Professional Documents
Culture Documents
KP Forms
KP Forms
PAMBARANGAY
FORMS
KP FORM NO. 1
____________________, 20____
In compliance with Section 1 (a). Chapter 7, Title One, Book III, Local
Government Code of 1991 (Republic Act No. 7160), of the Katarungang
Pambarangay Law, not,ice is hereby given to constitute the Lupon Tagapamayapa
of this Barangay. The persons I am considering for appointment are the following:
They have been chosen on the basis of their suitability for the task of
conciliation considering their integrity, impartiality, independence of mind, sense of
fairness and reputation for probity in view of their age, social standing in the
community, tact, patience, resourcefulness, flexibility, open mindness and other
relevant factors. The law provides that only those actually residing or working in
the barangay who are not expressly disqualified by law are qualified to be appointed
as Lupon members.
_________________________
Punong Barangay
KP FORM NO. 2
____________________, 20____
(Date)
APPOINTMENT
TO: _______________________
___________________________
Punong Barangay
ATTESTED:
________________________
Barangay Secretary
KP FORM NO. 3
____________________, 20____
(Date)
NOTICE OF APPOINTMENT
____________________________
____________________________
____________________________
Sir/Madam:
________________________
Barangay Secretary
KP FORM NO. 4
____________________, 20____
(Date)
_____________________________
Punong Barangay
ATTESTED:
_____________________________
Barangay/Lupon Secretary
OATH OF OFFICE
______________________________
Punong Barangay
KP FORM NO. 6
____________________, 20____
(Date)
WITHDRAWAL OF APPOINTMENT
TO: ________________________
After due hearing and with the concurrence of a majority of all the Lupon
Tagapamayapa members of this barangay, your appointment as member thereof
is hereby withdrawn effective upon receipt hereof, on the following ground/s:
___________________________________
Punong Barangay/Lupon Chairman
CONFORME (Signatures)
1) ____________________________ 7) _____________________________
2) ____________________________ 8) _____________________________
3) ____________________________ 9) _____________________________
4) ____________________________ 10) _____________________________
5) ____________________________ 11) ______________________________
6) ____________________________
_____________________________
(Signature)
NOTE:
COMPLAINT
I/WE hereby complain against above named respondent/s for violating
my/our rights and interest in the following manner:
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
_____________________________
Complainant/s
___________________________________
Punong Barangay/Lupon Chairman
KP FORM NO. 8
NOTICE OF HEARING
(MEDIATION PROCEEDINGS)
TO: ________________________
________________________
Complainant/s
___________________________
Punong Barangay
Complainant/s
________________________________________
________________________________________
________________________________________
KP FORM NO. 9
-Against-
______________________
______________________
Respondent/s
SUMMONS
______________________ _____________________________
Respondents
You are hereby warned that if you refuse or willfully fail to appear
in obedience to this summons, you may be barred from filing any
counterclaim arising from said complaint.
FAIL NOT or else, face punishment as for contempt of court.
_____________________________________
Punong Barangay/Pangkat Chairman
OFFICER’S RETURN
Respondent/s
________________________
Officer
Received by Respondent/s/representative/s:
_______________________________ _______________________________
(Signature) (Date)
_______________________________ _______________________________
(Signature) (Date)
KP FORM NO. 10
_____________________________ ___________________________________
Complainant/s Respondent/s
_________________________________ ___________________________________
_________________________________ ___________________________________
Complainant/s Respondent/s
KP FORM NO. 11
-Against-
______________________
______________________
Respondent/s
__________________, 20______
Date
TO: ___________________________
Notice is hereby given that you have been chosen member of the
Pangkat ng Tagapagkasundo to amicably conciliate the dispute
between the parties in the above-entitled case.
___________________________________
Punong Barangay/Lupon Secretary
___________________________________
Pangkat Member
KP FORM NO. 12
_____________________________ ______________________________
Complainant/s Respondent/s
NOTICE OF HEARING
(CONCILIATION PROCEEDINGS)
___________________________
Pangkat Chairman
Complainant/s Respondent/s
_______________________________ _______________________________
_______________________________ _______________________________
KP FORM NO. 13
-Against-
______________________
______________________
Respondent/s
S U B P O E N A
TO: _______________________________ ________________________________
_______________________________ ________________________________
WITNESSES
_____________________________________
Punong Barangay/Pangkat Chairman
(Cross out whichever is not applicable)
KP FORM NO. 14
-Against-
______________________
______________________
Respondent/s
Complainant/s Respondent/s
_______________________________ _________________________________
_______________________________ _________________________________
ATTESTATION:
______________________________________
Punong Barangay/Pangkat Chairman
(Cross out whichever is not applicable)
KP FORM NO. 15
ARBITRATION AWARD
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
________________________________________________________________________.
______________________________________
Punong Barangay/Pangkat Chairman*
______________________________________
Member
______________________________________
Member
ATTESTED:
___________________________________
Punong Barangay/Lupon Secretary**
AMICABLE SETTLEMENT
Complainant/s Respondent/s
_______________________________ _________________________________
_______________________________ _________________________________
ATTESTATION
I hereby certify that the foregoing amicable settlement was entered
into by the parties freely and voluntarily, after I had explained to them
the nature and consequences of such settlement.
_____________________________________
Punong Barangay/Pangkat Chairman
KP FORM NO. 17
R E P U D I A T I O N
Complainant/s Respondent/s
_______________________________________ _________________________________________
_______________________________________ _________________________________________
______________________________________________
Punong Barangay/Pangkat Chairman/Member
__________________________
Punong Barangay
* Failure to repudiate the settlement or the arbitration agreement within the time
limit respectively set in ten (10) days from the date of settlement and five (5) days from
the date of arbitration agreement shall be deemed a waiver of the right to challenge on
the said grounds.
KP FORM NO. 18
-Against-
______________________
______________________
Respondent/s
NOTICE OF HEARING
(RE: FAILURE TO APPEAR)
TO: ____________________________
____________________________
Complainant/s
You are hereby required to appear before me/the Pangkat on the ___________
day of __________________ 20_________ at _______________o’clock in the
morning/afternoon to explain why you failed to appear for mediation/conciliation
scheduled on ______________________, 20________ and why your complaint should
not be dismissed, a certificate to bar the filing of your action in court/government
office should not be issued, and contempt proceedings should not be initiated in
court for willful failure or refusal to appear before the Punong Barangay/Pangkat
ng Tagapagkasundo.
_____________________________________
Punong Barangay/Pangkat Chairman
(Cross out whichever is not applicable)
Complainant/s
____________________________________
____________________________________
Respondent/s
____________________________________
____________________________________
KP FORM NO. 19
-Against-
______________________
______________________
Respondent/s
NOTICE OF HEARING
(RE: FAILURE TO APPEAR)
TO: ____________________________
____________________________
Respondent/s
_____________________________________
Punong Barangay/Pangkat Chairman
(Cross out whichever is not applicable)
Complainant/s Respondent/s
_________________________________ ________________________________
_________________________________ ________________________________
KP FORM NO. 20
-Against-
______________________
______________________
Respondent/s
_________________________
Lupon Secretary
Attested:
___________________________
Lupon Chairman
KP FORM NO. 20-A
-Against-
______________________
______________________
Respondent/s
_________________________
Pangkat Secretary
Attested:
___________________________
Pangkat Chairman
KP FORM NO. 20-B
-Against-
______________________
______________________
Respondent/s
2) The Punong Barangay set the meeting of the parties for the
constitution of the Pangkat;
_________________________
Pangkat Secretary
Attested by:
___________________________
Pangkat Chairman
KP FORM NO. 21
-Against-
______________________
______________________
Respondent/s
____________________________________
Lupon Secretary/Pangkat Secretary
Attested:
_____________________________________
Lupon Chairman/Pangkat Chairman
-Against-
______________________
______________________
Respondent/s
___________________________________
Lupon Secretary/Pangkat Secretary
Attested:
____________________________________
Lupon Chairman/Pangkat Chairman
-Against-
______________________
______________________
Respondent/s
2) The period of ten (10) days from the above-stated date has expired
without any of the parties filing a sworn statement of repudiation
of the settlement before the Lupon Chairman a petition for
nullification of the arbitration award in court; and
_______________________________
Complainant/s/Respondent/s
KP FORM NO. 24
-Against-
______________________
______________________
Respondent/s
NOTICE OF HEARING
(RE: MOTION FOR EXECUTION)
_______________________________ __________________________________
Complainant/s Respondent/s
_______________________
(Date)
___________________________________
Punong Barangay/Lupon Chairman
___________________________________ _________________________________
(Signature) (Signature)
Complainant/s Respondent/s
KP FORM NO. 25
-Against-
______________________________
______________________________
Respondent/s
NOTICE OF EXECUTION
WHEREAS, on
___________________________________________________, an amicable
(Date)
settlement was signed by the parties in the above-entitled case (or an
arbitration award was rendered by the Punong Barangay/Pangkat ng
Tagapagkasundo);
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
_______________________________________________________ .
_________________________
Punong Barangay
Copy furnished:
_________________________________ _________________________________
_________________________________ _________________________________
Complainant/s Respondent/s