Sample Format of Case Referral (2)

Republic of the Philippines

Department of the Interior and Local Government

PHILIPPINE NATIONAL POLICE

____________________________

_______________________

 

(Date)

Hon. Chief, State Prosecutor
Department of Justice,
Padre Faura, Manila

Sir/Madam:

Respectfully referred to your good office for inquest proceedings are the herein record of investigation relative to a case for Robbery committed as follows:

VICTIMS/COMPLAINANTS: __________________

RESPONDENTS: ___________________________

WITNESSES: ______________________________

Date/Time and Place of Occurrence: 

On _______ at about ________ along _________________.

Evidences:

1. Sworn Statement of Complainant/s
2. Sworn Statement of Witnesses
3. Joint affidavit of Arresting Police Officers
4. Others to be presented later. 

FACTS OF THE CASE:

      (Complete brief narrative of the facts)

This case will be presented by (name of investigator-on-case).

Very truly yours, 

__________________________

        (CHIEF OF OFFICE)