Republic of ale Philippines

DEPARThmVr OF JUSTICE
NATIONAL PROSECUTION SERVICE

(Prosecution Office)

REFERRING Law Enforcement Agency (LEA) or Reference No.

PRIVATE coMPLAINAIrr,
FOI :
-versus-

RESPONDENT/s
Detained at

CERTIFICATION
(Evaluation of referral/complaint for Inquest)

\ (Name of_Anisfin8Pmsec#for) 1 Pai8naaon/

assigned to conduct the evaILnUon of the above-entitled referral/complaint, hereby certifies that:

1. The offense subject in the aboveentitled referral/mmpbint is covered by

Department Circular No. 020 (DC 020) series of 2023;

2. Pursuant to DC 020, 1 conducted the required evaluation of the referral/complaint

and the attached supporting documents;

3. After due evaluation of the referral and the pieces of evidence submitted, I found
that the referral/comFiaint is:

[] suFHaEiw FOR INQUEST PROCEEDINGS HENCE, it is recommendal that the

H Obe warrartless arrest is lawful and in referral/complaint may be docketed for
amordance with Section 5, RuSe 113 of the inquest proceedings.
Revised Rules on Criminal Procedure, and the
records mntain all the ne asary evidence to
prvve the es=ntial elerrents of the complaint.)

r"""] LACKS THE NECESSARY PIECES OF HENCE, the referring IEA/complainant is

EViDENCE/DOcuMENrs FOR INQUEST hereby directed to submit to this office the
PROCEEDINGS following documents on or before
(While the warrantless arrea is lawful and in to wit:
accordance with Section 5, Rule 113 of the
Revised Rules on Criminal Procedure, the records 1
do not contain all the reces=ry evicknce to 2.
prove the es=ntial elements of the complaint.)
3.

Should the referring LEA/complainant fail to

comply, the undersigned shall have no other
recourse but to dispose of the referral/complaint
based on the available records and in
accordance with DC 020.
 NOT PROPER FOR INQUEST PROCEEDINGS HENCE, it is recommended that this
BUT SUFFICIENT FOR THE coNDUcr OF referral/complaint be forwarded for the
PRELIMINARY iNVEgrIGATiON conduct of Preliminary Investigation.
' (While the records of the referral/cunplaint
contain all the necessary evidena to prove the FURTHER, it is respectfully recommended that
e=ential elements of the complaint, the respondent/s
warrant less arrest doa not fall among the who is/are dRained a
provisions of Section 5, Rule 113 of the Revised
Rules on Criminal Procedure.) be released immediately unless he/she/they are
detained for other lawful cau ns.

NOT PROPER FOR INQUEST PROCEEDINGS HENCE, it is recommended that this

OR PRELIMINARY INVESTIGATION referral/complaint be referred for case
' (The warrantless arrest does not fall among the build-up.
' - provisions of Section 5, Rule 113 of the Revised
Rules on Criminal Procedure AND We records of FURTHER, it is respectfully recommended that
the referral/canplaint do not contain all the respondent/s
necessary evidence to prove the es=ntial who is/are detained a
elements of the complaint.) he
released immediately unless detairnd for other
lawful causes.

ISSUED on _2023, at Philippines.

Name and Signature of Assisting Pruecutor

RECOMMENDING APPROVAL:

APPROVED:
 Republic of the Philippines
DEPARTMENT OF JUSTICE
NATIONAL PROSECUTION SERVICE

(Prosecution Office)

REFERRING law Enforcement &lency (LEA) or Reference No

PRIVATE COMPLAINANT,
FOR :
-versus-

RESPONDENT/s
Detained at

CERTIFICATION
(Evaluation of complaint referred for Preliminary Investigation)

1/ (Name of Assisting PmsuR£or) 1 (DuigmitioH) 1

assigned to conduct the evaluation of the above-entitled referral/complaint, hereby certifies that:

1. The offense subject in the aboveentiUed referral/complaint is covered by

Department Circular No. 020 (DC 020) series of 2023;

2. Pursuant to DC 020, 1 conducted the required evaltntion of the referral/complaint

and the attached supporting documents;

3. After due evaluation of the complaint and the pieas of evidence submitted, I
found that the complaint is:

FI suFFiaEMr FOR coNDUcr OF PREUMIMARY INVESTIGATION

' - The mmplaint/referral mntains all the recessary evichna to prove the usential elements of
the aime and should be docketed for preliminary investigation.

a INSUFFICIENT FOR THE coNDUcr OF PRELIMINARY iNVEsriGATioN AND MUST

FIRST BE REFERRED FOR CASE BUILD-UP
are mmplaint/referral ck)es not contain all the neessary evidena to prove the usenUal
elements of tte aime. Therefore, it is recommended But He sarre be first rehrred for
case build-up.

ISSUED al _2023, at , PhilipFines.

Name and Signature of Assisting Prwecutor

RECOMMENDING APPROVAL:

APPROVED:
 Republic of the Philippines
DEPARTMENt OF JUSTICE
NATIONAL PROSECUTION SERVICE

(Prosecution Office)

CASE BUILD-UP FORM

To be acaomplished by the Office

DATE & TIME RECEIVED Reference No.

RECEIVING OFFICER

Handling Prosecutor

CLIENT/COMPIAINANT/s: RESPONDENT/s: (Name, Sex, Age, and Address)

(Name, Sex, Age and Address/Office/Contact
Information/Email Address)

IAW/s VIOIATED: DATE & TIME OF COMMISSION:

PLACE OF COMMISSION:

CASE CONFERENCE HISTORY

DATE & TIME MINUTES RECOMMENDATIONS

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