4~~ Republic of the Philippines

BIYAHENC
DEPARTMENT OF THE INTERIOR AND LOCAL GOVERNMENT PINOY
DILG-NAPOLCOM CENTER, EDSA comer Quezon Avenue, Quezon City ~i;\fr;.Ix.."
~~ Telephone Numbers 925.11.48· 925.88.88· 925.03.32 .~......-;~g-A1
http.y ywww.dilg.gov.ph TAPAT NA PAlAKAD.
~~ BAYANC IlAUNUD

• DILG •
"MEMORANDUM CIRCULAR July 8, 2013
NO. 2013-61

TO ALL CITYIMUNICIPAL MAYORS, PUNONG BARANGAYS,

DILG REGIONAL DIRECTORS AND FIELD OFFICERS, THE
ARMM REGIONAL GOVERNOR AND OTHERS CONCERNED

SUBJECT GUIDELINES ON THE BARANGAY REGISTRATION OF

KASAMBAHAY PURSUANT TO REPUBliC ACT NO. 10361
ENTITLED AN ACT INSTITIITING POliCIES FOR THE
PROTECTION 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, the
Implementing Rules and Regulations (IRR) of the said Act was promulgated on
May 9, 2013

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

II. PURPOSE

This Circular is being issued to provide guidelines for the barangay

registration of all Kasambahay nationwide.

III. COVERAGE

This Circular shall cover all Kasambahay or domestic workers employed

within the country. A Domestic worker or Ksssmbshsy refers to any person engaged
in domestic work within an employment relationship, whether live-in or live-out
arrangement, 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 work
in one household on an occupational basis.

The following are not covered: service providers, family drivers, children
who are under foster family arrangement or any person who performs domestic
work 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 initiate
the conduct of the registration of all Kasambahay within their jurisdictions and to
require every employer to register his or her domestic workers under his or her
employment in the Kasambahay Masterlist (Registry of the Domestic Workers) in
the barangay where the employer's residence is located.

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

A. START-UP REGISTRATION

The City or Municipal Mayor shall organize within the month of

July 2013 a start-up registration which shall be held at the City or Municipal
Hall, Plaza or any place convenient to the employer or Kasambahay. During the
said activity, he or she shall enjoin the Punong Barangays to set up their
respective Kasambahay Desks. Representatives from thePag-IBIG, PhilHealth
and SSSshall also be invited to set-up their respective desks to accept application
for membership.

For orderly management of schedule of the registration, the City or

Municipal 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 Kasambahay
Desk Officerls who shall be tasked to manage the Kasambahay Desks. He may
opt to schedule a special registration day/s on a Saturday or Sunday in his/her
barangay wherein representatives from PhilHealth, SSS, Pag-IBIG and other
stakeholders may be invited.

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

v. STEPS IN 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 (KR
Form 1) with the attached signed Kontrata sa Paglilingkod sa Tahanan to the
Kasambahay Desk Officer of the barangay where his/her residence is located.

The Kasambahay Registration Form (KR Form 1) and the Kontrata sa

Paglilingkod sa Tahanan are available at the Barangay and City or Municipal
Public Employment Service Oiiice (PESO). Both forms are also downloadable at
www.dilg.gov.ph. and JVWEQQkggv.pll

B. The Kasambahay Desk Officer shall:

1. Receive the two (2) copies of accomplished Kasambahay Registration

Form (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; and
4. Provide the employer or his authorized representative a duplicate copy
which will serve as proof of registration.

VI. MAINTENANCE AND UPDATING OF KASAMBAHAY MASTERilST

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

In case of termination of the contract, the employer shall immediately notify

the 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 to
the local Public Employment Service Office (PESO) a Monthly Kasambahay
Report (KR Form 3) which includes data regarding the registration of the
Kasambahay.

2. The PESO shall consolidate the Monthly Kasambahay Reports from the
component barangays and submit a monthly consolidated report using
KR Form 4 to the DILG City or Municipal Office, copy furnished the DOLE
District 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 be

prepared and submitted through channel by the DILG Field Offices using the
following forms:

KR Form 5 - City or Municipal Consolidated Report Form

KR Form 6 - Provincial Consolidated Report Form
KR Form 7 - Regional Consolidated Report Form

The Regional Consolidated Report using KR Form 7 shall be submitted

every July 15 and January 15 to the DILG Central Office through the National
Barangay Operations Office (NBOO).

However, for benchmarking purposes, the Regional Office shall submit an

initial Consolidated Report using KR Form 7 not later than October 15, 2013.

VIII. FUNDING REQUIREMENT

The City, Municipal and Barangay governments are authorized to allocate

such amount as may be necessary to support the Registration and other related
activities.

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IX. DISCLOSUREOF INFORMATION

The disclosure of information about the Kasambahay and the employer by the
barangay and the local Public Employment Service Office (PESO) is subject to
compliance with the requirements of Republic Act No. 10173 (Data Privacy Act of
2012) and other existing laws. Otherwise, violators shall be subjected to fine or
imprisonment.

All DILG Regional Directors and Field Officers are directed to cause the
immediate and widest dissemination of this Circular to all local government units
within their jurisdictions.

This Circular shall take effect immediately.

..... MARR'-JJ',J.•.......
Secret

@) DIL}~~~~I~~~~~\~I~IIII~t867

5
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: _ Edad:. _
TirahanatTelepono:. _

Nagkasundo sa mga sumusunod na tuntunin at kondisyon:

1. Lugar ng trabaho: _
(Hindi maaaring italaga sa gawaing 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 sa
isang araw, 40 ores sa isang linggo, at sa pagitan 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 sa pinaglilingkutan)

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 kung
patuloy na maninilbihan ang kasambahay sa pinaglilingkuran.

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

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

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

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

ito.

(Lagda ng Pinaglilingkuran) (Lagda ng Kasambahay)

(Petsa ng paglalagda) (Petsa ng paglalagda)

(Saksi) (Saksi)
 lxl photo
KR Form-l
KASAMBAHAY REGISTRATION FORM

INSTRUCTION: ACCOMPLISH IN TWO (2) COPIES KR NO. ITIIJ CIIIIJ

CHECK (...J ) THE APPROPRIATEBOXES (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 Separated

AGE: DATE OF BIRTH: (MMjDDjYYYY) CONTACT NO.: _
SSS No. PAG-IBIG No. PhilHealth No. _

2. FAMILY INFORMATION
NAME OF SPOUSE: CONTACT NO. _
FATHER'S NAME: ADDRESS: _
MOTHER's NAME: ADDRESS: _
IN CASE OF EMERGENCY, CONTACT PERSON: CONTACT NO. _

3. EDUCATIONAL INFORMATION
Highest Educational Attainment
o Elementary Undergraduate o High School Graduate D Vocational
o Elementary Graduate o College Undergraduate
o High School Undergraduate o College Graduate

4. WORK INFORMATION

Monthly Salary: Php _

Nature of Work: o General Househelp o Yaya
o Cook o Gardener
o
Laundry Person o Others (PIs. specify)

Employment Arrangement: OLive-In OLive-Out

Name of Employer: _

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 any
legal purpose. I further certify that my signature appearing herein is genuin~ and authentic.

Signature of Kasambahay
Received by: _
Kasambahay Desk Officer
Date:
KR Form 4
MONTHLY CONSOLIDATED KASAMBAHAY REPORT
Asof _

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

EDUCATIONAL ATTAINMENT (d) WORK INFORMATION (e)

TOTAL NO, SEX AGE
OF CIVil STATUS (e)
BARANGAY (a) (b) ElEMENTARY HIGH SCHOOL
REGISTERED COllEGE (d.3) NATURE OF WORK (e.1) SALARY (e.z)
(1) (d.1) (d.2)
KASAMBAHA
Y (2) Php
15 to 46 GEN. Php Php Php
SEPA· UNDER UNDER UNDER GARDE lAUNDRY 5,000
F M below 18 -30 31-45 and 5 M W GRAD GRAD GRAD HOUSEH YAYA COOK PERSON
OTHERS 1,500 - 2,000 - 2,500-
RATED GRAD GRAD GRAD NER and
18 above ELP P1,999 P2,499 , P4,999
above

1 Urbiztondo 300 150 150 25 150 75 50 200 100 125 50 75 25 20 5 100 25 50 125 0 180 100 20
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
TOTAL

Prepared by: Submitted by:

PESO Staff Head, PESO

KR Form 2
KASAMBAHAY MASTERLIST
Quarterly Report
For the Period July - September 30,2013

Region:
Province:
City/Mu nicipality:
Barangay:

Educational Employment
Nature of Work
Arrangement
Salary Membership
Attainment

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 Complete
Control Name of Kasambahay Home Address Sex Age Employer Address
Status 3. HS Undergrad 2 -Yava 3. P2,500 - P4,999
Number 3.- Cook 4. P5,OOO and
4. HSGrad

5. Call. Undergrad 4· Gardener above

6. Call. Grad 5 - laundry person

7. Vocational 6-0the" SSS Pag-IBIG Phil-Heallh

5 leon Guinto St., Ermita,

25 1 2 3 y N N Juan dela Cruz Manila

Ana Martinez 2 Zamora St., San Jose S F
_.- ------
2013-0001
-- -
Santos --- --- -- -

-- - --- --- --- ;--- -- --

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

Prepared and submitted by:

(Signature over Printed Name)

Position / Designation

Date:
KR Form 3
MONTHLY BARAN GAY CONSOLIDATED KASAMBAHAY REPORT
For the Month of _

Barangay:
Mun/City:
Province:
Region:

NO. OF KASAMBAHAY BY: (2)

EDUCATIONAL ATTAINMENT (d) WORK INFORMATION (e)

SEX AGE
CIVIL STATUS (e)
TOTAL NO. OF (a) (b)
ELEMENTARY HIGH SCHOOL COLLEGE NATURE OF WORK SALARY
REGISTERED
KASAMBAHAY (11

Php
15 to 46 GEN. Php Php Php
SEPA- UNDER UNDER UNDER GARDE LAUNDRY 5,000
F M below 18 -30 31-45 and S M W GRAD GRAD GRAD HOUSEH YAYA COOK PERSON
OTHERS 1,500- 2,000- 2,500-
RATED GRAD GRAD GRAD
ELP
NER and
18 above P1,999 P2,499 P4,999
above

Prepared by:
Submitted by:
Kasambahay Desk Officer
Punong Barangay
KRForm5
BARAN GAY CONSOLIDATED KASAMBAHAY REPORT
Asof _

Mun/City:
Province:
Region:

NO. OF BARAN GAYS WITH REGISTERED

TOTAlNO.OFBARANGAYS TOTAL NO. OF KASAMBAHAY
KASAMBAHAY

Prepared by:
Submitted by:

MLGOO/CLGOO/CITY DIRECTOR
KRForm 6
PROVINCIAL CONSOLIDATED KASAMBAHAY REPORT
Asof _

Province: _
Region: _

NO. OF BARANGAYS WITH REGISTERED

CITY/MUNICIPALITY NO. OF BARANGAYS TOTAL NO. OF KASAMBAHAY
KASAMBAHAY
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
TOTAL
Prepared by:

Submitted by:

Provincial Director
KRForm 7
REGIONAL CONSOLIDATED KASAMBAHAY REPORT
Asof _

Province: _
Region: _

NO. OF BARAN GAYS WITH

PROVINCE/HUC/ICC NO. OF BARANGAYS TOTAL NO. OF KASAMBAHAY
REGISTERED KASAMBAHAY
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
TOTAL
Prepared by:

Submitted by:

Regional Director