Republic of the Philippines

[COURT]
Manila

[NAME]__________,
Petitioner,
SCA No. ___________
- versus -

[NAME]__________,
Respondent.
x ----------------------------------- x

PETITION FOR MANDAMUS

PETITIONER, by counsel, respectfully states that:

1. [STATE CAPACITY OF PETITIONER AND RESPONDENT/S, CITIZENSHIP, STATUS

AND RESIDENCE] ___________________________________________________.

2. [STATE THE FACTS AND CIRCUMSTANCES WHEREBY RESPONDENT/S

UNLAWFULLY NEGLECTED THE PERFORMANCE OF AN ACT WHICH THE LAWS SPECIFICALLY
ENJOINS AS A DUTY RESULTING FROM AN OFFICE, TRUST, OR STATION, OR UNLAWFULLY
EXCLUDED THE PETITIONER FROM THE ENJOYMENT OF A RIGHT OR OFFICE TO WHICH
THE PETITIONER IS ENTITLED] ______________________________________________.

3. Petitioner has no appeal from such decision or any plain or adequate speedy
remedy in the ordinary course of law, except this petition.

WHEREFORE, it is respectfully prayed that, after due notice and hearing, a writ of
mandamus issue commanding respondent/s forthwith to: (state the act required to be done),
with costs against them.

[CITY] ___________; [DATE] _________________________.

[SIGNATURE]
[NAME OF COUNSEL] ___________
Counsel for Petitioner
[ADDRESS] ______________

VERIFICATION & CERTIFICATION AGAINST FORUM SHOPPING AND VERIFIED STATEMENT

OF MATERIAL DATES

I, Plaintiff, of legal age, do hereby state that: I caused this Complaint to be prepared;
I have read its contents and affirm that they are true and correct to the best of my own
personal knowledge; I hereby certify that there is no other case commenced or pending
before any court involving the same parties and the same issue and that, should I learn of
such a case, I shall notify the court within five (5) days from my notice.
 I received copy of [ORDER/DECISION] ____________ on [DATE] _____________;
and I filed a Motion for Reconsideration on [DATE] ____________________; and the Motion
for Reconsideration was denied and I received a copy on [DATE] _________________.

IN WITNESS WHEREOF, I have signed this instrument on [DATE]_____________.

[SIGNATURE]
[NAME] _________________

SUBSCRIBED AND SWORN TO before me in the City of _______________ on this day

of [MONTH AND YEAR]_________________, affiant exhibiting before me his Government
Issued ID no. _______________ issued on [DATE}__________________ at [PLACE OF
ISSUANCE]_____________________.

[SIGNATURE]
[NAME]_______
Notary Public

Until [DATE]__________________
PTR No. [NUMBER] ____________
Issued at [PLACE]______________
On [DATE] ___________________

Doc. No.
Page No.
Book No.
Series of [YEAR] ___________.