Sample Format of Lifting Of Alarm

Republic of the Philippines

Department of the Interior and Local Government
PHILIPPINE NATIONAL POLICE
______________________________________

_______________________

REQUEST FOR LIFTING OF ALARM

Name of Applicant: _________________________________________________

Address: _________________________________________________

Registered Owner _________________________________________________

Address: _________________________________________________

Description of Motor Vehicle:

Make/Type/Yr Model : ______________________________

Color : ______________________________
Motor Number : ______________________________
Chassis Number : ______________________________
Plate Number : ______________________________

In connection with my request. I hereby submit the following:

( ) Motor Vehicle for macro-etching examination

( ) Alarm Sheet
( ) Spot Recovery Report
( ) Turn-Over/ Release Receipt of MV to owner by the covering PNP van. (if MV was recovered by
other PNP Units)
( ) Original Official Receipt (OR) & Certificate of Registration (CR) if Xerox/photo copy, it must be
authenticated by C, Inves-OADI, investigator,/processing officer.
( ) Deeds of Sale (If motor vehicle is not registered in the name of the applicant/ present owner)
( ) Release of claim/subiogation/Deeds of Sale (if the applicant is an insurance company.
( ) Special Power of Attorney (if applicant is a representative)
( ) Affidavit of requesting Party/Owner that she/he is still the registered owner and she/ he has not
made any claim with any insurance company re-loss of said MV
( ) If MV was submitted/cited as evidence in a case filed in court, an order of release from court/ fiscal
taking cognizance of the case.
( ) Others
________________________________________________________________
________________________________________________________________

_____________ ______________________________
| | Signature
| |
| PHOTO | ______________________________
| | Print Name
| |
|____________| ______________________________
Driver’s License Number