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  • Complaint Checklist Form PDF

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    This document contains the OMB Form 6 complaint checklist form used by the Office of the Ombudsman in the Republic of the Philippines. The form lists the requirements for filing a complaint, including a complaint affidavit verified under oath, annexes/exhibits with markings, a verified certificate of non-forum shopping, and spaces for signatures and dates of those filing and receiving the complaint.

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    This document contains the OMB Form 6 complaint checklist form used by the Office of the Ombudsman in the Republic of the Philippines. The form lists the requirements for filing a complaint, including a complaint affidavit verified under oath, annexes/exhibits with markings, a verified certificate of non-forum shopping, and spaces for signatures and dates of those filing and receiving the complaint.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
    20 views1 page

    Complaint Checklist Form PDF

    Uploaded by

    maximo s. isidro iii
    This document contains the OMB Form 6 complaint checklist form used by the Office of the Ombudsman in the Republic of the Philippines. The form lists the requirements for filing a complaint, including a complaint affidavit verified under oath, annexes/exhibits with markings, a verified certificate of non-forum shopping, and spaces for signatures and dates of those filing and receiving the complaint.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
    of 1

    OMB Form 6 - December 2019 OMB Form 6 - December 2019

    Republic of the Philippines Republic of the Philippines


    Office of the Ombudsman Office of the Ombudsman

    COMPLAINT CHECKLIST FORM (OMB Form 6) COMPLAINT CHECKLIST FORM (OMB Form 6)

    CASE/REFERENCE NO. CASE/REFERENCE NO.

    PLEASE COMPLY WITH THE FOLLOWING REQUIREMENTS: PLEASE COMPLY WITH THE FOLLOWING REQUIREMENTS:

    NO. OF NO. OF
    DOCUMENT DOCUMENT
    COPIES COPIES
    Complaint-Affidavit (Verified/Under Oath) Complaint-Affidavit (Verified/Under Oath)
    Annexes/Exhibits/Attachments with Markings Annexes/Exhibits/Attachments with Markings
    Verified Certificate of Non-Forum Shopping (CNFS) Verified Certificate of Non-Forum Shopping (CNFS)

    Remarks: Remarks:

    Signature Over Printed Name Date Signature Over Printed Name Date
    Receiving Personnel Receiving Personnel

    ACKNOWLEDGED BY: ACKNOWLEDGED BY:

    Signature Over Printed Name Date Signature Over Printed Name Date
    Client Client
    THIS FORM IS NOT FOR SALE. REPRODUCTION IS ALLOWED. THIS FORM IS NOT FOR SALE. REPRODUCTION IS ALLOWED.

    OMB Form 6 - December 2019 OMB Form 6 - December 2019

    Republic of the Philippines Republic of the Philippines


    Office of the Ombudsman Office of the Ombudsman

    COMPLAINT CHECKLIST FORM (OMB Form 6) COMPLAINT CHECKLIST FORM (OMB Form 6)

    CASE/REFERENCE NO. CASE/REFERENCE NO.

    PLEASE COMPLY WITH THE FOLLOWING REQUIREMENTS: PLEASE COMPLY WITH THE FOLLOWING REQUIREMENTS:

    NO. OF NO. OF
    DOCUMENT DOCUMENT
    COPIES COPIES
    Complaint-Affidavit (Verified/Under Oath) Complaint-Affidavit (Verified/Under Oath)
    Annexes/Exhibits/Attachments with Markings Annexes/Exhibits/Attachments with Markings
    Verified Certificate of Non-Forum Shopping (CNFS) Verified Certificate of Non-Forum Shopping (CNFS)

    Remarks: Remarks:

    Signature Over Printed Name Date Signature Over Printed Name Date
    Receiving Personnel Receiving Personnel

    ACKNOWLEDGED BY: ACKNOWLEDGED BY:

    Signature Over Printed Name Date Signature Over Printed Name Date
    Client Client
    THIS FORM IS NOT FOR SALE. REPRODUCTION IS ALLOWED. THIS FORM IS NOT FOR SALE. REPRODUCTION IS ALLOWED.

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