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• DILG •"MEMORANDUM CIRCULARNO. 2013-61

Republic of the PhilippinesDEPARTMENT OF THE INTERIOR AND LOCAL GOVERNMENT

DILG-NAPOLCOM CENTER, EDSA comer Quezon Avenue, Quezon CityTelephone Numbers 925.11.48· 925.88.88· 925.03.32

http.y ywww.dilg.gov.ph

BIYAHENCPINOY

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TAPAT NA PAlAKAD.BAYANC IlAUNUD

July 8, 2013

TO ALL CITYIMUNICIPAL MAYORS, PUNONG BARANGAYS,DILG REGIONAL DIRECTORS AND FIELD OFFICERS, THEARMM REGIONAL GOVERNOR AND OTHERS CONCERNED

SUBJECT GUIDELINES ON THE BARANGAY REGISTRATION OFKASAMBAHAY PURSUANT TO REPUBliC ACT NO. 10361ENTITLED AN ACT INSTITIITING POliCIES FOR THEPROTECTION AND WELFARE OF DOMESTIC WORKERS

1. BACKGROUND

Republic Act No. 10361 otherwise known as "Domestic Workers Act" or"Bates Ksssmbsbsy", was signed on January 18, 2013. Consequently, theImplementing Rules and Regulations (IRR) of the said Act was promulgated onMay 9, 2013

Rule IX of the IRR provides for the registration system for Kasambahay andmandates the Department of the Interior and Local Government (DILG) to issue acircular prescribing the standard Registration Form and Protocols as guide forregistration.

II. PURPOSE

This Circular is being issued to provide guidelines for the barangayregistration of all Kasambahay nationwide.

III. COVERAGE

This Circular shall cover all Kasambahay or domestic workers employedwithin the country. A Domestic worker or Ksssmbshsy refers to any person engagedin domestic work within an employment relationship, whether live-in or live-outarrangement, such as but not limited to, general househelp, nursemaid or ysys, cook,

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gardener. laundry person, or any person who regularly performs daily domestic workin one household on an occupational basis.

The following are not covered: service providers, family drivers, childrenwho are under foster family arrangement or any person who performs domesticwork only occasionally or sporadically and not on an occupational basis.

IV. REGISTRATION OF KASAMBAHAY

All City or Municipal Mayors and Punong Barangays are enjoined to initiatethe conduct of the registration of all Kasambahay within their jurisdictions and torequire every employer to register his or her domestic workers under his or heremployment in the Kasambahay Masterlist (Registry of the Domestic Workers) inthe barangay where the employer's residence is located.

The Punong Barangay shall devise a system to ensure the registration of allKasambahay in his or her barangay including an on-line registration through thebarangay's official website or e-mail.

A. START-UP REGISTRATION

The City or Municipal Mayor shall organize within the month ofJuly 2013 a start-up registration which shall be held at the City or MunicipalHall, Plaza or any place convenient to the employer or Kasambahay. During thesaid activity, he or she shall enjoin the Punong Barangays to set up theirrespective Kasambahay Desks. Representatives from thePag-IBIG, PhilHealthand SSSshall also be invited to set-up their respective desks to accept applicationfor membership.

For orderly management of schedule of the registration, the City orMunicipal Mayor is enjoined to coordinate with the said agencies.

B. CONTINUOUS REGISTRATION

There shall be a continuous registration of Kasambahay in the barangay.The Punong Barangay, through an Executive Order, shall designate KasambahayDesk Officerls who shall be tasked to manage the Kasambahay Desks. He mayopt to schedule a special registration day/s on a Saturday or Sunday in his/herbarangay wherein representatives from PhilHealth, SSS, Pag-IBIG and otherstakeholders may be invited.

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The City or Municipal Mayor and the Punong Barangay shall conductcontinuous information dissemination regarding the registration of Kasambahay,and on the implementation of the Kasambahay Law.

v. STEPSIN REGISTRATION

The following steps in registration of Kasambahayare hereby prescribed:

A. The employer or his/her duly authorized representative shall:,

Submit two (2) copies of accomplished Kasambahay Registration Form (KRForm 1) with the attached signed Kontrata sa Paglilingkod sa Tahanan to theKasambahay Desk Officer of the barangay where his/her residence is located.

The Kasambahay Registration Form (KR Form 1) and the Kontrata saPaglilingkod sa Tahanan are available at the Barangay and City or MunicipalPublic Employment Service Oiiice (PESO). Both forms are also downloadable atwww.dilg.gov.ph. and JVWEQQkggv.pll

B. The Kasambahay Desk Officer shall:

1. Receive the two (2) copies of accomplished Kasambahay RegistrationForm (KR Form 1) with the attached Kontrata sa Paglilingkod sa Tahanan;

2. Review and assess the completeness of data entries;3. Stamp the date of receipt and assign a registration control number at the

upper right comer of the KR Form 1; and4. Provide the employer or his authorized representative a duplicate copy

which will serve as proof of registration.

VI. MAINTENANCE AND UPDATING OF KASAMBAHAYMASTERilST

The Kasambahay Desk Officer shall keep a copy of the KR Form 1 with thecorresponding signed contract for barangay safekeeping. He or she shall encode orrecord the information about the Kasambahay in the Kasambahay Masterlist (KRForm 2).

In case of termination of the contract, the employer shall immediately notifythe Kasambahay Desk Officer for updating purposes.

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VII. MONITORING AND REPORTING

Monthly Report

1. The Punong Barangay through the Kasambahay Desk Officer shall submit tothe local Public Employment Service Office (PESO) a Monthly KasambahayReport (KR Form 3) which includes data regarding the registration of theKasambahay.

2. The PESO shall consolidate the Monthly Kasambahay Reports from thecomponent barangays and submit a monthly consolidated report usingKR Form 4 to the DILG City or Municipal Office, copy furnished the DOLEDistrict or Provincial Office, as the case maybe.

All reports shall be cumulative.

Semestral Report

A semestral report on the data of registration of Kasambahay shall beprepared and submitted through channel by the DILG Field Offices using thefollowing forms:

KR Form 5 - City or Municipal Consolidated Report FormKR Form 6 - Provincial Consolidated Report FormKR Form 7 - Regional Consolidated Report Form

The Regional Consolidated Report using KR Form 7 shall be submittedevery July 15 and January 15 to the DILG Central Office through the NationalBarangay Operations Office (NBOO).

However, for benchmarking purposes, the Regional Office shall submit aninitial Consolidated Report using KR Form 7 not later than October 15, 2013.

VIII. FUNDING REQUIREMENT

The City, Municipal and Barangay governments are authorized to allocatesuch amount as may be necessary to support the Registration and other relatedactivities.

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IX. DISCLOSUREOF INFORMATION

The disclosure of information about the Kasambahay and the employer by thebarangay and the local Public Employment Service Office (PESO) is subject tocompliance with the requirements of Republic Act No. 10173 (Data Privacy Act of2012) and other existing laws. Otherwise, violators shall be subjected to fine orimprisonment.

All DILG Regional Directors and Field Officers are directed to cause theimmediate and widest dissemination of this Circular to all local government unitswithin their jurisdictions.

This Circular shall take effect immediately.

..... MARR'-JJ',J.•.......Secret

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Form BK-l

KONTRATA SA PAGULINGKOD SA TAHANAN.•.

Ang Kontrata ng trabaho sa tahanan ay napagpasiyahan sa pagitan nina:

A. (Pangalan ng Pinaglilingkuran)Tirahan at Telepono: _

B. (Pangalan ng Kasambahay)Civil Status: _TirahanatTelepono:. _

Edad:. _

Nagkasundo sa mga sumusunod na tuntunin at kondisyon:

1. Lugar ng trabaho: _(Hindi maaaring italaga sagawaing commercial, industrial 0 agricultural enterprise)

2. Tagal/Panahon ng trabaho: Mula sa _Hanggangsa _

3. Uri ng trabaho: _(yaya, kusiners, bsrdinero, Isbsnders, etc.)

4. Mga tungkulin at Gawain:a., _b. _

k. _5. Oras ng trabaho:

(Para sa Kasambahay na edsd 15 hanggang 17, hindi sila pinahihintulutang magtrabaho ng higit sa walong ores saisang araw, 40 ores sa isang linggo, at sapagitan ng alas diyes ng gabi hanggang sls sais ng umaga)

6. Lingguhang araw ng pahinga: _

7. Pasahod:a. Halaga ng buwanang sahod:

(cash)b. Dagdag na sahod kapag lumampas sa itinakdang oras ng trabaho:

(h3Jaga ng sahod bawat oms ng trabaho)r. Takdang araw ng pagbabayad ng sahod:. _

(petsa ng buwanang sahod)8. Mga pinahihintulutang kaltas sa sahod: _

(ksssme ang kontribusyon sa PhiHlealth, Pag-IBIG, SSs, kung ang sahod ay P5,OOOpataas)

9. Mga benepisyo:a. Taunang leave na 5 araw na may bayad (dapat gamitin)b. First-aid assistance kapag nagkasakit

10. Ibapangbenepisyo:. _

11. Kasunduan tungkol sa pagkakautang, kung meron man:. _

12. Kasunduan tungkol sa gastos sa deployment kung meron man:

(Ang mga ginastos sa deployment ay makulruha muli ng pinaglilinglruran sa kasambahay kung siya ay hindi

tumagal ng 6na buwan sapinaglilingkutan)

13. Kasunduan tungkol sa pagtatapos ng trabaho: _

14. Bayad sa pagwawakas ng trabaho!kontrata: ....,- _(bayad ng 15 araw na sahod kung ang kasambahay ay tinanggal sa trabaho ng di-makatarungan)

15. Iba pang kasunduan, kung meron man: _

16. Kapag natapos ang tennino ng kasunduan ay maaring awtomatikong ulitin ito at maging epektibo kungpatuloy na maninilbihan ang kasambahay sa pinaglilingkuran.

17. Kung mangyari na may pagtalunan ang mgkabilang panig, ita ay maaring pagkasunduan muna sabarangay at kung walang mangyayari ay iaakyat ita sa DOLE-RegionallProvinciai Field Office nanakasasakop sa lugar ng trabaho.

18. Ano mga pagbabago sa kasunduan ay may bisa larnang kung ito ay napagkasunduan at may katumbas nakasulatan na nilagdaan ng dalawang panig.

Ang Paglilingkuran ay nangakong magbibigay sa Kasambahay ng lahat ng mga benepisyong itinakda sa ilalimng batas.

Ang Pinaglilingkuran at Kasambahay ay kusang sumasang-ayon sa mga kondisyong nabanggit sa kontratangito.

(Lagda ng Pinaglilingkuran) (Lagda ng Kasambahay)

(Petsa ng paglalagda) (Petsa ng paglalagda)

(Saksi) (Saksi)

KASAMBAHAY REGISTRATION FORM

lxl photoKR Form-l

INSTRUCTION: ACCOMPLISH IN TWO (2) COPIESCHECK (...J ) THE APPROPRIATEBOXES

KR NO. ITIIJ CIIIIJ(YYYY-5Numbers. Ex. 2013-00001)

1. PERSONAL INFORMATION

FIRST NAME MIDDLE NAME LAST NAME

EMPLOYER'S ADDRESS: _(House No. / Street/ Subdivision/ Barangay/ City or Municipality/ Province)

HOME ADDRESS:(House No'; Street/ Subdivision/ Barangay/ City or Municipality/Province)

SEX: 0 Male 0 Female CIVIL STATUS: 0 Single 0 Married 0 Widowjer 0 SeparatedAGE: DATE OF BIRTH: (MMjDDjYYYY) CONTACT NO.: _SSS No. PAG-IBIG No. PhilHealth No. _

2. FAMILY INFORMATIONNAME OF SPOUSE: CONTACT NO. _FATHER'S NAME: ADDRESS: _MOTHER's NAME: ADDRESS: _IN CASE OF EMERGENCY, CONTACT PERSON: CONTACT NO. _

3. EDUCATIONAL INFORMATIONHighest Educational Attainment

o Elementary Undergraduateo Elementary Graduateo High School Undergraduate

ooo

High School GraduateCollege UndergraduateCollege Graduate

D Vocational

4. WORK INFORMATION

Monthly Salary:Nature of Work:

Php _o General Househelpo Cooko Laundry Person

o Yayao Gardenero Others (PIs. specify)

Employment Arrangement:Name of Employer: _

OLive-In OLive-Out

5. ATTACHED DOCUMENT

o Kontrata sa Paglilingkod sa Tahanan

I hereby certify that the above infonnation are true and correct and may be used for anylegal purpose. I further certify that my signature appearingherein is genuin~ and authentic.

Signature of Kasambahay

Received by: _

Kasambahay Desk Officer

Date:

KR Form 4

MONTHLY CONSOLIDATED KASAMBAHAY REPORTAsof _

Municipality/City' Province' Page of Pages'.L - -NO. OF KASAMBAHAY BY: (3)

TOTAL NO, SEX AGEEDUCATIONAL ATTAINMENT (d) WORK INFORMATION (e)

BARANGAY OF (a) (b)CIVil STATUS (e)

ElEMENTARY HIGH SCHOOLREGISTERED

(d.1) (d.2)COllEGE (d.3) NATURE OF WORK (e.1) SALARY (e.z)

(1) KASAMBAHA

Y (2) Php15 to 46 GEN. Php Php Php

belowSEPA· UNDER UNDER UNDER GARDE lAUNDRY 5,000

F M 18 -30 31-45 and 5 M W GRAD GRAD GRAD HOUSEH YAYA COOKPERSON

OTHERS 1,500 - 2,000 - 2,500-RATED GRAD GRAD GRAD NER and

18 above ELP P1,999 P2,499 , P4,999above

1 Urbiztondo 300 150 150 25 150 75 50 200 100 125 50 75 25 20 5 100 25 50 125 0 180 100 20234567891011121314151617181920

TOTAL

Prepared by: Submitted by:

PESO Staff Head, PESO

KR Form 2KASAMBAHAY MASTERLIST

Quarterly ReportFor the Period July - September 30,2013

Region:Province:City/Mu nicipality:Barangay:

Educational Nature of WorkEmployment Salary Membership

Attainment Arrangement

1. Elem Undergrad 1 -Gen. househelp 1- Live-in 1. PI, 500 - Pl,999 (Write Y for Yes,and N for No)

Registration Civil 2. Elem. Grad (all around); 2 - live out 2. P2,OOO - P2,499 Name of Employer's CompleteControl Name of Kasambahay Home Address Sex Age Status 3. HS Undergrad 2 -Yava 3. P2,500 - P4,999 Employer AddressNumber

4. HSGrad 3.- Cook 4. P5,OOO and

5. Call. Undergrad 4· Gardener above

6. Call. Grad 5 - laundry person

7. Vocational 6-0the" SSS Pag-IBIG Phil-Heallh5 leon Guinto St., Ermita,

Martinez 2 Zamora St., San Jose S 25 F 1 2 3 y N N Juan dela Cruz Manila2013-0001 Santos Ana --- _.- --- -- - -------- -

-- - --- --- --- ;--- -- --I- - -----

- ---- -- ----- --- I-- - - ---- ---f--- - --

--- - -- -- - -- - -----f--- ----- --- -- -- -- ---- --

I- - - --- - -- ---- -- --- -- - .--

f---- -

1----- --- --- --- -- -- ---- -- -I-- -- -

--- ----- --- - --- ---- --- -- -- -- ---- -< -- ----- ---.----- --- --- --- - - - -

- -- -- I--- >--- --- - -- ------- --I-- ---- - -- - -f--- - -- -- ,..--- ---- - ----- I--- -- ---

- -- --- ----- - --- -- --- ---- --- --- --- f------- - - --.----- -- - -- --- --- -- -- ---- - - --- --

-- -- I- - - - -- - ----- ------ - --_.- I- - --

-- - -~ - ------- - --- - - - --

Prepared and submitted by:(Signature over Printed Name)

Position / Designation

Date:

KR Form 3MONTHLY BARAN GAY CONSOLIDATED KASAMBAHAY REPORT

For the Month of _

Barangay:Mun/City:Province:Region:

NO. OF KASAMBAHAY BY: (2)

AGEEDUCATIONAL ATTAINMENT (d) WORK INFORMATION (e)

SEX CIVIL STATUS (e)TOTAL NO. OF (a) (b)

ELEMENTARY HIGH SCHOOL COLLEGE NATURE OF WORK SALARYREGISTERED

KASAMBAHAY (11

15 to 46 GEN. Php Php PhpPhp

SEPA- UNDER UNDER UNDER GARDE LAUNDRY 5,000F M below 18 -30 31-45 and S M W GRAD GRAD GRAD HOUSEH YAYA COOK

PERSONOTHERS 1,500- 2,000- 2,500-

RATED GRAD GRAD GRAD NER and18 above ELP P1,999 P2,499 P4,999

above

Prepared by:Submitted by:

Kasambahay Desk OfficerPunong Barangay

KRForm5BARAN GAY CONSOLIDATED KASAMBAHAY REPORT

Asof _

Mun/City:

Province:

Region:

NO. OF BARAN GAYS WITH REGISTEREDTOTAlNO.OFBARANGAYS

KASAMBAHAYTOTAL NO. OF KASAMBAHAY

Prepared by:

Submitted by:

MLGOO/CLGOO/CITY DIRECTOR

KRForm 6

PROVINCIAL CONSOLIDATED KASAMBAHAY REPORTAsof _

Province: _Region: _

CITY/MUNICIPALITY NO. OF BARANGAYSNO. OF BARANGAYS WITH REGISTERED

TOTAL NO. OF KASAMBAHAYKASAMBAHAY

123456789101112131415

TOTAL

Prepared by:

Submitted by:

Provincial Director

KRForm 7REGIONAL CONSOLIDATED KASAMBAHAY REPORT

Asof _

Province: _Region: _

PROVINCE/HUC/ICC NO. OF BARANGAYSNO. OF BARAN GAYS WITH

TOTAL NO. OF KASAMBAHAYREGISTERED KASAMBAHAY

12345678910111213141516

TOTALPrepared by:

Submitted by:

Regional Director