Name of Local Government
Landslide Prone Area
Unit
(Name of LGU)
*Add additional rows if necessary
Prepared by:
Name and Signature
Approved by:
Head of DRRM Office
With CLUP-Approved
Status/Remarks
landslide prone area list?
Indicate a Yes/No?
Indicate exact location of background/description of the If yes, when was
landslide-prone area LGU which can answer the formulated/integrated in the
5Ws and 1H LDRRMP or other Plans?
provide existing hazard for the
landslide prone area
attach geotagged photographs /
situation reports if available
Reviewed by:
Name and Signature