Audit Form BADAC

Republic of the Philippines
DEPARTMENT OF THE INTERIOR AND LOCAL GOVERNME

DILG-NAPOLCOM Center, EDSA cor. Quezon Ave., Quezon City
Telephone Number (02) 925-1137
BADAC FUNCTIONALITY SELF-ASSESSMENT AND AUD

for the Year __________
Region: City/Municipality:
Province: Barangay:
Instruction: Put a check ✓ on the box that corresponds to the given questions.
INDICATORS YES NO MEANS OF VERIFICATION
1. Is BADAC composed of at least seven (7) members? Executive Order (Required)

BADAC Organizational Structure
Copies of IDs issued to BADAC members
Appointment papers
Others, please specify: ________________
2. Did the BADAC organize a Committee on Operations? Executive Order (Required)

Appointment papers
3. Did the BADAC organize a Committee on Advocacy? Executive Order (Required)

Appointment papers
4. Did the BADAC organize a BADAC Auxiliary Team? Executive Order w/ attached list of updated
BAT members (Required)
Copies of IDs issued to BAT members
Appointment papers

5. Did the BADAC organize House Clusters? Executive Order (Required)
Copies of IDs issued to House Cluster Lead
Appointment papers
6. Did the BADAC designate Barangay Duty Officers (BDO)? Executive Order (Required)
IN COMPLIANCE WITH DILG-DDB JOINT MEMORANDUM CIRCULAR NO. 2018-01

Copies of IDs issued to Barangay Duty Offi
Appointment papers
7. Is there a desk or space in the barangay designated Actual photo of the desk (Required)
as Referral/BADAC Desk? Others, please specify: ________________
8. Did the Punong Barangay attend training on Copy of Certificate of Participation (Require
Strengthening BADACs, or other relevant trainings? Copy of attendance sheet w/ the title of the
activity, date/time, and venue
Attestation from the lead organizer
INDICATORS YES NO N/A MEANS OF VERIFICATION
9. Did the Punong Barangay attend any training or planning

session on Community Support, Aftercare, and Reintegration
Program (CSAR)?
In case the CADAC/MADACs were not able to organize any

consultation or planning workshop on reintegration program, the
BADACs should check the corresponding box for “N/A” in page 2,
item number nine (9) of BADAC Self-Assessment and Audit Form.
With respect to this, the C/M LGOO or CD shall allocate the
corresponding one (1) point

10. Did the BADAC conduct at least one (1) training for the BADAC Activity Report with attendance she
BADAC House Cluster Leaders? Photo/video documentation
Copies of evaluation or feedback forms
Copy of signed liquidation report
Copy of Certificate of Participation awarded
cluster leaders
11. Did the BADAC conduct at least one (1) training for the BADAC Activity Report with attendance she
BADAC Auxiliary Team (BAT)? Photo/video documentation
Copy of Certificate of Participation awarded
members
12. Did the Barangay Duty Officers attend at least one (1) Copies of Certificate of Participation (Requi
training on Community-Based Rehabilitation Program or Copy of attendance sheet with title of the ac
other relevant trainings? date/time, and venue

Photo documentation
Attestation from lead organizer
13. Did the BADAC conduct at least one (1) consultative BADAC Activity Report with attendance she
meeting with stakeholders? Photo/video documentation
Minutes of the meeting/proceedings
14. Did the BADAC conduct regular monthly meetings? Copies of BADAC monthly meeting minutes
Number of months in which meetings were conducted attendance sheets (Required)
10-12 months Photo/video documentation
8-9 Minutes of the meeting/proceedings
6-7 Others, please specify: ________________
4-5
1-3
0

15. Did the BADAC organize / co-organize at least two (2) BADAC Activity Report (Required)
community-based IEC campaign activities? Attendance sheets
Photo/video documentation
Copy of IEC materials used
16. Did the BADAC organize / co-organize at least one (1) BADAC Activity Report (Required)
school-based IEC campaign activity? Attendance sheets
17. Did the SK or any youth organizations in the barangay Activity report by the youth organization (Re
conduct at least one (1) drug awareness Attendance sheets
campaign activity? Photo/video documentation
18. Did any Civil Society Organizations (CSOs) conduct Activity report by the CSO (Required)
at least one (1) drug awareness campaign activity in Attendance sheets
the barangay? Photo/video documentation

19. Did the BADAC organize / co-organize any activities BADAC Activity Report (Required)
in observance of the International Day Against Drug Attendance sheets
Abuse and Illicit Trafficking (IDADAIT)? Photo/video documentation

20. Did the BADAC organize / co-organize any activities in BADAC Activity Report (Required)
observance of the Drug Abuse Prevention and Control Attendance sheets
Week (DAPC)? Photo/video documentation
21. Did the BADAC submit an updated number of residents Copy of the Barangay Duty Officer's logboo
who surrendered through the Barangay Duty Officers and copy of the logbook/reports from mandated
other mandated agencies? where the resident surrendered (Required)
22. Did the BADAC submit an updated number of residents Copy of referral letter from the barangay, re
who were referred to higher ADACs and other law CADAC/MADAC, or other law enforcement
enforcement agencies for assessment? agencies (Required)
BDO's logbook showing the referral date
23. Did the BADAC submit an updated number and status of List of updated number and status of reside
residents who were assessed and enrolled in any enrolled in Wellness and Recovery Interven
Wellness and Recovery Interventions? issued by CADAC/MADAC (Required)
Copies of Individual Treatment Card/Book
24. Did the BADAC submit an updated number of residents List of updated number of residents who co
who have completed prescribed Wellness and Recovery their prescribed Wellness and Recovery Int
Inteventions? issued by CADAC/MADAC (Required)
Copies of Certificate of Completion
Copies of clearance certificate issued by au
service provider
25. Did the BADAC submit an updated number of residents List of updated number of residents enrolled
enrolled in CSAR or any equivalent reintegration program? program, or its equivalent, issued by
CADAC/MADAC (Required)

26. Did the BADAC submit an updated number of residents List of updated number of residents who co
who completed the CSAR or any equivalent reintegration the CSAR Program issued by CADAC/MAD
program? Copies of Certificate of Completion, or copy
Clearance Certificate issued by authorized
provider
27. Did the BADAC submit the Summary of Consolidated Certificate of submission from CADAC/MAD
Information Report (CIR)? local PNP unit (Required)
Copy of received transmittal form
28. Did the BADAC submit an updated CIR to CADAC/MADAC Certificate of submission from CADAC/MAD
and local PNP unit? local PNP unit (Required)
29. Did the BADAC submit its Barangay CSAR or any Copy of approved Barangay CSAR Plan, or
equivalent reintegration plan as incorporated in their BADPA? received by CADAC/MADAC (Required)
30. Did the BADAC prepare its own BADAC Plan of Action Copy of approved BADPA or copy of appro
(BADPA) for FY 2017? BPOPS Plan with BADPA (Required)
31. Did the BADAC appropriate a substantial budget for its Copy of approved Barangay Annual Budge
anti-illegal drug activities for FY 2017? budget allocation for BADAC (Required)
Total annual budget: ________________

Allocation for BADAC: _________________
32. Did the BADAC submit its Annual BADAC Accomplishment Copy of Annual BADAC Accomplishment a
and Fund Utilization Report to CADAC/MADAC and other Utilization Report (Required)
agencies? Others, please specify: ________________
Audited by:
_________________________________________________________
Signature over Printed Name of City/Municipal LGOO or City Director
Date signed: ________________

blic of the Philippines
NTERIOR AND LOCAL GOVERNMENT
er, EDSA cor. Quezon Ave., Quezon City
e Number (02) 925-1137
LF-ASSESSMENT AND AUDIT FORM

Year __________
Contact #
FOR C/MLGOO / CD USE ONLY
NS OF VERIFICATION POINTS REMARKS
Executive Order (Required)

Appointment papers
Others, please specify: ______________________

Appointment papers

Appointment papers
Executive Order w/ attached list of updated

BAT members (Required)
Copies of IDs issued to BAT members
Appointment papers

Copies of IDs issued to House Cluster Leaders
Appointment papers


Copies of IDs issued to Barangay Duty Officers
Appointment papers
Actual photo of the desk (Required)

Copy of Certificate of Participation (Required)

Copy of attendance sheet w/ the title of the
MEANS OF VERIFICATION
Copy of Cert. of Participation (Required)

Copy of attendance sheet w/ the title of the
Others, please specify: _______________

BADAC Activity Report with attendance sheets (Required)
Copy of Certificate of Participation awarded to
cluster leaders

Copy of Certificate of Participation awarded to BAT
members
Copies of Certificate of Participation (Required)

Copy of attendance sheet with title of the activity,
date/time, and venue

Photo documentation
Attestation from lead organizer

Copies of BADAC monthly meeting minutes with

attendance sheets (Required)

BADAC Activity Report (Required)
Attendance sheets
Others, please specify: _______________________

Attendance sheets
Activity report by the youth organization (Required)

Attendance sheets
Activity report by the CSO (Required)

Attendance sheets

Attendance sheets

Attendance sheets
Copy of the Barangay Duty Officer's logbook, or

copy of the logbook/reports from mandated agencies
where the resident surrendered (Required)
Copy of referral letter from the barangay, received by

CADAC/MADAC, or other law enforcement
agencies (Required)
BDO's logbook showing the referral date
List of updated number and status of residents

enrolled in Wellness and Recovery Interventions
issued by CADAC/MADAC (Required)
List of updated number of residents who completed

their prescribed Wellness and Recovery Interventions
issued by CADAC/MADAC (Required)
Copies of Certificate of Completion
Copies of clearance certificate issued by authorized
service provider
List of updated number of residents enrolled in CSAR

program, or its equivalent, issued by
CADAC/MADAC (Required)

List of updated number of residents who completed

the CSAR Program issued by CADAC/MADAC (Required)
Copies of Certificate of Completion, or copy of
Clearance Certificate issued by authorized service
Certificate of submission from CADAC/MADAC and

local PNP unit (Required)
Certificate of submission from CADAC/MADAC and

local PNP unit (Required)
Copy of approved Barangay CSAR Plan, or equivalent,

received by CADAC/MADAC (Required)
Copy of approved BADPA or copy of approved

BPOPS Plan with BADPA (Required)
Copy of approved Barangay Annual Budget w/

budget allocation for BADAC (Required)
Total annual budget: _______________________

Allocation for BADAC: _______________________
Copy of Annual BADAC Accomplishment and Fund

Utilization Report (Required)
_______________ TOTAL POINTS
LGOO or City Director

____ LEVEL OF FUNCTIONALITY

Republic of the Philippines
DEPARTMENT OF THE INTERIOR AND LOCAL GOVERNMENT
DILG-NAPOLCOM Center, EDSA cor. Quezon Ave., Quezon City
Telephone Number (02) 925-1137
BADAC FUNCTIONALITY SELF-ASSESSMENT AND AUDIT FOR

for the Year __________
CERTIFICATION OF TRUTH, ACCURACY, AND C

The undersigned certify under penalty of law, based on information and belief formed afte
statements and information contained in this document are true, accurate, an
Signature over Printed Name of Chair of Committee on Advocacy Signature over Printed Nam
Date signed: _________________ Date signed
Signature over Printed Name of Punong Barangay / BADAC Chairperso

Date signed: _________________
Noted by:
Signature over Printed Name of City/Municipal LGOO or City Director Signature over Printe
Date signed: ________________ Date signe
BADAC FUNCTIONALITY SELF-ASSESSMENT AND AUDIT FORM

s
OCAL GOVERNMENT
n Ave., Quezon City
1137
ENT AND AUDIT FORM
ACY, AND COMPLETENESS

and belief formed after reasonable inquiry, the
are true, accurate, and complete.
nature over Printed Name of Chair of Committee on Operations

Date signed: _________________
ay / BADAC Chairperson
_____
Signature over Printed Name of City/Municipal Mayor

Date signed: _______________
BADAC FUNCTIONALITY SELF-ASSESSMENT AND AUDIT FORM

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Republic of the Philippines

DEPARTMENT OF THE INTERIOR AND LOCAL GOVERNME

BADAC FUNCTIONALITY SELF-ASSESSMENT AND AUD

INDICATORS YES NO MEANS OF VERIFICATION

1. Is BADAC composed of at least seven (7) members? Executive Order (Required)

2. Did the BADAC organize a Committee on Operations? Executive Order (Required)

3. Did the BADAC organize a Committee on Advocacy? Executive Order (Required)

INDICATORS YES NO MEANS OF VERIFICATION

IN COMPLIANCE WITH DILG-DDB JOINT MEMORANDUM CIRCULAR NO. 2018-01

INDICATORS YES NO N/A MEANS OF VERIFICATION

9. Did the Punong Barangay attend any training or planning

In case the CADAC/MADACs were not able to organize any

INDICATORS YES NO MEANS OF VERIFICATION

IN COMPLIANCE WITH DILG-DDB JOINT MEMORANDUM CIRCULAR NO. 2018-01

INDICATORS YES NO MEANS OF VERIFICATION

IN COMPLIANCE WITH DILG-DDB JOINT MEMORANDUM CIRCULAR NO. 2018-01

INDICATORS YES NO MEANS OF VERIFICATION

IN COMPLIANCE WITH DILG-DDB JOINT MEMORANDUM CIRCULAR NO. 2018-01

Total annual budget: ________________

IN COMPLIANCE WITH DILG-DDB JOINT MEMORANDUM CIRCULAR NO. 2018-01

LF-ASSESSMENT AND AUDIT FORM

FOR C/MLGOO / CD USE ONLY

NS OF VERIFICATION POINTS REMARKS

Executive Order (Required)

Executive Order (Required)

Executive Order (Required)

Executive Order w/ attached list of updated

FOR C/MLGOO / CD USE ONLY

Executive Order (Required)

IN COMPLIANCE WITH DILG-DDB JOINT MEMORANDUM CIRCULAR NO. 2018-01

Actual photo of the desk (Required)

Copy of Certificate of Participation (Required)

Copy of Cert. of Participation (Required)

FOR C/MLGOO / CD USE ONLY

BADAC Activity Report with attendance sheets (Required)

Copies of Certificate of Participation (Required)

IN COMPLIANCE WITH DILG-DDB JOINT MEMORANDUM CIRCULAR NO. 2018-01

BADAC Activity Report with attendance sheets (Required)

Copies of BADAC monthly meeting minutes with

FOR C/MLGOO / CD USE ONLY

BADAC Activity Report (Required)

Activity report by the youth organization (Required)

Activity report by the CSO (Required)

IN COMPLIANCE WITH DILG-DDB JOINT MEMORANDUM CIRCULAR NO. 2018-01

FOR C/MLGOO / CD USE ONLY

Copy of the Barangay Duty Officer's logbook, or

Copy of referral letter from the barangay, received by

List of updated number and status of residents

List of updated number of residents who completed

List of updated number of residents enrolled in CSAR

FOR C/MLGOO / CD USE ONLY

IN COMPLIANCE WITH DILG-DDB JOINT MEMORANDUM CIRCULAR NO. 2018-01

List of updated number of residents who completed

Others, please specify: _______________________

Certificate of submission from CADAC/MADAC and

Certificate of submission from CADAC/MADAC and

Copy of approved Barangay CSAR Plan, or equivalent,

Copy of approved BADPA or copy of approved

Copy of approved Barangay Annual Budget w/