Name of Homeowners Association

Name of HOA President

Name of Grievance Committee Chairman
SUMMARY OF CASES FILED
REPORTING FOR THE MONTH OF:
MGA USAPING IDINULOG SA TANGGAPAN NG GRIEVANCE COMMITTEE

RESPONDENT ACTION TAKEN REMARKS

COMPLAINANT NATURE OF DATE DATE OF MAIN POINT OF
CASE NO. (Name &
(Name & Address) CASE FILED DIALOGUE AGREEMENT
Address) SETTLED NOT SETTLED ENDORSED TO KP WIDRAWN

Prepared by: Approved by: I HEREBY CERTIFY THAT I HAVE REVIEWED THE CONTENTS AND HEREBY ATTEST
TO THE VERACITY OR CORRECTNESS OF THE DATA OR INFORMATION CONTAINED
IN THE REPORT.

Signature over printed name Signature over printed name

Grievance Committee Chairman HOA President
Date : Date :