June 20, 2019

NAME OF JUDGE
PRESIDING JUDGE
BRANCG, Regional Trial Court
Hall of Justice

Thru: NAME OF CLERK OF COURT

CLERK OF COURT V
Brancg ____, Regional Trial Court
Hall of JusticE

Dear Honorable Judge:

This pertains to the case “TITLE OF CASE” AND DOCKET NUMBER.

That an Order dated _______________ pertaining to the above-entitled case, the herein
Private Complainants were directed to submit a Special Authority to File Civil Action
authorized by the Philippine Embassy in and for the Consular District of New York,
where the private complainant are currently residing.

In respectful compliance thereof, attached herewith is a copy of the above-

mentioned document for your perusal.

Respectfully yours,

NAME OF SIGNATORY
Complainant