Republic of the Philippines
Province of Samar
Municipality of Paranas
Municipal Social Welfare and Development Office
MASTERLIST OF AFFECTED FAMILIES
BARANGAY:
NAME OF EVACUATION CENTER: Unaccom W/
Single
AGE/SEX panied Lactating
Mother Headed Serious PWD Pregnant
No. Family Name First Name Male Female Minor Illness
0-1 2-3 4-5 6-12 13-19 20-59 60+ 0-1 2-3 4-5 6-12 13-19 20-59 60+
Prepared By:
____________________________
Republic of the Philippines
Province of Samar
Municipality of Paranas
Municipal Social Welfare and Development Office
STATUS OF DISASTER OPERATIONS
As of Date and Time _________________
Barangay ________________________________
Type of Disaster ___________________________
Date of Occurrence _____________________
Number Affected Number of Ecs SERVED TOTAL SERVED
AFFECTED INSIDE E.C OUTSIDE E.C Families Persons
AREAS Purok/Sitio Families Persons Cum Now Families Persons Families Persons
Cum Now Cum Now Cum Now Cum Now Cum Now Cum Now
GRAND TOTAL
Prepared By:
___________________________________
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Department of Social Welfare and Development
DISASATER RESPONSE, OPERATIONS,MONITORING AND INFORMATION CENTER
Magsaysay Blvd. Field Office VIII Tacloban City
STATUS OF DISASTER OPERATIONS
As of Date and Time ________________________
Region VIII
Type of Disaster ________________________
Date of Occurrence ____________________
NUMBER OF DAMAGED HOUSES CASUALTIES COST OF ASSISTANCE
AFFECTED AREAS TOTAL
Totally Partially Dead Injured Missing DSWD LGUs (Municipal/Province) NGOs/OTHER GOs
GRAND TOTAL
Page 1 of 2
Department of Social Welfare and Development
DISASTER RESPONSE, OPERATIONS, MONITORING AND INFORMATION CENTER
Magsaysay Blvd. Field Office VIII Tacloban City
STATUS OF EVACUATION CENTERS
As of Date and Time ________________
Region VIII
Type of Disaster ___________________
Date of Occurrence ________________
NO. OF Ecs NUMBER SERVED STATUS OF E.C.s
PLACE OF NAME OF EVACUATION PLACE OF ORIGIN
EVACUATION CENTER CENTERS Families Persons (Brgy./Mun./City/Prov.)
Cum Now Newly Opened/Reactivated/Existing/Closed
Cum Now Cum Now
GRAND TOTAL
DROMIC FORM #3
(Annex A)
Republic of the Philippines
Province of Samar
Municipality of Paranas
Municipal Social Welfare and Development Office
MASTERLIST OF CONFIRMED CASUALTIES
As of Date and Time ___________________
Barangay ____________________________
Type of Disaster _____________________________
Date of Occurrence __________________
NAME CAUSE OF DEATH/INJURY FINANCIAL ASSISTANCE Date
AGE SEX ADDRESS REMARKS
PROVIDED Provided
Last Name First Name M.I. DEAD INJURED MISSING
GRAND TOTAL
Prepared By: Approved By:
_______________________________________ ________________________________________________
Barangay Secretary Barangay Captain
DROMIC FORM #3
Department of Social welfare and Development
DISASTER RESPONSE, OPERATIONS, MONITORING AND INFORMATION CENTER
Magsaysay Blvd. Field Office VIII Tacloban City
STATUS OF FOOD AND NON-FOOD ITEMS
Region VIII
Type of Disaster _____________________
Date of Occurrence _____________________
DSWD LGUs NGOs/Other/Private Total Cost Assistance provided to LGU
PROVINCE/CITY/MUN
Items Provided Amount (Php) Items Provided Amount (Php) Items Provided Amount (Php) Total Amount (Php)
Total Amount
(I)
MUNICIPAL PROFILE
NAME:
AS OF:
NO. OF 4Ps
NO. PUROK/BRGY. NO. OF HH NO. OF FAMILIES NO. OF PWD NO. OF PREGNANT NO. OF SC
BENECIARIES
(II)
VULNERABILITY/CAPACITY
TYPE VULNERABILITY CAPACITY
PHYSICAL
SOCIAL
ECONOMIC
CULTURAL
(III)
TIMELINING/HISTORICAL CALENDAR
EFFECT (Community, Vulnerable
YEAR DISASTER group, Institutional, CHALLENGES AND LESSON LEARNED
Environment, Household)
(IV)
PRE-ASSIGNED EVACUATION CENTERS
CAMP MANAGERS & FAMILIES
CAPACITY (NO. OF OCCUPANCY SPACE NO. OF PUROK/ZONE OF
IDENTIFIED SAFE EVACUATION CENTERS ASSIGNED CAMP MANAGER
FACILITIES THAT CAN ACCOMMODATE IDPs FAMILIES ORIGIN
(V)
EVACUATION CENTERS
CAPACITY (NO. OF ROOMS/SPACE NO. OF BATHING AREA NO. OF LATRINE/CR
NAME OF EC FACILITIES THAT CAN ACCOMMODATE COOKING COUNTER
LDPs)
NO. OF NO.OF NO. OF NO. OF
MALE FEMALE MALE FEMALE
(VI)
ORGANIZATIONAL STRUCTURE OF DRRMC
POSITION NAME ROLES & FUNCTIONS
CHAIRMAN
MEMBERS
VOLUNTEERS
Republic of the Philippines
Province of Samar
Municipality of Paranas
ADDITIONAL INFORMATION SHEET
STRUCTURE OF HOUSE
Light Material/Savageable
Semi-Concrete
Concrete
With toilet
without toilet
Medical Conditions
D AS
T MP
Hy Malnourished
DISPOSITION TO EVACUATION BEFORE/DURING DISASTER
Resistant
Compliant
LIVESTOCK
TYPE MALE FEMALE
