Documente Academic
Documente Profesional
Documente Cultură
01
______________________________,
Complainant/s,
______________________________,
Respondent/s.
x- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - x
COMPLAINT
(Note: If more space is needed, please use additional sheet, indicate “Continuation of Par. 1” and countersign)
(Note: If more space is needed, please use additional sheet, indicate “Continuation of Par. 2” and countersign)
Complaint, Page 1
3. This complaint is for: (Please check as are applicable).
4. The above violations were committed as follows: (For each violation checked or cited above, briefly
and clearly narrate the facts, incidents or circumstances that led to the filing of this complaint, stating
the dates of occurrence, persons involved and specific acts done by the respondent/respondents.):
5. As evidence of the foregoing facts and circumstances, I/we are attaching the following documents
and affidavits as annexes to this complaint:
(Note: If more space is needed, please use additional sheet, indicate “Continuation of Par. 5” and countersign)
Complaint, Page 4
6. Complainant/complainants is/are seeking the following reliefs:
(1) ___________________________________________________________________________
___________________________________________________________________________
(2) ___________________________________________________________________________
___________________________________________________________________________
(3) ___________________________________________________________________________
___________________________________________________________________________
(4) ___________________________________________________________________________
___________________________________________________________________________
(5) ___________________________________________________________________________
___________________________________________________________________________
(Note: If more space is needed, please use additional sheet, indicate “Continuation of Par. 6” and countersign)
7. Complainant/complainants also seeks/seek the payment of damages in their favor, and have
attached proof under Paragraph 5 above that they are entitled to them:
8. Complainant/complainants also pray that, pending the resolution of the case, the following provisional
remedy be issued in accordance with Part 3 of the 2019 Rules of Procedure of HLURB Rules of
Procedure:
(If there are more than one complainant, each complainant shall sign).
________________________ _________________________
Complaint, Page 5
________________________ _________________________
________________________ _________________________
________________________ _________________________
1. That I am the complainant/ we are the complainants in the above-entitled case and have caused this
Complaint to be prepared; that I/we read and understood its contents which are true and correct of my/our
own personal knowledge and/or based on true records;
2. That I/we have not commenced any action or proceeding involving the same issue or subject matter
in the Supreme Court, the Court of Appeals or any other tribunal or agency; that to the best of my/our
knowledge, no such action or proceeding is pending in the Supreme Court, the Court of Appeals or any
other tribunal or agency, and that, if I/we should learn thereafter that a similar action or proceeding has
been filed or is pending before these courts or tribunal or agency, I/we undertake to report that fact to
the Court within five (5) days therefrom;
____________________
Complainant
SUBSCRIBED AND SWORN to before me, this ___ day of ______________, with affiant/affiants
exhibiting to me his/her/their _________________________ issued at _______________ on
_________________.
Complaint, Page 6