Department of Labor and Employment

Republic of the Philippines
DEPARTMENT OF LABOR AND EMPLOYMENT

REGION VI
Document Number: Revision No. Effectivity Date:
FM-OO3-06.1 0 February 19, 2021
TULONG PANGHANAPBUHAY SA ATING DISADVANTAGED/DISPLACED

WORKERS (TUPAD) PROGRAM PROJECT APPRAISAL SHEET
TUPAD PROGRAM PROJECT APPRAISAL SHEET
Project Profile
Project Title:
Project Proponent:
Covered Areas:
Number of Beneficiaries:
Amount of Assistance
Requested:
Source of Funds:
Equity of the Proponent:
A. Evaluation
Place a check mark (/) on the box if the requirements are met. Otherwise, place “X”. Indicate
any observations and recommendations under the remarks column.
Criteria Evaluation ( / or Remarks

X)
A. Documentary Requirements
Complete documentary requirements were submitted
(refer to attached checklist of requirements)
B. Applicability of Minimum Wage
Wage is based on the prevailing minimum wage in the
locality as provided for by the RTWPB.
C. Completeness of Work Program
Work program is complete, and the nature of work falls
under the eligible projects as provided by Section 14 of
DO 173-14.
D. Provision of Personal Protective Equipment
 Minimum Personal Protective Equipment (PPEs) i.e.
hats and shirt are provided
 Other PPEs i.e. helmet, gloves, booths, etc, are
provided depending on the nature of work
 Reasonable costs of PPEs is observed
E. Orientation on Safety and Health
Orientation on Safety and Health is provided
F. Inclusion of Micro-Insurance Premiums
Provision of Micro-Insurance premiums is included
G.Provision of Equity
(at least 20% of Total Project Cost)
FM-OO3-06.1 0 February 19, 2021
Checklist of Documentary Requirements for Availment of TUPAD Program
Requirements Evaluation ( / or
X)
A. FOR LOCAL GOVERNMENT UNITS
1. Application letter by the LGU duly signed by the Local Chief Executive
(LCE) addressed to the DOLE Regional Director;
2. Memorandum of Agreement (MOA) Between the DOLE RO and the LGU;
3. Board or Sanguniang Bayan Resolution authorizing the Local Chief
Executive (LCE) to enter into a MOA and to avail of DOLE Programs
4. Detailed and duly signed TUPAD Project Proposal;
5. TUPAD work Program;
6. Certification from the LGU/Barangay or DSWD that the target beneficiaries
are under employed, or victims of natural disaster/calamity or armed
conflict. For laid -off or terminated workers, Certification of displacement
from the company/establishment;
7. Individual Beneficiary Profile with 1x1 ID picture (most recent picture);
8. Proponent profile;
9. If with counterpart, Certificate of Funds Availability;
10. If with counterpart, copy of the portion of the Local Development Plan
referring to Labor and Employment/Social Services, with detailed
estimates of Approved Project Expenditure or Estimated Expenses;
11. Certification from DOLE Regional Office’s Accountant that the Previous
cash advance granted has been liquidated and properly taken up in the
books;
12. Photos of area before the implementation of project.
B. FOR OTHER TYPES OF ACPs
1. Application letter by the ACP duly signed by the Head/Chairman of the
Organization addressed to the DOLE Regional Director;
2. Duly accomplished Application Form;
3. Memorandum of Agreement (MOA) Between the DOLE RO and the
Organization;
4. Board Resolution authorizing the Organization’s representative to enter into
a MOA to avail of DOLE Programs;
5. Authenticated copy of ACP Certificate of Accreditation;
are under employed, or victims of natural disaster/calamity or armed
conflict. For laid -off or terminated workers, Certification of displacement
from the company/establishment;
10. Proponent Organization’s Profile;
11. If with counterpart, Certificate of Funds Availability;
12. Photos of area before the implementation of project;
13. Audited financial reports (statements) for the past three (3) years
preceding the date of Project Implementation. For Applicant which has
been in operation for less than three (3) years, financial reports for the
years in operation and proof of previous implementation of similar
projects;
14. Disclosure of other related business, if any:
15. If with counterpart, work and financial plan (WFP), and sources of and
details od proponent’s equity participation of projects;
16. List and/or photographs of similar projects previously completed, if any,
indicating the source of funds for implementation;
FM-OO3-06.1 0 February 19, 2021
Checklist of Documentary Requirements for Availment of TUPAD Program
Requirements Evaluation ( / or
X)
17. Sworn affidavit of the secretary of the applicant organization/entity that
none of its incorporators, organizers, directors or officers is an agent of or
related by consanguinity or affinity up to the fourth civil defree to the
official of the agency authorized to process and/or approve proposed
Memorandum of Agreement (MOA), and release funds; and
18. Certification from DOLE Regional Office’s Accountant that the Previous
cash advance granted has been liquidated and properly taken up in the
books.
C. BY ADMINISTRATION
1. Duly accomplished Application Form;
are under employed, or victims of natural disaster/calamity or armed conflict.
For laid -off or terminated workers, Certification of displacement from the
company/establishment;
6. If with counterpart, Certificate of Funds Availability from the partner
implementer;
7. Photos of area before the implementation of project.
General Comments and Recommendation
Reviewed/Evaluated By: Date:
_________________________________ __________________________
PO/FO Head
Recommending approval (RPMT Members):
_________________________________ ___________________________
Position/Designation Position/Designation
_________________________________ ___________________________
Position/Designation Position/Designation
Approved by: Date:
__________________________________ __________________________
Regional Director

Department of Labor and Employment

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Republic of the Philippines

DEPARTMENT OF LABOR AND EMPLOYMENT

TULONG PANGHANAPBUHAY SA ATING DISADVANTAGED/DISPLACED

Criteria Evaluation ( / or Remarks

General Comments and Recommendation

Reviewed/Evaluated By: Date:

Recommending approval (RPMT Members):

Approved by: Date:

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