Scribd Logo
Upload

Welcome to Scribd!

  • Complaint Form

    Uploaded by

    Mary Antonette Concha
    57 views4 pages
    This document is a complaint filed with an honorable office alleging violations of consumer protection laws. It lists the names and addresses of multiple complainants and respondents. The causes of action claimed include various violations of the Consumer Act of the Philippines involving product quality, deceptive practices, warranties, labeling, and advertising. The complaint requests refunds or replacements as relief and includes verifications from the complainants asserting the truth and completeness of the allegations.

    Original Description:

    Copyright

    © Attribution Non-Commercial (BY-NC)

    Available Formats

    DOC, PDF, TXT or read online from Scribd

    Did you find this document useful?

    Is this content inappropriate?

    Report this Document
    This document is a complaint filed with an honorable office alleging violations of consumer protection laws. It lists the names and addresses of multiple complainants and respondents. The causes of action claimed include various violations of the Consumer Act of the Philippines involving product quality, deceptive practices, warranties, labeling, and advertising. The complaint requests refunds or replacements as relief and includes verifications from the complainants asserting the truth and completeness of the allegations.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as DOC, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as doc, pdf, or txt
    57 views4 pages

    Complaint Form

    Uploaded by

    Mary Antonette Concha
    This document is a complaint filed with an honorable office alleging violations of consumer protection laws. It lists the names and addresses of multiple complainants and respondents. The causes of action claimed include various violations of the Consumer Act of the Philippines involving product quality, deceptive practices, warranties, labeling, and advertising. The complaint requests refunds or replacements as relief and includes verifications from the complainants asserting the truth and completeness of the allegations.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as DOC, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as doc, pdf, or txt
    of 4

    COMPLAINT

    THE UNDERSIGNED COMPLAINANT/S TO THIS HONORABLE OFFICE, MOST


    RESPECTFULLY ALLEGE/S THAT:
    1.

    NAME/S OF COMPLAINANT/S:

    AGE

    STATUS

    _________________________________
    _________________________________
    _________________________________
    _________________________________
    _________________________________
    _________________________________

    _______
    _______
    _______
    _______
    _______
    _______

    ________
    ________
    ________
    ________
    ________
    ________

    2.

    ADDRESS:

    __________________________________________________
    __________________________________________________

    3.

    NAME/S OF RESPONDENT/S:
    _________________________________
    _________________________________
    _________________________________

    4.

    ADDRESS:

    5.

    OWNER/MANAGER:

    6.

    CAUSE/S OF ACTION:
    ( )
    VIOLATION OF THE CONSUMER ACT OF THE PHILIPPINES (R.A.
    7394) , MORE PARTICULARLY:
    ( )
    ( )
    ( )

    ___________________________________________________
    ___________________________________________________
    ________________________________________

    PROVISIONS ON CONSUMER PRODUCT QUALITY &


    SAFETY
    PROVISION ON DECEPTIVE, UNFAIR AND
    UNCONSCIONABLE ACTS/PRACTICES
    PROVISIONS ON CONSUMER PRODUCT AND SERVICE

    ( )
    ( )
    ( )
    ( )

    ( )
    ( )
    BROKERAGE
    ( )
    ( )

    WARRANTIES
    PROVISIONS ON LABELING AND FAIR PACKAGING
    PROVISIONS ON DEFECTIVE PRODUCTS AND SERVICE
    IMPERFECTION
    PROVISIONS ON ADVERTISING AND SALES PROMOTION
    OTHER PROVISIONS CONTAINED THEREIN,
    SECIFICALLY:
    __________________________________________________
    __________________________________________________
    __________________________________________________
    __________________________________________________
    VIOLATION OF THE BUSINESS NAME LAW
    VIOLATION OF THE LAW REGULATING THE
    BUSINESS
    VIOLATION OF R.A. NO. 71, AS AMENDED
    (PRICE TAG LAW)
    OTHER FAIR TRADE LAWS
    SPECIFY:
    _________________________________________
    _________________________________________
    _________________________________________
    _________________________________________

    AND/OR
    ( )

    NARRATION:
    ___________________________________________________________
    ___________________________________________________________
    ___________________________________________________________
    ___________________________________________________________
    ___________________________________________________________
    ___________________________________________________________
    ___________________________________________________________
    ___________________________________________________________
    ___________________________________________________________
    ___________________________________________________________
    ___________________________________________________________
    ___________________________________________________________
    ___________________________________________________________
    ___________________________________________________________
    ___________________________________________________________

    7.

    PROOFS/EVIDENCES (ATTACHED):
    ______________________________________________________
    ______________________________________________________

    ______________________________________________________
    ______________________________________________________
    ______________________________________________________
    ______________________________________________________
    8.

    RELIEF:
    ( )
    ( )
    ( )

    COMPLAINANT/S PRAY FOR THE FOLLOWING:

    REFUND
    REPLACEMENT
    OTHERS:
    ____________________________________
    ____________________________________
    ____________________________________

    IN WITNESS WHEREOF, I HAVE HERUNTO SET MY HAND THIS ____


    DAY OF ___________________, 200___, IN _______________________________.
    _______________
    COMPLAINANT
    VERIFICATION/CERTIFICATION
    THE COMPLAINANT/S, UNDER OATH, HEREBY DEPOSE/S AND SAY/S:
    A)
    B)
    C)
    BELIEF
    D)

    THAT HE/SHE/THEY IS/ARE THE COMPLAINANT/S IN THE


    INSTANT CASE:
    THAT HE/SHE/THEY HAS/HAVE READ AND UNDERSTOOD THE
    CONTENTS THEREOF:
    THAT THE ALLEGATIONS THEREIN ARE TRUE AND CORRECT
    OF HIS/HER/THEIR OWN PERSONAL KNOWLEDGE AND
    THAT FURTHER HE/SHE/THEY CERTIFY THAT AS OF THIS
    DATE, HE/SHE/THEY HAS/HAVE NOT FILED IN ANY COURT,
    TRIBUNAL, OR QUASI-JUDICIAL AGENCY, OTHER ACTION/S OR
    CLAIMS INVOLVING THE SAME PARTIES AND THE SAME
    ISSUES. SHOULD HE/SHE/THEY FIND/S THEREAFTER THAT A
    SIMILAR ACTION OR CLAIM IS FILED OR PENDING IN ANY
    OTHER COURT, TRIBUNAL, OR QUASI-JUDICIAL AGENCY,
    HE/SHE/THEY SHALL REPORT THE SAME WITHIN FIVE (5)
    DAYS THEREFROM TO THIS HONORABLE OFFICE.
    _______________
    COMPLAINANT

    SUBSCRIBED AND SWORN TO THIS ____ DAY OF ____________,

    AFFAINT/S HAVING EXHIBITED TO ME HIS/HER/THEIR COMMUNITY TAX


    CERTIFICATE NO. ________________ ISSUED ON ___________________ AT
    _______________
    AND
    HIS/HER/THEIR
    GOVERNMENT-ISSUED
    IDENTIFICATION CARD NO. _______________________, AS FOLLOWS:
    NAME

    CTC DETAILS.

    I.D. DETAILS

    _________________________
    __________________
    _________________________
    __________________
    _________________________
    __________________
    _________________________
    __________________
    _________________________
    __________________
    _________________________
    __________________

    ____________________
    ____________________
    ____________________
    ____________________
    ____________________
    ____________________

    ________________________
    ADJUDICATION OFFICER

    You might also like