Republic of the Philippines
Province of Cebu
City of Naga
Barangay COGON
OFFICE OF THE LUPONG TAGAPAMAYAPA
_________________________________ Barangay Case No. ____________
_________________________________ For: __________________________
Complainant/s
Against
_________________________________
_________________________________
Respondents/s
COMPLAINT
IWE 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 _______________________, 2019
______________________________
Complainant/s
Received and filed this __________ day of _________________________, 2019
ELMER P. PARAN
Punong Barangay/Lupon Chairman
