Annex A-1

Republic of the Philippines

Province of ___________
City /Municipality of _______________
LOCAL HOUSING BOARD

APPLICATION OF CERTIFICATE OF COMPLIANCE

FOR ADMINISTRATIVE DEMOLITION AND EVICTION
Pursuant to Executive Order No. 708 s.

Name of Proponent:________________________________________________________________
Contact Person____________________________________________________________________
Official Designation :_______________________________________________________________
Official Address:___________________________________________________________________
Telephone Number/s:________________________________________________________________

Purpose of Clearing:_______________________________________________________________
Duration of Clearing Operation
Expected Starting Date of Clearing :___________________________________________________
Expected Day of Completion of Clearing Activities:_______________________________________
Location /Address of Affected Families: ________________________________________________
Checklist of Documents to be attached to this Application
(Based on Pertinent Provisions of IRR of Sec 28 UDHA)
Annex 1 Masterlist of Underprivileged and homeless beneficiaries (include full maiden name
of spouse and basis for underprivileged and homeless status)
Annex 2
Minutes and attendance of consultation meeting/s conducted (include three (3)
notices of meeting receipts
Annex 3
Copies of all Notice of Demolition issued to all affected families bearing
Acknowledgment receipts
Annex 4
Certified Photocopy of Title, as may be appropriate
Annex 5
Tax Declaration or Tax Receipt, as may be appropriate
Annex 6
Location Plan or Vicinity Map showing the boundary and illegal constructions
Annex 7
Pictures of the Area
Annex 8
Certification from LGU or other concerned agency that the area is included in the list of
danger areas and public areas that are subject for clearing, or
Annex 8
Certification from LGU or other concerned agency that the area is the site of an
Infrastructure project with available funding and shall commence within (60) days
after clearing of the said area, if applicable
Annex 9
Proposed Development Plan of the property to be cleared
Annex 10 Affidavit and/or copy of MOA of negotiated and voluntary
Dismantling with Board Resolution designating Peoples Organizations
Representatives, as may be appropriate
Annex 11 Certification of Availability of Resettlement /Relocation
Annex 12 Development Plan of relocation site
Endorsed /Submitted by: __________________________________________________
Authorized Official of the Project Proponent
Date Received:_____________________________
Time:___________________
Received by:_______________________
(Signature Over Printed Name)

Annex A-1
(Page 2)

I attest to the completeness and truthfulness of the foregoing .This is for the purpose of
applying for a compliance certificate from the Local Housing Board for administrative
demolition and eviction activities.
IN WITNESS WHEREOF, I hereby affix my signature this _____ day of
_________, 20___, at ________________________.

________________________
Applicant/ Contact Person
SUBSCRIBED AND SWORN BEFORE me by the Applicant /Contact Person
this___ day of _______, 20_____ in _________, and who personally exhibited to me his/her
Community Tax Certificate No. ______________________, issued at __________________
on ________________________.

NOTARY PUBLIC

Annex A-2
Republic of the Philippines
Province of ______________
City/ Municipality of _____________
LOCAL HOUSING BOARD

APPLICATION FOR CERTIFICATE OF COMPLIANCE

FOR SUMMARY DEMOLITION AND EVICTION
Pursuant to Executive Order No. 708 s. 2008

Name of Proponent:________________________________________________________________
Contact Person:___________________________________________________________________
Official Designation:______________________________________________________________
Official Address:__________________________________________________________________
Telephone Number/s:______________________________________________________________

Duration of Clearing Operation

Expected Starting Date of Clearing:___________________________________________________
Expected Day of Completion of Clearing Activities:______________________________________
Location/Address of Affected Families:________________________________________________
Number of Affected Families:________________________________________________________
Endorsed /Submitted by:____________________________________________
Authorized Official of the Project Proponent

Checklist of Documents to be attached to this Application

(Based on Pertinent Provisions of IRR of Sec 27 UDHA)
Annex 1 List of Affected Families with Addresses or Location
Annex 2 Sample Notices of Summary Eviction and Demolition given to Affected Families
Annex 3 Grounds Constituting the Basis for the Summary Eviction and
Demolition
Annex 4 Certification that the Affected Persons are not included in the List of
Potential Socialized Housing Beneficiaries as provided by Section 17 UDHA
Annex 5 Other Supporting Proofs or Evidences relative to Annex 4
Date Received::____________________________
Received by:____________________________
(Signature over Printed Name)

Time:__________________

Annex B
Republic of the Philippines
Province of __________
City/Municipality of _____________

LOCAL HOUSING BOARD

VERIFICATION REPORT
Pursuant to Pertinent Provisions of IRR of Section 28, UDHA

Name of Proponent:________________________________________________________________
Contact Person:___________________________________________________________________
Official Designation:_______________________________________________________________
Official Address :__________________________________________________________________
Telephone Number/s:_______________________________________________________________
Purpose of Clearing:________________________________________________________________
__________________________________________________________________________________
Duration of Clearing Operation
Expected Starting date of clearing :_____________________________________________________
Expected day of Completion of Clearing Activities:________________________________________
Location /Address of affected Families:_________________________________________________
_________________________________________________________________________________
Name of UPO/s affected:_____________________________________________________________
UPO President/Contact Person:________________________________________________________
Number of Affected families;_________________________________________________________
_________________________________________________________________________________

A. Verification of Documents Submitted

(For Administrative Demolition and Eviction)
Annex 1
Masterlist of Underprivileged and Homeless Beneficiaries (include full
maiden name of spouse and basis for underprivileged and homeless status)
Annex 2
Minutes and Attendance of Consultation Meeting/s Conducted (include three
(3) notices of meeting receipts)
Annex 3
Copies of all Notice of Demolition issued to all Affected Families bearing
Acknowledgement Receipts
Annex 4
Certified Photocopy of Title, as may be appropriate
Annex 5
Tax Declaration or Tax Receipt, as may be appropriate
Annex 6
Location Plan or Vicinity Map showing the Boundary and Illegal Constructions
Annex 7
Pictures of the Area
Annex 8
Certification from LGU or other concerned agency that the area is included
in the list of danger areas and public areas that are subject for clearing, or
Annex 8
Certification from LGU or other concerned agency that the area is the site of
an infrastructure project with available funding and shall commence within
sixty (60) days after clearing of the said area, if applicable
Annex 9
Proposed Development Plan of the property to be cleared
Annex 10
Affidavit and/or copy of MOA of negotiated and voluntary dismantling with
Board Resolution designating Peoples Organizations representatives, as may be appropriate
Annex 11
Certification of Availability of Resettlement /Relocation
Annex 12
Development of Plan of relocation site

Annex B
Page 2

(For Summary Demolition and Eviction)

Annex 1
Annex 2
Families
Annex 3
Annex 4
Annex 5

List of Affected Families with Addresses or Location

Sample Notices of Summary Eviction and Demolition given to Affected
Grounds Constituting the Basis for the Summary Eviction and Demolition
Certification that the Affected Persons are not included in the List of
Potential Socialized Housing Beneficiaries as provided by Section 17 UDHA
Other Supporting Proofs or Evidences relative to Annex 4 Requirement

B. Issuance of 30-Day Notice

Written Notices to Affected Persons
Posters Displayed Conspicuously in the Community
Written Notices & Posters with Stated Reasons for Demolition
C. Conduct of Consultation Meetings
Consultation Meetings Conducted, Including Two(2) Feedback Meetings Within 20 Days
From the Issuance of the Notice of Demolition
Majority of Affected Families Consulted
Participating Agencies:
1. Local Government Units
City/Municipality Administrators Office
Legal Office
Engineers Office
Housing Office
Social Welfare Office
Local PNP
Barangay Officials
2. National Government Agencies
Presidential Commission to the Urban Poor
Housing and Urban Development Coordinating Council
National Housing Authority
Others:
3. National-Government Organizations/Peoples Organizations:
_________________________________________________________________________________
_________________________________________________________________________________
4. Others:_______________________________________________________________________
_________________________________________________________________________________
D. Adequate Relocation/Resettlement Area
Permanent
Temporary
Location:_________________________________________________________________________
Area :_________________________________________________________________________
Total Generated Lots:__________________________Average Lot Area:______________________
Project Cost:______________________________________________________________________
Funding Source:___________________________________________________________________

Annex B
Page 3

Basic Services and Facilities Present

Portable Water
Power and Electricity and Adequate Power Distribution System
Sewerage Facilities and an Efficient and Adequate Solid Disposal System
Accessible to primary /Major Roads and Transportation Facilities
Other Basic Services/Facilities
Health
Education
Security
Others
Economic Opportunities Present in the Area:
_______________________________________________________________________________
_______________________________________________________________________________
E. Financial Assistance (in the absence of a resettlement site)

Total Financial Assistance Released:___________________________________________

Amount Released Per Beneficiary:____________________________________________
Funding Source:__________________________________________________________

F. Remarks /Recommendations:
___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
Prepared and Submitted by:
________________________
(Signature over printed name)
Date Submitted:________________

Noted by:
__________________________
Chairman, Local Housing Board

Annex C-1

Republic of the Philippines

Province of _________
City/Municipality of ____________
LOCAL HOUSING BOARD

CERTIFICATE OF COMPLIANCE ON DEMOLITION

Pursuant to Executive Order No. 708 s. 2008, Amending Executive Order No.
152 Series of 2002, And Devolving The Function Of The Presidential Commission For The
Urban Poor As The Clearing House For The Conduct of Demolition And Eviction Activities
Involving The Homeless And Underprivileged Citizens To The Respective Local Government
Units (LGUs) Having Territorial Jurisdiction Over The Proposed Demolition And Eviction
Activities Of Government Agencies .this Certificate of Compliance is herby issued to the
(__________Name of Proponent_______________)
for the administrative demolition of structures within
(_________________Location___________________)
Said proponent has complied with the requirements of Just and Humane
Demolition and Eviction prescribed under Section 28, pre-relocation phase of
Republic Sct No. 7279 or the Urban Development and Housing Act of 1992.
Further, this Certificate authorizes police assistance to the herein proponent.
This Certificate of Compliance shall be valid sixty (60) days from the
Schedule date of demolition as stipulated in the Notice of Demolition issued by the
Said proponent.
Issued this ______day ________, 200__ at ____________, Philippines.

____________________________________
Chairman, Local Housing Board

Annex C-2

Republic of the Philippines

Province of _________
City/Municipality of ____________
LOCAL HOUSING BOARD

CERTIFICATE OF COMPLIANCE ON DEMOLITION

Pursuant to Executive Order No. 708 s. 2008, Amending Executive Order No.
152 Series of 2002, And Devolving The Function Of The Presidential Commission For The
Urban Poor As The Clearing House For The Conduct of Demolition And Eviction Activities
Involving The Homeless And Underpriviledged Citizens To The Respective Local Government
Units (LGUs) Having Territorial Jurisdiction Over The Proposed Demolition And Eviction
Activities Of Government Agencies .this Certificate of Compliance is herby issued to the
(__________Name of Proponent_______________)
for the administrative demolition of structures within
(_________________Location___________________)
Said proponent has complied with the requirements prescribed under Section 27,
Pre-eviction and demolition phase of Republic Act 7279 or the Urban Development and
Housing Act of 1992
Further, this Certificate authorizes police assistance to the herein proponent.
This Certificate of Compliance shall be valid fifteen (15) days from the
Schedule date of demolition as stipulated in the Notice of Demolition issued by the
Said proponent.
Issued this ______day ________,200__ at ____________, Philippines.

____________________________________
Chairman, Local Housing Board