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What is DAFAC?
DISASTER ASSISTANCE FAMILY ACCESS CARD
Utilization of DAFAC
Part the Social Protection Services
Batangas
Cavite
Quezon
Nasugbu
Rosario
Pitogo
San Andres
San Jose
Magallanes
Tiaong
Lopez
Balayan
Silang
Agdangan
Candelaria
Padre Garcia
Amadeo
Padre
Burgos
Lucban
Bauan
Tanza
Tuy
Naic
Sariaya
Guinayangan
Cuenca
Gen. Mariano
Alvarez
Tagkawaya
n
Alabat
Lobo
Gen. Emilio
Aguinaldo
Taal
San
Francisco
San Pascual
*based
from LSWDO Functionality baseline assessment
San
Luis
Buenavista
occupation, income
If applicable- whether 4Ps beneficiary and/or IPs
ethnicity
The form also asks for the highest educational
attainment, occupational skills and health status
of each family member and under what specific
sector he/she belongs along with house
ownership/status and the housing condition
Region
Serial No.
Region
Province/
District
BENEFICIARYS COPY
Province/
District
Barangay/Evacuation
Center/Site
SURNAM
FIRST
E
NAME
AGE
Ag
e
Gender
Educ.
Occupational
Skills
Health
Status/
Casualty
Remarks
(See Code)
Code: A Elderly
D - Pregnant Women
B PWD
E - Lactating Mother
C - With chilldren below 5
Date of Birth
4Ps Beneficiary
Family
Member
Relation
to Family
Head
Partially Damaged
Totally Damaged
03 Missing
04 - With Illness
AGE
MIDDLE
NAME
Occupation
Monthly Net Income
IP Type of Ethnicity
___________________
Date
of
Birth
Ag
e
Gender
MIDDLE
NAME
Date of Birth
4Ps Beneficiary
Relation
to Family
Head
SOCIAL WORKERS
COPY
City/Municipality
City/Municipality
Family
Members
Serial No.
Educ.
Occupational
Skills
Health
Status/
Casualty
Remarks
(See Code)
Code: A Elderly
D - Pregnant Women
B PWD
E - Lactating Mother
C - With chilldren below 5
Housing Condition :
Partially Damaged
Totally Damaged
______________________________
Signature/Thumbmark of Family
Head
______________________________
Name/Signature of Brgy.
Captain
______________________________
Signature/Thumbmark of Family
Head
______________________________
Name/Signature of Brgy.
Captain
______________________________
Date Registered
______________________________
Name/Signature of C/MSWDO
______________________________
Date Registered
______________________________
Name/Signature of C/MSWDO
Tools
DAFAC shows
The date when was the assistance provided
The recipient and his signature &/or thumbmark
The type, quantity, cost and provider of the
assistance
DAFAC Back
FAMILY ASSISTANCE RECORD
Assistance Provided
Date
Name of Family
Member
Kind/ Type
Qty.
Cost
Provider
Sample Database
Assistance Provided
Date
Name of Family
Member
Kind/ Type
Qty.
Cost
Provider
Recipients
Signature/
Thumbmark
Tools