03_Annex C_Form 6.2 LDF Utilization

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Department of the Interior and Local Government

Assessment for the Seal of Good Local Governance


CY 2023

Seal of Good Local Governance – NATIONAL VALIDATION


Form 6.2 Vetting of LDF Utilization

LGU Name :
Region :

Upon checking BLGS Post-Calibration comments, the Validator must fill out this form to reconcile the final percent-utilization rate of LDF included in SGLG criteria.

FY 2022 Local Development Fund : _PhP______________________________________


(20% of NTA)

Total Amount Utilized : _PhP______________________________________


As of December 31, 2022 : _PhP________________________________________
As of March 31, 2023 (Jan.-Mar.) : _PhP________________________________________

Percentage of utilization :
(total amount utilized/total amount of
FY 2022 LDF x 100)
_______________

Details of Utilization of NTA for FY 2022 in the 1st Quarter of CY 2023

PPAs Name of Payee Voucher No. Check No. Check Date Date Released Amount

1
For DILG SGLG Validator’s use only.
Not to be distributed to LGUs.
Department of the Interior and Local Government
Assessment for the Seal of Good Local Governance
CY 2023

Total

Certified true and correct:

1. Validator #1

_______________________________________________ ______________________________

(1) Signature over Printed Name (1) DILG-Place of Assignment

2. Validator #2

_______________________________________________ ______________________________

(2) Signature over Printed Name (2) DILG-Place of Assignment

Date: Click here to enter text.

Note to the Validators:

2
For DILG SGLG Validator’s use only.
Not to be distributed to LGUs.
Department of the Interior and Local Government
Assessment for the Seal of Good Local Governance
CY 2023

● To ensure the accuracy of the LGU requests on the inclusion of 2022 LDF disbursed in 2023 Q1, the following must be validated in the reports to be
presented by the LGUs:

1. Details of the disbursements for Accounts Payable (AP) and Continuing Appropriations in the first quarter of 2023 clearly indicate the items pertaining to
the 2022 Local Development Fund (LDF). The AP and Continuing Appropriations disbursements must be disaggregated;
2. The list of 2022 LDF disbursed as AP and Continuing Appropriations in the first quarter of 2023 must be supported by proofs of payments, i.e.
Disbursement Vouchers, RAO, Checks, etc.

3
For DILG SGLG Validator’s use only.
Not to be distributed to LGUs.

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