PAO Mediation /Conf. Control No.

For:
Complainant/s,

- versus –

Respondent/s.
X - - - - - - - - - - - /

NOTICE OF MEDIATION/CONCILIATION CONFERENCE

TO:

Sir/Madam:

Please be informed that the herein complainant/s has/have sought legal assistance for
a possible conciliation with you on the matter.

In line with the policy of this Office to explore all possible avenues for an amicable
settlement of disputes/controversies, and of the government on Alternative Dispute Resolution,
as mandated under Republic Act No. 9285, you are hereby invited to a conference on the date,
time and place indicated below:

DATE :
TIME :
PLACE : PUBLIC ATTORNEY’S OFFICE

Cagayan de Oro City, .

Very truly yours,

Regional Public Attorney/DPA/PA

REQUEST FOR SERVICE

THE CHIEF OF POLICE THE PUNONG BARANGAY

Sir/Madam:

PAO Code Book 205 of 375

 Kindly cause this Notice of Conciliation Conference to be served to the addressee/s
and return the original copy to the undersigned with your proof of service.

Thank you.

Regional Public Attorney/DPA/PA

(Heading)

PAO Mediation/ Conf. Control No.

For:
Complainant/s,

- versus –

Respondent/s.
X - - - - - - - - - - - /

2nd NOTICE OF MEDIATION/CONCILIATION CONFERENCE

TO:

Sir/Madam:

Please be informed that the herein complainant/s has/have sought legal assistance for
a possible conciliation with you on the matter.

In line with the policy of this Office to explore all possible avenues for an amicable
settlement of disputes/controversies, and of the government on Alternative Dispute Resolution,
as mandated under Republic Act No. 9285, you are hereby invited to a SECOND conference
on the date, time and place indicated below:

DATE :
TIME :
PLACE : PUBLIC ATTORNEY’S OFFICE

Cagayan de Oro City, .

Very truly yours,

Regional Public Attorney/DPA/PA

PAO Code Book 206 of 375

 REQUEST FOR SERVICE

THE CHIEF OF POLICE THE PUNONG BARANGAY

Sir/Madam:

Kindly cause this Notice of Mediation/Conciliation Conference to be served to the

addressee/s and return the original copy to the undersigned with your proof of service.

Thank you.

Regional Public Attorney/DPA/PA

(Heading)

_ PAO Mediation/Conf. Control No.

For:
Complainant/s,

- versus –

Respondent/s.
X - - - - - - - - - - - /

3rd NOTICE OF MEDIATION/CONCILIATION CONFERENCE

TO:

Sir/Madam:

Please be informed that the herein complainant/s has/have sought legal assistance for
a possible conciliation with you on the matter.

In line with the policy of this Office to explore all possible avenues for an amicable
settlement of disputes/controversies, and of the government on Alternative Dispute Resolution,
as mandated under Republic Act No. 9285, you are hereby invited to a THIRD and FINAL
conference on the date, time and place indicated below:

DATE :
TIME :
PLACE : PUBLIC ATTORNEY’S OFFICE

Failure on your part to attend the Mediation/Conciliation Conference may compel the
complainant/s to take action before the courts.

Cagayan de Oro City, .

PAO Code Book 207 of 375

 Very truly yours,

Regional Public Attorney/DPA/PA

REQUEST FOR SERVICE

THE CHIEF OF POLICE THE BARANGAY CHAIRMAN

Sir/Madam:

Kindly cause this Notice of Conciliation Conference to be served to the addressee/s

and return the original copy to the undersigned with your proof of service.

Thank you.
Regional Public Attorney/DPA/PA

ANNEX “B”

REPUBLIC OF THE PHILIPPINES)

) S. S.

COMPROMISE AGREEMENT

We, and , both of legal age,

single/married, and residents of , and ,
respectively, after having been duly sworn to an oath in accordance with law, hereby depose
and say, that:

1. On ,
at the Public Attorney’s Office, District of
, Region , a mediation/conciliation
conference was conducted between/among us;

2. As a result of the said mediation/conciliation conference, we settled our differences

and amicably come to an agreement, the stipulations of which are as follows;

a.

b.

c.

d.

e.

PAO Code Book 208 of 375

 3. We hereby undertake to comply with our respective obligations as above set forth,
with utmost diligence and good faith;

4. It is understood that should anyone among us shall violate the terms and conditions
of this agreement, the appropriate court action can be filed against the party for
failure to comply the stipulations agreed upon herein.

5. This compromise agreement is not contrary to existing law, morals, good customs,
public policy and 1987 Constitution.

6. Before affixing our signatures below, this Compromise Agreement was read and
explained to us, in a dialect/language known to us and we fully understand the
foregoing Compromise Agreement and the contents of the same.

IN WITNESS WHEREOF, we have hereunto set our hands this day of

, 20 at , Philippines.

Complainant/Requesting Party Respondent/Adverse Party

ID No. ID No. ID No. ID No.

Witness Witness
ID No. ID No. ID No. ID No.

SUBSCRIBED AND SWORN to before me on the date and place above-written by the
Affiants who exhibited their identification cards and . I hereby
certify that I personally examined the herein Affiants and I am morally convinced and satisfied
that they voluntarily executed this Compromise Agreement and have fully understood its
contents.

PAO Code Book 209 of 375

PAO Code Book 210 of 375