DEPARTMENT OF SOCIAL WELFARE AND DEVE
Field Office III- City of San Fernando,Pamp
DISASTER RESPONSE OPERATIONS AND MONITORING AND
PROVINCE OF BULACAN
MUNICIPALITY OF NORZAGARAY
As of -------------------
Type of Disaster:
Location Number of Affected
of Damaged Casualties
No. Barangay FFP
Evacuatio Families Person
n Center Delivered
Totally Partially Dead Injured
1
2
3
4
5
6
TOTAL
Prepared by:
ANNALYN JOY C. SAN PEDRO,RSW
SWO-V (MSWDO)
F SOCIAL WELFARE AND DEVELOPMENT
III- City of San Fernando,Pampanga
ONS AND MONITORING AND INFORMATION CENTER
PROVINCE OF BULACAN
ICIPALITY OF NORZAGARAY
As of -------------------
Date of Occurrence:
OF Ecs
of Affected (Newly
Cost of Assistance
Casualties Estimated Opened/
LANDSLIDE FLOODED WIND FALLEN TREE Cost of Existing/ Final
BARANGA Reactivat
Missing Damaged LGU Y Remarks
ed/Close
Noted by:
Hon. MARIA ELENA L. GERMAR
Municipal Mayor
Republic of the Philippines
Province of Bulacan
Municipality of Norzagaray
MUNICIPAL SOCIAL WELFARE AND DEVELOPMENT OFFICE
NORZAGARAY Post Disaster Needs Assessment Matrices (PSWDO TEMPLATES)
As of ______________________
NAME OF FAMILIES PERSONS NO. OF NO. OF NO. OF
CITY/ MUNICIPALITY BARANGAY AFFECTED AFFECTED MALE FEMALE CHILDREN
Norzagaray
Norzagaray
Norzagaray
Norzagaray
Norzagaray
Norzagaray
NO. OF FAMILIES/ HOUSEHOLDS
CITY/ MUNICIPALITY NAME OF
BARANGAY NEEDING
PROVIDED PROVIDED NEEDING
NEEDING WITH FOOD NON- WITH NON- FINANCIAL
FOOD ITEMS ITEMS FOOD FOOD ITEMS ASSISTANCE
ITEMS
Norzagaray
Norzagaray
Norzagaray
Norzagaray
Norzagaray
Norzagaray
NO. OF DAMAGED HOUSES
CASH
NO. OF SHELTER
ASSISTANCE
NAME OF REPAIR
CITY/MUNICIPALITY (AMOUNT
BARANGAY PARTIALLY TOTALLY TOTAL KITS/HOUSING
NEEDED/
NEEDED (QTY)
COST)
*Include
programs
with
budgetary
needs
Norzagaray
Norzagaray
Norzagaray
Norzagaray
Norzagaray
Norzagaray
Prepared by:
_________________
MSWD Staff
Copy Furnish:
-MDRRMO
ines
n
aray
EVELOPMENT OFFICE
t Matrices (PSWDO TEMPLATES)
_______
NO. OF
NO. OF INFANTS NEEDS AND
NO. OF
SENIOR NO. OF PWDs
ADULTS AND REQUIREMENTS.
CITIZEN CHILDREN (QTY/COST)
*Include programs
with budgetary
needs
NEEDS AND
REQUIREMENTS
PROVIDED
WITH
FINANCIAL (QTY/COST)
ASSISTANCE
*Include
programs with
budgetary needs
Noted by:
ANNALYN JOY C. SAN PEDRO, RSW
MSWDO
Republic of the Philippines
DEPARTMENT OF SOCIAL WELFARE AND DEVELOPMENT
RELIEF DISTRIBUTION SHEET
Region III Name of Evacuation Center:
Province Bulacan Type of Disaster:
Municipality Norzagaray Date of Occurence:
Barangay Date of Relief Distribution:
Assistance
Provided
No. Name of Beneficiary No. of
Dependents
MALE FEMALE
0-17 YEARS
OLD
PWD SENIOR IPs SOLO PARENT
Kind/
Type
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
TOTAL
This is to certify that the above names bonafide beneficiaries and received fully the indicated relief items next to their nam
Distributed By Noted by:
ANNALYN JOY C. S
MSWDO
ENT
Assistance
Provided
Signature/Thumbmark
Quantity/
Unit
elief items next to their names
Noted by:
ANNALYN JOY C. SAN PEDRO
MSWDO
