Republic of the Philippines

DEPARTMENT OF LABOR AND EMPLOYMENT

NATIONAL CONCILIATION AND MEDIATION BOARD
FREE LEGAL AID AND VOLUNTARY ARBITRATION SERVICE
Region: _____________
Date:________________

NCMB-(Region)-FLAVAS

REFERRAL SLIP

Date:_______
Time: ______

Case: ________________________________________
To: _______________________
__________________________
___ Please handle this case
___ Please call parties for conference
___ Please give preferential attention
___ Let us discuss this
Others:____________________
Chairman