_____ Qtr CY: 20___

Date Accomplished:
__________
KP Monitoring Form No. 1
Province: Aurora
Municipality: Dingalan LUPONG TAGAPAMAYAPA REPORT: CASES FILED, ACTION TAKEN
Barangay: AND PROBLEMS ENCOUNTERED ON KP IMPLEMENTATION

PART I. NATURE OF CASES AND ACTION TAKEN

Actions Taken by the Lupong Tagapamayapa (2)
Nature of Disputes (2a) Total Settled Cases (2b) Total Unsettled Cases (2c)
(2a.4) (2b.4)
Crimin Civil Others Mediatio Conciliatio Arbitratio Repudiat Withdraw Pendin Dismisse Certified Referred
al (2a.2) (2a.3) n n (2b.2) n (2b.3) ed Cases n Cases g Cases d Cases Cases to
Case No. Complainant/sRespondent/s (2a.1) (2b.1) (2c.1) (2c.2) (2c.3) (2c.4) (2c.5) Concerne Remarks
d
Agencies
(2c.6)

Prepared 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 this Report.
________________________________ _____________________________________________
Barangay Secretary Punong Barangay

Date: ______________________________ Date: ______________________