Procedure in Receiving, Docketing and Assignment of Complaints and Grievances/Requests for Assistance

June 16, 2004

OMBUDSMAN ADMINISTRATIVE ORDER

PROCEDURE IN RECEIVING, DOCKETING AND ASSIGNMENT OF COMPLAINTS AND GRIEVANCES/REQUESTS FOR ASSISTANCE

For the guidance of the public and for the effective tracking and retrieval of records, the herein procedure is hereby adopted pertaining to the receipt, docketing and assignment of Complaints, Grievances/Requests for Assistance at the Central Office, Offices of Deputies, and the Office of the Special Prosecutor.

A complaint pertains to an administrative and/or a criminal offense allegedly committed by a public official or employee. On the other hand, a Grievance or Request for Assistance as defined in Section 1, Rule IV of Office of the Ombudsman Administrative Order No. 7 dated April 10, 1990, may consist of a Complaint or request seeking redress or relief concerning an act or omission of a public official or employee, office or agency alleged to be unreasonable, unfair, oppressive, discriminatory, improper or inefficient, and which does not necessarily amount to a criminal or administrative offense.

I. FILING OF COMPLAINTS, GRIEVANCES/REQUESTS FOR ASSISTANCE

Complaints and Grievances/Requests for Assistance shall be filed personally, or by other means, such as mail, with the respective Records Officers of the Central Office or Office of the Deputy, as the case may be, in any form or manner, against public officials or employees of the Government or any subdivision, agency or instrumentality thereof, including government-owned or controlled corporations. However, for a speedier disposition of a Complaint or Grievance/Request for Assistance, it is preferable that it be in writing. The addresses of the aforementioned Offices are as follows:

OFFICE	ADDRESS
Office of the Ombudsman	Agham Road, Diliman,
Central Office	Quezon City
Office of the Deputy	Agham Road, Diliman,
Ombudsman for Luzon	Quezon City.
Office of the Deputy	No. 7 M. Velez Street,
Ombudsman for Visayas	Guadalupe, Cebu City
	(Inside D.A. Regional
	Field Office Compound)
Office of the Deputy	4th Level, H & C Bldg.
Ombudsman for Mindanao	Alvarez St., Davao City
Office of the Deputy	Agham Road, Diliman,
Ombudsman for Military	Quezon City
and other Law Enforcement
Offices
Office of the Special	Centennial Building,
Prosecutor	Sandiganbayan,
	Commonwealth Avenue,
	Quezon City

 

However, all Complaints and Grievances/Requests for Assistance against any official(s) or employee(s); of the Office of the Ombudsman, involving charge(s) allegedly committed singly or in conspiracy with any other person(s) shall be filed with the Chairman, Internal Affairs Board (IAB) Office of the Ombudsman, Agham Road, Quezon City. The Complaint may however be received by any of the component units of the Office which shall immediately forward. it to the IAB Administrative Officer, with address at the Office of the Ombudsman., Agham Road, Quezon City. Procedures in docketing and assignment of said complaints and Grievances/Requests for Assistance are provided for in Office of the Ombudsman Administrative Order No. 16 Series of 2003.

Moreover, Complaints, pertaining to offenses committed by public officers and employees in relation to office whether cognizable by the Sandiganbayan or the regular Courts, may be filed with the City or Provincial Prosecutor, in his capacity as Deputized Prosecutor of the Office of the Ombudsman., for his preliminary investigation, with the Resolution subject to the approval of the Deputy Ombudsman concerned or the Tanodbayan (Ombudsman), consistent with the provisions of Joint Circular Number 95-001 issued by the Office of the Ombudsman and the Department of Justice.

Complaints and Grievances/Requests for Assistance may likewise be filed with the organic Resident Ombudsmen who are regular employees of the Office of the Ombudsman assigned in different government departments, agencies and offices. The Resident Ombudsman concerned will immediately forward the Complaint or Grievance/Request for Assistance to the Records Officer of Central Office or Office of the Deputy concerned for the observance of the procedure provided in Item I.A and succeeding items hereof.

Finally, non-organic Resident Ombudsmen, Corruption Prevention Units, and Junior Graftwatch Units, duly accredited by the Office of the Ombudsman, may assist parties to file a Complaint or Grievance/Request for Assistance, with the Community Coordination Bureau (CCB) of the Central Office or its counterpart in the Office of the Deputy concerned. The Community Coordination Bureau or its counterpart in the Office of the Deputy concerned will immediately forward the Complaint or Grievance/Request for Assistance to the Records Officer concerned for the observance of procedures provided in Item I.A and succeeding items hereof.

A. WRITTEN COMPLAINTS, AND GRIEVANCES/REQUESTS FOR ASSISTANCE

1. Personal Filing of Written Complaints and Grievances/Requests for Assistance

a. Written Complaints and Grievances/Requests for Assistance Filed Personally with the Central Office or Office of the Deputy

If the Complaint or Grievance/Request for Assistance is personally filed in writing by the complainant(s), counsel(s), or by the representative(s) of the complainant(s) with the Central Office, or the Office of the Deputy, the Records Officer, concerned shall examine the documents if it is under oath, and if the annexes, affidavits of witnesses and other evidence in support of the charge are properly attached and labeled. Such Complaint shall be accompanied by a Certificate of Non-Forum Shopping duly subscribed and sworn to by the complainant(s) or his counsel(s). The suggested content and form of the Certificate of Non-Forum Shopping is provided in Annex A hereof.

Where the Records Officer concerned, after examining the Complaint, finds the foregoing requirements deficient, he shall advise the complainant(s), counsel(s) or representative(s) to complete the deficiencies noted. The Records Officer may likewise refer the party to the Officer responsible for public assistance for guidance.

Upon completion of the requirements to the Complaint, the Records Officer shall promptly acknowledge the Complaint by way of a "Received" stamp in the first page thereof. However where the complainant(s), counsel(s), or representative(s), for any reason, cannot comply with the lacking formal requirements for filing, the Records Officer shall nevertheless acknowledge the Complaint by way of "Received" stamp on the face of the first page thereof.

All written Complaints and Grievances/Requests for Assistance received shall be recorded manually and/or electronically as in the case of all other incoming documents received by the Records Officer concerned providing for a Reference Number for the document.

b. Written Complaints and Grievances/Requests for Assistance Filed Personally with the Office of the Special Prosecutor

Where the Complaint or Grievance/Request for Assistance is personally brought by the complainant(s), counsel(s), or by the representative(s) of the complainant(s) with the Office of the Special Prosecutor, the Records Officer, without receiving the Complaint or Grievance/Request for Assistance, shall advise the party concerned to file the same with the Central Office or the Office of the Deputy concerned, as the case may be. However, where the party insists for the receipt of the Complaint, or Grievance/Request for Assistance, the Records Officer receives the same with the corresponding "Received" stamp on the face of the first page thereof. Said Complaint or Grievance/Request for Assistance shall be recorded manually and/or electronically as in the case of all other incoming documents received by the Records Officer. The Records Officer shall immediately forward the Complaint or Grievance/Request for Assistance to the Central Office or Office of the Deputy concerned, as the case may be, by way of an Indorsement copy-furnished the complainant(s), counsel(s) citing in the Indorsement the Reference Number of the Complaint which number was recorded manually or electronically as an incoming document.

The receipt of the Records Officer of the Office of the Special Prosecutor shall be deemed to be officially received by the Office of the Ombudsman.

2. Filing of Written Complaints or Grievances/Requests for Public Assistance Through Mail or Other Modes.

a. If a written Complaint or Grievance/Request for Assistance is filed with the Central Office or the Office of the Deputy, by mail, private messenger service or any other mode, the Records Officer concerned shall promptly acknowledge the Complaint or Grievance/Request for Public Assistance by way of a "Received" stamp on the face of the first page thereof. All written Complaints or Grievances/Requests for Public Assistance received shall be recorded manually and/or electronically as in the case of all other documents received by the Records Officer concerned, providing for a Reference Number for the document.

b. If a written Complaint or Grievance/Request for Assistance is filed with the Office of the Special Prosecutor by mail, private messenger service, or any other mode, the Records Officer shall acknowledge the same by way of a "Received" stamp on the face of the first page thereof. All written Complaints or Grievances/Requests for Public Assistance received shall be recorded manually and/or electronically as in the case of other documents received by the Records Officer. The Records Officer shall immediately forward the Complaint or Grievance/Request for Assistance to the Central Office or the Office of the Deputy concerned, as the case may be, by way of Indorsement copy-furnished the complainant(s)/counsel(s), citing in the Indorsement the Reference Number of the Complaint which number was recorded manually or electronically as an incoming document.

The receipt by the Records Officer of the Office of the Special Prosecutor shall be deemed to be officially received by the Office of the Ombudsman.

B. VERBAL COMPLAINTS AND GRIEVANCES/REQUESTS OR ASSISTANCE 

Where the Records Officer receives a verbal Complaint, or Grievance/Request for Assistance personally or by telephone, the concerned Records Officer shall prepare a written report of the verbal complaint using the format as provided in Annex B hereof, which report shall serve as the written complaint to be received in accordance with the procedure as provided in Item I.A hereof.

II. VERIFICATION OF SIMILAR COMPLAINTS AND GRIEVANCES/REQUESTS FOR ASSISTANCE

The Records Officer of the Central Office or the Office of the Deputy, as the case may be, shall verify manually or electronically whether or not the received Complaint or Grievance/Request for Assistance is the subject of any existing similar Complaint or Grievance/Request for Assistance.

Where a similar Complaint or Grievance/Request for Assistance has been filed, the received Complaint or Grievance/Request for Assistance shall be referred to the Lawyer of the Day.

III. INDORSEMENT OF COMPLAINTS OR GRIEVANCES/REQUESTS FOR ASSISTANCE TO BE ACTED UPON BY ANOTHER OFFICE WITHIN THE OFFICE OF THE OMBUDSMAN

Where a Complaint or Grievance/Request for Assistance which was received by the Records Officer is to be acted upon by another Office within the Office of the Ombudsman, said Records Officer shall immediately forward the Complaint or Grievance/Request for Assistance to the Office concerned by way of an Indorsement copy furnished the complainant(s), counsel(s), citing in the Indorsement the Reference Number of the complaint, which number was recorded manually and/or electronically as an incoming document.

IV. EVALUATION OF COMPLAINTS

The Records Officer shall refer to the Lawyer of the Day, for evaluation all Complaints to be acted upon by the Office concerned.

The assigned Lawyer of the Day shall evaluate all Complaints and Grievances/Requests for Assistance referred to him, indicating in the Evaluation Sheet as prescribed in Annex C, the names, positions, residence and office addresses of the complainants and their counsels, if any, and respondents, ranks of respondents, violation, nature of complaint (criminal/administrative case, for fact-finding, request for assistance, with a similar complaint, outright dismissal, for indorsement to another government agency, other situations), the instruction for the appropriate docketing and assignment of reference codes by the Records Officer concerned.

Where the Lawyer of the Day finds a Complaint or Grievance/Request for Assistance for outright dismissal, he shall prepare the Evaluation Report for recommendation and approval of proper authorities concerned. On the other hand, where the Lawyer of the Day finds a Complaint or Grievance/Request for Assistance for indorsement to other government agencies, he shall prepare the corresponding memorandum and proposed Indorsement, for recommendation and approval of proper authorities concerned. In both situations, the Complaint or Grievance/Request for Assistance shall be referred to by its Reference Number which number was recorded manually and/or electronically as an incoming document.

V. ASSIGNMENT OF REFERENCE/DOCKET NUMBERS TO COMPLAINTS AND GRIEVANCES/REQUESTS FOR PUBLIC ASSISTANCE

A docket number is assigned to a Complaint or Grievance/Request for Assistance which was evaluated as a criminal and/or administrative complaint. On the other hand, a reference number is assigned to Complaint or Grievance/Request for Assistance evaluated for fact-finding investigation/intelligence operations, request for assistance, for outright dismissal, or for indorsement to other government agencies. The reference number for fact-finding/intelligence operation or request for assistance shall be assigned a reference number as provided in Items V.A. and V.C. hereof. On the other hand, the reference number for a Complaint or Grievance/Request for Assistance evaluated for outright dismissal, or for indorsement to other government agencies, shall be assigned the Reference Number as recorded manually or electronically upon its receipt as an incoming document.

A. COMPLAINTS EVALUATED FOR FACT-FINDING INVESTIGATION AND/OR INTELLIGENCE OPERATIONS

1. A complaint which upon evaluation by the Lawyer of the Day, Resident Ombudsman or the evaluating Lawyer of the Community Coordination Bureau — Central Office or its counterpart in the Office of the Deputy, as the case may be, requires fact-finding investigation or intelligence operations, it shall be assigned a fact-finding investigation number containing the following:

a. The first three letters "FFI" standing for "Fact-Finding Investigation"

b. The component unit which shall act on the complaint using the following codes:

1.	Central Office	C
2.	Office of the Deputy Ombudsman.
	a)	Luzon	L
	b)	The Visayas	V
	c)	Mindanao	M
	d)	The Military and other
		Law Enforcement
		Offices	MOLEO

c. The last two digits of the year the case was received.

d. The serial number of the Complaint as docketed.

2. Example of a Fact-Finding Investigation Number

A Complaint filed with the Office of the Deputy for the MOLEO within Calendar Year 2004 and evaluated as a Complaint for fact-finding investigation shall be numbered as:

FFI-MOLEO-04-0001

B. COMPLAINTS EVALUATED AS CRIMINAL AND/OR ADMINISTRATIVE CASES

1. A Complaint evaluated by the Lawyer of the Day, Resident Ombudsman, the Lawyer handling the fact-finding investigation, or the evaluating Lawyer of the Community Coordinating Bureau or his counterpart in the Office of the Deputy, as the case may be, as an administrative and/or a criminal case, shall be assigned a docket number containing the following:

a. The first three letters of this Office or "OMB"

b. The component unit which shall act on the complaint using the following codes:

1.)	Central Office	C
2.)	Office of the Deputy
	a)	Luzon	L
	b)	The Visayas	V
	c)	Mindanao	M
	d)	The Military and other
		Law Enforcement
		Offices	MOLEO

 

c. Type of case to be docketed using the following codes:

1)	Criminal Case	C
2)	Administrative Case	A

d. The last two digits of the year the case will be docketed.

e. The number of the type of case to be docketed which should be in serial order.

2. A complaint filed by or with the assistance of the Resident Ombudsman, Corruption Prevention Unit or Junior Graftwatch Unit and/or the Bureau of the Resident Ombudsman — Central Office shall be assigned a Reference Number. Where such Complaint is evaluated by the Lawyer of the Day and/or the Resident Ombudsman and/or the evaluating Lawyer of the Community Coordination Bureau or his counterpart in the Office of the Deputy, as a case for docketing, the Reference Number originally assigned to the Complaint or Grievance/Request for Assistance shall be indicated below the docket number of the case.

3. Where a Complaint for docketing as a criminal and administrative case relates to unexplained wealth cases as defined in Republic Act No. 1379, the docket number shall be appended with the letters "LSC" in closed parenthesis.

4. Examples of Docket Numbers are as follows:

a. A complaint filed with the Office of the Deputy for the Visayas within Calendar Year 2004 and evaluated as an administrative case shall be docketed as:

OMB-V-A-04-0001

b. A complaint filed with the Central Office within Calendar Year 2004 and evaluated as a criminal case shall be docketed as:

OMB-C-C-04-0001

c. A complaint filed with the Office of the Deputy Ombudsman for Luzon within Calendar Year 2004, by or with the assistance of a Corruption Prevention Unit or Junior Graftwatch Unit and evaluated as administrative case shall be docketed as:

OMB-L-A-04-0001

(Ref. No. CPU-04-0001)

d. A complaint filed with the Office of the Deputy Ombudsman for Mindanao within Calendar Year 2004 and evaluated as a criminal case relative to unexplained wealth or a spending lifestyle disproportionate to personal income shall be docketed as:

OMB-M-C-04-0001 — (LSC)

C. GRIEVANCES/REQUESTS FOR ASSISTANCE

I. Where a Complaint or a letter evaluated by the Lawyer of the Day, Resident Ombudsman or the evaluating Lawyer of the Community Coordination Bureau — Central Office or the Public Assistance and Corruption Prevention Group of the Office of the Deputy, as the case may be, as a Grievance/Request for Assistance, it shall be assigned a request for assistance number containing the following:

a. The first three letters "RAS" standing for "Request for Assistance."

b. The component unit which shall act on the Grievance/Request for Assistance using the following codes:

1.)	Central Office	C
2.)	Office of the Deputy
	a)	Luzon	L
	b)	The Visayas	V
	c)	Mindanao	M
	d)	The Military and other
		Law Enforcement
		Offices	MOLEO

c. The last two digits of the year the grievance/request for assistance was received.

d. The serial number of the grievance/request for assistance.

e. A grievance/request for assistance filed with the Office of the Deputy Ombudsman for Visayas within calendar year 2004 shall be assigned a request for assistance number as:

RAS-V-04-0001

VI. INDORSEMENT OF EVALUATED COMPLAINTS AND GRIEVANCES/REQUESTS FOR ASSISTANCE

A. COMPLAINTS AND GRIEVANCES/REQUESTS FOR ASSISTANCE EVALUATED FOR FACT-FINDING INVESTIGATION AND INTELLIGENCE OPERATIONS

The Records Officer shall indorse Complaints and Grievances/Requests for Assistance evaluated for fact-finding investigation and intelligence operations to the Field Investigation Office or the Bureau of the Resident Ombudsman in the case of Central Office, or its counterpart units in the Office of the Deputy.

B. COMPLAINTS EVALUATED AS CRIMINAL AND/OR ADMINISTRATIVE CASES

The Records Officer shall indorse Complaints docketed as criminal and/or administrative cases to the Raffle Committee every Tuesday and Thursday. The Raffle Committee shall be composed of the Assistant Ombudsman of the Preliminary Investigation, Administrative Adjudication and Monitoring Office, (PAMO) as Chairman, and the three (3) Directors of the Preliminary Investigation and Administrative Adjudication Bureaus, a representative of the Ombudsman, and the Records Officer V as Members. Prior to raffling, the Committee will classify the Complaints as to the nature of each Complaint for the purpose of determining which cases will be assigned to the different positions of investigating lawyers. 

After classifying the Complaints, the same are raffled by the Committee to the investigating lawyers taking into account their positions and the classifications of Complaints earlier made by the Committee.

After raffling, the Records Officer transmits the case records to the investigating lawyers identified through raffling.

The Raffle Committee in the Office of the Deputy shall be composed of three (3) Graft Investigation and Prosecution Officers III, one (1) of which shall be the Chairman, and the rest as Members, and the representative of the Deputy Ombudsman and the Records Officer III, likewise as member. The classification of Complaints, and the raffling to be conducted, will as far as practicable, follow the procedures prescribed in the Central Office as provided in the preceding paragraphs.

C. GRIEVANCES/REQUESTS FOR ASSISTANCE

The Records Officer shall indorse Grievances/Requests for Assistance to the Public Assistance Bureau of the Central Office or the counterpart unit of the Office of the Deputy, as the case may be.

VII. MISCELLANEOUS PROVISIONS

A. RESOLUTIONS RECOMMENDED ON COMPLAINTS SUBJECT OF PRELIMINARY INVESTIGATION BY THE CITY/PROVINCIAL PROSECUTORS

A Resolution recommended on a Complaint subject of preliminary investigation by the City/Provincial Prosecutor in his capacity as Deputized Prosecutor of 'the Office the Ombudsman shall be forwarded through the Records Officer of the Central Office or the Office of the Deputy, as the case may be. The Records Officer shall verify whether there exists a similar complaint, and, if so, refer the resolution to the investigating lawyer for consolidation and review. Where there is no existing similar complaint, the Records Officer forwards the Resolution to the Lawyer of the Day. Subject to the evaluation of the Lawyer of the Day, the Records Officer assigns a docket number as a criminal case and refers the records with the resolution to the Raffle Committee concerned for raffling.

B. COMPLAINTS DOCKETED AS A CRIMINAL CASE ARE AUTOMATICALLY DOCKETED AS AN ADMINISTRATIVE CASE

A Complaint docketed as a criminal case shall be automatically docketed as an administrative case, except for the following:

1. The respondent is no longer in the government service at the time the complaint was filed;

2. The respondent is a member of Congress or the Judiciary;

3. The respondent is an official removable from office only through impeachment;

4. The respondent is an. elective officer who, after the alleged commission of the offense, has been re-elected to office, consistent with the doctrine laid down in Aguinaldo vs. Santos, 212 SCRA 768 (1992); or

5. The administrative case has already been filed with another forum exercising concurrent jurisdiction. (Office Order No. 02, Series of 2004)

Where the complainant fails to submit a Certificate of Non-Forum Shopping, the handling investigator shall require the complainant to submit said Certificate. Should the complainant fail to submit the Certificate despite due notice, the investigating lawyer will inquire in writing with the agency where the respondent is employed and with the Civil Service Commission and such other agencies which may have jurisdiction on administrative cases against the respondents, as to any administrative case(s) filed by the complainant(s) against the respondent(s), with a request for copies of the administrative complaints, if any. Where all of the said agencies advise of the absence of any such administrative case, the requirement for a Certificate of Non-Forum Shopping is deemed satisfied.

C. ERRONEOUS DOCKETING OF COMPLAINT OR GRIEVANCE/REQUEST FOR ASSISTANCE

Where a Complaint or Grievance/Request for Assistance is erroneously evaluated. in Central Office or an Office of the Deputy, which is later on found to be for action by another Office within the Office of the Ombudsman, the Records Officer shall refer said Complaint or Grievance/Request for Assistance, by way of indorsement, to the appropriate Office, retaining the original docket number.

D. AMENDMENT TO EVALUATION

1. From Grievance/Request for Assistance/For Fact-Finding/For Outright Dismissal to Criminal and/or Administrative Case

Where a Complaint is evaluated as a Grievance/Request for Assistance, or for fact-finding/intelligence operations, or for outright dismissal, which is later on, deemed as a criminal and/or administrative case by the proper authority, the Records Officer assigns docket number(s) for criminal and/or administrative case, with the original. docket number retained and indicated by a close parenthesis under the new docket number in the front cover of the case records.

2. From Criminal and/or Administrative Case to Grievance/Request for Assistance/For Fact-Finding

On the other hand, where a Complaint is evaluated as a criminal and/or administrative case, which is later on, deemed as a grievance/request for assistance/for fact finding by the proper authority and said case is dismissed by the proper authority, the Records Officer shall assign a new docket number for Grievance/Request for Assistance/for fact-finding and the original docket number(s) shall be indicated in closed parenthesis under the new docket number. Should the subsequent fact-finding results into a decision by the proper authority to subject the complaint to preliminary investigation, and/administrative adjudication, the Records Officer assigns new docket number(s) to the Complaint.

Moreover, where a Complaint evaluated as a criminal and/or administrative case is not dismissed by the proper authority but requires further fact-finding, the original case numbers) of the Complaint shall be maintained.

VIII. SEPARABILITY CLAUSE

If any provision of this Order is held unconstitutional or invalid, other provisions not affected thereby shall remain valid and binding.

IX. MODIFICATION OF EXISTING ISSUANCES

All issuances or provisions of any issuance of the Office of the Ombudsman which may be inconsistent with any provisions of this Order are hereby repealed or modified accordingly.

X. EFFECTIVITY

This Order shall take effect after fifteen (15) days following the completion of its publication in the Official Gazette and upon filing with the University of the Philippines Law Center of three (3) certified copies thereof.

June 16, 2004

 

(SGD.) SIMEON V. MARCELOTanodbayan

 

ANNEX A

CERTIFICATE OF NON-FORUM SHOPPING

 

I, _____________, of legal age, Filipino, and a resident of _______________, do hereby depose and say:

1. That I certify under oath that I have not commenced any other action or proceeding involving the same issues in any court, tribunals or quasi-judicial agency, and that to the best of my knowledge, no such other action or claim is pending thereon;

2. That should I learn that a similar action or proceeding has been filed or is pending in the aforementioned courts, tribunal or agency, I promise to notify this Honorable Office of the present status thereof within five (5) days from my notice of the same;

3. That I fully understand that failure on my part to comply with the foregoing requirements shall be cause for the dismissal of the case.

IN WITNESS WHEREOF, I hereby affixed my signature hereto.

____________

SUBSCRIBED AND SWORN to before me on this ______ th day of ____________ 2004, affiant having exhibited to me his Community Tax Certificate No. ________ issued on ________ at ___________.

 

Notary Public

Doc. No. ____Book No. _____Series of 2004.

Copy furnished:

ANNEX B

 

REPORT ON VERBAL COMPLAINT/REQUEST RECEIVED PERSONALLY OR OVER THE TELEPHONE

 

Date Verbal Complaint Was Made	Time Verbal Complaint Was Made
Name of Complainant	Telephone Number of Complainant
Address of Complainant
Details of Complaint/Request
Name of Records Officer	Signature

 

ANNEX C

EVALUATION SHEET

 

REFERENCE NUMBER: ___________	DATE REC'D: _________	HRO ( )	LRO ( )
	DATE RETURNED: ___________

 

	COMPLAINANT(S)	ADDRESS(ES)
	NAME	POSITION/AGENCY	RESIDENCE	OFFICE
1.	_____________	_________________	____________	________
2.	_____________	_________________	____________	________
3.	_____________	_________________	____________	________
COUNSEL(S), IF ANY: (NAMES AND ADDRESSES)	________________________
			________________________

 

(Use Reverse Side Hereof for Additional Complainants)

 

RESPONDENT(S)	ADDRESS(ES)
NAME	POSITION/AGENCY	RESIDENCE	OFFICE
1.	_____________	_________________	____________	________
2.	_____________	_________________	____________	________
3.	_____________	_________________	____________	________
4.	_____________	_________________	____________	________
5.	_____________	_________________	____________	________
OFFENSE(S)/CHARGE(S):
____________________________________________________________________________
____________________________________________________________________________
NATURE OF CHARGE(S):
____________________________________________________________________________
____________________________________________________________________________

 

______ Criminal			________ Administrative
______ Request for Assistance		________ Similar Complaint
______ For Fact-Finding/Intelligence Operations		________ Outright Dismissal
______ For Indorsement to Another Government Agency	________ Other Situations
REMARKS:
_____________________________________________________________________________
_____________________________________________________________________________
INSTRUCTIONS TO THE RECORDS OFFICER:
_____________________________________________________________________________
_____________________________________________________________________________
	Signature of Lawyer of the Day	:	__________________________
	Name of the Lawyer of the Day	:	__________________________
	Date	:	__________________________