Sample format of Case Referral

(Regular Filing and Inquest)

Republic of the Philippines
Department of the Interior and Local Government
PHILIPPINE NATIONAL POLICE
______________________________________
_______________________
(DATE)
The Honorable City Chief Prosecutor
Office of ________ Prosecutor
Justice Hall, _______
(Attn: Duty Inquest Prosecutor)
Greetings

I have the honor to refer to your Office, the records of investigation relative to the case of (crime), committed
at about ______ of ________ at ______________.
COMPLAINANT :

(Name, age, nationality, civil status and current address)

VICTIM

(Name, age, nationality, civil status and current address)

SUSPECT (ARRESTED/DETAINED)
:
(Name, age, nationality, civil status and current address)
EVIDENCE RECOVERED :
FACTS OF THE CASE:
Investigation disclosed....

ENCLOSURES
a)
b)
c)
d)
e)
f)
g)
g)
i)
j)
k)

:
Subscribed NPS Investigative Data Form
SS of the complainant
SS of witness
SS of witness
Joint Affidavit of Arrest of
Medico-Legal Report
As stated evidence recovered
Death Certificate of the Victim
Anatomical Sketch of the Victim
Booking and Information of the suspect
And others to be presented later.

This case will be presented to you by (Name of Investigator-on-Case) of this Office during the course of
inquest proceedings. Further, request furnished this Office copy of resolution of the case and other proceedings.
For appropriate action and disposition.
___________________________
Chief of Police

Another Sample Format of Case Referral

Republic of the Philippines
Department of the Interior and Local Government
PHILIPPINE NATIONAL POLICE
______________________________________
_______________________
(Date)
Hon. Chief, State Prosecutor
Department of Justice,
Padre Faura, Manila
Sir/Madam:
Respectfully referred to your good office for inquest proceedings are the herein
record of investigation relative to a case for Robbery committed as follows:
VICTIMS/COMPLAINANTS: __________________
RESPONDENTS: ___________________________
WITNESSES: ______________________________
Date/Time and Place of Occurrence:
On _______ at about ________ along _________________.
Evidences:
1. Sworn Statement of Complainant/s
2. Sworn Statement of Witnesses
3. Joint affidavit of Arresting Police Officers
4. Others to be presented later.
FACTS OF THE CASE:
(Complete brief narrative of the facts)
This case will be presented by (name of investigator-on-case).
Very truly yours,
__________________________
(CHIEF OF OFFICE)