO
endorse it to the
concerned
division
1.3 Assign None 10 Minutes LDRRM Officer
personnel who I
will render the PDRRMO
service
1.4 Inform the client None 20 Minutes Personnel who
the post-activity rendered the
evaluation result service
(After Activity PDRRMO
Report)
3. PROVISION OF DISASTER DRILLS AND MEDIC SERVICES

Disaster drills and medic services are provided to requesting parties.

Who may avail: All
Request Letter Submitted to Governor’s Office – for Approval
1. Send / Submit 1.1 Receive the None 30 Minutes Communication
request letter approved / Dispatcher
with the request letter PDRRMO
approval of the 1.2 Inform the None Communication
Governor request to the / Dispatcher
Department PDRRMO
114
Head and
endorse it to the
concerned
division
1.3 Assign None 15 Minutes LDRRM Officer
personnel who I
will render the PDRRMO
service
1.4 Inform the client None 15 Minutes Personnel who
the post-activity rendered the
evaluation result service
(After Training / PDRRMO
Activity Report)
TOTAL: None 1 Hour
115
PROVINCIAL SOCIAL WELFARE AND
DEVELOPMENT OFFICE
External Services
116
1. AID TO INDIVIDUAL IN CRISIS SITUATION (AICS)
This process covers the provision of financial assistance and material assistance to individuals
and families who are in crisis and difficult situation.
Office or Division: Provincial Social Welfare and Development Office

Who may avail: Indigent Individuals
Certificate of Indigency (1 original copy) Barangay Captain and C/MSWDO
Personal letter to the Governor (1 original
Client
copy)
Hospital Bill (if hospitalization) (1 photocopy) Hospital – Records Section
Death Certificate (if burial assistance) (1
Hospital / Local Civil Registrar
photocopy)
Funeral Contract (if burial assistance) (1
Funeral Home
photocopy)
Prescriptions (if medicines) (1 photocopy) Hospital / Attending Physician
Doctor’s Advice (if laboratory, ultrasound, 2d
Hospital / Attending Physician
echo, CT scan, etc.) (1 photocopy)
Valid ID (1 photocopy) Client
1. Fill up client’s 1. Interview and None 15 Minutes Social Welfare
logbook assess clients Officer III /
Social Welfare
Officer II /
Social Welfare
Assistant /
Social Worker
(COS) /
Project Staff
(JO)
PSWDO
2. Submit required 2.1 Review the None 5 Minutes Social Welfare
documents documents Officer III /
Social Welfare
Officer II
PSWDO
2.2 Conduct None Social Welfare
counseling Officer III /
Social Welfare
Officer II
PSWDO
3. Wait for the 3.1 Prepare Social None 1 Day Social Welfare
preparation of Case Study Officer III /
Social Case Report Social Welfare
Study Report Officer II /
Social Welfare
Assistant /
Social Worker
(COS)
PSWDO
3.2 Review and None 1 Hour Provincial
recommend for Social Welfare
the approval of and
117
the proposed Development
assistance Officer
PSWDO
3.3 Approve None 2 Days Governor
proposed (Depending on PGIS
assistance the availability
of the
Provincial
Governor)
4. Report at the 4. Call and inform None 3 Minutes Provincial
PSWD Office the client for the Social Welfare
upon instruction release of and
assistance by Development
scheduling Office
Hour, 23
Minutes
2. SENIOR CITIZEN AND PERSON WITH DISABILITIES (PWD)

This process covers the procedures on the provision of assistive devised as well as food,
material and financial assistance.

Who may avail: Indigent Senior Citizens and Person with Disability (PWD)
Personal letter to the Governor (1 original Client
copy)
Whole body picture (1 original copy) Client
1. Fill-up visitor’s 1. Interview and None 15 Minutes Social Welfare
Logbook assess client Officer III /
Social Welfare
Officer II /
Social Welfare
Assistant /
Social Worker
(COS) /
Project Staff
(JO)
PSWDO
2. Submit required 2.1 Conduct None 1 Day Social Welfare
documents validation through Officer III /
home visit and Social Welfare
collateral Officer II
interview PSWDO
2.2 Review of the None 30 Minutes Provincial
validity of Social Welfare
requirements and
Development
Officer
PSWDO
118
2.3 Recommend for None 15 Minutes Provincial
the approval Social Welfare
and
Development
Officer
PSWDO
2.4 Approve and None 15 Minutes Governor
provide assistive PGIS
device
TOTAL: None 1 Day, 1 Hour,
15 Minutes
3. DISASTER RELIEF
This process covers the procedures on the provision of timely and immediate assistance to
distressed / displaced individuals and families who are victims of man-made and natural
calamities.

Who may avail: Distressed / Displaced individuals and families
Personal letter to the Governor (1 original Client
copy)
List of affected families C/MSWDO
Written request from LGU concern C/MSWDO
1. Seek 1.1 Submit report of None During / After City / Municipal
assistance victims the disaster Social Welfare
and
Development
Officer
1.2 Review None 15 Minutes Provincial
documents Social Welfare
and
Development
Officer
PSWDO
1.3 Conduct of relief None Depending Provincial
distribution upon the Social Welfare
number of and
affected area Development
Officer
PSWDO
1.4 Submit report at None 1 Day Provincial
the Regional Social Welfare
Office and
Development
Officer / Social
Welfare Officer
III
PSWDO
119
1.5 Prepare None 5 Days Provincial
Rehabilitation Social Welfare
Plan and
Development
Officer
PSWDO
1.6 Preparation of None 2 Days Provincial
Project Proposal Social Welfare
and
Development
Officer
PSWDO
1.7 Recommendation None 1 Day Governor
and approval GO
Minutes
4. CICL AND BATTERED WOMEN AND VICTIMS OF CHILD ABUSE

This process covers the procedures on the provision of restorative justice, rehabilitation and
social, spiritual and physical condition.

Who may avail: Children in Conflict with the Law and Battered Women and
Victims of Child Abuse
Police Blotter (1 photocopy) Police Station
Social Case Study Report (1 photocopy) C/MSWDO
C/MSWDO Report of Case (1 photocopy) C/MSWDO
Court Order (1 photocopy) Court
Referral Letter (1 original copy) C/MSWDO
1. Fill-up visitor’s 1.1 Interview and None 3 Hours Provincial
Logbook assess the client (Depending Social Welfare
upon the case) and
Development
Officer / Social
Welfare Officer
III
PSWDO
2. Submit required 2.1 Referral to None Immediately Provincial
documents concerned LGU Social Welfare
and
Development
Officer / Social
Welfare Officer
III
PSWDO
2.2 Make Social Case None 1 Day City / Municipal
Study Report Social Welfare
and
Development
Officer
120
2.3 Make None 1 Day Provincial
assessment and Social Welfare
recommendation and
Development
Officer / Social
Welfare Officer
III
PSWDO
2.4 Review and None 1 Day Provincial
approve Social Social Welfare
Case Study and
Report Development
Officer
PSWDO
2.5 Formulate Plan / None 6 Days Provincial / City
Program / Municipal
intervention of the Social Welfare
rehabilitation for and
minor and family Development
Officer
2.6 Render None As the need Provincial / City
counseling arises / Municipal
services / referral Social Welfare
and
Development
Officer
2.7 Attend court None As the need Trained Social
hearing arises Worker
Hours
5. BALAY TARIPATO (HOME FOR THE AGED)

This process covers the procedures on the provision of a productive, wholesome and quality
life for the abandoned, neglected, homeless and unattached older persons.

Who may avail: Abandoned, neglected, homeless and unattached older persons
Referral Letter (1 original copy) C/MSWDO
Social Case Study Report (1 photocopy) C/MSWDO
Medical Certificate (1 photocopy) Doctor/ Hospital – Records Section
1. Secure referral 1. Receive referral None 5 Minutes Social Welfare
letter form from the LGU / Officer III /
C/MSWDO Partner Agencies Deputized
concern Center Head
Provincial
Social Welfare
and
Development
Officer
PSWDO
121
2. Report at the 2. Fill-up the Bantay None 3 Minutes Social Welfare
Balay Taripato Taripato Logbook Officer III /
upon instruction indicating the Deputized
and sign at the date of referral Center Head
logbook received, name of Provincial
referring party Social Welfare
and reason for and
referral Development
Officer
PSWDO
3. Undergo 3.1 Make home visit None 1 Day Social Welfare
evaluation for to client and Officer III /
qualification collateral Deputized
based on interview with the Center Head
submitted family to Provincial
documents and determine the Social Welfare
qualification qualification of and
guidelines client Development
Officer
PSWDO
3.2 Prepare the social None 3 Minutes Local Social
case study report Welfare and
of the client if Development
found qualified Officer
and submit to the
office with the
other needed
requirements
3.3 Admit the client None 3 Minutes Social Welfare
by filling up the Officer III /
Intake Sheet Deputized
Form and Center Head
Admission Slip Provincial
indicating the Social Welfare
personal and
information of the Development
client and the Officer
date and time PSWDO
admitted at the
center
4. Client is 4.1 Provide quality None Nurse /
admitted at the care to the client Caregivers /
Balay Taripato. while at the center Staff
by maintaining Balay Taripato
and sustaining
physical, mental,
emotional and
social functioning
of the clients /
residents
4.2 Make progress None Nurse /
report of the Caregivers /
clients / residents Staff
to monitor their Balay Taripato
physical, mental
and emotional
well-being of the
122
clients / residents
in their
observations
while at the center
4.3 Refer client / None Nurse /
resident for Caregivers /
medication if Staff
needed Balay Taripato
PSWDO
Minutes
(Excluding
activities
during the
period of
admission of
the client)
123
ILOCOS SUR DISTRICT HOSPITAL –
TAGUDIN
External Services
124
1. EMERGENCY ROOM REGISTRATION PROCESS
This refers to registration process for patients requiring immediate medical management and
treatment at ISDH – Tagudin.
Office or Division: Ilocos Sur District Hospital – Tagudin

Who may avail: All
CHECKLIST OF REQUIREMENTS WHERE TO AVAIL
Emergency Room Form (1 original copy) Emergency Room
ER Stub (1 original copy) Emergency Room
Hospital Card (1 original copy) Emergency Room / OPD Section
Patient Information Form (1 original copy) Emergency Room
Order of Payment (1 original copy) Emergency Room
Official Receipt (1 original copy) Billing Section
For new and old 1. Accept the ER None 10 Minutes Admitting Clerk
patient Stub and let the Admitting
1.1 Present the ER patient / patient’s Section
Stub and relative answer
Hospital Card or the Patient
Valid ID Information Form
1.2 Answer the

Patient
Information Form
2. Accept the Order 2. Issue and Order None 3 Minutes Admitting Clerk
of Payment and of Payment and Admitting
proceed instruct client to Section
to the cashier for proceed to the
payment cashier for
payment.
3.1 Present the 3.1 Accept the Order Amount 3 Minutes Cashier
Order of of Payment form indicated Cash Section
Payment form and payment in the
and pay the Order of
amount indicated 3.2 Issue an official Payment
receipt after
3.2 Receive an payment
official receipt
after payment
4. Present the 4. Inspect the None 3 Minutes Admitting Clerk
official receipt to official receipt, Admitting
admitting clerk release the Section
and accept the Emergency
Emergency Room Record
Record Form Form and instruct
with the ER stub client to go back
to the emergency
For new patients, room
they will be given
a new hospital
card.
After the
transaction,
125
return to
Emergency
Room
TOTAL Amount 19 Minutes
indicated
in the
Order of
Payment
2. ADMISSION PROCESS
This refers to the process for patients requiring hospital admission at ISDH – Tagudin.
Office or Division: Ilocos Sur District Hospital – Tagudin (Admitting)

Who may avail: All
Emergency Room Form (1 original copy) Emergency Room
ER Stub (1 original copy) Emergency Room
Patient Information Form (1 original copy) Emergency Room
1. Present 1. Accept the Hospital None 3 Minutes Admitting Clerk
Hospital Card, Card, patient’s valid Admitting
patient’s valid ID and Admission Section
ID and and Discharge
Admission and Form
Discharge
Form to
Admitting
Section.
2. Answer the 2. Instruct client to None 10 Minutes Admitting Clerk
Patient Data answer the Patient Admitting
Sheet Data Sheet and Section
transfer information
to Patient’s Ledger
3.1 Receive 2 3.1 Instruct client to None 10 Minutes Admitting Clerk
copies of read and sign the Admitting
Reminders to Reminders to Section
Patient, Patient, Watchers
Watchers and and Visitors Form
Visitors Form
3.2 Read and sign

the form
4.1 Receive an 4.1 Return the None 3 Minutes Admitting Clerk
accomplished Admission and Admitting
Admitting and Discharge Form Section
Discharge form and instruct client to
go back to the
4.2 Return to Emergency Room
Emergency
For PhilHealth
126
Room after the members:
transaction Instruct client to go to PhilHealth Clerk
the Billing and Claims Billing and
section for the required Claims Section
Philhealth documents.
For non Philhealth

members:
Instruct client to go to Medical Social
the Medical Social Worker
Service for Philhealth Medical Social
application instructions Service
TOTAL None 26 Minutes
3. STATEMENT OF ACCOUNT PROCESS

This refers to the process for patients requesting for an issuance of Statement of Account.
Office or Division: Ilocos Sur District Hospital – Tagudin (Billing and Claims Section)
Who to avail: All
Pre-billing Notification Slip (1 original copy) Billing Section
Statement of Account (1 original copy) Billing Section
CLIENTS STEPS AGENCY ACTION
1. Present the 1. Accept the None 3 Minutes Billing Clerk /
Hospital Card and accomplished PhilHealth Care
accomplished Pre- prebilling Staff
billing Notification notification slip. Billing and
Slip Claims Section
For non-
For non-PhilHealth PhilHealth
members: members:
They will be instructed Instruct client to go
to go to the Medical to the Medical
Social Service. Social Service.
2. Accept the 2. Compute the None 45 Minutes Billing Clerk /
Statement of hospital bill, PhilHealth Care
Account Form and prepare the Staff
do the following: Statement of Billing and
Account and Claims Section
a. Proceed to the release it to the
Admitting Section client with
(window) for instructions of
clearance the following:
b. Proceed to the
Medical Social a. Proceed to the
Service if needed Admitting
c. Proceed to the Section
Cashier for (window) for
payment clearance
d. Go back to the b. Proceed to the
respective ward Medical Social
127
Service if
needed
c. Proceed to the
Cashier for
payment
d. Go back to the
Respective
ward
TOTAL None 48 Minutes
4. PHILHEALTH PROCESSING
This refers to PhilHealth members procedure and requirements for PhilHealth processing.
Office or Division: Ilocos Sur District Hospital – Tagudin (Billing and Claims Section)
Who may avail: All
CHECKLIST FOR REQUIREMENTS WHERE TO AVAIL
CF1 (1 original copy) PhilHealth Section
CF2 (1 original copy) PhilHealth Section
CE1 (1 original copy) PhilHealth Section
MDR (1 original copy) PhilHealth Section
For Employed or 1. Instruct client to None 5 Minutes Billing Clerk /
Member in Formal accomplish and PhilHealth Care
Economy complete all Staff
required Billing and
1.1 Answer CF1 and documents Claims
CF2 Form depending on Section
the PhilHealth
1.2 Ask employer for Member
certificate of Classification
contribution with
signature of
employer and
MDR or may go to
directly PhilHealth
office of your area
to get the MDR
For OFW Member
1.1 Present MDR
1.2 If eligibility of
benefits covers
hospital
admission, answer
CF1 and CF2
Form
1.3 If not, may

proceed to Medical
Social Service for
further instructions
128
For Individual
Paying, Self-
employed, or
Voluntary
1.1 Present the receipt

of contribution and
MDR.
1.2 If Eligibility of
benefits covers
hospital
admission, answer
CF1 and CF2
Form
1.3 If not, may

proceed to Medical
Social Service for
further instructions
For Sponsored /
Indigent / 4Ps
(Pantawid Pamilya
Pilipino Program)
1.1 Present CE1

(Sponsored Health
Certificate) or
MDR
1.2 Answer CF1 and

CF2 Form
For Lifetime or
Senior Citizen
1.1 Present Philhealth

lifetime ID / Senior
Citizen's Card /
MDR
1.2 Answer CF1 and

CF2 Form
2. Submit all 2. Verify all None 3 Minutes Billing Clerk /
accomplished submitted PhilHealth Care
documents to documents and Staff
Billing and attached to Billing and
PhilHealth Section patient’s ledger Claims Section
5. PAYMENT PROCESS
This refers to the payment process for availed hospital products and services.
Office or Division: Ilocos Sur District Hospital – Tagudin (Cashier Section)

129
Who may avail: All
Order of Payment (1 original copy) Emergency Room / OPD Section
Statement of Account (1 original copy) Billing Section
1. Present 1. Accepts Order of Depends 3 Minutes Cash Clerk
Hospital Card, Payment, on the Cashier Section
Order of Statement of amount
Payment, and Accounts and indicated
Statement of indicated amount in the
Accounts and Order of
pay the Payment
indicated and
amount Statement
of Account
2. Receive an 2. Issues Official None 3 Minutes Cash Clerk
Official Receipt receipt and instruct Cashier Section
and will be client to go back to
instructed to go the respective
back to the ward / unit /
respective section
ward / unit /
section
TOTAL: Depends 6 Minutes
on the
amount
indicated
in the
Order of
Payment
and
Statement
of
Account
6. DENTAL CONSULTATION PROCESS

This refers to the process for patients requesting for dental consultation.
Office or Division: Ilocos Sur District Hospital – Tagudin (Dental Section)

Who may avail: All
Dental Record (1 original copy) Dental Clinic
Order of Payment (1 original copy) Dental Clinic
Prescription (1 original copy) Dental Clinic
AGENCY FEES TO PROCESSING PERSON
CLIENT STEPS
ACTION BE PAID TIME RESPONSIBLE
1.1 For new patients, 1. Follow OPD None 10 Minutes OPD Nurse
proceed to OPD section Nursing Service
Section, get a process.
130
queuing number
and follow OPD
process.
1.2 For old patients,

proceed to OPD
Section, present
Hospital Card, get
queuing number
and follow OPD
process
1.3 For old patient

without / loss
hospital number,
proceed to OPD
Section and
answer the Lost
Data Sheet Form,
get queuing
number and follow
OPD process
2. Proceed to Dental 2. Call patients None 2 Minutes Dental Assistant
Section and wait to for dental Dental Section
be called examination.
3. Proceed to Dental 3. Examine None 10 Minutes Dentist
Section for patients and Dental Section
examination give
necessary
For patients for instructions
dental examination
and consultation
only, skip steps 4,
5 and 6
4. For patients 4. Give an Order None 2 Minutes Dental Assistant
requiring dental of Payment Dental Section
extraction, receive and instruct
an Order of client to
Payment and proceed to
proceed to Cashier Cashier
Section for Section for
payment payment
5.1 Present Order of 5.1 Accept Order Tooth 3 Minutes Dentist / Dental
Payment and pay of Payment Extraction – Assistant
indicated amount and indicated PHP Dental Section
amount 100.00
5.2 Receive an official
receipt 5.2 Give an Oral
official receipt Prophylaxis
– PHP
50.00
6. Present official 6.1 Verify official None 30 Minutes Dentist / Dental
receipt and wait to receipt Assistant
be called and be Dental Section
treated 6.2 Proceed to
the desired
131
dental
management
7. Will receive a home 7. Give patient the None 5 minutes Dentist
instruction and necessary Dental Section
prescription from the instructions and
Dentist. prescription.
TOTAL: Tooth 1 Hour, 2
Extraction Minutes
– PHP
100.00
Oral
Prophylaxi
s – PHP
50.00
7. LABORATORY EXAMINATION PROCESS

This refers to the steps for patients requesting for laboratory examinations as requested by the
physician.
Office or Division: Ilocos Sur District Hospital – Tagudin (Laboratory Department)

Whom may avail: All
Laboratory Request signed by NDH Doctor
Laboratory Section
(1 original copy)
Order of Payment (1 original copy) Laboratory Section
1.1 Present Hospital 1.1 Accept None 3 Minutes Laboratory Clerk
Card and laboratory RMT
Laboratory request Laboratory
Request signed Department
by the doctor 1.2 Instruct patient
according to the
1.2 Receive requested
necessary examination
instructions
depending on the
requested
examination
For patients with

request from
other hospital,
they have to
consult with NDH
doctors to
acquire new
Laboratory
Request.
2. Receive an Order 2. Give an Order of None 3 Minutes Laboratory Clerk
of Payment and Payment and RMT
132
proceed to instruct to Laboratory
Cashier Section proceed to Department
for payment cashier section
for payment
For patients who
cannot pay the
indicated
amount, they
may proceed to
Medical Social
Service for
assistance.
3.1 Present the 3.1 Accept Order of Refer to 3 Minutes Cashier Clerk
Order of Payment and Laboratory Cashier Section
Payment and pay indicated Fees below
the indicated amount.
amount
3.2 Give official
3.2 Get official receipt
receipt
4. Present the 4. Verify Official None 3 Minutes Laboratory Clerk
Official Receipt to Receipt and list RMT
the Laboratory on patient’s Laboratory
Department registry Department
5.1 Submit specimen 5.1 Accept None 10 Minutes Laboratory Clerk
(urine, stool, etc.) specimen RMT
Laboratory
5.2 Undergo blood 5.2 Verify Department
extraction identification by
asking patient’s
5.3 Receive name prior to
instructions blood extraction
regarding release
of examination’s 5.3 Provide
official results instructions
regarding
release of
examination’s
official results
6. Present Hospital 6. Verify Hospital None 2 Minutes Laboratory Clerk
Card, valid ID or Card, valid ID or RMT
Official Receipt Official Receipt Laboratory
before claiming and issue Department
the official official
examination examination
result results
TOTAL: Refer to 24 Minutes
Laborator
y Fees
below
LABORATORY PROCEDURES AMOUNT

CLINICAL CHEMISTRY TEST
BUA PHP 150.00
BUN PHP 150.00
Lipid Profile PHP 1,000.00
133
Cholesterol PHP 250.00
Creatinine PHP 150.00
FBS/RBS PHP 150.00
Na PHP 250.00
K PHP 250.00
SGOT PHP 213.00
SGPT PHP 213.00
Triglycerides PHP 250.00
CLINICAL MICROSCOPY TEST
Fecalysis PHP 63.00
Pregnancy Test PHP 188.00
Routine Urinalysis PHP 88.00
HEMATOLOGY TEST
CBC 5P PHP 313.00
IMMUNOSEROLOGY TEST
Dengue Duo PHP 1,100.00
COVID antigen (RAT) PHP 500.00
8. BIRTH CERTIFICATE REGISTRATION PROCESS

This refers to the steps for clients requesting for Birth Certificate registration.
Office or Division: Ilocos Sur District Hospital – Tagudin (Health Information – Medical
Records Section)
Who may avail: All
Live Birth Certificate Form Tool (1 original
Health and Information (Medical Records)
copy)
Valid ID (1 original copy) Any government agency issuing valid ID
Cedula (1 original copy) Municipal / City / Barangay Hall
Affidavit of Using Surname of the Father (1
Authorized Person
original copy)
Authorization Letter (1 original copy) Philippine Statistics Authority
Registered Live Birth (1 original copy) Philippine Statistics Authority
Marriage Certificate (1 photocopy) if needed Health and Information (Medical Records)
CLIENT STEPS ACTION TAKEN
1. For married 1. For married None 5 Minutes Midwife
parents, parents, undergo Nursing Service
undergo interview and
interview and accomplish Live
submit a copy Birth Certificate
of marriage Form Tool and
certificate to attach a copy of
the midwife marriage
certificate
For married
parents, skip For unmarried
steps 2 and 3 parents, undergo
interview and
For unmarried accomplish Live
parents, Birth Certificate
undergo Form Tool, leave
interview by the father’s details
midwife blank and attach
134
affidavit of using
Surname of
Father (AUSF)
2. For unmarried 2. Give instructions None 2 Minutes Midwife
parents, father to the father to Nursing Service
or relative will proceed to the
be given further medical records
instructions. section and
present a valid
government ID or
Cedula.
3. For unmarried 3. Verify valid ID or Notarizatio 20 Minutes Medical
parents, father Cedula, instruct n of Records Clerk /
of newborn will client to answer Documents Medical
proceed to the Live Birth – PHP Records Officer
medical Certificate Tool 100.00 Health
records section Form father’s Information
and present a information and Management
valid ID or acknowledgemen
Cedula, answer t.
Live Birth
Certificate Tool
Form for
Father’s
information
4. For married 4. Instruct to None 2 Minutes Medical
and unmarried comeback after 1 Records
parents, they month to claim the Clerk / Medical
will receive registered live Records Officer
instructions on birth certificate Health and
when to claim Information
the registered Management
live birth
certificate.
5. For married 5. Verify Hospital None 2 Minutes Medical
and unmarried Card, valid ID of Records
parents, parents, Clerk / Medical
present authorization letter Records Officer
hospital card and release the Health and
and parent’s registered Live Birth Information
valid ID Certificate Management
For parents
who cannot
come to claim
the certificate,
authorized
representative
must have the
following
documents:
 Hospital
Card of
mother
 Authorizati
on Letter
135
 Copy of
mother’s ID
with
signature
 Copy of
Represent
ative ID
with
signature
TOTAL: PHP 30 Minutes
100.00
9. RELEASE OF HOSPITAL DOCUMENTS PROCESS

This refers to the steps when requesting a certified true copy of anesthesia record / operating
technique / discharge summary / clinical abstract for discharged patients.
Records Section)
Whom may avail All
Certified True Copy of Anesthesia Record (1
original copy)
Operating Room Technique / Discharge
Summary (1 original copy)
Clinical Abstract (1 original copy) Health and Information (Medical Records)
Authorization Letter (1 original copy) if needed Authorized Person
Valid ID (1 photocopy) Any government agency issuing valid ID
Representative’s Valid ID (1 photocopy) Any government agency issuing valid ID
Order of Payment (1 original copy) Health and Information (Medical Records)
Request Form (1 original copy) Health and Information (Medical Records)
FEES TO PROCESSIN PERSON
CLIENT STEPS ACTION TAKEN
BE PAID G TIME RESPONSIBLE
1. Accomplish Request 1. Accept None 2 Minutes Medical
Form and present Request Records Clerk /
patient’s Hospital Form, valid ID Medical
Card and Records Officer
Authorization Health and
For patient’s Letter information
representative, the Management
following are
required:
 Hospital Card
 Authorization
Letter
 Copy of patient's
valid ID with
signature
 Copy of
representative’s
valid ID with
signature
136
2. Receive instructions 2. Give None 10 Minutes Medical
on when to claim the instructions to Records Clerk /
document comeback Medical
after 7 Records Officer
working days Health and
for the information
release of Management
requested
document
3. Receive an Order of 3. Give an Order None 5 Minutes Medical
Payment and of Payment Records Clerk /
proceed to the and instruct to Medical
Cashier Section for proceed to Records Officer
payment. the Cashier Health and
Section for Information
payment Management
4.1 Present Order of 4.1 Accept Order PHP 10 Minutes Medical
Payment and pay of Payment 100.00 per Records Clerk /
indicated amount and indicated document Medical
amount Records Officer
4.2 Receive an Official Health and
Receipt 4.2 Issue an Information
Official Management
Receipt
100.00 per
document
10. RETRIEVAL OF PATIENT’S OLD CHART PROCESS

This refers to the steps in retrieving old patients / discharged patient’s chart.
Records Section)
Whom may avail: All
CLIENTS STEPS ACTION TAKEN
1. Submit 1. Accept and verify None 3 Minutes Medical Records
Hospital Card patient’s Hospital Clerk / Medical
at the medical Card Records Officer
records card Health and
box Information
Management
2. Wait to be 2. Give instructions to None 3 Minutes Medical Records
called wait for the name to Clerk / Medical
be called Records Officer
Health and
Information
Management
137
11. RETRIEVAL OF PATIENT’S OLD CHART PROCESS (WITHOUT HOSPITAL CARD)
This refers to the steps in retrieving old patients / discharged patient’s chart without Hospital
Card.
Office or Division: Ilocos Sur District Hospital – Tagudin (Health Information –

Medical Records Section)
Who may avail: All
Lost Data Sheet Form (1 original copy) Health and Information (Medical Records)
Order of Payment (1 original copy) Health and Information (Medical Records)
New Hospital Card (1 original copy) Emergency Room / OPD Section
CLIENTS STEPS
1. Accomplish and 2. Accept Lost None 2 Minutes Medical Records
present Lost Card Card Data Clerk / Medical
Data Sheet to the Sheet Form Records Officer
Medical Records Health and
Section Information
Management
2. Wait for the 2. Give None 30 Minutes Medical Records
retrieval of old Instructions to Clerk / Medical
hospital number wait for the Records Officer
retrieval of old Health
hospital Information
number in the Management
database
3. Receive an Order 3. Give Order of None 2 Minutes Medical Records
of Payment and Payment and Clerk / Medical
proceed to Cashier instruct client Records Officer
Section for the to proceed to Health and
payment the Cashier Information
Section for the Management
payment
4.1 Present Order of 4.1 Accept Order PHP 3 Minutes Cashier Clerk
Payment and pay of Payment 100.00 Cash Section
the indicated and indicated per
amount amount document
4.2 Receive an Official 4.2 Give official

Receipt receipt
5.1 Present Official 5.1 Verify official None 2 Minutes Medical Records
Receipt at Medical receipt and Clerk / Medical
Records Section issue new Records Officer
hospital card Health and
5.2 Receive new with same Information
hospital card with hospital Management
same hospital number
number with the
lost card 5.2 Give
instructions to
5.3 Proceed back to go back to
OPD or OPD or
Emergency Room Emergency
138
and wait for name Room and
to be called wait for name
to be called
Total: PHP 40 minutes
100.00
per
document
12. PURCHASING MEDICINES PROCESS

This refers to the steps on how to purchase medicines for out-patient clients.
Office or Division: Ilocos Sur District Hospital – Tagudin (Pharmacy Section)

Whom to avail: All
Prescription signed by the Doctor (1 original
Emergency Room / OPD Section
copy)
Order of Payment (1 original copy) Pharmacy Section
CLIENTS STEPS AGENCY ACTION
1. Receive Order of 1. Give Order of None 3 Minutes Pharmacist
Payment and Payment and Pharmacy
proceed to Cashier instruct client to Section
Section for the proceed to the
payment Cashier
Section for
For patients who payment
cannot pay the
indicated amount,
may ask for
assistance at the
Medical Social
Service of the
hospital
2.1 Present the Order 2.1 Accept Order of Depends 3 Minutes Pharmacist
of Payment and Payment and on the Pharmacy
pay the indicated indicated requested Section
amount amount medicine
2.2 Receive an 2.2 Give Official

Official Receipt Receipt
3. Present the Official 3. Verify the None 3 Minutes Pharmacist
Receipt at the Official Receipt Pharmacy
Pharmacy Section Section
4.1 Claim the 4.1 Release the None 5 Minutes Pharmacist
requested requested Pharmacy
medicine and medicines and Section
instructions on give
how to take the instructions on
purchased how to take it
medicines
4.2 Let the client
sign the
139
4.2 Sign the logbook releasing
for release logbook
on the
requested
medicine
13. RADIOLOGY EXAMINATIONS PROCESS

This refers to the steps for patients requiring radiological procedures as requested by the doctor.
Office or Division: Ilocos Sur District Hospital – Tagudin (Radiology Section)

Whom may avail All
Radiology Request Form signed by the
Emergency Room / OPD Section
Doctor (1 original copy)
Valid ID (1 original copy) Radiology Section
Order of Payment (1 original copy) Radiology Section
Official receipt (1 original copy) Billing Section
CLIENTS STEP AGENCY ACTION
1. Present the 1. Accept the None 3 Minutes Radiology
Hospital Card and radiology Technologist
Radiology Request request form Radiology Clerk
Form signed by the and give Radiology
Doctor instructions Section
depending on
For patients with the requested
request from other procedure /
hospital, present examination.
the Radiology
Request Form For ultrasound
signed by the patients,
Doctor and a valid schedule will
ID depend on the
number of
Instruction will be patients.
given depending
on the requested
procedure /
examination.
2. Receive Order of 2. Give Order of None 3 Minutes Radiology
Payment and Payment and Technologist
proceed to the instruct patient Radiology Clerk
Cashier Section for to proceed to Radiology
payment Cashier Section
Section for
For patients who payment
cannot pay the
whole amount,
they may ask
assistance from
the Medical Social
140
Service Section of
the hospital.
3.1 Present the Order 3.1 Accept the Refer to 3 Minutes Cashier Clerk
of Payment and Order of Radiology Cashier Section
pay the indicated Payment and Fees below
amount at the Indicated
Cashier Section amount
3.2 Receive Official 3.2 Give Official

Receipt Receipt after
payment
4. Present the Official 4. Verify the None 3 Minutes Radiology
Receipt at the Official Receipt Technologist
Radiology Section and instruct Radiology Clerk
and wait for name patient wait Radiology
to be called Section
5. Proceed to the 5.1 Call the patient None 15 Minutes Radiology
Radiology Section and proceed to Technologist
for the procedure the Radiology Clerk
examination Radiology
After the room for the Section
procedure, patient procedure
will be instructed
on when the official 5.2 Give
results will be instructions
released. when the
official results
will be released
For X-ray – 2
working days
For Ultrasound
– 10 to 20
minutes after
the procedure
6. To claim results, 6. Verify Hospital None 3 Minutes Radiology
present Hospital Card, valid ID Technologist
Card, valid ID or or Official Radiology Clerk
Official Receipt receipt and Radiology
release official Section
examination
result
Radiology
Fees
below
RADIOLOGY PROCEDURES AMOUNT

Chest-X-Ray PHP 301.00
Chest PAL/APL PHP 601.00
Chest Lateral Decubitus PHP 373.00
ApicoGram PHP 373.00
Elbow APL PHP 601.00
Forearm APL PHP 601.00
Foot APO/APL PHP 601.00
141
Hand APO/APL PHP 601.00
Hip Joint AP PHP 373.00
Hip Joint APL PHP 601.00
Knee APL PHP 601.00
Leg APL PHP 601.00
Nasal Bone PHP 529.00
Cervical APL PHP 601.00
Pelvis AP PHP 373.00
Pelvis APL PHP 601.00
Shoulder AP PHP 373.00
Shoulder (internal,External) rotation PHP 745.00
Skull APL PHP 601.00
Abdomen AP (Pain) PHP 373.00
FPA (Upright/Supine)- PHP 817.00
Lumbar APL PHP 745.00
KUB PHP 516.00
Ankle APL PHP 601.00
Arm APL PHP 601.00
Thigh APL -Pedia PHP 601.00
Tigh APL ( adult) PHP 601.00
T-Cage PHP 373.00
TLSV APL PHP 745.00
Wrist APL PHP 601.00
Water’s View PHP 373.00
LSV APL PHP 817.00
ULTRASOUND
Whole Abdomen PHP 1,240.00
WAB +TVs PHP 1,354.00
Chest PHP 933.00
HBT/Liver/GB PHP 799.00
KUB PHP 911.00
KUB-Pelvic PHP 1,023.00
KUB-prostate PHP 911.00
Pelvic (Non preg) PHP 799.00
Pelvic (Preg ) biometry PHP 911.00
TVS PHP 911.00
Transrectal PHP 855.00
Soft Tissue Plain PHP 1,023.00
14. MEDICAL SOCIAL SERVICE ASSISTANCE PROCESS

This refers to the steps for patient requesting for medical social service assistance for medicines,
laboratory and diagnostic services done outside.
Office or Division: Ilocos Sur District Hospital – Tagudin (Medical Social Service)
Whom may Avail: All
Hospital Card Emergency Room / OPD Section
ECG Prescription Emergency Room / OPD Section
Ancillary Request Form Emergency Room / OPD Section
Hospital Bills Billing Section
Certified True Copy of Medical Certificate Medical Social Service Section (Window 6)
Valid ID or Barangay Clearance Any government agency issuing valid ID
Barangay Indigency Certificate Barangay Hall
142
Guarantee letter from specified agency or Specified assisting agency or organization
organization
For medicines: 1. Asses the None 5 Minutes Social Welfare
1. Present patient or Officer
prescription patient’s relative
signed by the
doctor and
patient’s Hospital
Card
For laboratory and

radiology
procedures:
1. Present Request
Form signed by
the doctor and
Card
2. Receive further 2. Instruct the None 3 Minutes Social Welfare
instructions client to acquire Officer
Medical
Certificate or
Clinical Abstract
at the
respective ward
and proceed to
Medical
Records for
certification
(certified true
copy) and
barangay hall
for the
Certificate of
Indigency
3. Present all the 3. Assess and None 5 Minutes Social Welfare
completed verify submitted Officer
documents and documents prior
wait for further endorsing to
instructions chosen Agency
15. BLOOD TRANSFUSION ASSISTANCE PROCESS

This refers to the steps for patients requesting for assistance during blood transfusion.
Whom may avail: All
Hospital Card Medical Social Service Section
Blood Transfusion Request Laboratory Section
Certified True Copy of Medical Certificate or
Medical Social Service Section
Certified True Copy of Clinical abstract
143
Social Case Study Report Medical Social Service Section
Referral Letter Medical Social Service Section
1. Present Blood 1. Assess patient None 2 Minutes Social Welfare
Transfusion or patient’s Officer
Request and relatives
Card
2. Receive further 2. Instruct the None 2 Minutes Social Welfare
Medical
Certificate or
Clinical
Abstract at the
respective ward
and proceed to
Medical
Records for
certification
(certified true
copy)
3.1 Present all the 3.1 Verify None 30 minutes Social Welfare
completed submitted Officer
documents and documents
wait for further (certified true
instructions. copy)
3.2 Receive Social 3.2 Assess patient

Case Study and or patient’s
Referral Letter relatives for
Social Case
Study and
Referral Letter
4. Proceed to 4. Instruct client to None 2 Minutes Social Welfare
Laboratory Section proceed to Officer
with all the Laboratory
documents Section for
coordination
16. ASSISTANCE ON DISCOUNT AT EMERGENCY ROOM AND OUT-PATIENT

DEPARTMENT SERVICES PROCESS
This refers to the steps for patient requesting for discount on Emergency Room and Out-patient
Department services.
Whom may Avail All
Prescription Emergency Room / OPD Section
Request Emergency Room / OPD Section
Order of Payment Medical Social Service Section
144
For X-ray, 1. Assess and None 3 Minutes Social Welfare
Ultrasound, interview Officer
Laboratory, ECG, patient or
Physical Therapy and patient’s
Dental: relative
1. Present Hospital
Card and Order of
Payment or
Charge Slip
For drugs and

medicines:
1. Present Hospital
Card, prescription
signed by the
doctor and Order
of Payment
For emergency room

patients:
1. Present Hospital
card and Charge
Slip
2. Receive 2. Classify patient None 2 Minutes Social Welfare
information as to according to Officer
classification of financial status
patient according
to financial status
3. Receive 3. Return the None 2 Minutes Social Welfare
discounted Order signed Order of Officer
of Payment or Payment or
Charge Slip signed Charge Slip
by the Social and instruct
Worker then client to
proceed to Cashier proceed to
Section for the Cashier
payment Section for the
payment
For No
Donations:
Instruct client to
proceed to
respective unit /
department
TOTAL : None 4 Minutes
17. SPONSORED PHILHEALTH PROCESS

This refers to the steps for patients under sponsored PhilHealth Classification: during admission
and Ob-Gyne or Surgery cases of OPD.
Whom may avail All
145
Certified True Copy of Medical Certificate /
Medical Social Service Section
Clinical History
PhilHealth Member Registration Form
PhilHealth Section
(PMRF)
Valid ID or Barangay Clearance Any government agency issuing valid ID
Barangay Indigency Certificate Barangay Hall
Authorization Letter Authorized Person
Marriage Certificate (Copy) Philippine Statistics Authority
Birth Certificate (Copy) Philippine Statistics Authority
1. Present Hospital 1. Assess and None 3 Minutes Social Welfare
Card interview Officer
patient or
patient’s
relative
2. Receive For admitted None 2 Minutes Social Welfare
instructions patients: Officer
1. Instruct client to
get certified
true copies of
medical
certificate or
clinical history
from respective
unit / ward
For OPD case (OB-

Gyne and Surgery
cases):
1. Instruct client to
get certified
true copies of
medical
certificate or
clinical history
from OPD
3. Submit to Social 3. Verify certified None 5 Minutes Social Welfare
Worker all the true copy Officer
completed documents and
documents and give additional
wait or further requirements to
instructions complete the
sponsored
PhilHealth
processing
4. Once Sponsored 4. Assess and None 2 Minutes Social Welfare
PhilHealth is instruct patient Officer
acquired, present to submit all
to Social Worker documents to
the CE1 billing and
(Sponsored Health PhilHealth
Certificate) or Section
MDR
146
18. PROCESS FOR MALASAKIT OR DOH MAIP ASSISTANCE
This refers to the steps for hospital patients requesting for Malasakit / DOH MAIP assistance.
Whom may avail: All
CHECKLIST REQUIREMENTS WHERE TO AVAIL
Hospital Card (1 copy original) Emergency Room / OPD Section
Prescription (1 copy original) Emergency Room / OPD Section
Request (1 copy original) Emergency Room / OPD Section
Order of Payment (1 copy original) Emergency Room / OPD Section
Statement of Account (1 copy original) Billing Section
Certified True Copy Medical Certificate Health and Information (Medical Records)
Barangay Indigency (1 copy original) Barangay Hall
Malasakit Intake Sheet (1 copy original) Medical Social Service Section
Assessment Tool (1 copy original) Medical Social Service Section
For patients 1. Interview and None 3 Minutes Social Welfare
requesting assess patient Officer
assistance for or patient’s
medicines: relative.
1. Present
prescription signed
by the doctor or
Order of Payment
and Hospital Card
For patients
requesting
assistance for
Laboratory,
Radiology, 2d Echo
and ultrasound
procedure:
1. Present request
form signed by the
doctor or Order of
Payment and
Hospital Card
2. For admitted 2. Interview and None 3 Minutes Social Welfare
patient, present assess patient Officer
Statement of or patient’s
Account (SOA) relative.
3. Receive 3. Instruct the None 5 Minutes Social Welfare
Medical
Certificate or
Clinical
Abstract at the
respective ward
and proceed to
Medical
Records for
147
certification
(certified true
copy) and
barangay hall
for the
Certificate if
Indigency
4. Present all the 4.1 Assess and None 15 Minutes Social Welfare
completed verify all Officer
documents and submitted
wait for further documents
instructions
4.2 Interview
patient /
patient’s
relative using
Malasakit
Intake Sheet or
assessment
tool
4.3 Validate Order

of Payment or
SOA according
to the service
provided
5. Accept Order of 5. Instruct client to None 2 Minutes Social Welfare
Payment / SOA return to Officer
with stamp respective ward
or unit
 OPD / ER return
to ancillary
offices
 SOA of admitted
patient to
Admitting and
Cashier Section
19. ASSISTANCE FROM POS (POINT OF SERVICE) PHILHEALTH PROCESS

This refers to the steps for patients requesting assistance from POS PhilHealth process.
Office or Division:: Ilocos Sur District Hospital – Tagudin (Medical Social Service)
Classification:: Simple
Type of Transaction:: G2C – Government to Citizen
Whom may Avail: All
Hospital Card (1 copy original) Emergency Room / OPD Section
PMRF form (1 copy original) PhilHealth Section
Assessment Tool (1 copy original) PhilHealth Section
Birth Certificate / Marriage Certificate Philippine Statistics Authority
Valid ID (1 copy original) Any government agency issuing valid ID
148
1. Proceed to Social 1. Interview and None 2 Minutes Social Welfare
Welfare Service assess patient / Officer
(Malasakit patient’s relative
Center)
2. Answer Patient 2. Accept None 3 Minutes Social Welfare
Information Slip documents and Officer
check status of
membership at
PhilHealth portal
3. Receive 3. Give client copy None 3 Minutes Social Welfare
instructions of Assessment Officer
Tool and PMRF
4. Present PMRF 4.1 Accept and verify None 10 Minutes Social Welfare
Form and submitted Officer
Assessment Tool documents
4.2 Enroll patient at

PhilHealth POS
5. Accept 5. Issue None 2 Minutes Social Welfare
certification of certification and Officer
enrollment to instruct to
POS PhilHealth proceed to
PhilHealth office
or hospital staff
20. KANGAROO-MOTHER CARE PROCESS

This describes the services pursuant to essential Intrapartum Newborn Care.
Office or Division: Ilocos Sur District Hospital – Tagudin (Medical Services – Pediatrics)
Type of G2C – Government to Citizen
Transaction:
Whom may Avail: Newborn weighing less than 2,500 grams
Kangaroo-Mother Care Form (1 original copy) Pediatric Ward
Patient Chart (1 original copy) Nurse’s Station
Consultation Record (1 original copy) Pediatric Ward
Mother-Baby Dyad Monitoring Sheet (1
Pediatric Ward
original copy)
FEES
PROCESSING PERSON
CLIENT STEPS AGENCY ACTION TO BE
TIME RESPONSIBLE
PAID
1.1 Receives None 15 Minutes Visiting
patient’s chart Consultant on
from OR / DR Duty (Pedia)
1.2 Identify babies

for KMC
2. Give consent for 2.1 Explain benefits None 1 Hour Visiting
KMC enrollment of KMC Consultant on
Duty (Pedia)
2.2 Secure consent
for enrollment
to KMC
149
3. Admits patient None 1 Hour Visiting
Consultant on
Duty (Pedia)
4. Accompany None 30 Minutes Ward Nurse on
patient to the duty
ward and Nursing Service
endorse patient Department
to ward nurse
on duty
5. Follow doctor’s 5. Receive patient None 30 Minutes Ward Nurse on
advice and orders at the ward by duty
the ward nurse Nursing Service
on duty and Department
pediatrician on
duty Visiting
Consultant on
Duty (Pedia)
6. Conducts None 1 Hour Visiting
orientation on Consultant on
KMC Duty (Pedia)
7. Conducts daily None 30 Minutes Visiting
rounds and Consultant on
evaluates duty (Pedia)
patient’s
progress
8. Follow Doctor’s 8. Discharge if None 30 Minutes Ward Nurse on
discharge advice improved or duty
transfer to Visiting
tertiary hospital Consultant on
for further Duty
management Nursing Service
Department
TOTAL: None 5 Hours, 25
Minutes
21. SCREENING TEST FOR NEWBORN

This refers to the steps for availing newborn screening services and diagnostics.
Office or Division: Ilocos Sur District Hospital – Tagudin (Nursing Service –

Pediatrics)
Whom may avail: Inborn Deliveries – on their 24 hours of life and more
Outborn Deliveries – on their 24 hours of life and more
NBS Filter Paper (1 original copy) Neonatal Room
Hearing Screening Card (1 original copy) Neonatal Room
Registry-Card Hearing Test (1 original copy) Neonatal Room
Schedule of Release Form (1 original copy) Neonatal Room
1. Proceed to 1. Receive babies None 3 Minutes NBS and
respective for screening test Hearing
screening personnel
areas
150
2. Undergo 2. Do the screening None 15 Minutes NBS and
screening test procedure (Covered Hearing
by Personnel
PhilHealth)
3. Wait for the 3. Inform schedule None NBS – 2 NBS and
schedule of of release of Minutes Hearing
release of results personnel
results NBHT – 2
 NBS – 1 Minutes
month
 NBHT
(Passed) –
Immediate
 NBHT
(Failed) –
Schedule for
re-screening
or referral to
ENT
22. NURSING SATELLITE CONSULTATION PROCESS

This refers to the steps for patients seeking consultation in the satellite clinic.
Office or Division: Ilocos Sur District Hospital – Tagudin (Nursing Service)

Whom may avail: All
CLIENT FOR REQUIREMENTS WHERE TO AVAIL
Prescription Pad (1 original copy) Nursing Satellite Clinic (Triage)
Laboratory Request Form (1 original copy) Nursing Satellite Clinic (Triage)
Radiology Request Form (1 original copy) Nursing Satellite Clinic (Triage)
Referral Form (1 original copy) Nursing Satellite Clinic (Triage)
ER Form Nursing Satellite Clinic (Triage)
ER Slip Nursing Satellite Clinic (Triage)
Admission Chart Nursing Satellite Clinic (Triage)
1. Approach Nurse / 1. Interview None 3 Minutes Nurse on Duty
Doctor / Triage patient / Nursing Service
Officer for relative Department
interview
2. Answer questions Triage: None 3 Minutes Nurse on Duty
asked by nurse / 2. Categorize Nursing Service
doctor patient Department
accordingly: ER Department
a. Satellite
patient
b. ER patient
If patient was
categorized as
ER patient,
151
give ER slip
properly filled-
up and instruct
patient to go to
main entrance
then proceed
to Admitting /
Registration
Section
3. Proceed to 3. Instruct patient None 19 Minutes Nurse on Duty
Admitting window / relative to go Nursing Service
for registration to Admitting Department
Section for
registration Admitting Clerk
(Follow steps Admitting
in Admitting Section /
Section in Records
registration) Section
4. Render self for 4. Take patient None 5 Minutes Satellite or
vital sign taking vital sign Triage Nurse /
Nursing
Assistant
5.1 Submit self for 5.1 Examine None 5 Minutes Resident Doctor
consultation patient / Medical Officer
on duty
5.2 Follow Patients for None 25 Minutes Nurse on Duty
instructions given discharge / may Nursing Service
go home: Department
5.2 Instruct patient ER Department
/ relative to
patient’s home
medications
and date of
when and
where to follow
up
Patients for
emergency
medication /
laboratory test /
radiology exam:
5.2 Give request
necessary
forms and
instruct to
submit to
appropriate
unit / section
Patient for
observation:
5.2 Explain
management
plan and what
and why to wait
152
Patients for
admission:
5.2 Follow steps in
Emergency
Room
Admission
Process
Patients for
Transfer to other
hospital:
5.2 Give
instruction and
referral form
TOTAL: None 1 Hour
23. EMERGENCY ROOM CONSULTATION PROCESS

This refers to the steps for patients seeking for emergency consultation.

Whom may avail All
ER Chart Emergency Room
Lost Data Sheet Form (1 original copy) Emergency Room
Prescription Pad (1 original copy) Emergency Room
Laboratory Request Form (1 original copy) Emergency Room
Radiology Request Form (1 original copy) Emergency Room
Referral Form (1 original copy) Emergency Room
Admission Chart Emergency Room
1. Proceed to 1. Get patient None 10 Minutes Admitting Clerk
hospital main information
entrance and then instruct to
register patient to proceed to ER
Admitting Section
2. Go to 2. Receive None 5 Minutes Nurse on Duty
Emergency patient Nursing Service
Room Department
3. Prepare self to 3.1 Interview None 5 Minutes Nurse on Duty
answer questions patient / Nursing Service
regarding illness relative Department
and physical ER Department
exam 3.2 Classify into:
 Medicine
 Pedia
 Surgery
 OB-Gyne
4. Submit self for 4. Examine the None 5 Minutes Resident /
consultation patient Medical Officer
on Duty
153
ER Department
5. Follow Patients for None 35 Minutes Nurse on Duty
instructions given discharge / may Nursing Service
by staff go home: Department
5.1 Instruct patient
/ relative of Resident /
patient’s home Medical on Duty
medications ER Department
and date of
when and
where to follow
up
Patients for
emergency
medication /
laboratory test /
radiology exam:
5.1 Give request
necessary
forms and
instruct to
submit to
appropriate
unit / section
Patient for
observation:
5.1 Explain
management
plan and what
and why to wait
Patients for
admission:
5.1 Follow steps in
Emergency
Room
Admission
Process
Patients for
transfer to other
hospital:
5.1 Give
instruction and
referral form
TOTAL: None 1 Hour
24. ADMISSION PROCESS

This refers to the steps for patient who will be admitted in the hospital.

Whom may avail All
154
Admission Order (1 original copy) Emergency Room
Consent Form (1 original copy) Emergency Room
Laboratory Request Form (1 original copy) Emergency Room
Radiology Request Form (1 original copy) Emergency Room
Reminders to Patient, Watchers and
Emergency Room
Visitors (1 original copy)
Admission and Discharge Chart Emergency Room
1. Coordinate with 1. Explain the None 10 Minutes Resident /
the doctor of urgency and Medical Officer
patient’s importance of on Duty
admission admission ER Department
2. Sign Consent 2. Secure None 3 Minutes ER Nurse on
Form for consent for Duty
admission admission Nursing Service
from patient / Department
relative
3. Prepare self for 3. Prepare None 3 Minutes ER Nurse on
examination patient for Duty
relevant to additional Nursing Service
admission examinations Department
process for admission
process
4. Proceed to 4. Instruct None 3 Minutes Nurse on Duty
Admitting Section relative to Nursing Service
to bring Admitting proceed to Department
and Discharge Admitting
Record Form Section and
hand over the
Admitting and
Discharge
Record Form
for processing
5.1 Present Hospital 5.1 Receive None 20 Minutes Admitting Clerk
Card of patient Hospital Card Admitting
and Admitting and Admission Section
and Discharge and Discharge
Form to Admitting Form
Section
5.2 Instruct
5.2 Fill-up Patient relative to fill
Data Sheet up Patient
Data Sheet
5.3 Receive 2 copies and record
of Reminders to patient
Patient, information on
Watchers and registry
Visitor Form,
read and sign 5.3 Explain and
secure
5.4 Receive back the signature of
Admission and patient /
Discharge Form relative on 2
with copies of
Reminders to
155
accomplished Patient,
details of patient Watchers, and
Visitor Form
(Give 1 copy to
patient /
relative)
5.4 Give back

Admission and
Discharge
Form to patient
/ relative and
instruct to
return to
Emergency
Room
6. Bring back the 6. Receive the None 3 Minutes Nurse on Duty
Admission and Admission and Nursing Service
Discharge Form Discharge Department
to Emergency Form the
Room and properly filled
present to nurse up by
Admitting
Section from
relative /
patient
7. Wait until patient 7. Instruct None 3 minutes Nurse on Duty
is transferred to Institutional Nursing
ward Worker (IW) to Attendant
transfer Nursing Service
patient to ward Department
/ unit
Institutional
Worker
Engineering and
Facilities
Management
TOTAL : None 45 Minutes
156
SALCEDO
External Services
157
1. EMERGENCY SERVICES
The Emergency Services of the hospital caters to patients with immediate / urgent need for
treatment. It is manned by healthcare workers trained to respond to emergency medical cases.
It operates 24 hours a day.
Office or Division: Ilocos Sur District Hospital – Salcedo (Emergency Room)

Who may avail: All
OPD Record Medical Records
Trauma Form Medical Records
Rapid Antigen Test Result Laboratory
Charge Slip Pharmacy / Business Office
Referral Slip Emergency Room
1. Arrives at 1.1 Attends to None 1 Minute Guard / Triage
Emergency patient Nurse
Room/Triage immediately
for Emergency upon arrival;
Treatment Assesses
patient for life
threatening
case; Directs to
triage ER
1.2 Takes initial vital None 3 Minutes ER Nurse /
signs and Nursing
determine Attendant
patient
complaints then
record to OPD
Record /
Trauma Form
1.3 Examines None 15 Minutes Resident On
patient and write Duty
orders for
medication /
medical care
1.4 Provides None 30 Minutes ER Nurse /
necessary Nursing
resuscitative Attendant /
measures if vital Resident On
signs are absent Duty
2. Makes 2.1 If resuscitative None 30 Seconds Resident On
arrangement measures fail, Duty
for the retrieval pronounces
of patient’s patient dead-
body on-arrival
(DOA)
158
2.2 Provides Post None 10 Minutes ER Nurse /
Mortem Care. Nursing
Attendant
3. Awaits 3. Determines None 10 Minutes Resident On
physician’s disposition of Duty
advice patient (to be
admitted, to be
discharged or to
be referred)
4. Waits for 4. Informs None 1 Minute ER Staff
charge slip Pharmacy of the
medicines /
supplies used
by the patient at
the ER
5. Gets charge 5. Issues charge None 1 Minute Pharmacy Staff
slip slip to the
patient and
instructs patient
to pay at the
Business Office
6. Makes 6.1 Receives Depends on 5 Minutes Cashier /
payment at the charges slip and Services and Pharmacy Staff
Business payment Supplies
Office (during Availed
office hours) 6.2 Issues Official
and at the Receipt Ambulance
Pharmacy (at Fees:
night).
 San
Note: If patient is Fernando
admitted, charges / Batac /
will be included to Vigan –
the hospital bill. PHP
1,000
Note: If patient is
for transfer, patient  Tagudin –
pays at the PHP 600
Business Office,
including the  Candon /
Ambulance Fee. Sta. Lucia
– PHP
300
7. Arranges for 7. Prepares for None 5 Minutes ER Staff
admission for admission of
patient to be patient.
admitted
8. Arranges for 8. Prepares for None 5 Minutes ER Staff
transfer to transfer of
other health patient
facility for (Depends On Ambulance
patient Distance) Driver
referred for
transfer
TOTAL: 1 Hour, 26
Depends on
Minutes, 30
Services and
Seconds
159
Supplies
Availed
Ambulance
Fees:
 San
Fernando
/ Batac /
Vigan –
PHP
1,000
 Tagudin
– PHP
600
 Candon /
Sta.
Lucia –
PHP 300
2. OUT-PATIENT SERVICES
The Outpatient Department of the hospital provides non-urgent medical care to patients. It
caters to patients who visit the hospital for diagnosis or treatment. The resident-on-duty looks
after OPD patients from 8AM – 5PM daily.
Office or Division: Ilocos Sur District Hospital – Salcedo (Outpatient Department)

Who may avail: All
Prescription OPD (Resident-on-Duty)
Laboratory Request Form OPD (Resident-on-Duty)
X-Ray Request Form OPD (Resident-on-Duty)
Patient’s Chart Emergency Room
Referral Slip OPD (Resident-on-Duty)
Health Declaration Form Security
Rapid Antigen Test Result Form Laboratory
1. Logs name, 1. Designates a None 30 Seconds Security Guard
address and number for the
purpose of patient and
visit include the
patient in the
queue of
patients for
consultation
2. Fills-out 2.1 Assesses the None 1 Minute Triage Nurse
Health patient’s
Declaration respiratory
Form condition’s
exposure and
travel histories
160
2.2 Requests Rapid None Triage Nurse
Antigen Test
(RAT) to
Laboratory
3. Undergoes 3.1 Does Rapid None Laboratory Staff
Rapid Antigen Antigen Testing
Testing of patient
3.2 Determines if the None 3 Minutes Triage Nurse
patient is a new
patient or an old
patient
4. Provides 4. Records profile None 3 Minutes Nursing
profile data, if data Attendant on
patient is new Duty
5. Proceeds to 5. Issues a Hospital None 3 Minutes Medical
Medical ID Records Clerk
Records to get
Hospital ID
6. Provides 6.1 Request the None 3 Minutes Nursing
name, if old patient’s chart Attendant /
patient Nurse on Duty
6.2 Provides the None Medical
patient’s chart Records Clerk
7. Proceeds to 7. Determines None 5 Minutes Nursing
initial initial Attendant /
assessment assessment of Nurse on Duty
the patient by
determining the
following and
record result
using OPD
Records:
 Chief
Complaint
 Vital Signs
8. Waits for 8. Calls the name None 30 Seconds Nursing
name to be of the patient Attendant /
called and endorse Nurse on Duty
patient to the
Resident on
Duty
9. Proceeds for 9.1 Receives the None 2 Minutes Resident On
medical endorsed patient Duty
examination and OPD record
of the Patient
9.2 Interviews and None 5 Minutes Resident On
examines the Duty
patient
9.3 Prepares None 3 Minutes Resident On
prescription Duty
and/or request
for diagnostic
services if
necessary
9.4 Finalizes None 3 Minutes Resident On
consultation by Duty
161
giving other
advises such as
but not limited to
the following and
record advices
on the OPD
Record:
 Diet Plan
 Level of
Activity
9.5 Schedule of Next None Resident On
Checkup, if Duty
required only
10. Awaits advice 10. Determines None 2 Minutes Resident On
of resident on disposition of Duty
duty patient (to be
admitted, to be
discharged or to
be referred)
3. ADMISSION SERVICES
ISDH – Salcedo offers admission services wherein patients are admitted in the hospital as
inpatients for medically necessary and appropriate care and treatment of an illness or injury.
The hospital has an Authorized Bed Capacity of 15 beds.
Office or Division: Ilocos Sur District Hospital – Salcedo (Admission)

Who may avail: Patient
Doctor’s Order ER / OPD
Consent for Admission and to Care OPD
Patient’s Chart Medical Records
Statement of Account Billing
Discharge Instruction Nursing Station
Prescription Nursing Station
Clearance Slip Nursing Station
Negative Rapid Antigen Result Laboratory
CLIENT STEPS
1. Prepares for 1. Writes None 20 Minutes Resident on Duty /
admission admission Laboratory Staff
order;
Provides
negative
Rapid Antigen
Test Result
2. Signs consent 2. Secures None 2 Minutes Resident on Duty
for admission consent for
and treatment admission and
treatment
3. Undergoes 3. Carries out None 10 Minutes Nurse on Duty
initial Doctor’s Order
procedures on procedures
to be done
162
4. Proceeds to 4.1 Accompanies None 5 Minutes Utility Worker
assigned patient to room
room / ward
4.2 Receives
endorsed None 5 Minutes Ward Nurse
patient
4.3 Provides None 5 Minutes Resident on Duty /
medical / Nurse on Duty
nursing
services as
needed
4.4 Performs None As Needed Resident / Nurse on
regular rounds Duty
daily and/or as
needed
4.5 Facilitates None As Needed Laboratory /
diagnostics Radiology Staff
services as
ordered by the
Resident on
Duty
5. Awaits 5.1 Prepares None Resident on Duty
discharge discharge Nurse on Duty /
order of Nursing Attendant on
patient Duty
5.2 Forwards None Resident on Duty
patient’s chart Nurse on Duty /
to the Nursing Attendant on
pharmacy for Duty
computation
6. Routes the 6.1 Provides None
discharge discharge
clearance clearance
6.2 Computes None
patient’s bill
upon reaching
the billing
section.
7. Pays bill at the 7.1 Receives Amount of Cashier
Business payment, if patient’s
Office payment is bill
required
7.2 Instructs None Cashier
patient to
proceed to
Nursing
Station for
discharge
instructions
after payment
is made and if
no payment is
required
8. Receives 8. Gives None Nurse on Duty /
discharge discharge Nursing Attendant on
instructions instructions to Duty
patient and
163
home
medications (if
any)
9. Presents 9. Gives None Nurse on Duty /
discharge Clearance Slip Nursing Attendant on
clearance to patient and Duty
instructs the
patient to give
the Clearance
Slip to the
Security
Guard on Duty
10. Gives 10. Receives and None Security Guard on
discharge checks Duty
clearance discharge
clearance
TOTAL: Amount
of
patient’s
bill
4. LABORATORY SERVICES
ISDH – Salcedo offers laboratory services such as Hematology, Clinical Chemistry, Serology /
Immunology, Clinical Microscopy and Newborn Screening. RT-PCR and Rapid Antigen Testing
are also available for COVID-19. It is manned by Medical Technologists and Laboratory Aides
and operates for 24 hours.
Office or Division: Ilocos Sur District Hospital – Salcedo (Ancillary)

Who may avail: All
Laboratory Request ER / OPD
Charge Slip Laboratory
Official Receipt Business Office
Laboratory Result Form Laboratory
1. Presents 1. Receives None 1 Minute Medical Technologist
request for request form / Laboratory Aide
laboratory patient or nurse
service on duty / nursing
attendant on
duty
For emergency
cases (STAT),
verbal request
will be
observed. The
NOD / NAOD
shall submit the
official
laboratory
request later for
patient’s data.
164
2. Submits 2. Collects None 2 Minutes Medical Technologist
specimen required / Laboratory Aide
specimen from
the patient
3.1 Gets charge 3.1 Processes the Refer to Depends on Medical Technologist
slip collected fees and Laboratory / Laboratory Aide
specimen in charges Services
3.2 Make accordance with below Availed
payment at the type of test
the Business
Office 3.2 Issues Charge
slip to the
patient and
instruct patient
to pay at the
Business Office
For patients who

are charged at
night, the
Medical
Technologist /
Laboratory Aide
shall collect the
corresponding
amount to be
remitted the
following
working day.
For in-patient,
charges will be
included to the
hospital bill.
For emergency
cases, payment
may be settled
later after the
emergency.
4.1 Presents 4.1 Checks official None Medical Technologist
official receipt / Laboratory Aide
receipt
4.2 Releases Result
4.2 Claims result
4.3 Let the patient
4.3 Signs in the sign the logbook
logbook to acknowledge
receipt of result
4.4 Forwards result

to the nursing
station, for
inpatient
TOTAL: Refer to
fees and
165
charges
below
5. RADIOLOGY
The Radiology Department of ISDH-Salcedo offers X-Ray and Ultrasound services to patients.
It is manned by a Radiologic Technologists and it operates 24 hours daily.
Office or Division: Ilocos Sur District Hospital – Salcedo (Ancillary)

Who may avail: All
X-ray Request Form ER / OPD
X-ray Request ER / OPD
Charge Slip Radiology
CLIENT STEPS
1. Presents Request 1.1 Receives None 1 Minute Radiologic
Form request form Technologist
from patient or
nurse on duty /
nursing
attendant on
duty and
interviews the
patient
1.2 For
emergency 1 Minute
cases (STAT),
verbal request
will be
observed. The
NOD / NAOD
shall submit
the official X-
ray /
ultrasound
request later
for patient’s
data.
2. Gets instructions 2.1 Explains None 2 Minutes Radiologic
and information procedure to Technologist
about the the patient
procedure
2.2 Gives
instructions to
the patient
before
performing the
procedure to
avoid
repetition of
examination
afterwards.
166
3. Undergoes the 3.1 Performs None 3 Minutes Radiologic
procedure procedure Technologist
3.2 Processes X-
ray film and 2 Minutes
evaluate if the
radiograph is
readable
Note: Emergency
and stat X-ray film
should be
endorsed
immediately to
requesting doctor /
resident doctor.
3.3 Records the

details of the 1 Minute
patient and the
performed
procedure in
the logbook
4. Pays the required 4.1 Issues Charge Refer to 1 Minute Radiologic
amount at the Slip to the fees and Technologist
Business Office OPD patient charges
and instructs below
patient to pay
at the
Business
Office.
(For patient
who are
charged at
night, the
Radiologic
Technologist
instruct patient
to pay at the
Pharmacy
Department.)
Note:
a. For in-patient,
charges will be
included to the
hospital bill.
b. For
emergency
cases,
payment may
be settled
later after the
emergency
167
5.1 Presents Official Releases result to None 1 Minute Radiologic
Receipt at patient Technologist
Radiology
Department Note:
For in-patient, the
5.2 Claims the result official result is
forwarded to the
5.3 Signs in the respective stations
Special and let the receiver
Procedure sign the warding
Logbook as an logbook.
acknowledgement
fees and
charges
below
6. MEDICAL RECORDS
ISDH – Salcedo maintains a Medical Records Section to keep, maintain and manage the
records of all hospital patients. It also releases medical certificates; processes birth and death
certificates of patients
MEDICAL CERTIFICATE
Office or Division: Ilocos Sur District Hospital – Salcedo (Administrative)
Who may avail: Patient
Patient’s Chart Medical Records
Medical Certificate Medical Records
Charge Slip Medical Records
1. Requests for 1.1 Gets name of None 5 Minutes Medical Records
Medical patient Clerk
Certificate
1.2 Retrieves
patient’s
record
1.3 Informs the None 5 Minutes Medical Records
Resident on Clerk
duty of the
request for
Medical
Certificate
1.4 Drafts and None 5 Minutes Medical Records
encodes Clerk
Medical
Certificate
1.5 Signs the

Medical
Certificate
168
1.6 Affixes
hospital seal
1.7 Signs the None 2 Minutes Resident on Duty
Medical
Certificate
2. Gets charge slip 2. Issues Charge None 2 Minutes Medical Records
Slip to the Clerk
patient and
instructs
patient to pay
at the
Business
Office
3. Makes payment 3. Receives PHP 50.00 1 Minute Cashier
at the Business payment and (for students)
Office issues Official
receipt PHP 100.00
(for local
employment)
PHP 150.00
(for overseas
employment)
4. Goes back to 4. Releases None 1 Minute Medical Records
the Medical Medical Clerk
Records and Certificate to
presents the patient
official receipt to
the Medical
Clerk
TOTAL: PHP 50.00 21 Minutes
(for
students)
PHP 100.00
(for local
employment)
PHP 150.00
(for
overseas
employment)
BIRTH CERTIFICATE
Who may avail: All
Marriage Certificate Local Civil Registrar / Philippine Statistics Agency
PSA Negative PSA
Charge Slip Medical Records
169
1.1 Relatives of the 1.1 Gets name of None 5 Minutes Medical Records
patients informs newborn and Clerk
Medical parents
Records Clerk 1.2 Instructs None Medical Records
the need for informant of Clerk
Birth Certificate needed
of the Newborn. documents
1.3 Receives None Medical Records
1.2 Submits required Clerk
needed documents
certificates 1.4 Interviews None 5 Minutes Medical Records
informant to Clerk
Note: complete
Informant must information in
submit a marriage the Birth
certificate if the Certificate
parents of the 1.5 Prepares the None Medical Records
patients are married Birth Certificate, Clerk
and Community 1.6 Signs the Birth None 5 Minutes Medical Records
Tax Certificate Certificate Clerk
number for
unmarried parents. Resident /
Midwife on Duty
For late registration, during birth
the informant must
submit PSA
Negative as proof of
non-registration.
2. Receives 2.1 Issues Charge None 2 Minutes Medical Records
charge slip Slip to the Clerk
patient
2.2 Instructs patient None
to pay at the
Business Office
3. Makes payment 3.1 Receives PHP 100.00 2 Minutes Cashier
at the Business payment
Office 3.2 Issues Official None Cashier
receipt
4.1 Goes back to 4.1 Releases Birth None 2 Minutes Medical Records
the Medical Certificate Clerk
Records
4.2 Instruct
4.2 Presents the informant to
official receipt bring the Birth
Certificate to the
4.3 Receives Local Civil
instruction Registrar’s
Office for
registration and
return the
duplicate to the
Medical
Records Clerk
for filling
DEATH CERTIFICATE
170
Who may avail: All
Patient’s Record Medical Records Section
Charge Slip Medical Records Section
1. Informs the 1.1 Gets the name None 5 Minutes Medical Records
need for Death of expired Clerk
Certificate of patient
expired patient 1.2 Retrieves None Medical Records
record of Clerk
expired patient
2. Gives 2.1 Interviews None 5 Minutes Medical Records
additional informant to Clerk
information complete
information in
the Death
Certificate
2.2 Prepares the None 5 Minutes Medical Records
Death Clerk
Certificate
gives to the
attending
physician for
signing
2.3 Signs the death None 1 Minute Attending
certificate Physician
3. Gets charge 3. Prepares and 2 Minutes Medical Records
slip gives charge Clerk
slip
4. Makes payment 4.1 Receives PHP 100.00 2 Minutes Cashier
charge slip and
payment
4.2 Issues Official None Cashier
Receipt
5.1 Goes back to 5.1 Receives and None 2 Minutes Medical Records
the Medical checks official Clerk
Records receipt
Section
5.2 Releases
5.2 Presents Death
Official Receipt Certificate
6.1 Gets copy of 6.1 Instructs None 1 Minute Medical Records
death certificate informant to Clerk
have an
embalmer sign
the death
certificate, then
bring Death
Certificate to
6.2 Receives the RHU for the
instruction MHO’s
signature, then
171
forward to the
Local Civil
Registrar’s
Office for
registration and
return the
duplicate to the
Medical
Records Clerk
for filling
FEES AND CHARGES

LABORATORY
HEMATOLOGY
COMPLETE BLOOD COUNT (CBC) 3P 250.00
HEMATOCRIT 80.00
HEMOGLOBIN 80.00
CLOTTING TIME (CT) / BLEEDING TIME (BT) 100.00
APTT / PTT 500.00
CLINICAL CHEMISTRY
FASTING BLOOD SUGAR (FBS) / RANDOM 150.00
BLOOD SUGAR (RBS)
TOTAL CHOLESTEROL 250.00
TRIGLYCERIDES 250.00
BLOOD UREA NITROGEN (BUN) 150.00
CREATININE 150.00
BLOOD URIC ACID (BUA) 150.00
ALT 150.00
SODIUM (Na+) 250.00
POTASSIUM (K+) 250.00
TOTAL CALCIUM (Ca 2+) 250.00
SERUM ELECTROLYTES (Na+, K+, Cl-,Ca2+) 1,000.00
HEMOGLOBIN A1C (HbA1c) 900.00
SEROLOGY / IMMUNOLOGY
ABO / RH TYPING 70.00
DENGUE DUO 1,200.00
DENGUE NS1 600.00
TYPHIDOT 813.00
HEPATITIS B SURFACE ANTIGEN (HBsAg) 300.00
ANTI-TREPONEMA (SYPHILIS) / VDRL 200.00
TROPONIN-I (QUANTITATIVE) 900.00
CLINICAL MICROSCOPY
ROUTINE URINALYSIS 100.00
PREGNANCY TEST 200.00
ROUTINE FECALYSIS 100.00
FECAL OCCULT BLOOD (FOBT) 250.00
NEWBORN SCREENING (NBS) 1,750.00
RADIOLOGY
X- RAY
ABDOMEN FLAT PLATE AND UPRIGHT 647.00
ANKLE AP/L 431.00
ARM / HUMERUS AP / L 431.00
CHEST LATERAL DECUBITUS 288.00
172
CHEST LATERAL / LORDOTIC / OBLIQUE VIEW 288.00
CHEST PA / AP 216.00
CHEST PAL / APL 431.00
CHEST TO INCLUDE SHOULDER 288.00
ELBOW AP / L 431.00
FOOT APO / APL 431.00
FOREARM AP / L 431.00
HAND APL / O 431.00
KIDNEYS AND URINARY BLADDER (KUB) 431.00
KNEE AP / L 431.00
LEG APL / TIBIA-FIBULA (ADULT / PEDIA) 431.00
LUMBOSACRAL SPINE APL / LSV 647.00
MANDIBLE SERIES 503.00
MASTOID SERIES 575.00
MORTISE VIEW 288.00
NASAL BONE 359.00
NECK / CERVICAL SPINE AP / L 431.00
PARANASAL SINUSES (PNS) 791.00
PELVIS AP 288.00
SHOULDER AP 288.00
SKULL AP / L 431.00
THIGH / FEMUR APL - ADULT 647.00
THIGH / FEMUR APL - PEDIA 431.00
THORACIC CAGE / CHEST BUCKY AP 288.00
THORACO – LUMBAR SPINE (TLSV) AP / L 575.00
TOWNE’S VIEW 575.00
WATER’S VIEW 288.00
WRIST AP / L 431.00
ADDITIONAL VIEWS (PER FILM) 173.00
ULTRASOUND
ABDOMEN - WHOLE 1,121.00
CHEST ULTRASOUND 777.00
KUB (KIDNEY URINARY BLADDER) 748.00
KUB + PROSTATE 748.00
PELVIC / PELVIS (PU) 598.00
UTZ – GUIDED - THORACENTESIS 2,243.00
DENTAL
Extraction 200.00
Oral Prophylaxis 400.00
Permanent Filling 450.00
Temporary Filling 400.00
Suturing 300.00
Dental Certificate 60.00
*additional anesthetic carpule 50.00
AMBULANCE FEE
(Patients for transfer)
Candon PHP 300.00
Tagudin PHP 500.00
Vigan PHP 1000.00
San Fernando PHP 1500.00
Patients for outsourced services FREE
CERTIFICATES
Medical Certificate
173
Student PHP 50.00
Local Employment PHP 100.00
Employment Abroad PHP 150.00
Medico Legal Certificate PHP 150.00
Birth Certificate PHP 100.00
Death Certificate PHP 100.00
ACCOMODATION
Ward PHP 300.00
Semi - Private PHP 350.00
Private (with aircon) PHP 500.00
OTHER CHARGES
OR Fee (Minor) Can be charged to PHIC with complete
documents.
174
NARVACAN
External Services
175
1. ADMITTING DEPARTMENT SERVICES
This process covers the procedures on the admission of patients at the Ilocos Sur District
Hospital – Narvacan.
Office or Division: Ilocos Sur District Hospital - Narvacan

Who may avail: The General Public
Medical Chart Issued by Doctor on Duty
1. Proceed to 1.1 Assist the patient None 10 Minutes ER Nurse on
Emergency at the Emergency Duty
Room Room
1.2 Examine and None 10 Minutes Doctor on Duty

assess patient’s
condition to
determine
whether patient is
for admission;
Otherwise
discharge patient
after treatment
2. Submits himself 2.1 Carry out Stat None 5 Minutes ER Nurse
/ herself for Doctor’s Order
admission
2.2 Escort admitted None 10 Minutes ER Nurse /
patient at the Institutional
assigned war / Worker
pay room
2. ANIMAL BITE TREATMENT CENTER (ABTC) SERVICES

This process covers the procedures on provision of Animal Bite Treatment Center (ABTC)
services at the Ilocos Sur District Hospital – Narvacan.

Who may avail: All people who are exposed to animal bite
ABTC OPD Chart OPD
1. Present the 1. Greet client with None 1 Minute ABTC Nurse
ABTC OPD smile, receive the
Chart to the forms and instruct
ABTC Nurse the patient to sit
2. Sit and listen 2.1 Take history, ask None 3 Minutes ABTC Nurse
then answer the if how was the
questions bleeding of the
presented by wound and
the ABTC assess the wound
Nurse
176
2.2 Enter the patient’s
name to the
ABTC Logbook
2.3 Fill in the ABTC

Post Exposure
Treatment Card
2.4 Prepare the

vaccine
3. Sit and wait for 3. Wipe the two (2) None 3 Minutes ABTC Nurse
the deltoids and
administration administer the
of the vaccine vaccine
4. Receive further 4.1 Give the ABTC None 3 Minutes ABTC Nurse
instruction of Post Exposure
the ABTC Treatment Card
Nurse and instruct
patient for the
next visit (D3, D7
and D8)
4.2 Give health

teaching and
observe the biting
animal for two (2)
weeks
3. BILLING SERVICES
This process covers the procedures on billing services / cashier’s service at the Ilocos Sur
District Hospital – Narvacan.

Who may avail: All people transacting business with the center
Charge Slip / Ticket Cashier
Statement of Account (SOA) Cashier
PhilHealth Documents Cashier
1. Present Charge 1. Greet client with None 1 Minute Cashier-on-
Slip / Ticket, smile, receive and Duty
Discharge verify Charge Slip
Clearance and / Ticket or
PhilHealth Discharge
documents Clearance and
PhilHealth
documents
2. Provide 2. Receive Depends 5 Minutes Cashier-on-
required appropriate on the Duty
amount as payment and amount
appearing in issue appearing
the Charge Slip corresponding in the
/ Ticket or Official Receipt Charge Slip
177
Statement of / Ticket or
Account Statement
of Account
on the
amount
appearing
in the
Charge
Slip /
Ticket or
Statement
of Account
4. LABORATORY SERVICES (DENGUE FAST LANE)

This process covers the procedure on provision of laboratory services particularly on the
dengue fast lane at the Ilocos Sur District Hospital – Narvacan.

Who may avail: In-patients
Prescription duly signed by the Physician Attending Physician
Official Receipt of Payment, if applicable Cashier
Appropriate collected specimen from patient,
if applicable
1. Submit for 1.1 Verify Clinical None For STAT – Clinical
blood Laboratory Immediate Laboratory
Request Personnel
1.2 Receive
submitted For Routine
specimen and Blood
assess for Examination,
adequacy and patient is
fitness extracted the
day after
a. For request receipt of
requiring blood Laboratory
extraction: request
Proceed to the
client and verifies
identification
Collect needed
specimen
For ER Pay patient: For ER Pay patient: Refer to 5 Minutes Clinical
Laboratory Laboratory
2. Receive 2.1 Issue Charge Slip Fees below Personnel
Charge Slip
and pay 2.2 Receive payment
corresponding and issue Official
laboratory fee Receipt
178
at the Billing
Section
3. Wait while the 3. Process the None Depends on Clinical
specimen is specimen the type of Laboratory
being laboratory test Personnel
processed
4. Receives 4. Release None 5 Minutes Clinical
laboratory laboratory result Laboratory
result Personnel
For ER Pay Patient:
Present Official
Receipt
Laboratory
Fees below
LABORATORY PROCEDURES AMOUNT

CLINICAL CHEMISTRY
HGT PHP 100.00
RBS PHP 150.00
FBS PHP 150.00
OGTT PHP 1,000.00
HBA1C PHP 1,063.00
Cholesterol PHP 250.00
Triglycerides PHP 250.00
BUN PHP 150.00
BUA PHP 150.00
Creatinine PHP 150.00
Total BIL PHP 250.00
Direct BIL PHP 250.00
Lipid Profile PHP 1,000.00
SGOT PHP 213.00
SGPT PHP 213.00
Albumin PHP 188.00
Alkaline Phosphorous PHP 250.00
Calcium PHP 250.00
TPAG PHP 300.00
CLINICAL MICROSCOPY
Routine Urinalysis PHP 88.00
Fecalysis PHP 63.00
Pregnancy Test (Urine) PHP 188.00
Pregnancy Test (Serum) PHP 188.00
Occult Blood PHP 250.00
B-HCG (Quantitative) PHP 700.00
HEMATOLOGY
Hemoglobin / Hematocrit PHP 50.00
PC PHP 100.00
CBC-3 Parameters PHP 250.00
BLOOD BANKING
ABO Typing / RH Typing PHP 126.00
Gel Crossmatching PHP 1,000.00
SEROLOGY / IMMUNOLOGY
TYPHIDOT PHP 813.00
179
TROP T PHP 1,875.00
TROP I PHP 350.00
TROP I Quantitative PHP 875.00
Dengue Duo PHP 1,188.00
HBSAG PHP313.00
HCV PHP 438.00
HIV 1 & 2 PHP 313.00
Syphilis PHP 188.00
Malaria PHP 625.00
T3 PHP 875.00
74 PHP 875.00
TSH PHP 875.00
PSA (Prostate Specific Antigen) PHP 600.00
HAV PHP 438.00
KOH PHP 75.00
Gram Stain PHP 188.00
CRP PHP 450.00
ASO Quantitative PHP 450.00
ASO TITER PHP 313.00
CEA PHP 1,250.00
PT / APTT PHP 1,000.00
PCR PHP 7,000.00
RDT (Antigen) PHP 1,000.00
RDT (Antibody) PHP 1,000.00
Cardiac Triple Quantitative PHP 1,500.00
RF-IgM (Quantitative) PHP 700.00
20% Discount for Senior Citizen / PWD / Student with ID
5. LABORATORY SERVICES (OUT-PATIENT)

This process covers the procedure on provision of laboratory services particularly for out-
patients of the Ilocos Sur District Hospital – Narvacan.

Who may avail: Out-patients
Prescription duly signed by the Physician Attending Physician
Official Receipt of Payment, if applicable Cashier
Appropriate collected specimen from patient,
if applicable
1. Present 1.1 Provide queuing None 5 Minutes Clinical
Laboratory number to the Laboratory
Request patient or watcher Personnel
1.2 Call patient’s None

number
1.3 Verify request None

and client’s
identification
1.4 Enter data of None

patient in the
180
Laboratory Entry
and Release
Sheet (OPD / ER)
1.5 Inform Refer to

corresponding fee Laboratory
and issue Charge Fees above
Slip
2. Proceed to 2. Verify Clinical None 5 Minutes Clinical
Extraction Area Laboratory Laboratory
Request Personnel
3. Submit himself / 3.1 Explain the None 10 Minutes Clinical
herself for procedure Laboratory
blood extraction Personnel
or specimen 3.2 Collect needed
collection specimen
3.3 Inform schedule

of release of
result
4. Wait for the 4. Process the None Depends on Clinical
scheduled specimen the type of Laboratory
release of result laboratory test Personnel
5. Receive 5. Release None 5 Minutes Clinical
laboratory requested Laboratory
result laboratory Personnel
request
Laboratory
Fees above
6. MEDICAL RECORDS SERVICES (EMERGENCY ROOM PATIENTS AND IN-PATIENTS)

This process covers the procedures on issuance of medical records of emergency room
patients and in-patients of the Ilocos Sur District Hospital – Narvacan.

Who may avail: All clients requiring a copy of their respective medical records
OPD Card Out-Patient Department
In-Patient’s Retrieval Form Out-Patient Department
Official Receipt Out-Patient Department
1. ER / Ward 1. Verify Retrieval None 5 Minutes Medical
Nurse submits Form submitted Records Clerk
duly
accomplished
In-Patient’s
Retrieval Form
2. Submits OB 2.1 Verify entry in the Birth 5 Minutes Medical
data OB data form Certificate Records Clerk
– PHP
2.2 Accomplish Birth 100.00 30 Minutes
Certificate
181
3. ER / Ward 3. Verify entry in the Death 5 Minutes Medical
Nurse submits Death Certificate Certificate Records Clerk
Medical Chart Form – PHP
or duly 100.00
accomplished
Death
Certificate
Request
4. Submit OPD 4. Verify entry in the Clinical 5 Minutes Medical
Chart OPD Chart Abstract – Records Clerk
None Accomplished
Clinical
Abstract
depends on
the schedule of
attending
physician
5. Submit duly 5. Verify entry in the Medical 5 Minutes Medical
accomplished medical slip form Certificate Records Clerk
medical slip – PHP
form 100.00
TOTAL: Birth 40 Minutes
Certificate
– PHP
100.00
Death 5 Minutes
Certificate
– PHP
100.00
Clinical 5 Minutes
Abstract –
None
Medical 5 Minutes
Certificate
– PHP
100.00
7. MEDICAL RECORDS SERVICES (OUT-PATIENTS)

This process covers the procedures on issuance of medical records of out-patients of the Ilocos
Sur District Hospital – Narvacan.

Who may avail: All clients requiring a copy of their respective medical records
OPD Card Out-Patient Department
Official Receipt Out-Patient Department
1. Submit OPD 1. Verify entry of None 1 Minute Medical
Card data in the OPD Records Clerk
Card and client’s
identification
182
2. Submit OPD 2. Verify entry in the Clinical 5 Minutes Medical
Card OPD Card Abstract – Records Clerk
None
3. ER Nurse / 3. Verify OPD Chart Medico- 5 Minutes Medical
OPD Clerk Legal Records Clerk
submits OPD Certificate
Chart – PHP
150.00
Medical
Certificate
– PHP
100.00
TOTAL: Clinical 6 Minutes
Abstract –
None
Medico- 5 Minutes
Legal
Certificate
– PHP
150.00
Medical 5 Minutes
Certificate
– PHP
100.00
8. NURSING SERVICES
This process covers the procedures on the provision of nursing services at the Ilocos Sur
District Hospital – Narvacan.

Who may avail: The General Public
None None
1. Proceed at the 1.1 Ask the patient if None 25 Minutes Nurse / Nurse
Information he/she is new or Trainee /
Desk and enlist old Nursing
for OPD Card / Attendant
ER Card and a. If the patient is
Patient’s Card new:
Assist the patient

in accomplishing
the necessary
information in the
OPD Chart or in
the Patient’s
Chart
1.2 Instruct the

patient as to the
next procedure
183
2. Provide the 2.1 Check the None 10 Minutes Nurse / Nurse
Out-Patient following: Trainee /
Card / ER Card  Blood Nursing
to the Nurse in- pressure Attendant
charge and wait  Temperature
to be called for  Pulse and
initial breathing rate
assessment  Height and
(chief weight
complaints and  Chief
vital signs) complaints
2.2 Write the result at

the OPD Chart of
the patient
2.3 Refer the OPD

Chart of the
patient to the
designated doctor
2.4 Advise the patient

to wait at the
designated area
3. Wait for the turn 3.1 Call for the name None 40 Minutes Medical Officer
to be examined of the patient for / Nurse
by the doctor examination
and be
provided with 3.2 Examine the Medical Officer
necessary patient / Nurse
treatment
3.3 Provide Medical Officer
necessary / Nurse
treatment and
instructions
3.4 Provide Medical Officer

prescription / Nurse
a. If patient needs
laboratory
service:
Make Laboratory 5 Minutes Medical Officer

Request and / Nurse / Utility
instruct patient as Worker
to the next
procedure
b. If patient needs to
be admitted:
Call the 7 Minutes Medical Officer

designated / Nurse / Utility
Institutional Worker
Worker (IW) to
transfer the
184
patient to the
Emergency Room
or to the Admitting
Section
c. If patient needs to
purchase
medicines:
Advise the patient 5 Minutes Medical Officer

or watcher to
proceed at the
Pharmacy and
instruct him / her
on the proper
administration of
medicines and
when to return
TOTAL: None For patient
who needs
laboratory
services – 1
Hour, 20
Minutes
For patient
who needs to
be admitted –
1 Hour, 22
Minutes
For patient
who needs to
purchase
medicines – 1
Hour, 20
Minutes
9. OUT-PATIENT DEPARTMENT SERVICES

This process covers the procedure on provision of consultation at the Out-Patient Department
(OPD) of the Ilocos Sur District Hospital – Narvacan.

None None
1. Patient’s 1.1 Take vital signs None 10 Minutes Nurse on Duty /
queuing and conduct initial Nursing
number will be interview Attendant
called for initial
physical 1.2 Impart
examination, information
interview and education
information campaign to
client’s relatives
185
education
campaign
2. Patient’s 2.1 Conduct None For First Time Doctor on Duty
number will be consultation and Consultation –
called for assess presence 30 Minutes
consultation of disorder
For Follow-Up
2.2 Request Consultation –
Diagnostic 15 Minutes
Examination
Referral to other
required services
TOTAL: None For First Time
Consultation
– 40 Minutes
For Follow-Up
Consultation
– 25 Minutes
10. PHARMACY SERVICES (EMERGENCY ROOM PATIENTS AND IN-PATIENTS)

This process covers the procedure on provision of pharmaceutical products to emergency room
patients and in-patients of Ilocos Sur District Hospital – Narvacan.

Who may avail: All clients requiring provision of pharmaceutical products
Prescription duly signed by the Physician Nurse Station
Pharmacy Requisition Slip Nurse Station
Charge Ticket Nurse Station
Official Receipt of Payment, if Nurse Station
1. Submit 1.1 Greet client with a None 2 Minutes Pharmacy Staff
prescription at smile and verify
the Pharmacy prescription
window
1.2 Check availability
of the requested
products
2. Return to 2. Dispense the None 4 Minutes Pharmacy Staff
Pharmacy product
window and
receive the
requested
products
11. PHARMACY SERVICES (OUT-PATIENTS)

This process covers the procedure on provision of pharmaceutical products to out-patients of
Ilocos Sur District Hospital – Narvacan.

186
Who may avail: All clients requiring provision of pharmaceutical products
Prescription duly signed by the Nurse Station
Physician
Pharmacy Requisition Slip Nurse Station
Charge Ticket Nurse Station
Official Receipt of Payment, if Nurse Station
CLIENT STEPS
1. Submit 1.1 Greet client None 2 Minutes Pharmacy Staff
prescription at with a smile
the Pharmacy and verify
window prescription
1.2 Check
availability of
the requested
products
2. Wait at the 2. Issue Charge None 2 Minutes Pharmacy Staff
Pharmacy Ticket
window detailing the
amount
required
3. Proceed to 3. Verify Charge Prices of 2 Minutes Cashier
Billing Section Ticket pharmaceutical
and pays the products are
required subject to
amount change.
4. Return to 4.1 Verify Official None 4 Minutes Pharmacist
Pharmacy and Receipt with
receive the the
purchased Prescription
products upon
presentation 4.2 Dispense the
of Official purchased
Receipt products
TOTAL: Prices of 10 Minutes
pharmaceutical
products are
subject to
change.
12. PHILHEALTH SERVICES

This process covers the procedures on provision of PhilHealth Services at the Ilocos Sur District

Claim Forms Medical Social Worker
PMRF Medical Social Worker
Certification of Eligibility Medical Social Worker
Birth Certificate Medical Social Worker
PhilHealth Receipt Medical Social Worker
187
Claim Signature Form Medical Social Worker
1. Present all 1. Greet client with None 2 Minutes PhilHealth Clerk
forms needed smile, receive the on Duty
at the forms and verify
PhilHealth PhilHealth
Claims documents
Processing presented
Department
2. Wait for the 2. Encode and print None 10 Minutes PhilHealth Clerk
forms to be all the forms in the on Duty
completed system for
signature
13. RADIOLOGY SERVICES

This process covers the procedure on radiology examination at Ilocos Sur District Hospital –
Narvacan.

Who may avail: In-patients including those in the Emergency Room and Out-
patients
Accomplished Radiology Request Form Radiology Department
Charge Ticket Radiology Department
Ilocos Sur District Hospital – Narvacan – Billing
Official Receipt
Section
1. Present 1.1 Verify request None 5 Minutes Radiologic
accomplished and explain the Technologist
Radiology process
Request Form
at the 1.2 Provide None
Radiology presentation
Department instructions
1.3 Issue Charge Refer to X- 3 Minutes

Ticket Ray
Charges
a. For special below
procedure,
schedule shall be
set on the next
available day.
2.1 Wait for the 2.1 Verify client’s None 30 Minutes Radiologic
name to be identity and assist Technologist
called to start inside the
the procedure examination room
2.2 Proceed to 2.2 Explain the

proper procedure
188
authorities, if 2.3 Provide home
needed instruction and
timeline of
releasing result
3. Secure copy of 3. Issue official None 5 Minutes Radiologic
official result result Technologist
TOTAL: Refer to X- 43 Minutes

Ray
Charges
below
X-RAY PROCEDURE / EXAMINATION AMOUNT

Abdomen PHP 288.00
Abdomen Flat Plate PHP 431.00
Abdomen Flat Plate and Upright PHP 647.00
Abdomen Lateral Decubitus PHP 431.00
Ankle APL / Joints PHP 431.00
Arm APL PHP 431.00
Arteriogram / Venogram PHP 1,006.00
Babygram PHP 1,150.00
Barium Enema PHP 2,156.00
Calcaneus (Tangential and Lateral) PHP 431.00
Carotid Angiogram PHP 1,869.00
Chest Lateral Decubitus PHP 288.00
Chest Lateral / Lordotic / Oblique PHP 288.00
View
Chest PA / AP PHP 216.00
Chest PAL / APL PHP 431.00
Chest to include Shoulder PHP 288.00
Coccyx APL PHP 431.00
Cystogram PHP 1,006.00
Elbow APL PHP 431.00
Esophagogram (Barium Swallow) PHP 1,438.00
Facial Bones PHP 431.00
Fistulogram PHP 1,294.00
Foot APO / APL PHP 431.00
Forearm APL PHP 431.00
Hand PAL / PAO PHP 431.00
Hip Joint AP PHP 288.00
Hip Joint APL PHP 431.00
Intra-Operative Cholangiogram (IOC) PHP 2,156.00
Intra-Venous Pyelography (IVP) PHP 2,156.00
Kidneys and Urinary Bladder (KUB) PHP 431.00
Knee APL PHP 431.00
Leg APL / Tibia-Fibula (Adult / Pedia) PHP 431.00
Lumbar APL PHP 575.00
Lumbosacral / LSV APL PHP 647.00
Mandible Series PHP 503.00
Mastoid Series PHP 575.00
Mortise View PHP 288.00
Nasal Bone PHP 359.00
Neck APL / Cervical Spine PHP 431.00
Orbit PHP 503.00
189
Paranasal Sinuses (PNS) PHP 791.00
Pelvis AP PHP 288.00
Pelvis APL PHP 431.00
Pelvis Frog Leg PHP 288.00
Pelvis Inlet and Outlet PHP 431.00
Sacrum APL PHP 431.00
Shoulder AP PHP 288.00
Shoulder APL PHP 431.00
Shoulder Internal and External PHP 575.00
Rotations
Skull APL PHP 431.00
Skull Series PHP 503.00
Small Intestinal Series (SIS) PHP 1,438.00
Sternum PHP 359.00
Submento-Vertex / Baso-Vertex PHP 288.00
Sunrise View PHP 288.00
Temporo-Mandibular Joint (TMJ) PHP 575.00
Thigh APL / Femur – Adult PHP 647.00
Thigh APL / Femur – Pedia PHP 431.00
Thoracic Cage AP PHP 288.00
Thoraco-Lumbar Spine / TLSV APL PHP 575.00
Towne’s View PHP 575.00
T-Tube Cholangiogram PHP 1,438.00
Upper G.I. Series PHP 1,725.00
U.G.I.S with Bowel Follow Thru PHP 2,156.00
Urethrogram PHP 1,150.00
Water’s View PHP 288.00
Wrist PAL PHP 431.00
Additional Views (Per Film) PHP 173.00
14. TB DOTS SERVICES

This process covers the procedure on provision of TB DOTS services at the Ilocos Sur District

Who may avail: All people who have cough for more than two (2) weeks, signs
and symptoms of TB and those exposed to TB patients
OPD Record Out-Patient Department
Green Form
CXR Result (if done) Radiology Department
1. Present the 1. Greet client with None 2 Minutes TB DOTS
OPD Record / smile, receive the Nurse
Green Form forms and instruct
and CXR the patient to sit
Result if done
2. Sit and listen 2. Take history and None 3 Minutes TB DOTS
then answer the PI and record Nurse
questions patient to Hospital
presented by TB Logbook
190
the TB DOTS
Nurse
3. Listen to the 3.1 Instruct patient on None 3 Minutes TB DOTS
direction given how to collect Nurse
by the TB sputum then
DOTS Nurse direct patient to
the DSSM
collection area
3.2 Enter the patient’s

name in the NTP
Laboratory
Registry and NTP
Laboratory
Request Form
while waiting for
the patient
4. Give sputum 4.1 Receive the None 2 Minutes TB DOTS
filled cups to DSSM cup and Nurse
the TB DOTS instruct patient to
Nurse do handwashing
4.2 Instruct patient to

come back for
DSSM result and
follow-up check
up with the TB
DOTS Physician
191
MAGSINGAL
External Services
192
1. ADMITTING SERVICES
This procedure covers the provision of a systematic way of attaining the best medical care and
treatment of patients in the catchment and nearby municipalities
Office or Division: Ilocos Sur District Hospital – Magsingal (Medical Department)

Who may avail: All
Admitting Chart Resident on Duty (ROD)
Survey Form Nurse Station
Clearance Nurse Station
1. Patient tells 1.1 Assesses / None 20 Minutes Medical Officer
complaints Examines the
patient’s
condition
1.2 Prepares
Doctor’s Order
and admitting
history and
gives to the
nurse
2. Patient 2.1 Receives None 10 Minutes Nurse
submits Doctor’s Order
himself / and admitting
herself for history
admission
2.2 Prepares other
admission forms
2.3 If from OPD: None 5 Minutes Nurse
Enters patient’s
data in the
admission
logbook
2.4 If from ER:
Immediately
executes the
doctor’s stat
orders
3. Patient tells 3. Interviews None 5 Minutes Nurse
personal data patient and fills
up Clinical Fact
Sheet
4. Patient / 4. Explains, None 5 Minutes Nurse
Relatives classifies patient
sign/s consent and gets
to care and consent to care
receive/s and
information management
regarding
193
patient
classifications
5. Patient 5.1 Gives the in- None 5 Minutes Nursing Aide
receives in- patient record
patient record card and brings
card and goes patient to
to designated designated ward
ward / room / room with the
patient’s chart
5.2 Checks and None 10 Minutes Nurse

carries out
admitting orders
6. Patient 6. Gives daily None 5 Minutes Nurse
receives daily patient care
patient care
7. Patient goes 7. Discharges None 5 Minutes Medical Officer
home upon patient upon
complying with complying with
the discharge the discharge
8. Patient fills up 8. Instruct patient None 5 Minutes Nurse
client to fill up client
satisfaction satisfaction
survey form survey form
9. Patient 9. Instructs patient None 5 Minutes Nurse
receives for home
instruction for medicines
home
medicines
10. Patient goes 10. Sends home / None 2 Minutes Nurse
home Discharges
patient
TOTAL: None 1 Hour, 22
Minutes
2. BILLING SERVICES
This procedure covers the management of account balances to discover outstanding debts or
other inconsistencies. It also covers collecting all information needed to calculate bills
receivable and checking the data input in the accounting system to ensure accuracy of final bill.
Office or Division: Ilocos Sur District Hospital – Magsingal (Billing Section)

Who may avail: Patients
Patient Chart Nursing Department
Statement of Account Billing Section
1.1 Patient 1.1 Receives None 3 Minutes Billing Clerk
presents charge slip /
charge clip for patient’s chart
Out-Patient
Department
(OPD)
194
1.2 Watcher goes 1.2 Consolidates 15 Minutes
to the Billing charges for the
Section for the preparation of
computation of Statement of
the Statement Account (SOA)
of Account
(SOA)
2. Patient / 2. Receives Fees to be 3 Minutes Billing Clerk
Companion payment and paid depend
pays the prepares Official on the SOA
hospital bill Receipt and charge
slip
3. Receives the 3. Releases the None 2 Minutes Billing Clerk
Official Receipt Official Receipt
TOTAL: Fees to be 23 Minutes
paid depend
on the SOA
and charge
slip
3. DENTAL SERVICES
This procedure outlines the process of diagnosing and treating dental issues and helping
patients develop better oral hygiene regimens.
Office or Division: Ilocos Sur District Hospital – Magsingal (Dental)

Who may avail: All
OPD Form OPD Department
Individual Dental Health Record Dental Department
1. Presents OPD 1. Checks None 3 Minutes Dental Aide
Form completeness of
data
2. Undergoes 2.1 Examines oral 4 Minutes Dentist
oral cavity,
examination diagnoses, and
explains
treatment plan
2.2 Performs the Tooth 15 Minutes

procedure extraction –
needed by the PHP 200.00
patient
Oral 30 Minutes
prophylaxis –
PHP 250.00
Restoration – 1 Hour
PHP 300.00
3. Receives 3. Prescribes the None 5 Minutes Dentist
prescription needed
from the medicine(s)
Dentist
195
4. Receives the 4. Issues charge None 5 Minutes Dentist / Dental
charge slip and slip and Aide
presents to the instructs the
Billing Section patient to
proceed to the
Billing Section
5. Pays bills at 5. Receives None 5 Minutes Billing Clerk
the Billing payment and
Section issues official
receipt (OR)
For PHIC Verifies if the PhilHealth Clerk

patient, patient patient is
is advised to enrolled and
go to the checks the
PhilHealth status, if
Office for updated
verification.
6. Presents the 6. Record official None 4 Minutes Dentist
official receipt receipt (OR)
(OR) number in the
logbook
TOTAL: Tooth 41 Minutes
extraction –
PHP 200.00
Oral 56 Minutes
prophylaxis –
PHP 250.00
Restoration – 1 Hour, 26
PHP 300.00 Minutes
4. EMERGENCY ROOM SERVICES


Who may avail: All
Prescription Resident on Duty (ROD)
Results of Ancillary Procedures Ancillary Department
Admission Chart ER Nurse Station
Referral Form ER Nurse Station
1. Patient 1. Attends to None Nurse / Nursing
proceeds patient Attendant
immediately to immediately for
the Emergency emergency
Room to measures
receive
emergency
measures
196
2. Patient / 2. Records None 5 Minutes Nurse / Nursing
Companion patient’s data in Attendant
tells personal the ER logbook
data and while obtaining
complaints vital signs,
records
complaints and
refers patients
to the physician
3. Patient 3. Examines and None 10 Minutes Medical Officer
receives assesses
assessment patient’s
and evaluation condition and if
from the further work up
physician, is necessary,
receives gives request for
prescription ancillary
and request for procedures
ancillary
procedures for
further work up
4. If no vital signs: 4.1 Evaluates None 15 Minutes Medical Officer
ancillary / ER Staff /
Patient procedures and Nurse / Nursing
receives gives final Attendant
resuscitative examination and
measures sends home
after the
discharge
requirements
4.2 If vital signs are

absent:
Gives
immediate
resuscitative
measures and
refers patient to
the physician
4.3 If resuscitative
measures fails:
Pronounces
patient as Dead-
on-Arrival
(DOA)
4.4 Gives post-

mortem care
5.1 If patient 5.1 Writes admitting None 10 Minutes Medical Officer
needs to be orders and
admitted to the notifies ward
ward:
197
Patient
submits
himself/herself
for admission
5.2 If patient 5.2 Prepares

needs to be referral orders
transferred to
other health
facility:
Patient is
referred to
other health
facility
5. LABORATORY SERVICES
This procedure outlines the process of providing tests on blood and other body fluids, which aid
the physicians in carrying out the diagnosis, treatment, and management of patients.
Office or Division: Ilocos Sur District Hospital – Magsingal (Laboratory)

Who may avail: All
Laboratory Request Form Laboratory Department
Official Receipt / Clearance Billing Department
Certificate of Indigency Medical Social Service Office
1. Patient / 1. Receives None 5 Minutes Medical
Companion laboratory Technologist,
presents request and Medical
laboratory specimen and Laboratory
request and records in the Technician,
submits the logbook Phlebotomy
specimen Nurse
2. Patient / 2.1 Examines Examination: Medical
Companion specimen Technologist,
waits for the CBC with 45 Minutes Medical
result 2.2 Writes result in a Platelet – Laboratory
standard form PHP 250.00 Technician
and records in
the logbook Hgb / Hct – 45 Minutes
PHP 50.00 /
PHP 50.00
CT / BT – 45 Minutes
PHP 100.00
Blood Typing 45 Minutes

– PHP
126.00
PBS – PHP 7 Days

120.00
198
Urinalysis – 45 Minutes
PHP 88.00
Fecalysis – 45 Minutes
PHP 63.00
Pregnancy 45 Minutes
Test – PHP
188.00
HbsAg – 45 Minutes
PHP 313.00
Typhidot – 45 Minutes
PHP 813.00
Dengue Duo 45 Minutes

– PHP
1,188.00
HAV IgG/IgM 45 Minutes

– PHP
438.00
HIV – PHP 45 Minutes

313.00
Syphillis – 45 Minutes
PHP 188.00
FBS – PHP 4 Hours

150.00
BUN – PHP 4 Hours

150.00
Lipid Profile – 4 Hours

PHP
1,000.00
Cholesterol – 4 Hours
PHP 250.00
Triglycerides 4 Hours
– PHP
250.00
HDL – PHP 4 Hours

500.00
SGOT – PHP 4 Hours

213.00
SGPT – PHP 4 Hours

213.00
199
Serum 45 Minutes
Electrolytes –
PHP 563.00
Sodium – 45 Minutes
PHP 250.00
Potassium – 45 Minutes
PHP 250.00
Chloride – 45 Minutes
PHP 250.00
HBA1c – 45 Minutes
PHP
1,063.00
OGTT – PHP 4 Hours

1,000.00
OGCT – PHP 2 Hours

313.00
KOH – PHP 45 Minutes

75.00
Gram Stain – 1 Day

PHP 188.00
Acid Fast 3 Days

Stain – PHP
188.00
Cross- 45 Minutes
matching –
PHP
1,000.00
Skin Slit 3 Days

Smear –
None
Malarial 1 Day
Smear -
None
3. Patient / 3. Issues charge None 5 Minutes Medical
Companion slip and Technologist,
receives the instructs the Medical
charge clip and patient to Laboratory
presents to the proceed to the Technician,
Billing Section Billing Section Phlebotomy
Nurse
4. Patient / 4. Receives None 5 Minutes Billing Clerk
Companion payment and
pays bills issues official
receipt (OR)
200
If indigent, Assesses and Medical Social
patient is approves the Worker
advised to go proof of
to the Medical indigency of the
Social Service patient
Office for
approval of the
Certificate of
Indigency
5. Patient / 5. Records OR None 5 Minutes Medical
Companion number and Technologist,
presents the releases the Medical
official receipt result to the Laboratory
(OR) or patient Technician,
clearance Phlebotomy
certificate if Nurse
indigent and
receives result
TOTAL: CBC with
1 Hour, 5
Platelet –
Minutes
PHP 250.00
Hgb / Hct –
1 Hour, 5
PHP 50.00 /
Minutes
PHP 50.00
CT / BT – 1 Hour, 5
PHP 100.00 Minutes
Blood Typing
1 Hour, 5
– PHP
Minutes
126.00
PBS – PHP 7 Days, 20
120.00 Minutes
Urinalysis – 1 Hour, 5
PHP 88.00 Minutes
Fecalysis – 1 Hour, 5
PHP 63.00 Minutes
Pregnancy
1 Hour, 5
Test – PHP
Minutes
188.00
HbsAg – 1 Hour, 5
PHP 313.00 Minutes
Typhidot – 1 Hour, 5
PHP 813.00 Minutes
Dengue Duo
1 Hour, 5
– PHP
Minutes
1,188.00
HAV IgG/IgM
1 Hour, 5
– PHP
Minutes
438.00
HIV – PHP 1 Hour, 5
313.00 Minutes
Syphillis – 1 Hour, 5
PHP 188.00 Minutes
FBS – PHP 4 Hours, 20
150.00 Minutes
BUN – PHP 4 Hours, 20
150.00 Minutes
201
Lipid Profile –
4 Hours, 20
PHP
Minutes
1,000.00
Cholesterol – 4 Hours, 20
PHP 250.00 Minutes
Triglycerides
4 Hours, 20
– PHP
Minutes
250.00
HDL – PHP 4 Hours, 20
500.00 Minutes
SGOT – PHP 4 Hours, 20
213.00 Minutes
SGPT – PHP 4 Hours, 20
213.00 Minutes
Serum
1 Hour, 5
Electrolytes –
Minutes
PHP 563.00
Sodium – 1 Hour, 5
PHP 250.00 Minutes
Potassium – 1 Hour, 5
PHP 250.00 Minutes
Chloride – 1 Hour, 5
PHP 250.00 Minutes
HBA1c –
1 Hour, 5
PHP
Minutes
1,063.00
OGTT – PHP 4 Hours, 20
1,000.00 Minutes
OGCT – PHP 2 Hours, 20
313.00 Minutes
KOH – PHP 1 Hour, 5
75.00 Minutes
Gram Stain – 1 Day, 20
PHP 188.00 Minutes
Acid Fast
3 Days, 20
Stain – PHP
Minutes
188.00
Cross-
matching – 1 Hour, 5
PHP Minutes
1,000.00
Skin Slit
3 Days, 20
Smear –
Minutes
None
Malarial
1 Day, 20
Smear -
Minutes
None
202
6. MEDICAL RECORDS SERVICES
This procedure covers the performance of various task including storing the medical records or
treatment files of patients who are treated either in in-patient department or in the emergency
unit for future care, issuance of medical record files, and processing of patient admission and
discharge papers.
Office or Division: Ilocos Sur District Hospital – Magsingal (Medical Records Section)
Who may avail: All
Patient’s Chart Medical Records Department
Patient’s Hospital ID OPD Department
1. Patient 1. Receives None 5 Minutes Medical
presents patient’s ID, Records Clerk
Hospital ID to interview the
secure any patient / watcher
document as to the
needed in the purpose and
Medical what document
Records to be secured
Department
2. Patient 2. Prepares None 5 Minutes Medical
receives charge slip and Records Clerk
charge clip directs patient to
the Billing
Section
3. Patient / 3. Receives Medical 5 Minutes Billing Clerk
Companion payment and Certificate –
presents issues Official PHP 100.00
charge slip to Receipt (OR)
the Billing Medicolegal
Section Certificate –
PHP 150.00
Birth
Certificate –
PHP 100.00
4. Patient / 4. Records official None 5 Minutes Medical
Companion receipt (OR) Records Clerk
presents number,
official receipt releases the
(OR) to the document and
Medical instructs the
Records patient to sign
Department on the releasing
logbook
TOTAL: Medical 20 Minutes
Certificate –
PHP 100.00
Medicolegal 20 Minutes
Certificate –
PHP 150.00
203
Birth 20 Minutes
Certificate –
PHP 100.00
7. MEDICAL SOCIAL SERVICES (PATIENT IN ISOLATION UNIT)

This procedure covers the provision of assistance to patients with financial limitations, for their
diagnostic work-up and treatment. It also includes the conduct of screening to evaluate the
needs of patients and hand required services or assistance.
Office or Division: Ilocos Sur District Hospital – Magsingal (Medical Social Service)
Who may avail: Patients in Isolation Unit
Member Data Record or PhilHealth PhilHealth Office
Identification Card
Senior Citizen’s Identification Card Municipal Social Welfare and Development Office
4P’s Identification Card Municipal Link
Birth Certificate Philippine Statistics Authority / Municipal Civil
Registrar’s Office
Marriage Certificate Municipal Civil Registrar’s Office
Indigency Certificate Barangay Captain
Certification from the Municipal Social Municipal Social Welfare and Development Office
Worker
1. Answers 1.1 Conducts None 15 Minutes Social Worker
phone calls for interview and
the collection assesses
of basic patient / client
information through phone
needed for calls
assessment
1.2 If the patient /
client is
financially
capable:
Advises patient /
client to go and
pay their
premium
contributions to
the nearest
PhilHealth
Office

client is
financially
incapable:
Enrolls to Point
of Service
(POS) of
PhilHealth
program
204
2. Presents the 2. Reviews and None 10 Minutes Social Worker
documents assesses
needed by the documents /
Social Worker information
based from the gathered
checklist of
requirements
3. Claims 3. Releases None 5 Minutes Social Worker
documents certificate,
that were registration slip
previously and other
submitted to documents
Social Worker
including the
POS
Registration
Slip Owner’s
Copy
8. MEDICAL SOCIAL SERVICES (REGULAR PATIENTS)

This procedure covers the provision of assistance to patients with financial limitations, for their
diagnostic work-up and treatment. It also includes the conduct of screening to evaluate the
needs of patients and hand required services or assistance.
Office or Division: Ilocos Sur District Hospital – Magsingal (Medical Social Service)
Who may avail: Regular Patients
Member Data Record or PhilHealth PhilHealth Office
Identification Card
Senior Citizen’s Identification Card Municipal Social Welfare and Development Office
4P’s Identification Card Municipal Link
Birth Certificate Philippine Statistics Authority / Municipal Civil
Marriage Certificate Municipal Civil Registrar’s Office
Indigency Certificate Barangay Captain
Certification from the Municipal Social Municipal Social Welfare and Development Office
Worker
1. Nearest 1.1 Conducts None 15 Minutes Social Worker
relative or any interview and
of the family assesses
members of patient / client
the patient through phone
shall be calls
interviewed in
the Social 1.2 If the patient /
Service Office client is
for financially
assessment capable:
Advises patient /
client to go and
205
pay their
premium
contributions to
the nearest
PhilHealth
Office

client is
financially
incapable:
Enrolls to Point
of Service
(POS) of
PhilHealth
program
2. Patient or 2. Reviews and None 10 Minutes Social Worker
his/her nearest assesses
relative documents /
presents the information
documents gathered for
needed by the validity,
Social Worker reliability and
based from the accuracy
checklist of
requirements
3. Claims 3. Releases None 5 Minutes Social Worker
documents certificate,
that were registration slip
previously and other
submitted to documents
Social Worker
including the
POS
Registration
Slip Owner’s
Copy
9. NURSING SERVICES
This procedure covers nursing service, which aims at satisfying effective, efficient and holistic
nursing care to patients, their families and community, providing upgraded clinical nursing
specialization, value-oriented nursing staff, research-based and globally competitive nursing
Office or Division: Ilocos Sur District Hospital – Magsingal (Nursing Service)

Classification: Simple / Highly Technical
Who may avail: Patients
EMERGENCY ROOM
Prescription / Request Form Medical Officer
Result of ancillary procedures Medical Officer
Admission Forms Medical Officer
Referral Forms Medical Officer
OUT-PATIENT
206
Prescription Pad Medical Officer
Results of ancillary procedures Medical Officer
Doctor’s Order Medical Officer
Referral Form Medical Officer
ADMISSION
OPD Chart / ER Chart Medical Officer
Doctor’s Order / Admitting History Nurse
Clinical Face Sheet Nurse
Consent Form Nurse
In-patient Record Card / Patient’s Card Nursing Attendant
Doctor’s Order / Clearance Medical Officer
Survey Form Nurse
Approved Clearance Nurse
EMERGENCY ROOM PROCEDURES
1. Proceeds 1. Attends to None 5 Minutes Nurse / Nursing
immediately to patient Attendant
the ER to immediately for
receive emergency
emergency measures
measures
2. Tells personal 2. Records patient None 5 Minutes Nurse / Nursing

data and data in the ER Attendant
complaints logbook while
obtaining vital
signs, records
complaints and
refers patient to
the physician
3. Receives the 3.1 Examines and None 10 Minutes Medical Officer
assessment assesses
and evaluation patient’s
from the condition
physician,
receives 3.2 For further work
prescription up:
and request for Gives request
ancillary for ancillary
procedures for procedures
further work up
4.1 Receives 4.1 Evaluates Refer to 10 Minutes Medical Officer
result of ancillary Laboratory
ancillary procedures and Department
procedures gives final
and receives examination
the final
evaluation
from the doctor
4.2 Goes home 4.2 Sends patient

upon home after
complying with complying with
the discharge the discharge
207
5. If patient has 5.1 Gives None 5 Minutes ER Staff
no vital signs: immediate
resuscitative
Receives measures and
resuscitative refer patients to
measures the physician
5.2 If resuscitative Medical Officer

measures fail:
Pronounces
patient as Dead-
on-Arrival
(DOA)
5.3 Gives post- Nurse / Nursing

mortem care Attendant
6.1 If patient 6.1 Writes admitting None 5 Minutes Medical Officer
needs to be orders and
admitted to the notifies ward
ward:
Submits
himself/herself
for admission
6.2 If patient 6.2 Prepares 5 Minutes Medical Officer

needs to be referral orders
transferred to
other health
facility:
Patient is
referred to
other health
facility
Refer to
TOTAL: Laboratory 45 Minutes
Department
OUT-PATIENT PROCEDURES
1. If patient is in 1. Gives None 5 Minutes Medical Officer
for medical prescription and
care: instructions to
the patient
Receives
prescription
and
instructions
from the
physician for
medical care
2. If patient is in 2. Give order for Refer to 5 Minutes Medical Officer
for work-up: the laboratory, x- Laboratory / Nurse
ray or other Department
Receives ancillary
request form procedures and
for work up refer patient to
208
like laboratory the Nurse (See
or other Laboratory
ancillary Procedures)
procedures
3. Receives 3. Evaluates None 5 Minutes Medical Officer
result of results of the
ancillary ancillary
procedures, procedures
returns back notes on
to the patient’s chart,
physician and gives final
receives evaluation and
prescriptions gives
and prescription and
instructions instructions to
the patient
4. If patient 4. Accomplishes None 15 Minutes Medical Officer
needs to be Doctor’s Order
confined: and Admitting
History and
Submits forwards to the
himself/herself Admitting Unit
for
confinement
5. If patient 5. Prepares referral None 10 Minutes Medical Officer
needs to be form
transferred to
other health
facility:
Patient is
referred to
other health
facility.
6. Goes home 6. Sends patient None 10 Minutes Medical Officer
home, records / Nurse /
and filed OPD Records Clerk
Chart
Refer to
TOTAL: Laboratory 50 Minutes
Department
ADMISSION PROCEDURES
1. Tells 1.1 Assesses / None 15 Minutes Medical Officer
complaints Examines the
patient’s
condition
1.2 Prepares
Doctor’s Order
and Admitting
History and
gives to the
Nurse
2. Submits 2.1 Receives None 10 Minutes Nurse
himself / Doctor’s Order
herself for and Admitting
admission History
209
2.2 Prepares other
admission forms
2.3 If from OPD:
Enters patient’s
data in the
admission
logbook
2.4 If from ER:
Immediately
executes the
doctor’s stat
orders
3. Tells personal 3. Interviews None 5 Minutes Nurse
data patient and fills
out Clinical Face
Sheet
4.1 Patient / 4. Explains and None 5 Minutes Nurse
Relative of classifies patient
patient signs and gets consent
consent to to care and
care management
4.2 Receives
information
regarding
patient
classifications
5. Receives in- 5.1 Gives the in- None 10 Minutes Nursing
patient record patient record Attendant /
card and goes card and brings Utility Worker
to designated patient to the
war / room designated ward
/ room with the
patient’s chart
5.2 Checks and Nurse

carries out
admitting orders
6. Receives daily 6. Gives daily None 5 Minutes Nurse / Nursing
patient care patient care Attendant
7. Goes home 7. Discharges Refer to 10 Minutes Medical Officer
upon patient upon Billing
complying complying with Section
with the the discharge
discharge requirements
requirements
8. Fills out client 8. Instructs patient None 5 Minutes Nurse
satisfaction to fills out client
survey form satisfaction
survey form
210
9. Receives 9. Instructs patient None 5 Minutes Nurse
instruction for for home
home medicines
medicines
10. Goes home 10. Sends home / None 5 Minutes Nurse
discharges
patient
Refer to
1 Hour, 15
TOTAL: Billing
Minutes
Section
10. OUT-PATIENT SERVICES


Who may avail: All
Hospital ID Card Resident on Duty (ROD)
OPD Chart OPD Station
Prescription OPD Station
Results of Ancillary Procedures Ancillary Department
1.1 A. Old patients 1.1 Retrieves / None 10 Minutes Nurse / Nursing
present Looks for OPD Attendant /
Hospital ID Chart Medical
Number to the Records Clerk
Nurse / 1.2 Fills up OPD
Nursing Chart (Patient’s
Attendant / Data) and
Medical issues Hospital
Records Clerk ID Number Card
to the patient
B. New
patients
request for
Hospital ID
Number Card
from the Nurse
/ Nursing
Attendant
2. Patient tells 2. Registers None 10 Minutes Nurse / Nursing
personal data patient data in Attendant
while taking the logbook and
vital signs and takes vital signs
goes to the and records
Physician findings on the
OPD Chart and
refer patient and
gives OPD
Chart to the
Physician
211
3. Patient 3. Examines None 20 Minutes Medical Officer
receives patient,
examination evaluates, and
and evaluation determines the
from the medical care
Physician needed
4.1 If patient is in 4.1 Gives Diagnostic 35 Minutes Medical Officer
for medical prescription and Laboratory / Nurse
care: instructions to Fees
the patient
Receives
prescription
and
instructions
from the
physician for
medical care
4.2 If patient is in 4.2 Gives orders for

for work-up: the laboratory,
x-ray or other
Receives ancillary
request for procedures and
work-up such refer patient to
as laboratory the nurse (See
or other Laboratory
ancillary Procedure)
procedures
4.3 Receives 4.3 Evaluates

result of results of the
ancillary ancillary
procedures, procedure notes
returns back to on patient’s
the physician chart, gives final
and receives evaluation and
prescription gives
and prescription and
instructions instructions to
the patient
5. If patient 5. Prepares None 10 Minutes Medical Officer

needs referral referral form
to other health
facility:
Patient
transfers to
other health
facility
6. Patient goes 6. Sends patient None 10 Minutes Medical Officer
home home, records / Nurse /
and files OPD Medical
Chart Records Clerk
212
7. If patient 7. Accomplishes None 5 Minutes Medical Officer
needs to be Doctor’s Order
confined: and admitting
history and
Patient forwards to the
admitted for Admitting Unit
confinement
TOTAL: Diagnostic 1 Hour, 40
Laboratory Minutes
Fees
11. PHARMACY SERVICES (OUT-PATIENT)

This procedure covers the provision of medicines to out-patients through the promotion of safe
accurate, rational and cost-effective use of medicines
Office or Division: Ilocos Sur District Hospital – Magsingal (Pharmacy)

Who may avail: Out-Patient
Prescription Nursing Department / Pharmacy
Pharmacy Slip Pharmacy
CLIENT STEPS
1. Presents 1.1 Receives the None 5 Minutes Pharmacist
complete prescription
prescription at
the Pharmacy 1.2 Prepares
Pharmacy Slip
1.3 Advises
patient to pay
the prescribed
medicines
2. Presents 2.1 Receives Prices of 5 Minutes Cashier
Pharmacy Slip payment pharmaceutical
to the Cashier products are
2.2 Prepares and subject to
issues Official change.
Receipt (OR)
3. Presents 3.1 Notes down None 5 Minutes Pharmacist
Official Official
Receipt to the Receipt (OR)
Pharmacy Number to the
Section to get Pharmacy Slip
the prescribed
medicines 3.2 Prepares
prescription
3.3 Dispenses
medicines
3.4 Counsels
patient
3.5 Records
medicine
213
issued and
files
prescription
pharmaceutical
products are
subject to
change
12. PHARMACY SERVICE (IN-PATIENT)

This procedure covers the provision of medicines to in-patients through the promotion of safe
accurate, rational and cost-effective use of medicines
Office or Division: Ilocos Sur District Hospital – Magsingal (Pharmacy)

Type of Transaction: G2G – Government to Government; G2C – Government to Citizen
Who may avail: Nurse on Duty / Nursing Attendant; In-Patient
Prescription Nursing Department / Pharmacy
Pharmacy Slip Pharmacy
CLIENT STEPS
1. Nurse on Duty 1. Receives the None 5 Minutes Pharmacist
/ Nursing prescriptions
Attendant and dispenses
presents the medicines
complete
prescription
2. Nurse on Duty 2. Prepares None 10 Minutes Pharmacist
/ Nursing Pharmacy Slip
Attendant for every
attaches patient
Pharmacy
Slip to
Patient’s
Chart
3. Patient / 3.1 Verifies Prices of 5 Minutes Pharmacist
Companion payment of bill pharmaceutical
goes to Billing through products are
Section to pay Official subject to
or settle Receipt change.
hospital bill
3.2 If the bill if
settled, signs
the patient’s
clearance form
pharmaceutical
products are
subject to
change.
214
13. PHILHEALTH SECTION SERVICES
This procedure covers the collection of information or requirements of the patients needed to
provide health insurance coverage to all Filipinos. PhilHealth Office in the hospital is also in
charge of checking and screening PhilHealth claims before transmittal, i.e. receiving, examining
and evaluating claims for payment of various benefits or other befits under PhilHealth Insurance
Programs.
Office or Division: Ilocos Sur District Hospital – Magsingal (PhilHealth Section)

Who may avail: All
Patient Chart Nursing Department
Member Data Record (MDR) PhilHealth Section
1.1 For Out- 1.1 Receives None 10 Minutes PhilHealth Clerk
Patients / In- patient’s ID /
Patients: Member Data
Record (MDR)
Presents
PhilHealth Card 1.2 Interviews
/ Member Data patient /
Record (MDR) watcher as to
the purpose and
1.2 For In-Patient what
with no requirements
PhilHealth and needed to be
with expired secured
PhilHealth:
1.3 For In-Patient None 10 Minutes Medical Social
Proceeds to with no Worker
Medical Social PhilHealth and
Service for with expired
further PhilHealth:
assessment
Assesses
patient
2. Fills-out other 2. Receives None 5 Minutes PhilHealth Clerk
forms like patient’s
PhilHealth gathered data
Member and examines
Registration the submitted
Form (PMRF) requirements
and provides for validity,
other reliability and
requirements accuracy
needed like:
 Birth
Certificate;
 Marriage
Certificate;
 4P’s ID /
Certification
 Receipt for
the
Electronic
215
Member
Record
Amendment
(EMRA)
3. Fills-out 3. Receives None 5 Minutes PhilHealth Clerk
PhilHealth Form patient’s filled-
like: out forms and
 Claim Form evaluates the
1 (CF1); information
 Claim Form given
2 (CF2);
 Claim
Signature
Form (CSF)
216
ILOCOS SUR DISTRICT HOSPITAL – SINAIT
External Services
217
1. ADMISSION PROCEDURES
This process covers the procedures on admission of patients at the Ilocos Sur District Hospital
– Sinait.
Office or Division: Ilocos Sur District Hospital – Sinait (Nursing and Medical)
Who may avail: All
OPD Chart / ER Chart OPD / ER Section
Admission Chart / Forms Nurse’s Station
Clinical Face Sheet Nurse’s Station
Consent Form Nurse’s Station
Doctor’s Order Nurse’s Station
Survey Form Nurse’s Station
Patient’s Chart Nurse’s Station
1. Tell complaints 1.1 Assess / None 20 Minutes Medical Officer
to the physician Examine the
patient’s
condition
1.2 Accomplish
Doctor’s Order
and Admitting
History and
forward to the
Nurse
2. Submit himself / 2. Receive None 10 Minutes Nurse
herself for admission form
admission
3. Provide 3. Interview None 5 Minutes Nurse
personal data to patient and fill
the Nurse up Clinical
Face Sheet
4.1 Patient / 4. Explain and get Nurse 5 Minutes Nurse
Relative signs consent to care
consent to care and
management
4.2 Receive
information
regarding
hospital policies
5. Proceed to 5.1 Bring the None 3 Minutes Nurse / Nursing
designated ward patient to the Attendant
/ room designated
ward / room
5.2 Check and 10 Minutes Nurse

carry out
admitting
orders
6. Receive daily 6.1 Give daily None 5 Minutes Nurse / Nursing
patient care patient care Attendant
218
6.2 Give daily
rounds and 5 Minutes
review of
management
7. Comply with the 7. Accomplishes None 5 Minutes Medical Officer
discharge discharge
requirement orders and
discharge
patient
8. Fill up patient’s 8. Instruct patient None 5 Minutes Nurse / Nursing
satisfaction form to fill up Attendant
patient’s
satisfaction
survey form
9. Receive 9. Instruct patient None 3 Minutes Nurse / Nursing
instructions for for home Attendant
home care medicines and
follow up
2. BILLING SECTION SERVICES

This process covers the management of account balances to discover outstanding debts or
other inconsistencies. It also includes the collection of all information needed to calculate bills
receivable and checking the data input in the accounting system to ensure accuracy of final bill.
Office or Division: Ilocos Sur District Hospital – Sinait (Administrative)

Who may avail: All
1. Give the chart to 1. Receives the None 10 Minutes Billing Staff
the Billing chart from the
Section patient and
sorts charge
slips
accordingly
2. Wait for the 2. Prepares Depends on 5 Minutes Billing Staff
Statement of Statement of the
Account (SOA) Account (SOA) Statement of
as to patient Account
classification (SOA) and
patient
qualification
3. Sign and 3. Issues None 5 Minutes Billing Staff
receive Statement of
Statement of Account (SOA)
Account (SOA) and lets patient
sign
a. If pay patient:
a. If pay patient:
Pay to the
Cahier and if Advise patient
there is excess or watcher to
in the SOA, pay hospital
219
returns back for bills indicated
the Clearance in the
Statement of
b. If discount Account (SOA)
requested:
b. If the patient is
Go to MSW PhilHealth,
Office for NBB or no
assessment, excess:
proceed to COH
/ AO for Advise patient
approval of or watcher to
discount and pay to pay to
return back for the Cashier
the Clearance
c. If indigent:
c. If NBB (indigent,
senior citizen, Advise patient
kasambahay): or watcher to
go to the MSW
Get clearance for
and proceed to assessment, to
PhilHealth the COH / AO
Office for approval
and return back
for the
Clearance
TOTAL: Depends on 20 Minutes
the
Statement
of Account
(SOA) and
patient
qualification
3. DIETARY SERVICES
This process covers the procedures on the dietary service at the Ilocos Sur District Hospital –
Sinait.
Office or Division: Ilocos Sur District Hospital – Sinait (Dietary)

Who may avail: All
None None
1. Upon admission 1. Receive the None 3 Minutes Nutritionist /
diet list of the Dietician / Cook
patient and / Food Service
record in the Worker
logbook
2. Patient 2. Distribute None 1 Minute per Nutritionist /
companion individual patient Dietician / Cook
receives meal plates of the / Food Service
from the food patients Worker
server
220
3. Place the plates 3. Collect kitchen None 5 Minutes Cook / Food
at the utensils for Service Worker
designated area dishwashing
after eating
4. EMERGENCY ROOM PROCEDURES

This process covers the provision of emergency measures to patients at the emergency room
of the Ilocos Sur District Hospital – Sinait.
Office or Division: Ilocos Sur District Hospital – Sinait (Medical and Nursing Services)
Who may avail: All
Admission Forms or Referral Form ER Consultation Area
Prescription ER Consultation Area
1. Patient 1. Attends to None 5 Minutes Nurse / Nursing
proceeds patient Attendant
immediately to immediately for
the ER and emergency
receives measures
emergency
measures a. If vital signs are 45 Minutes Medical Officer
absent:
a. If vital signs are
absent: Gives
immediate
Patient receives resuscitative
resuscitative measures and
measures refer patient to
the physician
b. If resuscitative
measures fail:
Pronounces
patient as Dead
on Arrival
(DOA)
c. Gives post- 5 Minutes Nurse / Nursing

mortem care Attendant
2. Patient / 2. Records None 5 Minutes Nurse / Nursing
Companion tells patient’s data in Attendant
personal data the ER logbook
and complaints while obtaining
vital signs and
chief
complaints and
refers patient to
the physician
on duty
3. Patient receives 3. Examines and None 10 Minutes Medical Officer
the assessment assesses
221
and evaluation patient’s
from the condition
physician,
receives a. For further
prescription and work up:
request for
ancillary Gives request
procedures for for ancillary
further work up procedures
4. Patient receives 4.1 Evaluates Refer to 10 Minutes Medical Officer
result of ancillary Fees below
ancillary procedures and
procedures and gives final
receives the examination
final evaluation and sends
from the home after
physician and complying with
goes home the discharge
upon complying requirements
with the
discharge 4.2 Determines 2 Minutes Medical Officer
requirements disposition of
patient
a. If patient needs
to be admitted:
Accomplishes 3 Minutes Medical Officer

the admitting
orders and
forwards it to
the Nurse
b. If patient may
go home:
Accomplishes 3 Minutes Medical Officer

prescription
and discharge
instructions
c. If patient needs 3 Minutes Medical Officer

to be
transferred to
other health
facility:
Accomplishes
referral form
TOTAL: Refer to 1 Hour, 25
Fees below Minutes
PROCEDURES AMOUNT
Suturing
Big (> Stitches) PHP 200.00
Medium (5-10 Stitches) PHP 150.00
222
Small (< Stitches) PHP 100.00
Dressing PHP 50.00
Stitch Removal PHP50.00
Insertion of Foley Catheter PHP 50.00
Nasogastric Tube Insertion PHP 50.00
Injection (IV, IM, SC) PHP 20.00
Nebulization PHP 20.00
Flushing PHP 20.00
Incision and Drainage PHP 150.00
IV Insertion PHP 10.00
ECG Reading PHP 50.00
5. ISSUANCE OF BIRTH CERTIFICATE

This process covers medical record procedures particularly on the issuance of birth certificate.

Who may avail: All
Information Sheet OPD Station
Charge Slip Medical Records Office
Official Receipt Billing Section
1. Receive 1. Give out None 1 Minute Medical
information information Records Clerk /
sheet sheet to the Nursing
parents of the Attendant
baby
2. Fill up 2. Interview the None 5 Minutes Medical
information parents and fill Records Clerk /
sheet up the Nursing
information Attendant
sheet properly
3. Understand the 3.1 Explain None 2 Minutes Medical
needed document Records Clerk /
documents needed Nursing
Attendant
3.2 Retrieve 2 Minutes
information
sheet from the
parents and
confirm
information for
correctness
4. Receive Charge 4.1 Type / Encode Certificate of 2 Minutes Medical
Slip and pay to data on Birth Live Birth – Records Clerk
the Cashier Certificate PHP 50.00
Form
4.2 Issue Charge 2 Minutes

Slip to the
patient /
watcher and
advise to pay to
223
the Cashier /
Collecting
Officer
5. Wait for the 5. Bring the Birth None 5 Minutes Medical
release of the Certificate to Records Clerk /
Birth Certificate the Medical Physician
Officer for
verification and
signature
6. Present the 6.1 Record the None 1 Minute Medical
Official Receipt Official Receipt Records Clerk
before receiving Number before
the Birth issuing the
Certificate and Birth Certificate
sign in the
releasing 6.2 Let the 1 Minute
logbook recipient sign in
the releasing
logbook
6.3 Instruct to 3 Minutes

proceed to the
Local Civil
Registrar to
have registry
number
reflected in the
Birth Certificate
and bring it
back to the
hospital for the
hospital copy
7. Give the 7. Record the None 2 Minutes Medical
hospital copy office file copy Records Clerk
of Birth
Certificate
TOTAL: Certificate 26 Minutes
of Live Birth
– PHP 50.00
6. ISSUANCE OF DEATH CERTIFICATE

This process covers medical record procedures particularly on the issuance of death certificate.

Who may avail: All
Admission Record Nurse’s Station
Death Certificate Medical Records Office
1. Answer to the 1. Interview None 5 Minutes Medical
best knowledge patient’s Records Clerk
224
about the relatives and
purpose of ask for their
securing death purpose
certificate
2. Wait for the 2. Search and None 5 Minutes Medical
retrieval of retrieve for the Records Clerk
records admission
record of
patient
3. Answer with 3. Interview the None 3 Minutes Medical
truthfulness patient’s Records Clerk
regarding the relative
interview for the properly before
personal data encoding
4. Wait while 4. Encode the None 2 Minutes Medical
Death Death Records Clerk
Certificate is Certificate
being encoded
5. Receive Charge 5. Issue Charge Certificate of 2 Minutes Medical
Slip and pay to Slip to the client Death / Fetal Records Clerk /
the Cashier and advise Death – PHP Collecting
him/her to pay 50.00 Officer
to the
Collecting
Officer
6. Wait for the 6. Bring the Death None 5 Minutes Medical
release of the Certificate to Records Clerk /
Death the Medical Physician
Certificate Officer in-
charge for
verification and
signature
7. Present the 7. Record the None 1 Minute Medical
Official Receipt Official Receipt Records Clerk /
before receiving Number and let Cashier
the Death the recipient
Certificate and sign in the
sign in the releasing
releasing logbook
logbook
TOTAL: Certificate 23 Minutes
of Death /
Fetal Death
– PHP 50.00
7. ISSUANCE OF MEDICAL CERTIFICATE

This process covers medical record procedures particularly on the issuance of medical
certificate.

Who may avail: All
Admission Chart Nurse’s Station
OPD Record Nurse’s Station
225
1. Answer the 1.1 Interview None 3 Minutes Nurse / Nursing
questions with patient and ask Attendant /
truthfulness, for profile and Medical
provide true purpose Records Clerk
profile and the
purpose 1.2 Search for the 3 Minutes
admission
record of
patient at the
designated
filing area
1.3 Search OPC

Chart of the 3 Minutes
patient at the
designated
filing area
1.4 Retrieve
patient’s chart 5 Minutes
or record from
its designated
area
2. Answer the 2. Interview the None 3 Minutes Nurse / Nursing
question to the patient properly Attendant /
best knowledge before Medical
and with encoding upon Records Clerk
truthfulness retrieval of the
record
3. Receive the 3. Issue charge Medical 2 Minutes Medical
charge slip and slip to the client Certificate – Records Clerk
pay to the PHP 100.00
Cashier (50%
Discount if
student or
Senior
Citizen)
4. Wait for the 4. Bring the None 3 Minutes Medical
release of the Medical Records Clerk
Medical Certificate to
Certificate the Medical
Officer for
verification and
signature
5. Present the 5. Record the None 3 Minutes Medical
Official Receipt Official Receipt Records Clerk /
before receiving Number and Cashier
the Medical the Medical
Certificate and Certificate file
sign in the copy in the
releasing logbook and let
logbook the recipient
sign in the
releasing
logbook
226
TOTAL: Medical 25 Minutes
Certificate –
PHP 100.00
(50%
Discount if
student or
Senior
Citizen)
8. ISSUANCE OF MEDICO-LEGAL CERTIFICATE

This process covers medical record procedures particularly on the issuance of medico-legal
certificate.

Who may avail: All
Police Request Police Station
Information Index OPD Station
Admission Chart / OPD Record Nurse’s Station
1.1 Answer to the 1.1 Interview None 5 Minutes Medical
best knowledge patient’s Records Clerk
about the relatives and
purpose of ask for their
securing purpose
Medico-Legal
Certificate
1.2 Submit Police 1.2 Ask for Police

Request Request
2. Wait for the 2. Search and None 5 Minutes Medical
retrieval of retrieve for the Records Clerk
records Admission
Chart or OPD
Record
3. Answer with 3. Interview the None 3 Minutes Medical
truthfulness for client properly Records Clerk
the interview before
encoding
4. Receive the 4. Issue Charge Medico- 2 Minutes Medical
Charge Slip and Slip to the Legal Records Clerk /
pay to the patient and Certificate – Cashier
Cashier advise to pay to PHP 150.00
the Cashier
5. Wait for the 5. Bring the None 5 Minutes Medical
release of the Medico-Legal Records Clerk /
Medico-Legal Certificate to Physician
Certificate the Medical
Officer in-
charge for
227
verification and
signature
a. If Medical
Officer in-
charge is not
available:
Advise client to
come back
after one (1)
day
TOTAL: Medico- 20 Minutes
Legal
Certificate –
PHP 150.00
9. LABORATORY PROCEDURES
This process covers the procedures on the provision of laboratory services at the Ilocos Sur
District Hospital – Sinait.
Who may avail: All
Request Form Nurse’s Station
Charge Slip Laboratory
Official Receipt (OR) Billing Section
Certificate of Indigency Barangay of patient
1. Present the 1. Receive None 3 Minutes Laboratory Staff
laboratory laboratory
request and request and
submit the specimen and
specimen record in the
logbook
2. Present the 2. Issue charge None 5 Minutes Laboratory Staff
charge slip to slip and instruct
the Cashier the patient to
pay to the
Cashier
3. Patient / 3. Receive Refer to 5 Minutes Cashier
Companion payment and Laboratory
pays bill to the issue Official Fees below
Cashier Receipt and
record payment
in the collection
book
a. If indigent: a. If indigent: 5 Minutes Medical Social

Worker /
Proceed to the Assess and Administrative
MSW for evaluate the Officer / Chief
patient and of Hospital
228
assessment and recommend for
evaluation appropriate
discount
4. Waits for the 4.1 Examine None 30 Minutes Medical
result specimen Technologist
4.2 Write result in a

standard form
and record in
the logbook
5. Present the 5.1 Record Official None 5 Minutes Medical
Official Receipt Receipt Technologist
or Clearance for number and
indigent and release result
receive the to the patient
result
a. For in-patient:
Bring 3 Minutes Medical

laboratory Technologist
results to the
ward
Laboratory For indigent –
Fees below 53 Minutes
For in-patient
– 51 Minutes
Laboratory Procedures Amount

Clinical Microscopy
Routine urinalysis PHP 70.00
Fecalysis PHP 70.00
Stool Analysis PHP 70.00
Pregnancy Test PHP 150.00
Hematology
Hemoglobin Determination PHP 40.00
Hematocrit PHP 50.00
WBC PHP 50.00
Differential Count PHP 50.00
CBC PHP 200.00
CTBT PHP 50.00
Peripheral Smear PHP 120.00
Platelet Count PHP 100.00
ESR PHP 100.00
Blood Banking
ABO Typing PHP 100.00
RH Typing PHP 100.00
Cross Matching PHP 100.00
Blood Chemistry
Sodium / Potassium PHP 300.00
Typhi Dot PHP 600.00
Widal Test PHP 150.00
Newborn Screening PHP 600.00
Dengue Dot PHP 600.00
Malaria Smear PHP 100.00
229
10. MINOR PROCEDURES
This process covers the provision of services particularly on minor procedures at the Ilocos Sur
District Hospital – Sinait.
Who may avail: All
OPD Records OPD Section
1. Sign consent for 1. Prepare the Delivery Fee 10 Minutes Emergency
minor Operating patient and – PHP Room / Out-
Room record at the 1,000.00 Patient Nurse
procedures logbook and on duty
allow patient to D&C – PHP
sign the 1,500.00
consent form to
perform minor Operating
Operating Room Fee
Room (Minor
procedures Operation) –
PHP 750.00
2. Follow advise 2. Advise patient None 10 Minutes Resident on
from the doctor for further Duty
instructions
after the
procedure
before going
home
TOTAL: Delivery Fee 20 Minutes
– PHP
1,000.00
D&C – PHP
1,500.00
Operating
Room Fee
(Minor
Operation) –
PHP 750.00
11. OUT-PATIENT PROCEDURES

This process covers the procedures on the provision of a systematic way of attaining the best
medical care and treatment of out-patients in the catchment and nearby municipalities.
Who may avail: All
Hospital ID Number Card OPD Section
OPD Chart OPD Section
Request Form OPD Section
Charge Slip OPD Section
OR / Lab and X-ray Results Laboratory
230
1. For Old Patient: 1. For Old Patient: None 5 Minutes Nurse / Nursing
Attendant
Wait while OPD Retrieve OPD
Chart is being Chart
retrieved
For New For New

Patient: Patient:
Tells personal Fill up OPD

data, receives Chart (Patient’s
Hospital ID Data) and issue
Number Card Hospital ID
from the Nurse / Number Card
Nursing to the patient
Attendant
2. Go to the 2. Examine, None 10 Minutes Medical Officer
physician and assess,
receive evaluate and
examination, determine the
assessment and medical care
evaluation form needed
the physician
3. Submit himself / 3.1 Issue request None 10 Minutes Medical Officer
herself for for ancillary / Nurse /
ancillary services Nursing
services Attendant / Lab
3.2 Receive / X-ray Staff
request and
perform
ancillary
services
4. Proceed to 4. Receive Depends on 2 Minutes Cashier /
Cashier to pay payment and the Collecting
ancillary issue Official prescribed Officer
services Receipt medicines
and
availability of
medicines in
the hospital
5. Present Official 5. Record Official None 5 Minutes Lab / X-ray
Receipt to the Receipt Staff
Ancillary Staff number and let
before getting the patient sign
laboratory / x- in the releasing
ray results logbook
6. Give the results 6. Evaluate the None 5 Minutes
of ancillary result and note
services to the on the OPD
Physician / Chart
Nurse and
receive final a. If patient is for
evaluation, medical care:
prescriptions
and instructions
231
from the Give
Physician prescription
and instruction
for home care
5 Minutes
b. If patient may
go home:
Advise patient
to go home and
file OPD Chart
10 Minutes
c. If patient needs
confinement:
Accomplish
Doctor’s Order
Sheet,
Admitting
History and PE
and forward it
to the Nurse
5 Minutes
d. If patient needs
to be
transferred to
other higher
health care
institution
Accomplishes
referral letter
TOTAL: Depends on For patient
the who is
Statement advised to go
of Account home – 42
(SOA) and Minutes
patient For patient
qualification who needs
confinement –
47 Minutes
For patient
who needs to
be transferred
to other higher
health care
institution – 42
Minutes
232
12. PHILHEALTH SERVICES PROCEDURES
This process covers the collection of all information / requirements of the patients needed to
provide health insurance coverage. It also includes the checking and screening of PhilHealth
claims before transmittal, i.e. receiving, examining and evaluating claims for payment of various
benefits under PhilHealth Insurance Program.

Who may avail: All
MDR PhilHealth Branch Offices
PhilHealth ID PhilHealth Branch Offices
PhilHealth Forms PhilHealth Office
Statement of Account Billing Section
Clearance (included in Patient’s Chart) Nurse’s Station
1. Present 1.1 Assess the None 10 Minutes PHIC Staff
Patient’s Chart, Patient’s Chart
MDR or and verify as to
PhilHealth ID the validity of
the PhilHealth
Membership
and category of
patient
1.2 Give patient

PhilHealth
Form to
accomplish and
return the chart
to the patient
1.3 Instruct patient

to proceed to
the Billing
Section for the
issuance of
Statement of
Account
2. Present 2.1 Request to None 3 Minutes Cashier
Statement of submit
Account and Statement of
Official Receipt, Account,
if any, and accomplished
submit PhilHealth
accomplished Forms and
PhilHealth Form present Official
Receipt, if any
2.2 Sign Clearance

Form
233
13. X-RAY PROCEDURES
This process covers the procedures on the provision of x-ray services at the Ilocos Sur District
Hospital – Sinait.
Office or Division: Ilocos Sur District Hospital – Sinait (Radiology Service)

Who may avail: All
Request Form Nurse’s Station
Charge Slip Radiology Section
Certificate of Indigency Barangay of patient
1.1 Present the x- 1.1 Receive the None 30 Minutes Radiologic
ray request patient’s Technologist /
request Nursing
Attendant /
1.2 Receive charge 1.2 Issue charge Utility Worker
slip and proceed slip and advise
to the Cashier / patient to pay to
Collecting the Cashier
Officer
1.3 Prepare the
procedures,
advise patient
to come in and
perform the
procedures
a. If there are
many requests,
first in first out
basis apply.
b. Wait until the

procedures are
completed.
c. For in-patient,
the Nursing
Attendant /
Utility Worker is
responsible in
giving the
request form.
2.1 Give the charge 2.1 Get payment CXR-PA with 10 Minutes Cashier /
slip to the from the patient Reading – Collecting
Cashier / and issue PHP 185.00 Officer
Collecting Official Receipt
Officer and pay CXR-APL
x-ray bill with Reading
2.2 Record details – PHP
2.2 Receive the of the Official 370.00 Waiting period Radiologic
Official Receipt Receipt in the may take 3 Technologist /
and present to logbook and days Radiologist
234
the Radiologic advise patient depending on
Technologist to return back the availability
and wait for the as per of the
instructions scheduled date Radiologist
2.3 Return back

after the
scheduled date
TOTAL: CXR-PA 3 Days, 40
with Minutes
Reading –
PHP 185.00
CXR-APL
with
Reading –
PHP 370.00
235
ILOCOS SUR COMMUNITY COLLEGE
External Services
1. ENROLLMENT OF NEW STUDENTS (FRESHMEN) – BACCALAUREATE PROGRAMS

This process covers the enrollment of new students (freshmen) to baccalaureate programs of
the Ilocos Sur Community College.
Office or Division: Ilocos Sur Community College

Who may avail: New and Old Students
236
Form 138 (1 original and 1 photocopy) School Attended
Certificate of Good Moral Character (1
School Attended
original and 1 photocopy)
Birth Certificate (Photocopy for all
courses except Bachelor of Science in
Philippine Statistics Authority
Midwifery and Bachelor of Science in
Agribusiness)
2x2 ID Picture with white background
and with handwritten nametag (6 Any photo center / shop
copies)
and with handwritten nametag (6 Any photo center / shop
copies)
ISCC College Admission Test (CAT)
ISCC Guidance Office
Results
Long brown envelope (2 pieces) Any school supplies shop
CLIENT STEPS
1. Register and 1. Check and None 5 Minutes Program Heads
verification of evaluate ISCC
requirements requirements,
screening, and
student
registration
2.1 Submit 2.1 Validate the None 5 Minutes Guidance
requirements accuracy of Counselor
(photocopy of the submitted ISCC
all requirements,
requirements) student
registration
2.2 Undergo the 2.2 Conduct the 3 Minutes Guidance

interview interview Counselor
process ISCC
3.1 Submit 3.1 Validate the None 3 Minutes Registrar
requirements accuracy of ISCC
(original the submitted
copies) requirements
and student
registration
3.2 Fill out the 3.2 Distribute the 2 Minutes Registrar

enrolment enrolment ISCC
form form to the
completely, student, or
accurately, parent, or
and properly student
representative
3.3 Encode the

data written in 5 Minutes Administrative
the enrolment Aide ISCC
form Registrar’s Office
3.4 Print the

computerized 1 Minute
237
assessment Administrative
form Aide ISCC
3.5 Sign the 3 Minutes
enrolment and
assessment Administrative
form Aide
College Registrar
College President
ISCC
For those who
are not covered
or choose to OPT
out of the Free
Higher
Education
provision of RA
10931:
4. Verify Tuition Fee 6 Minutes Collecting Officer
4. Pay the assessment (per unit) – Provincial
school fees at form, receive PHP 20.00 Treasurer’s
the Provincial payment, and Office
Capitol issue official Medical and
receipt Dental – PHP
75.00
Library Fee –
PHP 25.00
Athletics Fee –
PHP 25.00
Guidance and
Counseling –
PHP 20.00
Registration
Fee – PHP
25.00
Official School
Publication –
PHP 20.00
Student
Manual – PHP
25.00
NSTP/ ROTC
– PHP 30.00
Computer Fee
(For computer
courses) –
PHP 550.00
238
Affiliation Fee
(For health
courses) –
PHP 100.00
Laboratory Fee
– PHP 30.00
PTCA Fee –
PHP 100.00
5. Submit duly 5. Receive, None 3 Minutes Administrative
accomplished Stamp Aide ISCC
enrolment “Officially Registrar’s Office
form including Enrolled”, and
official receipt sign
for those who accordingly on
opt out or not student’s and
covered by registrar’s
the Free copy of
Higher enrolment
Education form, return
Provision of student’s
RA 10931 copy, record
name of
student
6. Library Card 6. Distribute None 2 Minutes Librarian
Application library ISCC
and application
Registration and
registration
form to the
student, or
parent, or
student
representative
TOTAL: Tuition Fee 38 Minutes
(per unit) –
PHP 20.00
Other
Miscellaneous
Fees – PHP
375.00
Affiliation Fee
(for health
courses) –
PHP 100.00
Computer Fee
(for computer
courses) –
PHP 550.00
2. ENROLLMENT OF REGULAR STUDENTS (UPPER CLASSMEN, 2 ND SEMESTER

FRESHMEN) – BACCALAUREATE PROGRAMS
239
This process covers the enrollment of regular students (upper classmen, 2 nd Semester
Freshmen) to baccalaureate programs of the Ilocos Sur Community College.

College Clearance Program Heads
PRC License (for incoming 3rd year
Bachelor of Science in Midwifery Philippine Regulatory Commission
Students)
AGENCY FEES TO PROCESSI PERSON
CLIENT STEPS
ACTION BE PAID NG TIME RESPONSIBLE
1. Submit duly 1. Check None 8 Minutes Class Adviser
accomplished clearance and ISCC
college evaluate
clearance student’s
record and
advice student
on courses to
enroll
2. Fill out the 2.1 Distribute the None 2 Minutes Registrar
enrolment enrolment ISCC
form form to the
completely, student, or
accurately, parent, or
and properly. student
representative
2.2 Encode the 5 Minutes Administrative Aide

data written in ISCC Registrar’s Office
the enrolment
form
2.3 Print the 1 Minute Administrative Aide

computerized ISCC Registrar’s Office
assessment
form
2.4 Sign the 3 Minutes Administrative Aide

enrolment and College Registrar
assessment College President
form ISCC
For those who
are not covered
or choose to OPT
out of the Free
Higher
Education
provision of RA
10931:
3. Verify Tuition Fee 6 Minutes Collecting Officer
3. Pay the
assessment (per unit) – Provincial Treasurer’s
school fees at
form, receive PHP 20.00 Office
240
the Provincial payment, and
Capitol issue official Medical and
receipt Dental –
PHP 75.00
Library Fee
– PHP
25.00
Athletics
Fee – PHP
25.00
Guidance
and
Counseling
– PHP
20.00
Registration
Fee – PHP
25.00
Official
School
Publication
– PHP
20.00
Student
Manual –
PHP 25.00
NSTP/
ROTC –
PHP 30.00
Computer
Fee (For
computer
courses) –
PHP 550.00
Affiliation
Fee (For
health
courses) –
PHP 100.00
Laboratory
Fee – PHP
30.00
PTCA Fee –
PHP 100.00
4. Submit duly 4. Receive, None 3 Minutes Administrative Aide
accomplished Stamp ISCC Registrar’s Office
241
enrolment “Officially
form including Enrolled”, and
official receipt sign
for those who accordingly on
opt out or not student’s and
covered by registrar’s
the Free copy of
Higher enrolment
Education form, return
Provision of student’s
RA 10931 copy, record
name of
student
5. Library Card 5. Distribute None 2 Minutes Librarian
Application library ISCC
and application
Registration and
registration
form to the
student, or
parent, or
student
representative
(per unit) –
PHP 20.00
Other
Miscellane
ous Fees –
PHP 375.00
Affiliation
Fee (for
health
courses) –
PHP 100.00
Computer
Fee (for
computer
courses) –
PHP 550.00
3. ENROLLMENT OF IRREGULAR STUDENTS – BACCALAUREATE PROGRAMS

This process covers the enrollment of irregular students to baccalaureate programs of the
Ilocos Sur Community College.

242
Appraisal Sheet Program Heads
Transcript of Records (For irregular
students who were previously enrolled in School Attended
other HEIs)
FEES TO BE PROCESSI PERSON
PAID NG TIME RESPONSIBLE
1. Submits a copy 1. Evaluate None 8 Minutes Program Head
of appraisal sheet student’s record ISCC
for evaluation; and advices student
Transcript of on courses to enroll
Records (for
irregular students
who were
previously enrolled
in other HEIs)
requirements accuracy of the ISCC
submitted
requirements,
student registration

enrolment form enrolment form to ISCC
completely, the student, or
accurately, and parent, or student
properly. representative
2.3 Encode the data 5 Minutes Administrative Aide

written in the ISCC Registrar’s
enrolment form Office
2.4 Print the 1 Minute Administrative Aide

computerized ISCC Registrar’s
assessment form Office
2.5 Sign the 3 Minutes Administrative Aide

enrolment and College Registrar
assessment form College President
ISCC
For those who
are not covered
or choose to OPT
out of the Free
Higher Education
provision of RA
10931:
3. Pay the school 3. Verify Tuition Fee 6 Minutes Collecting Officer

fees at the assessment form, (per unit) – Provincial
Provincial Capitol receive payment, PHP 20.00 Treasurer’s Office
and issue official
receipt Medical and
Dental –
PHP 75.00
243
Library Fee –
PHP 25.00
Athletics Fee
– PHP 25.00
Guidance
and
Counseling –
PHP 20.00
Registration
Fee – PHP
25.00
Official
School
Publication –
PHP 20.00
Student
Manual –
PHP 25.00
NSTP/
ROTC –
PHP 30.00
Computer
Fee (For
computer
courses) –
PHP 550.00
Affiliation
Fee (For
health
courses) –
PHP 100.00
Laboratory
Fee – PHP
30.00
PTCA Fee –
PHP 100.00
4. Submit duly 4. Receive, Stamp None 3 Minutes Administrative Aide
accomplished “Officially Enrolled”, ISCC Registrar’s
enrolment form and sign Office
including official accordingly on
receipt for those student’s and
who opt out or not registrar’s copy of
covered by the enrolment form,
Free Higher return student’s
Education copy, record name
of student
244
Provision of RA
10931
5. Library Card 5. Distribute library None 2 Minutes Librarian

Application and application and ISCC
Registration registration form to
the student, or
parent, or student
representative
(per unit) –
PHP 20.00
Other
Miscellaneo
us Fees –
PHP 375.00
Affiliation
Fee (for
health
courses) –
PHP 100.00
Computer
Fee (for
computer
courses) –
PHP 550.00
4. Enrollment of Transferees – Baccalaureate Programs

This process covers the enrollment of transferees to baccalaureate programs of the Ilocos Sur
Community College.

Honorable Dismissal Transfer (1 original
School Attended
and 1 photocopy)
Certificate of Grades School Attended
School Attended
Birth Certificate (Photocopy for all
courses except Bachelor of Science in
Philippine Statistics Authority
Midwifery and Bachelor of Science in
Agribusiness)
2x2 ID Picture with white background and
Any photo center / shop
with handwritten nametag (6 copies)
with handwritten nametag (6 copies)
245
ISCC College Admission Test (CAT)
Results (except Bachelor of Science in ISCC Guidance Office
Midwifery 3rd year students)
PRC license (For 3rd year Bachelor of
Philippine Regulatory Commission
Science in Midwifery applicant
1. Register and 1. Check and None 8 Minutes Program Heads
verification of evaluate ISCC
requirements requirements,
screening and
student
registration;
evaluate student
records, advice
students on what
courses to enroll
requirements accuracy of the Counselor
(photocopy of all submitted ISCC
requirements) requirements,

interview process interview Counselor
ISCC
requirements accuracy of the ISCC
(original Copies) submitted
requirements,

enrolment form enrolment form to ISCC
completely, the student, or
3.3 Encode the 5 Minutes Administrative

data written in the Aide
enrolment form ISCC Registrar’s
Office
3.4 Print the 1 Minute Administrative

computerized Aide
assessment form ISCC Registrar’s
Office
3.5 Sign the 3 Minutes Administrative

enrolment and Aide
assessment form College
Registrar
College
President
ISCC
246
For those who
are not covered
or choose to OPT
out of the Free
Higher Education
provision of RA
10931:
Tuition Fee
4. Pay the school
(per unit) –
fees at the
4. Verify PHP 20.00
Provincial Capitol 6 Minutes Collecting
assessment form,
Officer
receive payment, Medical and
Provincial
and issue official Dental – PHP
Treasurer’s
receipt 75.00
Office
Library Fee –
PHP 25.00
Athletics Fee –
PHP 25.00
Guidance and
Counseling –
PHP 20.00
Registration
Fee – PHP
25.00
Official School
Publication –
PHP 20.00
Student
Manual – PHP
25.00
NSTP/ ROTC
– PHP 30.00
Computer Fee
(For computer
courses) –
PHP 550.00
Affiliation Fee
(For health
courses) –
PHP 100.00
Laboratory Fee
– PHP 30.00
PTCA Fee –
PHP 100.00
247
4. Submit duly 4. Receive, Stamp None 3 Minutes Administrative
accomplished “Officially Enrolled”, Aide
enrolment form and sign ISCC Registrar’s
including official accordingly on Office
receipt for those student’s and
who opt out or not registrar’s copy of
covered by the enrolment form,
Free Higher return student’s
Education copy, record name
Provision of RA of student
10931
5. Library Card 5. Distribute library None 2 Minutes Librarian

the student, or
parent, or student
representative
(per unit) –
PHP 20.00
Other
Miscellaneous
Fees – PHP
375.00
Affiliation Fee
(for health
courses) –
PHP 100.00
Computer Fee
(for computer
courses) –
PHP 550.00
5. ENROLLMENT OF SENIOR HIGH SCHOOL – ALS COMPLETER

This process covers the enrollment of Senior High School (ALS Completer) at the Ilocos Sur
Community College.

Diploma / Certificate (2 copies colored
School Attended
photocopy)
AF5 (Learners Permanent Record) (1
School Attended
School Attended
Birth Certificate (2 copies colored
Philippines Statistics Authority
photocopy)
nametag (3 copies)
248
nametag (3 copies)
Educational Service Contracting
Certificate (for those who completed JHS
School Attended
from private school) (1 original and 1
photocopy)
1. Pre-register 1. Require the None 2 Minutes SHS Registrar
(face-to-face) submission of PSA
2. Fill out 2. Validate the None 5 Minutes SHS Registrar
enrollment form accuracy of the
entries in the
enrollment form
3. Submit 3. Validate the None 4 Minutes SHS Registrar
requirements accuracy of the
submitted
requirements
6. ENROLLMENT OF SENIOR HIGH SCHOOL (TRANSFEREES) – GRADE 12

This process covers the enrollment of Senior High School (Transferees) for Grade 12 at the
Ilocos Sur Community College.

Grade 11 School Form 9 / Form 137 – A (1
School Attended
School Attended
Birth Certificate (2 copies colored
photocopy)
Any photo center /shop
nametag (3 copies)
nametag (3 copies)
1. Fill out 1. Validate the None 5 Minutes SHS Registrar
enrolment form accuracy of the
entries in the
enrolment form
2. Submit 2. Validate the None 4 Minutes SHS Registrar

requirements accuracy of the
submitted
requirements
249
3. Pay school fees 3. Receive payment PHP 6 Minutes PTO
from Non-SHS 3,080.00
Voucher Recipient
3,080.00
7. ENROLLMENT OF TECHNICAL VOCATIONAL PROGRAM (REGULAR)

This process covers the enrollment for Technical Vocational Program (Regular) at the Ilocos
Sur Community College.

Form 138 (1 original and 1 photocopy) if
School Attended
High School Graduate
original and 1 photocopy) if High School School Attended
Graduate
Official Transcript of Record (2
photocopies) if College Graduate or School Attended
College Undergraduate
Certificate of Completion for Alternative
Learning System (2 photocopies) if ALS School Attended
Graduate
Certificate of Indigency (Certified from Barangay Chairman
the City / Municipal Social Welfare City / Municipal Social Welfare and Development
Office) (1 original and 1 photocopy) Office
Birth Certificate (1 original and 1
photocopy)
and handwritten nametag (6 copies)
Passport size picture with white
background and handwritten nametag Any photo center / shop
(4 copies)
1. Registration 1. Check and None 5 Minutes TECH-VOC
and verification of evaluate Coordinator
requirements requirements, ISCC
screening, and
student
registration

student
registration
3 Minutes
250
2.2 Undergo the 2.2 Conduct the Guidance
ISCC
3.1 Submission of 3.1 Validate the None 3 Minutes TECH-VOC Office

requirements accuracy of the ISCC Registrar
(photocopy submitted
copies) requirements,
student
registration
3.2 Fill out the 3.2 Distribute the 2 Minutes TECH-VOC Office
enrolment form enrolment form to
completely, the students, or
3.3 Sign the 2 Minutes TECH-VOC

enrolment form / Coordinator
registration form College Registrar

Office

computerized Aide
Office

enrolment and Aide
assessment form College Registrar
College President
ISCC
4. Library card 4. Distribute library None 2 Minutes Librarian
the student, or
parent, or student
representative
5. Pay school fees 5. Receive Caregiving 6 Minutes PTO

payment for NC II
regular TECH-
VOC Students Registration
Fee – PHP
25.00
251
Tuition Fee –
PHP 780. 00
Librarian Fee
– PHP 25.00
Laboratory
Fee – PHP
30.00
Medical /
Dental Fee –
PHP 75.00
Affiliation Fee
– PHP 100.00
Other Fees:
School
Publication –
PHP 20.00
Guidance
Counselling –
PHP 20.00
Athletic – PHP
25.00
Student
Manual – PHP
25.00
PTCA – PHP
100.00
Shielded
Metal Arc
(SMAW) NC I
and II
Lecture Fee –
PHP 500.00
Laboratory
Fee – PHP
1,000.00
Library Fee –
PHP 20.00
Guidance Fee
– PHP 100.00
PTCA Fee –
PHP 100.00
252
Medical /
Dental Fee –
PHP 75.00
Electronic
Product
Assembly
and Servicing
NC II
Lecture Fee –
PHP 500.00
Laboratory
Fee – PHP
1,000.00
Library Fee –
PHP 20.00
Guidance Fee
– PHP 100.00
PTCA Fee –
PHP 100.00
Medical /
Dental Fee –
PHP 75.00
Automotive
Servicing NC
I and II
Lecture Fee –
PHP 500.00
Laboratory
Fee – PHP
1,000.00
Library Fee –
PHP 20.00
Guidance Fee
– PHP 100.00
PTCA Fee –
PHP 100.00
Medical /
Dental Fee –
PHP 75.00
8. Enrollment of Technical Vocational Program (Scholar)
253
6. Submit 6.1 Submit and None 5 Minutes Administrative
payment verify the payment Aide
documents form or receipt ISCC Registrar’s
(receipt) Office
6.2 Remark the
trainees
(ENROLLED)
TOTAL: Caregiving 42 Minutes

NC II – PHP
1,225.00
Shielded
Metal Arc
(SMAW) NC I
and II – PHP
1,725.00
Electronic
Product
Assembly
and Servicing
NC II – PHP
1,725. 00
Automotive
Servicing NC
I and II – PHP
1,725. 00
This process covers the enrollment for Technical Vocational Program (Scholar) at the Ilocos
Sur Community College.

Form 138 (1 original and 1 photocopy) if
School Attended
High School Graduate
original and 1 photocopy) if High School School Attended
Graduate
Official Transcript of Record (2
photocopies) if College Graduate or School Attended
College Undergraduate
Certificate of Completion for Alternative
Learning System (2 photocopies) if ALS School Attended
Graduate
Certificate of Indigency (Certified from Barangay Chairman
the City/ Municipal Social Welfare City / Municipal Social Welfare and Development
Office) (1 original and 1 photocopy) Office
Birth Certificate (1 original and 1
photocopy)
254
Passport size picture with white
background and handwritten nametag Any photo center / shop
(4 copies)
1. Registration 1. Check and None 5 Minutes TECH-VOC
and verification of evaluate Coordinator
requirements requirements, ISCC
screening, and
student
registration
student
registration

ISCC
3.1 Submit 3.1 Validate the None 3 Minutes TECH-VOC Office
requirements accuracy of the College Registrar
(photocopy submitted
copies) requirements,
student
registration
3.2 Fill out the 3.2 Distribute the 2 Minutes TECH-VOC Office
enrolment form enrolment form to
completely, the students, or
properly representative
3.3 Sign the 2 Minutes TECH-VOC

enrolment form / Coordinator
registration form College Registrar

Office

computerized Aide
Office
enrolment and Aide
assessment College Registrar
form College President
ISCC
255
OFFICE OF THE PROVINCIAL
AGRICULTURIST
External Services
256
1. REQUESTS FOR FRUIT TREE SEEDLINGS
This process covers the procedures on the provision of requested fruit tree seedlings.
Office or Division: Office of the Provincial Agriculturist – Crops Division

Government
Who may avail: Government and private clients
Approved letter request with notation from
the Office of the Governor
If the requested items are free, requests are
Provincial Nursery, Quirino Stadium, Bantay,
granted as per schedule and availability of
Ilocos Sur
stocks.
Conduct of site validation and technical
advice
Requisition and Issue Voucher (RIV) to be
filled up with corresponding payment per Provincial Treasurer’s Office
item
Hauling vehicle To be provided by the requestor
1. Present letter 1. Verify items None 45 Minutes Senior
request requested as per Agriculturist
approved by stock available
the Governor
2. Pay the amount 2. Prepare and See 2 Hours Agricultural
due to the approve the Imposition Technologist
Provincial Requisition and of Fees (Provincial
Treasurer’s Issue Voucher and Plant Nursery –
Office and Charges OIC)/ Governor
receive the Below
Official Receipt
as proof of
payment
3. Receive the 3. Release the None 1 Hour Agricultural
requested approved Technologist
items at requested fruit (Provincial
Provincial trees and prepare Plant Nursery –
Nursery Quirino a client feedback OIC)
Stadium, form.
Bantay, Ilocos
Sur
TOTAL: See 3 Hours, 45
Imposition Minutes
of Fees
and
Charges
Below
257
PARTICULARS AMOUNT
Grafted Carabao Mango (5 ft.) PHP 75.00 / pc
Grafted Carabao Mango (2 – 3 ft.) PHP 50.00 / pc.
Budded Calamansi PHP 50.00 / pc.
Assorted Fruit Tree Seedlings (Sexually
PHP 25.00 / pc.
Propagated)
2. REQUESTS FOR TILAPIA FINGERLINGS / SPATTED OYSTER HANGINGS
This process covers the procedures on the provision of requested tilapia fingerlings / spatted
oyster hangings.
Office or Division: Office of the Provincial Agriculturist – Fisheries Division

Government
Who may avail: Government and private clients
Approved letter request with notation from
the Office of the Governor
If the requested items are free, requests are
granted as per schedule and availability of Office of the Provincial Agriculturist
stocks.
Conduct of site validation and technical
advice
Requisition and Issue Voucher (RIV) to be
filled up with corresponding payment per Provincial Treasurer’s Office
item
Hauling vehicle To be provided by the requesting client
1. Present letter 1. Verify items None 45 Minutes Supervising
request requested as per Agriculturist
approved by stock available OPAG
the Governor
2. Pay the amount 2. Prepare and See 2 Hours Agricultural
due to the approve the Imposition Center Chief II/
Provincial Requisition and of Fees Governor
Treasurer’s Issue Voucher and
Office and Charges
receive the Below
Official Receipt
as proof of
payment
3. Receive the 3. Release the None 1 Hour Agricultural
requested approved Center Chief II/
items at requested Aquaculturist II
Provincial fingerlings /
Tilapia spatted oyster
Hatchery, hangings and
Pudoc, San prepare a client
Vicente, Ilocos feedback form
Sur or at
Provincial
Oyster Farm,
Nalvo, Sta.
Maria, Ilocos
Sur
258
TOTAL: See 3 Hours, 45
Imposition Minutes
of Fees
and
Charges
Below
PARTICULARS AMOUNT
Tilapia Fry PHP .20
Tilapia Size 24 PHP .30
Tilapia Size 14 PHP 1.00
Oyster Hangings PHP 1.50
259
PROVINCIAL VETERINARY OFFICE
External Services
260
1. ISSUANCE OF VETERINARY HEALTH CERTIFICATE AND SHIPPING PERMIT
This process covers the issuance of veterinary health certificate and shipping permit for large
animals (cattle, carabao, horse), hogs, goats, fighting cocks and live chickens.
Office or Division: Provincial Veterinary Office

Type of Transaction: G2C – Government to Citizen; G2B – Government to
Business
Who may avail: Shipper
For Large Animals: Bureau of Animal Industry
a. Certificate of ownership
b. Certificate of transfer
c. Livestock Handlers Certificate
issued by the BAI for those who
shipped out regularly as an
occupation
For Breeder Hogs:
a. Farm Accreditation from BAI
b. ASF negative testing
CLIENT STEPS
1. Present 1. Review None 1 Minute Project Staff
documents of documents AQC
animals to be presented
shipped out
2. Give details of 2.1 Inspect None 20 Minutes Project Staff
shipment to animal for AQC
clerk shipping
a. Origin of
Animals- 2.2 Prepare
farm, Shipping
barangay, Permit and
municipality Veterinary
b. Destination- health
farm, Certificate
barangay,
municipality,
province
c. Shipper’s
contact
number
d. Livestock
Carrier
d.1 type of
vehicle
d.2 plate
number
e. Purpose of
shipment
261
(Slaughter,
fattening,
breeding,
draft, racing
gamefowl)
3. Pay 3. Receive the Refer to 3 Minutes Project Staff
corresponding payment and Inspection AQC
fee issue Official Fee below
Receipt
Inspection
Fee below
PARTICULARS AMOUNT
Inspection Fee
Large Animals PHP 20.00 / hd
Hogs PHP 10.00 / hd
Goats PHP 5.00 / hd
Poultry PHP .25 / hd
2. SHIPPING IN ANIMALS
This process covers the procedure in shipping in animals.

Type of Transaction: G2C – Government to Citizen; G2B – Government to Business
Who may avail: Shipper
Shipping Permit Province of Origin
Veterinary Health Certificate Bureau of Animal Industry
Livestock Handlers License Bureau of Animal Industry
Accredited Transport Vehicle Bureau of Animal Industry
1. Stop at the 1.1 Review None 5 Minutes Project Staff
Quarantine documents AQC
Checkpoint presented
either at Bio,
Tagudin, 1.2 Disinfect the
Lungog, Transport
Narvacan and Vehicle
Sta. Cruz –
Tapao, Sinait
and present
documents
2. Present animal 2. Examine and None 10 Minutes Project Staff
for inspection inspect animals AQC
shipped in
3. Wait for the 3. Compute the None 10 Minutes Project Staff
computation of inspection fee AQC
inspection fee
4. Pay 4. Prepare and Refer to 5 Minutes Project Staff
corresponding issue Official Inspection AQC
fee Receipt Fee below
262
5. Retrieve 5. Allow to pass None 2 Minutes Project Staff
presented checkpoint AQC
documents
Inspection
Fee below
PARTICULARS AMOUNT
Inspection Fee
Large Animals PHP 20.00 / hd
Swine / Piglets PHP 10.00 / hd
Swine 70-100 kg PHP 500.00 / hd
Goat and Fighting Cock PHP 5.00 / hd
Day Old Chicks PHP .10 / hd
Beyond Day Old PHP .25 / hd
Egg – 1 dozen tray or 360 pcs. PHP 10.00
Meat Products:
Dressed Chicken PHP .50 / hd
Choice Cuts PHP .50 / kg
Poultry Meat PHP .50 / kg
Chicken Entrails PHP .30 / kg
Chicken Feet PHP .20 / kg
3. CONSULTATION DIAGNOSIS AND TREATMENT OF ANIMALS

This process covers the procedure of consultation diagnosis and treatment of animals

Who may avail: Pet Owner
Veterinary Health Certificate Private Veterinary Clinic
Pet animal/s Pet owner
1. Tell clerk the 1. Let the owner None 2 Minutes Project Staff
need for sign the PVet
consultation Request Form
diagnosis and
treatment of
animals
2. Give details to 2.1 Examine the None 10 Minutes Veterinarian
the Veterinarian animal/s PVet
2.2 Record the

weight and
temperature
3. Hold the animal 3. Give diagnosis None 10 Minutes Veterinarian
and treatment PVet
4. Sign the Client 4. Give take home None 5 Minutes Veterinarian
Satisfaction medication and PVet
Feedback final instruction
4. VACCINATION AND DEWORMING OF PET ANIMALS

This process covers the procedure of vaccination and deworming of pet animals.
263
Who may avail: Pet Owner
Veterinary Health Certificate Private Veterinary Clinic
Pet animal/s Pet owner
Anti-pest Vaccine Private Veterinary Clinic / City Veterinary Office /
Provincial Veterinary Office
1. Tell clerk the 1. Let the owner None 2 Minutes Project Staff
need for sign the PVet
vaccination or Request Form
deworming of
pet
2. Give details to 2.1 Examine the None 5 Minutes Veterinarian
the Veterinarian animal/s PVet
2.2 Record the

weight and
temperature
3. Hold the animal 3. Give the None 2 Minutes Veterinarian
vaccine PVet
4. Sign the Client 4. Give final None 3 Minutes Veterinarian
Satisfaction instruction PVet
Feedback
5. RELEASE OF VACCINE AND VETERINARY DRUGS

This process covers the procedure of vaccination and deworming of pet animals.

Who may avail: Livestock Coordinator
Vaccine Carrier Livestock Coordinator
1. Request for 1. Check for the None 2 Minutes Provincial
vaccine / drugs allocation Veterinarian
requirement PVet
2. Sign the Stock 2.1 Prepare the None 5 Minutes Project Staff
Card medicine and PVet
vaccine
2.2 Give the 5 Minutes Project Staff

vaccine / PVet
medicine
3. Sign the Client 3. Give final None 3 Minutes Project Staff
Satisfaction instruction PVet
Feedback
264
PROVINCIAL ENVIRONMENT AND
NATURAL RESOURCES MANAGEMENT
OFFICE
External Services
265
1. REQUEST FOR SEEDLINGS (FOREST AND FRUIT TREES)
The program to increase forest cover goes hand in hand with the campaign to practice
sustainable efforts to complement various requirements for wood products. Local Government
Units (LGU) and individuals / private entities manifest support by conducting tree-planting
activities, thus, PGIS provides the necessary planting materials.
Provincial Environment and Natural Resources Management

Office or Division:
Office – Forest Resource Management
Who may avail: All
Letter Request or Resolution (1 Original, 1 Requesting Party
Photocopy)
1. Sign in the log 1. Assist client in None 2 Minutes Environmental
sheet logging in the log Management
sheet Specialist I
PENRMO
2. Submit letter 2. Receive request / None 1 Minute Environmental
request / resolution Management
resolution Specialist I
PENRMO
3. Provide 3. Conduct simple None 10 Minutes Environmental
additional interview Management
information Specialist I
PENRMO
4. Fill up and sign 4. Type / Prepare None 5 Minutes Environmental
requisition Seedling Management
column SRF Requisition Form Specialist I
(SRF) PENRMO
5. Wait for the 5.1 Approve SRF None 3 Minutes PENRM Officer
approval PENRMO
5.2 Issue SRF and 1 Minute Environmental

instruct client Management
Specialist I
PENRMO
6.1 Proceed to 6. Browse the SRF None 1 Minute Project Staff
Barasibis PENRMO
Provincial
Nursery
6.2 Present the

SRF
7. Receive the 7. Release the None 10 Minutes Project Staff
seedlings seedlings PENRMO
266
8. Sign / Receive 8. File the SRF None 1 Minute Project Staff
SRF and leave PENRMO
the signed copy
9. Conduct 9. Conduct None 1 Day Environmental
planting monitoring and Management
seedlings evaluation of Specialist I
seedlings planted PENRMO
Minutes
2. REQUEST FOR GOVERNOR’S CLEARANCE FOR CUTTING

While advocating the need to preserve abundant number of trees, supply of raw to sustain the
local furniture industry as livelihood of the residents is considered. Efforts to regulate cutting of
trees and granting only on justifiable conditions in accordance with Sangguniang Panlalawigan
Ordinance No. 5, s. 2008 necessitate the intervention from the PGIS to assure a prudent
measure to control, thus, the requirement for a prior Governor’s Clearance.

Office or Division:
Office – Forest Resource Management
Who may avail: All
Letter Request (1 Original Copy, 1
Requisitioning Party
Photocopy)
Barangay Clearance (1 Original Copy) Office of the Barangay Chairman
Municipal Clearance (1 Original Copy) Office of the Municipal Mayor
Tax Declaration (1 Photocopy) Office of the Municipal Assessor
Resolution for schools (1 Original Copy, 1
Requisitioning School
Photocopy)
sheet Specialist I
PENRMO
2. Submit letter 2. Receive request None 1 Minute Environmental
request and and other Management
other requirements Specialist I
requirements PENRMO
3. Fill up 3. Provide None 5 Minutes Environmental
Application Application Form Management
Form Specialist I
PENRMO
PENRMO
5. Wait for 5.1 Prepare Order of None 5 Minutes Environmental
approval of Payment Management
Order of Specialist I
Payment PENRMO
5.2 Approve Order or

Payment 2 Minutes PENRM Officer
267
PENRMO
5.3 Issue Order of

Payment 1 Minute Environmental
Management
Specialist I
PENRMO
6. Pay Clearance 6. Receive Order of Clearance 10 Minutes Administrative
Fee at the Payment and Fee – PHP Officer III /
Provincial issue Official 30.00 / tree Administrative
Treasurer’s Receipt Aide III /
Office Administrative
Aide II
PTO
7. Wait for 7.1 Schedule of None 1 Minute Environmental
inspection inspection Management
Specialist I
PENRMO
7.2 Conduct ocular 1 Day Environmental

site inspection Management
Specialist I
PENRMO
7.3 Prepare report on 10 Minutes Environmental

findings Management
Specialist I
PENRMO
8. Sign conformity 8.1 Contact / Inform None 1 Minute Environmental
on the applicant Management
inspection Specialist I
report PENRMO
8.2 For signature of 1 Minute PENRM Officer

Environmental PENRMO
Protection
Council (EPC) 1 Minute Provincial
Agriculturist
OPAG
2 Minutes Provincial Legal

Officer
PLO
8.3 For signature / 3 Days Governor

approval of PGIS
Governor
8.4 Inform applicant 1 Minute Environmental

ready for pick-up Management
Specialist I
PENRMO
9. Receive 9.1 Release None 1 Minute Environmental
Governor’s Governor’s Management
Clearance Clearance Specialist I
PENRMO
268
9.2 File receiving 1 Minute Environmental
copy Management
Specialist I
PENRMO
TOTAL: PHP 30.00 4 Days, 55
/ tree Minutes
3. ISSUANCE OF SAND AND GRAVEL (COMMERCIAL / INDUSTRIAL AND SMALL-SCALE

MINING)
Mineral resources utilization and development is embraced under R.A. 7942 and consistent
policies and ordinances. The granting of privilege to individuals or companies provide for the
enforcement and restrictions in accordance with acceptable mining practices and
environmental enhancement and protection responsibilities. The Provincial Government of
Ilocos Sur through the Provincial Environment and Natural Resources Management Office
(PENRMO) issues permits for sand, gravel, and other production of minerals.

Office or Division:
Office – Mineral Resource Management
G2C – Government to Citizen; G2B – Government to
Business; G2G – Government to Government
Who may avail: All
For New (N) and Renewal (R) Applications:
Letter of Intent (1 Original Copy, 1
Requesting Party
Photocopy) (N) (R)
Application Form (1 Original Copy, 3 Provincial Environment and Natural Resource
Photocopies) with 2x2 picture (N) (R) Office (PENRMO)
Work Program (2 Original Copies, 2
Office of the Deputized Mining Engineer
Photocopies) (N) (R)
Surety Bond (2 Original Copies, 2
Office of the Insurance Manager
Photocopies) (N) (R)
Social Acceptability / Resolution: Office of the Mayor and Sangguniang Bayan
2 Sanggunian Endorsements (1 Original Member
Copy, 3 Photocopies) with Resolution Office of the Barangay Captain and Barangay
(Barangay / Municipal / Provincial) (N) (R) Kagawad
Provincial Environment and Natural Resource
Office (PENRMO)
Initial Environment Examination (IEE) Report Office of the Mining Engineer – Accredited by
(1 Original Copy, 3 Photocopies) (N) DENR – Mines Geosciences Bureau (MGB)
Location / Sketch Map (1 Original Copy, 3
Photocopies) (N)
Digitized Topographic Map (2 Original
Copies, 3 Photocopies) (N)
Proof of Technical Compliance Form (1 Provincial Environment and Natural Resource
Original Copy, 3 Photocopies) (N) Office (PENRMO)
Proof of Financial Capability Form (1 Original Provincial Environment and Natural Resource
Copy, 3 Photocopies) (N) Office (PENRMO)
1. For individuals:
a. Statement of Assets and Liabilities
b. Income Tax Return (1 Original Copy,
3 Photocopies each for proceeding
three (3) years
269
2. For corporation Office of the Manager
Office of the Mayor and Office of the Barangay
Proof of Posting (5 Original Copies each) (N)
Captain
Photocopy of Articles of Incorporation Office of Securities and Exchange Commission
Partnership Associations, By-laws and (SEC)
Certificate of Registration duly certified by the
Securities and Exchange Commission (SEC)
(N)
Provincial Environment and Natural Resource
Field Inspection Report (N)
Office (PENRMO)
Justification Letter for Renewal Requesting Party
Comprehensive and validated Technical Licensed Mining / Geodetic Engineer
Report on the outcome of the operations,
including environmental effects (N)
Audited Report of expenditures incurred Certified Public Accountant
during the operation period (N)
Other supporting papers
 Production Report Clearance PENRMO
 MRFC Clearance PENRMO
 Field Verification Report PENRMO
 Vicinity / Blueprint Map Mines Geosciences Bureau (MGB)
 Mayor’s Business Permit Licensed Mining / Geodetic Engineer
 MRFC Contribution (PHP 6,000.00) Office of the Mayor
 Bureau of Internal Revenue (BIR) PENRMO
Clearance or Receipt Office of Bureau of Internal Revenue (BIR)
PERSON
FEES TO PROCESSIN
CLIENT STEPS AGENCY ACTION RESPONSIBL
BE PAID G TIME
E
sheet Specialist I
PENRMO
2. Submit four (4) 2.1 Receive None 10 Minutes Environmental
sets of application Management
Application with Specialist I
mandatory PENRMO
requirements
2.2 Scrutinize None 1 Hour Environmental
completeness of Management
submitted Specialist I
attachments / PENRMO
requirements
3. Receive Order 3.1 Prepare Order of None 3 Minutes Environmental
of Payment Payment Management
Specialist I
PENRMO
3.2 Approve Order of None 3 Minutes PENRM Officer

Payment PENRMO
4. Pay fees at the 4. Issue approved CSAG 10 Minutes Administrative
Provincial Order of PERMITS Officer III /
Treasurer’s Payment Administrative
Office Filing Fee – Aide III /
PHP Administrative
2,000.00 Aide II
PTO
270
Processing
Fee – PHP
1,000.00
Renewal
Fee – PHP
3,000.00
Inspection /
Verification
Fee – PHP
3,600.00
Posting Fee
– PHP
2,000.00
Indorsemen
t Fee – PHP
500.00
Certification
Fee – PHP
500.00
ISAG /
QUARRY 10 Minutes Administrative
PERMITS Officer III /
Administrative
Filing Fee – Aide III /
PHP Administrative
12,000.00 Aide II
PTO
Processing
Fee – PHP
1,000.00
Renewal
Fee – PHP
18,000.00
Transfer
Fee
(Permit) –
PHP
10,000.00
Inspection /
Verification
Fee – PHP
3,600.00
Posting Fee
– PHP
200.00
271
Indorsemen
t Fee – PHP
500.00
Certification
Fee – PHP
500.00
5. Receive Official 5. Issue Official None 5 Minutes Administrative
Receipt Receipt Officer III /
Administrative
Aide III /
Administrative
Aide II
PTO
6. Submit Official 6. Receive Official None 1 Minute Environmental
Receipt Receipt Management
(Photocopy) (Photocopy) as Specialist I
proof of payment PENRMO
and file copy
7. Pay Surety Bond PHP 2 Minutes Cashier
1,850.00 Insurance
Agency
8. Wait for the 8.1 Prepare None 10 Minutes Environmental
Indorsement for Indorsement for Management
the Regional Regional Director Specialist I
Director of for the issuance PENRMO
DENR – MGB of Area Status
and Clearance
with 1-set
application
attached
8.2 Sign None 2 Minutes PENRM Officer

Indorsement of PENRMO
Area Status and
Clearance
9. Receive 9. Release None 3 Minutes Environmental
Indorsement Indorsement Management
Specialist I
PENRMO
10. Proceed to 10. Receive None 1 Day Chief, Mines
DENR – Mines Indorsement Division
Geosciences DENR – Mines
Bureau Regional Geosciences
Office to submit Bureau
Indorsement Regional Office
11. Pay Verification Verification DENR – MGB
Fee Fee: Regional Office
CSAG –
PHP
3,600.00
ISAG /
QUARRY –
PHP
6,000.00
272
12. Wait for the 12. Conduct Field None 1 Day Chief, Mines
advice on Area Verification Division
schedule of DENR – MGB
Field Area Regional Office
Verification
13. Wait for the 13. Release Area None 1 Day Chief, Mines
release of Area and Status Division
and Status Clearance DENR – MGB
Clearance Regional Office
14. Submit Initial 14. Receive and None 1 Day Chief, Mines
Environmental review Initial Division
Examination Environmental DENR –
(IEE) Examination Environmental
Management
Bureau
Regional Office
15. Apply None 20 Days Environmental
Environmental Impact
Compliance Assessment
Certificate Section
(ECC) through DENR –
online / website Environmental
Management
Bureau
Regional Office
16. Pay ECC 10 Minutes Lank Bank of
Environmental Application the Philippines
Compliance Fee – PHP (LBP)
Certificate 5,070.00 Nearest
(ECC) Location
Application Fee
17. Wait for 17.1 Acknowledg None 10 Minutes DENR –
acknowledgmen e through on-call Environmental
t of payment slip as proof of Management
payment Bureau
Regional Office
18. Download copy 18.1 Inform None 2 Minutes DENR –
of approval of ECC Environmental
Environmental Application Management
Compliance Bureau
Certificate Regional Office
(ECC)
19. Wait for advice 19.1 Conduct None 1 Day Chairman /
Provincial Mining Member
Regulatory Representative
Board to Provincial
deliberate on the Mining
applications Regulatory
Board
Province of
Ilocos Sur
19.2 Notify None 20 Minutes Environmental

Applicant/s of the Management
result of Specialist I
Provincial Mining PENRMO
Regulatory
273
Board (PMRB)
deliberation
20. Wait for the 20. Prepare None 2 Minutes Secretariat
approval of Provincial Mining Provincial
Resolution by Regulatory Mining
the Provincial Board (PMRB) Regulatory
Mining Resolution Board
Regulatory Province of
Board (PMRB) Ilocos Sur
21. Wait for the 21. Prepare CSAG / None 1 Day Secretariat
approval of the ISAG / QUARRY Provincial
CSAG / ISAG / Permit Mining
QUARRY Permit Regulatory
Board
Province of
Ilocos Sur
22. Client sign the 22.1 Notify None 5 Minutes Environmental
Permit for Applicant to sign Management
notarizing the permit and Specialist I
have it notarized PENRMO
22.2 Review the None 2 Minutes PENRM Officer

permit PENRMO
22.3 Approve the None 1 Day Environmental

permit Management
Specialist I
PENRMO
22.4 Notify the None 1 Minute Environmental

applicant to pick- Management
up approved Specialist I
Permit PENRMO
23. Receive the 23. Release the None 1 Minute Environmental
approved Permit approved Permit Management
Specialist I
PENRMO
TOTAL: CSAG – 27 Days, 2
PHP Hours, 57
21,320.00 Minutes
ISAG /
QUARRY –
PHP
58,720.00
4. ISSUANCE OF GOVERNOR’S PERMIT

The Governor’s Permit is a permit to operate a business or engage in an activity whether it is
sole proprietorship, partnership or corporation as stipulated in the Provincial Ordinance No.13-
11, Series of 2013, otherwise known as the Revenue Code of the Province of Ilocos Sur. It shall
be granted for a period of not more than one (1) year. It shall be issued by the Provincial
Governor through the Provincial Environment and Natural Resources Management Office
(PENRMO).

Office or Division:
Office – Mineral Resources Management
274
Who may avail: All
Governor’s Permit Application (1 Original Provincial Environment and Natural Resource
Copy, 2 Photocopies) Office (PENRMO)
Updated Official Receipt and Certificate of Requesting Party
Registration of the Delivery Truck (in the
name of the applicant) (3 Photocopies)
Department of Trade and Industry / Security Department of Trade and Industry(DTI)
Exchange Commission Registration of the Security Exchange Commission(SEC)
business (3 Photocopies)
Municipal / City Trial Court Clearance or Municipal/City Court Office
Provincial Prosecutors Clearance (1 Original Provincial Prosecutors Office
Copy, 2 Photocopies)
Photocopy of Valid ID of the Truck Owner (3 Requesting Party
Photocopies)
Deed of Sale of the Delivery Truck (if not yet Requesting Party
transferred) (3 Photocopies)
Marriage Certificate if both has separate Requesting Party
delivery truck (3 Photocopies)
Authorization Letter issued by the Owner to Office of the Manager
Liaison Officer (1 Original Copy, 2
Photocopies)
sheet Specialist I
PENRMO
2. Apply for 2. Provide None 1 Minute Environmental
Governor’s Application Form Management
Business Specialist I
Permit PENRMO
3. Fill-up / Sign 3. Scrutinize None 5 Minutes Environmental
Application completeness of Management
Form and attachments / Specialist I
submit requirements PENRMO
requirements
4. Receive Order 4.1 Prepare Order of None 2 Minutes Environmental
of Payment for Payment Management
Governor’s Specialist I
Permit PENRMO
4.2 Approve Order of PENRM Officer

Payment PENRMO
4.3 Issue Order of None 1 Minute Environmental

Payment Management
Specialist I
PENRMO
5. Pay Governor’s 5. Issue Official Application 10 Minutes Administrative
Permit Receipt Fee – PHP Officer III /
1,000.00 Administrative
Aide III /
Administrative
Aide II
275
Processing PTO
Fee – PHP
600.00
Delivery
Truck –
PHP
500.00 /
truck
6. Submit Official 6. Receive None 2 Minutes Environmental
Receipt Photocopy of Management
(Photocopy) Official Receipt Specialist I
and file copy PENRMO
7. Wait for advice 7.1 Prepare None 1 Day Governor
Governor’s Provincial
Permit for Government of
approval by the Ilocos Sur
Governor
7.2 Notify applicant to None 1 Minute Environmental

pick-up Management
Governor’s Specialist I
Permit PENRMO
8. Receive 8. Release None 1 Minute Environmental
Governor’s Governor’s Management
Permit Permit Specialist I
PENRMO
TOTAL: Filing Fee 1 Day, 25
– PHP Minutes
2,100.00
5. REQUEST FOR MANGROVE PROPAGULES AND BEACH PLANT SEEDLINGS

Mangroves are woody, seed-bearing plants adapted for life in saline or brackish water. They
serve as feeding and nursery grounds and refuges to several fish species, migratory birds and
other marine organisms. Aside from acting as carbon sinks, they also protect the coastline
areas from storm surges, floods and erosion by filtering pollutants and trapping harmful
sediments. Beach Plants are first defense against storm surge in areas sans mangroves,
protect the shoreline, prevent sedimentation of coral reefs and seagrass meadows and provide
food and shelter to wildlife. This is one of the programs of the Provincial Government of Ilocos
Sur through the Provincial Environment and Natural Resources Management Office
(PENRMO) for the sustainable management and protection of coastal and marine resources.

Office or Division:
Office – Integrated Coastal Management
Who may avail: All
Letter Request or Resolution (1 Original Requesting Party
Copy, 1 Photocopy)
1. Sign / Register 1. Assist client in None 2 Minutes Community
in the log sheet logging in the log Development
sheet Officer II
PENRMO
276
2. Submit request 2. Receive request None 1 Minute Community
letter / letter / resolution Development
resolution Officer II
PENRMO
3. Provide basic 3. Conduct None 10 Minutes Community
information preliminary Development
interview Officer II
PENRMO
4. Fill-up and sign 4. Prepare Seedling None 5 Minutes Community
Seedling Requisition Form Development
Requisition Officer II
Form PENRMO
5. Wait for advice 5. Coordinate on the None 1 Minute Community
schedule of Development
monitoring Officer II
PENRMO
6. Assist in the 6.1 Conduct ocular None 1 Day Community
monitoring of inspection / Development
planting site monitoring of Officer II
planting site PENRMO
6.2 Fill-up Community

Assessment Development
Report 10 Minutes Officer II
PENRMO
7. Wait for 7. Approve the None 2 Minutes PENRM Officer
approval Seedling PENRMO
Requisition Form
8. Receive the 8. Issue the None 2 Minutes Community
approved approved Development
Seedling Seedling Officer II
Requisition Requisition Form PENRMO
Form and file office
copy
9.1 Proceed to the 9. Verify and sign None 2 Minutes Project Staff
Provincial the Seedling PENRMO
Mangrove Requisition Form
Nursery /
Provincial Seed
Farm
9.2 Present
Seedling
Requisition
Form
10. Receive 10. Release None 10 Minutes Project Staff
mangroves / mangroves / PENRMO
beach plant beach plant
seedlings seedlings
requested
11. Conduct 11. Conduct None 1 Day Community
planting monitoring and Development
evaluation of Officer II
seedlings planted PENRMO
Minutes
277
6. REQUEST FOR SOLID WASTE MANAGEMENT-RELATED PAMPHLETS AND
MAGAZINES
One of the basic components to increase awareness in the implementation of Ecological Solid
Waste Management (ESWM) Act of 2000, also known as RA 9003, is the conduct of
information, education and communication (IEC) campaign through the provision of pamphlets
and magazines to different stakeholders of the province. This is the Provincial Government of
Ilocos Sur (PGIS) advocacy through the Provincial Environment and Natural Resources
Management Office (PENRMO).

Office or Division:
Office – Solid Waste Management
Who may avail: All
Request Letter (1 Original Copy, 1 Requesting Party
Photocopy)
sheet Specialist I
PENRMO
2. Submit request 2. Receive the None 1 Minute Environmental
letter request letter Management
Specialist I
PENRMO
PENRMO
4. Sign Request 4. Prepare RIV None 5 Minutes Environmental
Issue Voucher Management
(RIV) Specialist I
PENRMO
5. Wait for 5. Approve RIV None 1 Minute PENRM Officer
approval PENRMO
6. Receive the 6. Release None 10 Minutes Environmental
pamphlets / pamphlets / Management
magazines magazines Specialist I
requested PENRMO
7. ACTIONS ON ENVIRONMENTAL NUISANCE COMPLAINTS

An environmental-related nuisance complaint that barangay and municipal level could not
resolve may be forwarded to provincial level for further investigation, evaluation and
recommendation by an action officer. However, if possible, avenue for reconciliation is utmost
priority.

Office or Division:
Who may avail: All
278
Complaint Letter (1 Original Copy) Requesting Party
sheet Specialist I
PENRMO
2. Submit 2. Receive and None 5 Minutes Environmental
complaint letter review complaint Management
letter Specialist I
PENRMO
3. Provide 3.1 Conduct simple None 10 Minutes Environmental
PENRMO
3.2 Coordinate to None 20 Minutes Environmental

DENR – EMB and Management
concerned LGU, Specialist I
on the schedule PENRMO
of the
investigation
3.3 Conduct None 1 Day Environmental

investigation Management
Specialist I
PENRMO
PENM Officer
DENR – EMB
Municipal
ENRO
LGU
3.4 Prepare None 20 Minutes Environmental

Investigation Management
Report Specialist I
PENRMO
3.5 Discuss result of None 15 Minutes Environmental

investigation to Management
PENRM Officer Specialist I
for comments and PENRMO
recommendations
4. Report 4. Contact None 2 Minutes Environmental
complainant and Management
subject person / Specialist I
organization PENRMO
5. Receive copy of 5. Release copy of None 15 Minutes Environmental
investigation report and Management
report discuss findings Specialist I
and PENRMO
recommendations
TOTAL: None 1 Day, 1 Hour,
29 Minutes
279
8. PROVISION OF TECHNICAL ASSISTANCE IN THE CONDUCT OF WASTE ANALYSIS AND
CHARACTERIZATION STUDY (WACS)
Waste Analysis and Characterization Study (WACS) is conducted in each city / municipality to
collect accurate and reliable information on the quantity and characteristics of wastes being
disposed which will be used as a basis in the formulation of 10-year Solid Waste Management
Plan (SWMP) of Local Government Units (LGUs).

Office or Division:
Who may avail: Component Cities / Municipalities
Request Letter (1 Original Copy, 1 Requesting LGU
photocopy)
sheet Specialist I
PENRMO
2. Submit request 2. Receive the None 1 Minute Environmental
letter request letter Management
Specialist I
PENRMO
PENRMO
4. Receive the 4. Provide the None 1 Minute Environmental
checklist of checklist Management
materials materials Specialist I
needed PENRMO
5. Wait for the 5. Coordinate with None 30 Minutes Environmental

advice the DOST Management
regarding request Specialist I
on the orientation PENRMO
and conduct of
WACS
6. Provide 6. Extend technical None 2 Days Environmental
logistics assistance in the Management
orientation and Specialist I
conduct of actual PENRMO
WACS including
its dry-run Science
Research
Specialist
DOST
7. Provide 7. Extend technical None 3 Days Environmental
logistics and assistance in the Management
guide in the conduct of actual Specialist I
WACS PENRMO
280
conduct of
actual WACS Provincial
Environmental
Management
Officer
DENR-EMB
Science
Research
Specialist
DOST
Municipal
ENRO
LGU
8. Process and 8. Assist in the None 21 Days Environmental
analyze data processing and Management
gathered analyzing of data Specialist I
gathered PENRMO
9. Present the 9. Validate and None 1 Day Environmental
result of WACS review the result Management
of WACS Specialist I
PENRMO
Provincial
Environmental
Management
Officer
Science
Research
Specialist
DOST
10. Forward the 10. Receive copy of None 5 minutes Environmental
final result of the final result of Management
WACS WACS Specialist I
PENRMO

Minutes
281
PROVINCIAL TOURISM DEVELOPMENT
AND PROMOTION OFFICE
External Services
282
1. PROVISION OF TOUR GUIDING SERVICES
The Provincial Tourism Development and Promotion Office (PTDPO) provides assistance,
information and other related learnings about the province and to facilitate the smooth flow of
touring in the province.
Office or Division: Provincial Tourism Development and Promotion

Office
Type of Transaction: G2C – Government to Citizen; G2G – Government
to Government; G2B – Government to Business
Who may avail: All
Request letter Client
PERSON
FEES TO PROCESSIN
BE PAID G TIME
E
1. Send request 1. Receive the None 2 Minutes Governor’s
letter to the request letter Office /
Governor’s Provincial
Office or to the Administrator’s
Provincial Office /
Tourism Provincial
Development Tourism
and Promotion Development
Office through and Promotion
mail or e-mail Office
(singsonjeremia
s@yahoo.com /
ptdpo.main@gm
ail.com)
2. Wait for the 2. Receive the None 2 Minutes Provincial
confirmation and approved Tourism
coordination communication Development
letter. and Promotion
Office
3. Wait for the 3.1 Coordinate with None 1 Day Provincial
phone call or e- the requesting Tourism
mail party through e- Development
mail or phone and Promotion
call; Present a Office
proposed
itinerary; Wait for
the approval
from the party
3.2 Inform the client (Entrance Provincial
about the fees Fees will be Tourism
(e.g. entrance collected by Development
fee) the tourism- and Promotion
related Office
* PGIS-sponsored establishme
tours and all official nts, e.g.
visitors of the museum,
Provincial zoo, etc.)
Government of
Ilocos Sur shall be
exempted from any
payment.
283
3.3 Coordinate the 30 Minutes
places to visit
(name of the
guest/s, date of
visit, number of
pax)
4. Proceed to the 4. Issue None 3 Minutes PTDPO Staff
Provincial Information and PTDPO
Tourism Acceptance
Development Sheet and
and Promotion Waiver
Office
5. Proceed to the 5. Conduct an None 10 minutes Tour Guide
waiting area for orientation PTDPO
the orientation regarding the
places to be
visited and the
dos and don’ts
6. Proceed with the 6. Guide and tour None 1 Day Tour Guide
tour within the tourist PTDPO
destination
7. Receive the 7. Give the client a None 10 Minutes Tour Guide
client feedback feedback form PTDPO
form
8. Answer the 8. Receive he None Tour Guide
feedback form accomplished PTDPO
and submit it to feedback form
the tour guide
afterwards
2 Days, 57
TOTAL: None
Minutes
2. VISITOR ARRIVAL
To make local tourism statistics compilation more reliable, comparable, up-to-date and relevant
To establish and maintain an effective and systematic tourism statistics for both internal and
external and ensure its availability to all entities that may need the data
To ensure that all records are established, accomplished, indexed, filed, maintained and
preserved under a formal and documented procedure to demonstrate compliance with the
document requirements and other applicable legal requirements.

Office
Type of Transaction: G2C – Government to Citizen; G2G – Government
to Government; G2B – Government to Business
Who may avail: All
Request letter Requesting client
PERSON
FEES TO PROCESSIN
BE PAID G TIME
E
1. Send request 1. Receive the None 2 Minutes Governor’s
letter to the request letter Office / PTDPO
Governor’s
Office or to the
Provincial
284
Tourism
Development
and Promotion
Office through
mail, e-mail
(singsonjeremia
s@yahoo.com /
ptdpo.main@gm
ail.com)
2. Wait for the 2. Receive the None 2 Minutes PTDPO
confirmation and approved
coordination communication
letter.
3. Wait for the 3. Coordinate with None 5 Minutes PTDPO
phone call or e- the requesting
mail party through e-
mail or phone
call.
4. Sign in the Client 4. Give the logbook None 2 Minutes PTDPO
logbook to the client
5. Receive the 5. Give the copy of None 2 Minutes PTDPO
copy of tourist tourist arrival
arrival
3. MANAGEMENT OF CANIAW HERITGE AND FOREST PARK

It provides a systematic delivery of services concerning the protection and conservation of our
environment and touring around the Caniaw Heritage and Forest Park.

Office
Type of Transaction: G2C – Government to Citizen, G2B – Government
to Business, G2G – Government to Government
Who may avail: All
None
PERSON
FEES TO PROCESSIN
BE PAID G TIME
E
1. Sign in the client 1. Give the logbook None 2 Minutes Tourism
logbook to the client Operations
Assistant / Staff
on Duty
2. Pay the required 2. Accept the See 5 Minutes Tourism
fees payment and Imposition of Operations
issue Official Fees and Assistant / Staff
Make sure to Receipt Charges on Duty
secure the Below
Official Receipt
that will issued
upon payment.
3.1 Proceed to the 3. Orient about the None 10 Minutes Tourism
waiting area for safety Operations
orientation measures,
285
3.2 Listen attentively general rules Assistant / Staff
to the orientation requirement and on Duty
on safety what to wear
measure and before the
general rules activity.
and
requirements
4. Proceed with the 4. Assist and guide None 1 Day Tourism
activity within the (depending on Operations
Caniaw Heritage the activity Assistant / Staff
and Forest Park availed by the on Duty
during their say client)
and activities.
5.1 Receive the 5.1 Give the client a None 5 Minutes Staff on Duty /
customer feedback form PTDPO
feedback form
5.2 Answer the 5.2 Receives the Staff on Duty /
feedback form accomplished PTDPO
and submit it to feedback form
the staff on duty
afterwards.
See
Imposition
1 Day, 22
TOTAL: of Fees and
Minutes
Charges
Below
PARTICULARS AMOUNT
Entrance Fee (Free if client avails the activities Adults – PHP 75.00
of the CHFP) Children (11 years old and below) – PHP
50.00
Tree Walk Village Adults – PHP 150.00
Children – PHP 100.00
Mountain Tubing Adults – PHP 150.00
Aerial Walk PHP 200.00
Low Ropes PHP 100.00
Hike Adults – PHP 50.00
Children – Free
Bike Adults – PHP 50.00
Hike and Bike PHP 100.00
Bike with Guide (1 Guide: 5 Bikers) PHP 250.00
Camping (Day Use) Free
Camping (Overnight) PHP 500.00
Tent Deck Rental PHP 750.00
Tentsile Rental (Max 3 per tentsile) PHP 750.00
Tent Rental (Max 3 per tent) PHP 500.00
Venue Reservation for Events (Victoria’s PHP 25,000.00 per day
Park) (Free 30 pax to avail all activities)
Package A (All In – Entrance, Tubing, Aerial, PHP 375.00
Hike and Bike)
Package B (Entrance, Aerial Walk and PHP 275.00
Mountain Tubing)
286
4. ASSISTANCE ON DEPARTMENT OF TOURISM (DOT) ACCREDIATATION ONLINE
APPLICATION
The Provincial Tourism Development and Promotion Office provides assistance on Department
of Tourism (DOT) Accreditation Online Application of all tourism stakeholders.
Office or Division: Provincial Tourism Development and Promotion Office

Type of Transaction: G2C – Government to Citizen, G2B – Government to Business, G2G
– Government to Government
Who may avail: All Tourism Stakeholders
None
FEES PERSON
PROCESSING
CLIENT STEPS AGENCY ACTION TO BE RESPONSIBL
TIME
PAID E
1. Sign in the Visitor’s 1. Give the logbook None 2 Minutes Provincial
logbook to the client Tourism
Development
and Promotion
Office
2. Give the requirements 2. Assess the None 10 Minutes Provincial
and documents for documents and Tourism
assessment and requirement’s Development
checking completeness and and Promotion
correctness. Office/ Staff on
Duty
3. Wait for the PTDPO 3. Submit online the (Accredi 30 minutes Provincial
Staff to submit necessary tation Tourism
online requirements. Fees Development
DOT Region 1 will be and Promotion
website: collecte Office/
https://accrediatio d by Department of
n.tourism.gov.ph/l DOT Tourism
ogin through Region 1
online) Actual site Accreditation
(NOTE: Actual inspection will Team
inspection of the take 2 hours (Inspection will
tourism be done by the
establishment will DOT
be scheduled by Accreditation
the Accreditation Team)
and Inspection
Team from DOT
Region 1)
4. Receive the client 4, Give the client a None 5 minutes Provincial

feedback form feedback form. Tourism
5. Answer the feedback 5. Receive the None Development
form and submit it to accomplished and Promotion
the PTDPO Staff on feedback form Office Staff on
Duty Duty
2 hours 47
TOTAL: None
minutes
287
FEEDBACK AND COMPLAINTS MECHANISM
How to send a feedback Accomplish the Customer Satisfaction
Feedback Form available in every office of
the Provincial Government of Ilocos Sur.
How feedbacks are processed The personnel-in-charge in each office
verifies the nature of the feedback or queries
and refers the same to concerned individual
/ division. Upon receiving the response from
the concerned individual / division, the client
will be informed via e-mail or phone call.
Accomplished Customer Satisfaction

Feedback Forms are likewise summarized
and submitted at the Office of the Governor.
How to file a complaint To file a complaint, provide the following
details:
a. Full name and contact information of
the complainant
b. Narrative of the complaint
c. Evidence
d. Name of the person being
complained
File all complaints directly to the Office of the

Governor.
How complaints are processed The Office of the Governor shall coordinate
with the concerned office / department to
answer the complaint and shall investigate,
if necessary. After the concern has been
addressed or after the conduct of
investigation, the Office of the Governor
shall give the feedback to the complainant
through his / her provided information.
Contact of Information of ARTA, Anti-Red Tape Authority (ARTA)
PCC, CCB  1-ARTA (2782)
Presidential Complaint Center (PCC)
 pcc@malacanang.gov.ph
 8888
Contact Center ng Bayan (CCB)
 email@contactcenterngbayan.gov.ph
 0908-881-6565 (SMS)
288
LIST OF OFFICES
Office Address Contact Information

Barangay III, Vigan
Governor’s Office singsonjeremias@yahoo.com
City, Ilocos Sur
Management
Barangay III, Vigan (077) 302-2326
Information System
City, Ilocos Sur mispgis@yahoo.com
Office
Education and
Barangay III, Vigan
Scholarship Affairs iseasp.online@gmail.com
City, Ilocos Sur
Office
Sports Development Quirino Stadium,
oneilocossursports@gmail.com
Office Bantay, Ilocos Sur
Botika ti Probinsiya ti Barangay III, Vigan (077) 674-0577
Ilocos Sur City, Ilocos Sur botikatiprobinsya@yahoo.com
Public Employment Barangay III, Vigan
PESOPGIS@gmail.com
Service Office City, Ilocos Sur
Provincial Youth Barangay III, Vigan
pydo.ilocossur@gmail.com
Development Office City, Ilocos Sur
Provincial Barangay III, Vigan
mft515@yahoo.com
Administrator’s Office City, Ilocos Sur
Provincial Internal Barangay III, Vigan
piao.ilocossur@gmail.com
Audit Office City, Ilocos Sur
Provincial Human
Barangay III, Vigan hrmopgis@gmail.com
Resource
City, Ilocos Sur phrmoard.pgis@gmail.com
Management Office
Sangguniang Barangay III, Vigan 0965-069-6052
Panlalawigan Office City, Ilocos Sur sp.secretariat@yahoo.com.ph
Provincial Library
City, Ilocos Sur provinciallibrary00@gmail.com
Provincial Planning
and Development
City, Ilocos Sur ppdo_isur@yahoo.com
Office
Provincial Budget Barangay III, Vigan (077) 722-2748 / 674-0869
Office City, Ilocos Sur pbo.ilocossur@gmail.com
Provincial Legal Barangay III, Vigan 0965-8633-016 / (077) 674-0600
Office City, Ilocos Sur pgislegal@gmail.com
Provincial Accounting Barangay III, Vigan (077) 674-0530
Office City, Ilocos Sur paoilocossur1081@gmail.com
Provincial Treasurer’s Barangay III, Vigan (077) 624-1118
Office City, Ilocos Sur ptoilocossur@gmail.com
Provincial Assessor’s Barangay III, Vigan (077) 674-0195
Office City, Ilocos Sur pgis_assessor@yahoo.com
Provincial General Barangay III, Vigan (077) 604-0121
Services Office City, Ilocos Sur gsolympus@yahoo.com
289
Ilocos Sur Provincial 0916-375-2220 / (077) 632-4903
Bantay, Ilocos Sur
Jail Office ilocossurpj@gmail.com
Provincial Population Barangay III, Vigan (077) 674-6727
Office City, Ilocos Sur pho.isur@yahoo.com
0917-577-7926
Provincial Disaster 0917-535-7926
Barangay III, Vigan
Risk Reduction and (077) 674-7926
City, Ilocos Sur
Management Office pdrrmoilocossur23@yahoo.com
pdrrmoilocossur23@gmail.com
Provincial Social
Welfare and
City, Ilocos Sur pswdoilocossur@yahoo.com
Development Office
Provincial Health Barangay III, Vigan
pho.isur@yahoo.com
Office City, Ilocos Sur
Ilocos Sur Provincial
Tamag, Vigan City, (077) 674-1192
Hospital – Gabriela
Ilocos Sur pho_gabriela@yahoo.com.ph
Silang
Ilocos Sur District Bio, Tagudin, Ilocos (077) 652-2112
Hospital – Tagudin Sur tagudin_hospital@yahoo.com
0995-129-3539 / 0977-305-1297
Ilocos Sur District Poblacion Sur,
salcedomedicare@
Hospital – Salcedo Salcedo, Ilocos Sur
yahoo.com.ph
Paratong,
Ilocos Sur District (077) 604-0271
Narvacan, Ilocos
Hospital – Narvacan cisdhhospital@yahoo.com
Sur
0915-163-3280 / 0917-799-1441
Ilocos Sur District San Juan, Sta.
staluciadistricthospital@
Hospital – Sta. Lucia Lucia, Ilocos Sur
yahoo.com.ph
0917-520-0183
Ilocos Sur District Rosario, Cervantes,
bessangpassmemorialhospital@
Hospital – Cervantes Ilocos Sur
yahoo.com
Sta. Monica, (077) 726-3514
Ilocos Sur District
Magsingal, Ilocos hospitalmagsingaldistrict@
Hospital – Magsingal
Sur yahoo.com
Ilocos Sur District Curtin, Sinait, Ilocos (077) 674-1059
Hospital – Sinait Sur isdhsinait@gmail.com
Ilocos Sur Quirino Stadium, 0917-837-4801
Community College Bantay, Ilocos Sur isccbantay@yahoo.com
Office of the
Barangay III, Vigan
Provincial opag.isur@gmail.com
City, Ilocos Sur
Agriculturist
Provincial Veterinary Barangay III, Vigan
pvetisur@gmail.com
Office City, Ilocos Sur
(077) 674-0797
Provincial Barangay III, Vigan
provincialengineersoffice2021@
Engineering Office City, Ilocos Sur
gmail.com
290
Provincial
Environment and Barangay III, Vigan
enrmo.pgis@yahoo.com
Natural Resources City, Ilocos Sur
Management Office
Provincial Tourism 0966-283-5744
Barangay III, Vigan
Development and 0966-283-5751
City, Ilocos Sur
Promotion Office ptdpo.main@gmail.com
291

PGIS Citizens Charter 2023 1st Edition

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PROVINCIAL GOVERNMENT OF ILOCOS SUR

IV. Service Pledge / Quality Policy:

We further sustain a regenerative province committed to provide a just

We finally pledge to perpetually develop the effectiveness of the quality

Office or Division: Governor’s Office – Education and Scholarship Division

For ISCC &

2. RENEWAL OF ILOCOS SUR EDUCATIONAL ASSISTANCE AND SCHOLARSHIP

Office or Division: Governor’s Office – Education and Scholarship Division (Provincial

3. RELEASING MEDICINES TO GOVERNOR’S OFFICE ORDERS

Office or Division: Governor’s Office – Botika ti Probinsya ti Ilocos Sur

4. REQUEST FOR SPECIAL RECRUITMENT ACTIVITY (SRA)

Office or Division: Governor’s Office – Public Employment Service Office

5. LOCAL RECRUITMENT ACTIVITY

Office or Division: Governor’s Office – Public Employment Service Office

6. APPLICATION FOR SPECIAL PROGRAM FOR EMPLOYMENT OF STUDENTS (SPES)

Office or Division: Governor’s Office – Public Employment Service Office

TOTAL: None 15 Minutes

7. APPLICATION FOR GOVERNMENT INTERNSHIP

Office or Division: Governor’s Office – Public Employment Service Office

TOTAL: None 15 Minutes

8. PROVISION OF NECESSARY REQUESTED DOCUMENT/S AVAILABLE AT THE

Office or Division: Governor’s Office – Provincial Youth Development Office

Office or Division: Governor’s Office – Provincial Youth Development Office

10. PROVISION OF TECHNICAL, LOGISTICAL, AND OTHER SUPPORT IN THE

Office or Division: Governor’s Office – Provincial Youth Development Office

Office or Division: Governor’s Office – Botika ti Probinsya ti Ilocos Sur

Office or Division: Provincial Administrator’s Office

Office or Division: Provincial Human Resource Management Office

2. Receive CS 2. Record at the None 3 Minutes Administrative

TOTAL: None 15 Minutes

2. ISSUANCE OF PERSONNEL DOCUMENTS

Office or Division: Provincial Human Resource Management Office

Office or Division: Provincial Human Resource Management Office

Office or Division: Sangguniang Panlalawigan - Secretariat

2. FILING OF ADMINISTRATIVE COMPLAINTS AGAINST ELECTIVE OFFICIALS

Office or Division: Sangguniang Panlalawigan – Committee on Justice and Good

3. ACCESS TO BOOKS AND OTHER REFERENCE MATERIALS

Office or Division: Sangguniang Panlalawigan – Library

Office or Division: Sangguniang Panlalawigan – Library

Office or Division: Sangguniang Panlalawigan – Library

Office or Division: Provincial Planning and Development Office

2. CLIENT ASSISTANCE FOR DATA / INFORMATION

Office or Division: Provincial Planning and Development Office

Refer client to the

3. ISSUANCE OF PROVINCIAL LAND USE AND ZONING CLEARANCE

Office or Division: Provincial Planning and Development Office

Office or Division: Provincial Budget Office

2. CERTIFICATION OF FUND AVAILABILITY (PROCESSING OF JOB ORDER OF

Office or Division: Provincial Budget Office

3. CERTIFICATION OF FUND AVAILABILITY (PROCESSING OF CERTIFICATE OF

Office or Division: Provincial Budget Office

3. PREPARATION OF FINANCIAL PLAN (ANNUAL BUDGET)

Office or Division: Provincial Budget Office

4. PREPARATION OF FINANCIAL PLAN (SUPPLEMENTAL BUDGET / SPECIAL BUDGET)

Office or Division: Provincial Budget Office

Office or Division: Provincial Legal Office

2.3 Refer the client

3.2 Require the

3.3 Prepare the

Office or Division: Provincial Legal Office

Office or Division: Provincial Legal Office

2.9 Submit the final