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TRANSMITTAL/CHECKLIST
(for SPECIAL CASES, i.e., labor cases, special civil actions, special
proceedings, other quasi-judicial and administrative cases)
FOR SPECIAL AND APPEALED CASES SERVICE
_____________________
Date
________________________
Service Head/Officer-in-Charge
Special and Appealed Cases Service
5th Flr., DOJ Agencies Building
NIA Road, Diliman, Quezon City
Dear Sir/Maam,
We are submitting the records of the following case (choices marked as applicable):
Note: do not leave any detail blank
Case Title:
Docket No:
Party represented:
Contact No. of client/nearest relative:
Address of client(please notify the SACS handling lawyer immediately of any subsequent
change of address brought to your attention):
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page 1 of 2
* Official office stamp; or note duly signed by the PAO receiving clerk
**Courts/tribunals stamp; or registry receipt, if mailed
*** with proof of receipt or proof of filing, as may be applicable
PAO-F-SACS/TSP-05
Rev. 0
List of pending cases between the same parties involving the same
and related issues, if any (please notify the SACS handling lawyer
immediately of any subsequent case, as per A.M. No. CA-13-51-J
dated July 2, 2013):
___________________________
Handling Lawyer
NOTED BY:
_______________________________
Regional Public Attorney/District Public Attorney
page 2 of 2
* Official office stamp; or note duly signed by the PAO receiving clerk
**Courts/tribunals stamp; or registry receipt, if mailed
*** with proof of receipt or proof of filing, as may be applicable
PAO-F-SACS/TSP-05
Rev. 0