Académique Documents
Professionnel Documents
Culture Documents
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 :
VICTIM
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
Sketch
__________________________________________
_
__________________________________________
_
Color
Plate Number
Chassis Number
Engine Number
MV File Number
Registered Owner
Address
CERTIFICATION
I, ___________________________________, after having been duly sworn to in
accordance to law do hereby depose and say:
That I am the complainant of the aforesaid complaint;
That I have read the essence and signed the same;
That all the allegations contained herein are true and correct to the best of my
knowledge and hereby warrant under penalty of perjury and;
That I will immediately inform the PNP-HPG in case the above described motor
vehicle is recovered (by us) so that alarm could be lifted.
_______________________
(Driver)
Address: __________________________
Tel/Cell No. _______________________
Note: Person found guilty of perjury is liable under Art. 183 of the Revised Penal
Code.
COMPLAINT SHEET
Complaint No.________________
_________________
Date:
1. REPORTED THRU:
[ ] In Person
[ ] Telephone
[ ] Other
3. Nature of Complaint/Info
4. Place of Occurrence/Incident
5. Date/time
6. Name of Complainant/Informer
7. Address
8. Tel No.
9. Name(s) of Victim(s)
11.Sex
10. Age
12. Address
15. Alias
CONFIDENTIAL
FROM
:
AUTHORITY
1. Memo from that Office dated__________ re-investigation report on the
above subject.
2. Inherent
II
MATTERS TO BE INVESTIGATED
3. To determine the surrounding circumstances of the killing of the said
police officer.
4. To possibly identify the suspects that will led to their apprehension and
possible prosecution
III
IV
INVESTIGATION/FINDINGS
6. etc.
CONCLUSION
VI
RECOMMENDATION/DISPOSITION
____________________
Chief of Office
TANONG SAGOT
03.
04.
TANONG SAGOT
T -
S 05.
T S -
06.
T S -
07.
T S -
08.
T S -
09.
T -
T -
S Pahina 2.
Karugtong ng malaya at kusang loob na
____________________________, ngayong ika-___ ng _____, 20___.
11.
T -
salaysay
ni
Bukod sa iyo, may mga alam ka bang mga tao na nakakita ng naturang
________________?
S 12.
T -
Ano naman ang iyong ginawa matapos mong masaksihan ang naturang
insidente?
S 13.
T S -
14.
T -
S 15.
T -
S 16.
T -
I HEREBY CERTIFY THAT I have personally examined the herein affiant under oath
and that I am fully satisfied that he/she voluntarily executed and understood his/her statement.
_________________________
Administering Officer
pagtitiwala
ay
nag-aplay
sa
taong
naturan
bilang
isang
Na, ang taong nabanggit ay pinangakuan ako ng trabaho sa ibang bansa na bilang kapalit ako ay
pinagbibigay/pinagbabayad na aking naman ibinigay/ibinayad ang mga sumusunod:
HALAGA/BAGAY
____________________
____________________
____________________
____________________
____________________
____________________
____________________
____________________
PETSA
LUGAR/TUMANGGAP
_______________
_______________
_______________
_______________
_______________
_______________
_______________
_______________
_____________________
_____________________
_____________________
_____________________
_____________________
_____________________
_____________________
_____________________
Na, noon ________, ako ay lumuwas patungong Maynila sakay ng _____________ at ako ay
dumiretso
sa
bahay/agency
na
matatagpuan
sa
_____________________________________________________________________;
Na, habang ako ay nag-aantay ng aking pag-alis, ako ay pansamantalang pinatira ng taong
naturan sa kanyang bahay na matatagpuan sa ________________________________________. Ako
tumuloy sa nasabing bahay sa loob ng _______________. Habang ako ay nanunuluyan sa nasabing
bahay ako ay pinagbabayad ng halagang _______ bawat araw/buwan para sa aking pagkain at iba pang
gastusin para sa aking pansamantalang panunuluyan;
Na, habang ako ay pansamantalang nanunuluyan sa nasabing bahay, ako ay kanyang pinagawa
ng
mga
gawain
bahay
tulad
ng
______________________________________________________________________ Ito raw umanoy
ay parte ng aking training bilang isang __________________;
Na, ang taong nabanggit ( ) ay nabigo na maipadala ako sa ibang bansa.
(
)
akoy
nakaalis papunta sa nasabing bansa bilang isang ____________ upang magtrabaho noong
___________
at
bumalik
noong
___________
sa
kadahilanang
____________________________________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________
___________________________;
Na, ang taong nabanggit ay nabigo at/o ayaw ibalik ang aking pera/papeles sa kabila ng aking
paulit-ulit na kahilingan;
Na, aking natuklasan na ang taong naturan ay walang lisensya o karapatan na mangalap at
magpadala ng mga manggagawa sa ibang bansa;
Na, hanggang sa ngayon ang taong nabanggit ay pinapangakuan ako na matutuloy maka-alis
patungong ibang bansa at ako ay kanyang hinihingian ng dadag na bayad na nagkakahalaga sa
___________ kapalit ng aking diumanoy pag-alis;
Na,
ang
taong
naturan
ay
naninirahan
at/o
maaaring
mapasabihan
_____________________________________________________________________;
sa
Na
ginawa
ko
ang
Sinumpaang
Salaysay
na
ito
upang
ihabla
si/sina
____________________________________________________________________________________
________________________________________________________ng illegal recruitment at/o estafa
at/o Human Trafficking;
Na, aking pinatutunayan na ako ay hindi naghain ng reklamong katulad nito sa mga taong
nabanggit sa iba pang ahensya o sangay ng pamahalaan maliban dito.
BILANG PATUNAY, ako ay lumagda sa ibabaw ng aking pangalan ngayon ika-______ ng
_________, _____.
_________________
Lagda
SINUMPAAN AT PINATOTOHANAN sa harap ko ngayon ika __________ ng
___________, _____. Pinatutunayan ko na ang nagsalaysay ay aking nasiyasat at ako ay may sapat na
paniniwala na siya ay kusa at malayang nagsalaysay.
_____________________
Administering Officer
Date Reported
Time Reported
Year Model
Body Type
Classification
[ ] Private
[ ] For Hire
[ ] Government
[ ] Diplomat
Plate No.
[ ] AUV
[ ] Car
[ ] Wagon
[ ] Pick Up
[ ] Closed Van
Engine No.
Chassis No.
Color
Date Lost
MV File No.
[ ] Jeepney
[ ] Bus
[ ] Utility Van
[ ] Truck
[ ] Dropside
MVRR No.
Time Lost
[ ] HSPUR
[ ] 3 Wheeled
[ ] Motorcycle
[ ] Others:
___________
CR No.
OWNER DESCRIPTION
Registered Owner
Last Name
First Name
Address
Telephone No.
Land Line #
Mobile #
Type of ID presented
ID Number presented
Insurer
Tel No.
CIRCUMSTANCES
Mode of Loss
Brief Narration
Middle Name
Classification
[ ] TPL
[ ] Comprehensive
[ ] Seized at Gunpoint/Intimidation
[ ] Seized While Parked Unattended
[ ] Qualified Theft
[ ] Theft
[ ] Fraud
[ ] Estafa
[ ] Others _______________________
Place of Offense Committed:
_____________________________________________________________
_____________________________________________________________
_____________________________________________________________
_____________________________________________________________
_____________________________________________________________
_____________________________________________________________
_____________________________________________________________
_____________________________________________________________
[ ] WITH SAFETY DEVICE [ ] ACTIVATED
[ ] NOT ACTIVATED
[ ] MANUAL
[ ] ELECTRONIC
[ ] GSP [ ] WITHOUT SAFETY DEVICE
Reported By:
______________________________________________
_________________________________________________________
Investigated By:
______________________________________________
_________________________________________________________
_________________________________________________________
Approved By:
_____________________________________________
2x3
Picture
With signature and
Thumb mark
4. DATE/TIME
6. ALIAS (ES)
7. ADDRESS
8. DESCRIPTION:
SEX
NATIONALITY
AGE
COMPLEXION
HEIGHT
WEIGHT
BUILD
HAIR
PECULIARITIES
OTHER IDENTIFICATION DATA
9. PHOTO
12. ADDRESS
14. RELATIONSHIP OF
COMPLAINANT/INFORMANT
TO SUBJECT
If yes, what
agency________________
17. REPORT RECEIVED BY
18. DATE/TIME
19. POSITION/DESIGNATION
25. DATE/TIME
26. POSITION/DESIGNATION
28. DATE/TIME
29. POSITION/DESIGNATION
31. DATE/TIME
32. POSITION/DESIGNATION
34. DATE/TIME
35.POSITION/DESIGNATION
[ ] PERSON RETURNED
[ ] PERSON ARRESTED
38. DATE/TIME
[ ] OTHER
39.POSITION/DESIGNATION
:
:
__________________________________________________
__________________________________________________
(NAMES, PERSONAL CIRCUMSTANCES OF VICTIM)
__________________________________________________
(IF INJURED, DIAGNOSIS OF THEATTENDING PHYSICIAN
AND NAME OF HOSPITAL)
DATE/TIME/PLACE
OF OCCURRENCE
SUSPECTS
:
:
:
__________________________________________________
__________________________________________________
__________________________________________________
(NAMES, PERSONAL CIRCUMSTANCES)
__________________________________________________
RESIDENCE AND STATUS-WHETHER
__________________________________________________
SUSPECTS ARE UNDER ARREST OR NOT
EVIDENCE
WITNESSES
:
:
__________________________________________________
__________________________________________________
_________________________________
NAME OF OFFICER-ON-CASE
_________________________________
RANK
PNP
_________________________________
DESIGNATION
NOTED AND FORWARDED:
____________________________
CHIEF OF GROUP/UNIT
____________________________
RANK
PNP
____________________________
DESIGNATION
__________________________________________________
COMPLAINANT/VICTIM
___________________________________________________
(NAMES, PERSONAL CIRCUMSTANCES OF COMPLAINANT)
___________________________________________________
(IN RAPE CASES, ENCLOSE THE
MEDICAL FINDING)
DATE/TIME/PLACE
OF OCCURENCE
SUSPECTS
:
:
:
__________________________________________________
__________________________________________________
__________________________________________________
(NAMES, PERSONAL CIRCUMSTANCES)
__________________________________________________
ADDRESS, IF KNOWN, AND PHYSICAL
__________________________________________________
DESCRIPTION, IF AT-LARGE
EVIDENCE
WITNESSES
:
:
__________________________________________________
__________________________________________________
(NAMES AND ADDRESS)
____________________________________
NAME OF OFFICER-ON-CASE
____________________________________
RANK
PNP
____________________________________
DESIGNATION
NOTED AND FORWARDED:
_________________________________
CHIEF OF GOUP/UNIT
_________________________________
RANK
PNP
_________________________________
DESIGNATION
COORDINATION FORM
UNIT: ________________________________________________________________________
DATE/TIME: ___________________________________________________________________
PLACE OF OPERATION: ________________________________________________________
TEAM LEADER: _______________________________________________________________
MEMBERS: ___________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________
VEHICLE USED:
_________________________________
______________________________________
_________________________________
______________________________________
_________________________________
______________________________________
_________________________________________________
_________________________________________________
Registered Owner
Address:
_________________________________________________
_________________________________________________
:
:
:
:
:
______________________________
______________________________
______________________________
______________________________
______________________________
)
)
)
)
(
(
(
(
)
)
)
)
______________________________
Signature
______________________________
Print Name
______________________________
Drivers License Number
G. List of Evidence That May Have Been Seized or Collected by the FR (If Any):
Description
Disposition
________________________
____________________________________
_________________________
____________________________________
_________________________
___________________________________
_________________________
___________________________________
H. Areas where Initial Search were conducted:
_______________________________________________________________
________________________________________________________________
________________________________________________________________
Rank/Name/Designation of Officer/
Signature over Printed Name
FROM
______________
SUBJECT
SOCO Assistance
1. Request for the availability of SOCO Team to process the crime scene located at
______________________________________________________________.
NATURE OF CASE
: ______________________________________________
Time and Date of Incident: ___________________________________________
2. This request is made with the assurance that the Duty Investigator/ Investigator-On-Case,
being in- charge of the Crime Scene shall remain and provide all the necessary security
and support to the SOCO Team during the whole process until after the crime scene is
released.
3. Further request that this Office be furnished a copy of the list of evidence gathered and the
result of the examination conducted thereon.
4. For consideration and approval.
For the Chief of Police:
_____________________________________________
(Duty Investigator/Investigator-On-Case)
Inside Features
Make/Type
Plate No.
Steering Wheel
Engine
Compartment
Air-con Compressor
Engine No.
Fuel
Radiator
Chassis No.
Color
Hand Brake
Radiator Cover
Registered Owner:
Ammeter
Owners Address
Temperature Gauge
RPM Gauge
Headlight Knob
Parking/Hazard Knob
Distributor Cap
Wiper Knob
Distributor Assembly
Dimmer Switch
Contact Point
Headlights Guard
Left Side Portion:
Right side Portion:
Side Mirror
Wind Tunnel Glass
Wiper Blade
Windshield
Wiper Motor
Side Mirror
Wind Tunnel
Glass
Window
Glass
Window
Front Seat
Glass Front
Seat
Weather/Wi
ndow Strip
Rear Back Portion:
Luggage Compartment:
Rear Bumper
Spare Tire
Brand
Emblem
Spare Tire
Marking
MountingNote:
no
spare
tire
cover.
Plate Light
Floor
Luggage
Mat
Tail Light Assembly
Mechanical
Tools
TIRES:
Brand/Make:
Size:
235/75 R15
Condition: Used
Type
No. of Studs:
General Condition of the MV:
Running
Deadline
REMARKS
Directorial Level
Condenser
Speedometer
Air-con Condenser
Fuel Gauge
Cars Seats Front
Rotor
Advancer
Oil Dipstick
Floor Carpet
Carburettor Assembly
Floor Matting
Steering Wheel
Computer Box
Alternator
Alternator
Regulator
Air Cleaner
ACCESSORIES:
Air-condition Unit
Car Stereo
Interceptor Cable
Stereo Speakers
Twitters
Car Radio
Equalizer
CD Changer
Lighter
Barometer
Fire Extinguisher
Antennae
GENERAL APPEARANCE:
Newly painted
Paint Discoloring
Good body shape
Body in Bad Shape
Body ongoing repair
For Repainting
Voltage
Fuel Pump
Oil Filter
Steering Gear Box
Water Pump
Assembly
Engine Fan
Auxiliary Fan
Fan Belt
Spark Plugs
Battery
Battery Cable
Battery Terminal
Horn Assembly
Horn Relay
Accelerator Cable
Intake Manifold
Exhaust Manifold
Engine Mounting
Ignition wiring
Transmission
Suspension Assembly
Recovering Personnel:
Date:
WITNESS/OWNER/Barangay
Official:
Idler Arm
Front Coil Spring
Pitman Arm
NOTED BY (HEAD OF
OFFICE):
________________________
_______________
Rank/Name
Date:
Date:
QUANTITY/UNITS
__________________________
__________________________
__________________________
__________________________
__________________________
__________________________
__________________________
_________________________
(Seizing Officer)
Witness by:
__________________
_______________________________________________
Chassis No.
_______________________________________________
Motor No.
_______________________________________________
Plate No.
_______________________________________________
Color
_______________________________________________
CR/OR NO.
_______________________________________________
_______________________________________________
Registered Owner:
_______________________________________________
Address
_______________________________________________
VIOLATIONS:
1. ___________________________________________________
2. ___________________________________________________
3. ___________________________________________________
Subject MV was apprehended by Anti-Carnapping Operatives of this office for violation/s as stated above
on_________________ at about______ along the vicinity of _______________________and same was brought to
HQS TMG, Camp Crame, Quezon City, for safekeeping subject for the investigation/verification and proper
disposition.
Note: Subject MV shall only be released upon presentation of its pertinent original documents and upon
notation/approval of the ADI.
APREHENDING OFFICERS:
Team Leader:
________________
________________
________________
________________
Conformed:
_____________________
Owner/Driver/Possessor
______________________________________________________________________
______________________________________________________________________
_________________________________________________________
SIGNED IN THE PRESENCE OF:
1.)
____________________________
2.)
_____________________________
_____________________________
(Evidence Custodian)
of
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
____________________
I FURTHER CERTIFY that the search was done in peaceful, appropriate and
orderly manner and nothing were taken by the searching party aside from those
enumerated above.
_________________________
(Signature over printed name of owner)
____
day
of
____________________________
(Administering Officer)
annex B is a copy of Receipt of Evidence Confiscated and a Certification of Orderly Execution of Search Warrant as
annex C)
WHEREFORE, it is most respectfully prayed to this Honorable Court that the return of the Original Search Warrant No.
______________ and its annexes together with the seized items be accepted.
LIKEWISE, it is respectfully prayed that the undersigned be authorized by this Honorable Court or grants the
______________________ to conduct Forensic Examination on the seized computers and other electronic devices for evidentiary
purposes.
Other reliefs just and equitable in the premises, are likely prayed for.
Done this ____ day of _____ 20__, City of ______________, Philippines.
_______________________
Applicant/Team Leader
SUBSCRIBED AND SWORN to before me this ___ day of ______ 20__ at City of Manila, Philippines.
_________________
Presiding Judge
Picture
2x2
THUMB
INDEX
MIDDLE
RING
LITTLE
LEFT HAND
Date Received
Investigator-on-Case
Unit Contact Details
Address
Phone
E-mail
Address
Phone
E-mail
SOCO Unit
Unit Contact Details
Address
Phone
E-mail
Date/Time of Incident
Location
Incident Category
Casualties
Deaths
Pre-Incident Threat
Post-Incident Threat
Delivery Method
Bombing
Attempted Bombing
Yes
Yes
Theft
Recovery
No
No
Yes
Yes
Delivered
Dropped
Thrown
Placed
Suicide
Other
Number:
Number:
No
No
Method of Threat:
Method of Threat:
Buried
Other
Details
Time
Victim
Environmental
Command
Other
Initiation Method
Details
Power Source
Battery
Mains
Details
Explosive Type
Details
Commercial
Military / Ordnance
Improvised
Other
Detonator Type
Commercial
Military
Improvised
Other
Details
Container Type
Plastic
Metal
Carton
Bag
Cloth
Wood
Other
Vandalism
Terrorist
Criminal
Religious
Domestic Dispute
Experimentation
Extortion
Other
Details
Motive
Details
Target
Government
Commercial
Private
Other
Details
Suspected Group:
Details:
Device/Component Description
This box needs to include a device description and a components list. This requires as much
information as possible.
Incident Details
Include information on injuries, property damage, motive and incident description, device location
and any other relevant information.
other law enforcement agencies and first responders. e.g. Device rendered safe by remote
approach utilizing disruptor.
Photographs/Media
List and describe any photos, diagrams attached to the report.
Signature _______________________
Date:
Name:
Note: Please transmit to PBDC-IG through fax or Email.
ADMINISTRATIVE LOG
Location:
Date:
Case Identifier/Number:
Preparer/ Assistants:
Time
Personnel Involved:
NARRATIVE DESCRIPTION
Location:
Date:
Case Identifier/Number:
Preparer/ Assistants:
PHOTOGRAPHIC LOG
Location:
Date:
Case Identifier/Number:
Preparer/ Assistants:
Photo
#
Description
of
Photograph
ic Subject
Camera:
Type of film:
Remarks
Camera
Settings
and Lens
Type
Distance
Use of
Scale
Reference
Scale of Disclaimer
Compass Orientation
Evidence
Fixed Objects
Measurements
Key / Legend
Item #
Description
Item
Personnel Involved:
of
Location
Recovered by:
Photo
Log #
Marking
Direct = D
Indirect = I
Packaging
Method
Comme
nts
CUSTODY LOG
Item #
Case Number:
Delivered By:
To:
Returned To:
By
Delivered By:
To:
Returned To:
By
Delivered By:
To:
Returned To:
By
Delivered By:
To:
Returned To:
By
Delivered By:
To:
Returned To:
Date
Time
Date
Time
Date
Time
Date
Time
Date
Time
Date
Time
Date
Time
Date
Time
Date
Time
Date
Time
By
Incident Location
Bomb
Container
Type
Explosive
Pipe
Method Initiation
R/C Devices #
Wire
Tape
Glue
Switch
Construction Similarities
Clock
Fingerprints
Contact Screw
Remarks
Solder
Offenses
Arrest Unit
Date
Court
Remarks
1.
2.
Female
1.
2.
Current Detainees... = 41
Actual Detainees... = 41
INCOMING DUTY JAIL GUARDS
___________________________
___________________________
___________________________
Female = 08
Female = 08
Total = 49
Total = 49
OUTGOING DUTY JAIL GUARDS
TEAM LEADER_______________________
DESK GUARD _______________________
GATE GUARD _______________________
NOTED/INSPECTED:
NOTED/INSPECTED:
___________________________
_______________________
FROM
SUBJECT
DATE
1. This has reference to the Court Hearing which was attended today by the
undersigned together with ______________________ relative to the case filed by
_________________ against ___________________________ docketed under CC#
______________________ is scheduled for arraignment at the sala of
______________________________________.
2.
However, said court hearing/arraignment was set because
__________________ counsel of the respondents submitted/filed a motion for
reinvestigation of the case and was presented to City Prosecutor and after examining
the motion, it was only approved by the court.
3. For information.
___________________________
(CHIEF OF OFFICE)
FROM
SUBJECT
DATE
1.
2.
On or about o clock in the afternoon on even date, was found guilty
beyond reasonable doubt on the said three (3) cases, to wit:
Case Number
___________
3.
In addition to the following, the accused is also directed to pay the heirs of
deceased ______________of the Decision, twelve (12) pages are hereto attached.
4.
According to the Provincial Jail Warden, accused will be transferred to
National Penitentiary, Muntinlupa City as soon as the commitment order issued by the
Judge.
5.
Information.
_____________________________
(CHIEF OF OFFICE)
CASE FOLDER OF
____________________________
ENCLOSURES OF CASE REFERRAL/TRANSMITTAL
(For Viol of ____________________)
TABLE OF CONTENTS
1. Sworn Statement of (Name of Complainant)
2. Sworn Statement of (Name of Witnesses)
3. Affidavit of Arrest (Name of Arresting Officers)
4. Documentary Evidence
a. Complaint Sheet of Complainant
b. Request and Certificate of POEA
c. Request and Result of Ultra Violet Powder
d. Summary of Information
e. Coordination
f. Request and Result of Physical Examination
g. Booking /Information Sheet of Suspect
h. Copies of Photographs and Sketch of Agency
i. Copies of Photographs during Entrapment Opn
j. Copies of Photographs of the Suspect
k. Copies of Photographs of the Pieces of Physical
l. Evidence Recovered and Seized
m. Reports about the Case
n. Others
A
B
C
D
D-1
D-2
D-3
D-4
D-5
D-6
D-7
D-8
D-9
D-10
D-11
D-12
D-13
D-14
______________________
Officer-on-Case
Noted By:
_________________
Chief of Office