UP OLA Form No.

2 (Series of 2010)

REVISED RECOMMENDATION FOR ACTION FORM

RRAF No. Name of Applicant /Relator: If by Relator,state relation to applicant: [ ]Complainant/Plaintiff/offended Party/Petitioner/Appellant [ ]Defendant/Respondent/Accused/Appellee ( ) other
[ ] Civil [ ] Criminal [ ] Admin [ ] Labor [ ] Spec Proc. [ ] POEA/OWWA [ ] SP Existing client of OLA: [ ] No [ ] Yes Age: Gender: Civil Status [ ]Apellate Citizenship: [ ] SCA [ ] Prov Rem. Name of Spouse Former Client of OLA: [ ] No [ ] Yes

Interview Date:

Submission Date:

Date Received:

Applicants Address: Tel. No. Address of adverse party/ies ( or expected adverse party/ies) Tel. No.

APPLICANTS FINANCIAL ELIGIBILITY PROFILE

Current Employment/Source of Income: Spouses Employment/Source of Income: Monthly Income: Other non-wage benefits:
[ ] SSS [ ]GSIS [ ] PAG-IBIG [ ] ECC [ ] Private Retirement Plan

Name and address of Employer/Business: Employer/business owner name: Nature of work/business: Number of Children: Number of Dependents: Checklist of properties owned: Land: [ ] Yes [ ] No House [ ] Yes [ ] No Vehicle: [ ] Yes [ ] No Telephone [ ] Yes [ ] No Average Monthly Expenses Expenses/Month Food Lodging Others Totals

Other source/s of income: [ ] Yes [ ] No

Income from other sources/Month Spouses Monthly Income Total Monthly Income:

STATUS OF LEGAL ISSUES

Not Filed Case Title: Tribunal Venue: [ ] No Judge/Hearing Officer/Arbiter: [ ] Yes; if yes, state name, if disclosed: Other: Initiatory/answer Conciliation/Mediation Pre-trial/Arraignment Trial Case No. Appeal

Applicant already represented by counsel: Material Dates/Deadlines: Recommendation: Accept I am [ ] Interested

Not Accept

[ ] Not interested in Handling this matter because:

Interviewing Law Intern: DIRECTORS ACTION [ ] Accept [ ] Not Accept [ ] Pending

Team No. Assigned to: Instructions:

Signature:

FAST FACTS
(State the nature of the legal problem posed, based on the interview/s and the documents at hand, in a clear, concise but comprehensive manner within the space provided; attach a complete narrative of the facts in a separate sheet)

EVIDENCE on hand/available ( For Applicant) ( use separate sheet if necessary)

Type of evidence Description Author/Custodian Purpose Admissibly/Issues

EVIDENCE on hand/available ( For adverse party)

THEORY

Considering the facts that you and the evidence on hand/available for all sides, provide a preliminary theory for the action/legal matter presented by the applications by filling up the blanks below. There may be more than one theory of the case; in which case, number the theories

Theory

Facts to be proven

Issues of Law Involved

Evidence Required

If resolution of the legal issue/s is non-judicial or non-litigious, discuss course of action below by filling in the blanks

Issue presented

Parties involved

Resources Available

Course of Action

COSTS
Provide a preliminary idea of costs that may be incurred in pursuing this matter. Include in this determination possible number of meetings to be held, hearings to be conducted and days and income lost on the part of applicant; include also possible fixed costs, such as reproduction, postage etc.

Item

Unit Cost

Cost to Applicant

Cost to OLA

PEDAGOGICAL VALUE
Discuss instructional value of the matter/s raised by this application ( other than better knowledge of rules and case law). Include in your discussion any areas of law or jurisprudence that this application and the issues may impact on, whether directly or indirectly. On the other hand, if there is no pedagogical value to be gained, state so and explain why.

PUBLIC INTEREST
If the issue/s presented bear on a matter of great public interest, indicate the issue and state why you believe it is a public interest case.

Issue presented

Sector/group concerned

Laws/norms involved

Possible legal remedies

Impact of the issue presented by the Public interest application (State briefly U.P. OLA should not get involved based on your understanding of the public interest issue presented by the applicant.)

STATE ALL OTHER REASONS FOR ACCEPTING OR NOT ACCEPTING THIS APPLICATION