____(insert letterhead)_____

(Date)

HIS EXCELLENCY FERDINAND R. “BONG-BONG” MARCOS

President
Republic of the Philippines
Malacañang Palace
644 San Miguel, Manila, Metro Manila

THRU: SEC. AMENAH PANGANDAMAN

Department of Budget and Management (DBM)

SUBJECT: REQUEST FOR FINANCIAL ASSISTANCE CHARGEABLE AGAINST THE FY

2023 LGSF-FA TO LGUS

Dear President Marcos:

This Local Government Unit (LGU) of Barangay_____________, Municipality_______, expresses its

intention to avail of the financial assistance, chargeable against the Local Government Support fund –
Financial Assistance to Local Government Units (LGSF-FA to LGUs) under the FY 2023 General
Appropriations Act (GAA), Republic Act (RA) Np. 11936, for the following priority program (s) and/or
project (s):

No. Program/Title Location Amount

1 Supply & Installation of Solar Street Lights [insert street of [insert amount]
barangay]
2
3
TOTAL

The DBM shall directly deal only with the undersigned or the authorized representative who has the
following contact details:

Local Chief Executive

Name Name
Designation Barangay Chairman Designation
E-mail Address E-mail Address
Telephone No. Telephone No.
Mobile No. Mobile No.

Respectfully yours,

HON. _________________
Barangay Chairman