Katarungang Pambarangay Form No.

18

Republic of the Philippines

Province of _______________
City / Municipality of _______
Barangay _________________

OFFICE OF THE LUPONG TAGAPAMAYAPA

_________________________________
_________________________________
Complainant/s Barangay Case No. ______________
For: ________________________
________________________
________________________
_________________________________
_________________________________
Respondent/s

NOTICE OF HEARING
(RE: FAILURE TO APPEAR)

To: ________________________

________________________
Complainant/s

You are hereby required to appear before me / the Pangkat on the

_________ day of ________________ , 20 _______ at _____________ o’clock in
the morning / afternoon to explain why you failed to appear for
mediation / conciliation scheduled on _______________ , 20 ______ and
why your complaint should not be dismissed, a certificate to bar the
filing of your action in court / government office should not be issued,
and contempt proceedings should not be initiated in court for willful
failure or refusal to appear before the Punong Barnagay / Pangkat ng
Tagapagkasundo.

This ______ day of ____________ , 20 ______ .

____________________________________
Punong Barangay / Pangkat Chairman

Notified this ____________ day of _____________ 20 ____ .

Complainant/s: Respondent/s:

______________________ _________________________
______________________ _________________________