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Barangay Complaint Form Template

This document is a complaint filed with the Office of the Lupong Tagapamayapa in Zone 2 of Sta. Fe, Leyte Province in the Philippines. The complaint alleges that the named respondent violated the complainant's rights and interests in several ways described in the document. The complainant requests specific relief or remedies from the Office in accordance with law or equity to resolve the complaint.

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Melvs Navarra
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79 views1 page

Barangay Complaint Form Template

This document is a complaint filed with the Office of the Lupong Tagapamayapa in Zone 2 of Sta. Fe, Leyte Province in the Philippines. The complaint alleges that the named respondent violated the complainant's rights and interests in several ways described in the document. The complainant requests specific relief or remedies from the Office in accordance with law or equity to resolve the complaint.

Uploaded by

Melvs Navarra
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd

Republic of the Philippines

Province of __________
LEYTE
STA. FE
CITY/MUNICIPALITY OF ______________
Barangay _________________
ZONE 2

OFFICE OF THE LUPONG TAGAPAMAYAPA


___________________ Barangay Case No. ________________
___________________ For: ____________________________
Complainant/s
_________________________
__________________________
— against —
__________________
__________________
Respondent/s
COMPLAINT

I/WE hereby complain against above named respondent/s for violating my/our rights and
interests in the following manner:
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________

THEREFORE, I/WE pray that the following relief/s be granted to me/us in accordance with law
and/or equity:
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________

Made this _______ day of ___________, 20____.

________________
Complainant/s

Received and filed this ________ day of __________, 20____.

______________________________
Punong Barangay/Pangkat Chairman

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