(Form 9) HRV Complaint - Commission on Human Rights

HAVE YOU FILED THE COMPLAINT IN OUR COURTS AND/OR WITH OTHER AGENCIES (PROSECUTOR’S/FISCAL’S
OFFICE/ RTC/MCTC/JAGO/COURT MARTIAL/NAPOLCOM/PEOPLE’S LAW ENFORMENT BOARD, ETC)?
NAME OF
COURT/AGENCY
[ ] YES [ ] NO
IF YES, GIVE PARTICULARS:
GIVE BRIEF PARTICULARS OF COMPLAINT:
VICTIM’S DATA
No. of Victim/s: ________
Age: ________
PLACE DATE FILED
DOCKET/I.S.
NUMBER
PRESIDING JUDGE/
HEARING OFFICER
Last Name First Name Middle Name
Civil Status: [ ] Single [ ] Married [ ] Widow/er [ ] Separated [ ] Annulled
STATUS OF
CASE
Complete Address:__________________________________________________________________________