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BCPC Form 2

This document is a complaint form from a Barangay Council for the Protection of Children (BCPC) detailing a complaint against a respondent. It includes spaces for the complainant's name and address, the respondent's name and address, a description of the complaint, a request for relief, and signatures from the complainant, child in conflict with the law coordinator, parents or guardian, and barangay captain acknowledging receipt. The form provides a way to formally file and document a child rights violation complaint through the proper local council and authorities.

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Christopher Mari
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2K views2 pages

BCPC Form 2

This document is a complaint form from a Barangay Council for the Protection of Children (BCPC) detailing a complaint against a respondent. It includes spaces for the complainant's name and address, the respondent's name and address, a description of the complaint, a request for relief, and signatures from the complainant, child in conflict with the law coordinator, parents or guardian, and barangay captain acknowledging receipt. The form provides a way to formally file and document a child rights violation complaint through the proper local council and authorities.

Uploaded by

Christopher Mari
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

BCPC FORM NO.

Republic of the Philippines


Province of___________________
City/Municipality_____________________
Barangay___________________

BARANGAY COUNCIL FOR THE PROTECTION OF CHILDREN (BCPC)

COMPLAINANT FORM

______________________________________ ____________________________________
______________________________________ against ____________________________________
______________________________________ ____________________________________
Complainant CICL

______________________________________ ____________________________________
______________________________________ ____________________________________
Address Address

COMPLAINT

I/ We hereby file this complaint against the above name respondent/s for violating my/our rights and interest in
the following manner:
_________________________________________________________________________________________________
__________________________________________________________________________________________________
__________________________________________________________________________________________________
__________________________________________________________________________________________________
__________________________________________________________________________________________________
__________________________________________________________________________________________________
__________________________________________________________________________________________________
__________________________________________________________________________________________________
__________________________________________________________________________________________________
__________________________________________________________________________________________________

WHEREFORE, I/We pray that the following relief/s be granted to me/ us in accordance with the law and/ or
equity.
__________________________________________________________________________________________________
__________________________________________________________________________________________________
__________________________________________________________________________________________________
__________________________________________________________________________________________________
__________________________________________________________________________________________________
__________________________________________________________________________________________________

Page 1 of 2 RJJWC Caraga/ R.Tagnipez


BCPC FORM NO.2

Done this _____ day of _____________________, 20____

____________________________________

Complainant’s Name/ Signature

_______________________________ __________________________________

Name and Signature of CICL Name and Signature of Parents/Guardian

Received and filed this ______ day of _______________________, 20_______

______________________________________

Name and Signature of Punong Barangay

Page 2 of 2 RJJWC Caraga/ R.Tagnipez

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