Republika ng Pilipinas

Kagawaran ng Katarungan
TANGGAPAN NG MANANANGGOL PAMBAYAN
( PUBLIC ATTORNEY’S OFFICE )

Regional Office No. ______

__________________ District Office

Monthly Inventory of Clients Served

For the Month of _________________________

Assistance Requested, (pls. mark If Represented in Court (Regular ,

Client’s Information Mandated Clients (pls. mark with “x")
with “x”) Limited , Provisional)
Name of Client/s Address

Person with

Urban Poor
Contact Action Nature of

Rural Poor
Indigenous

Disability

Judicial1

Judicial2

Judicial3
Women

Citizen

Quasi-
Senior
Group
Nos. Taken* Case4

CICL

OFW
E-mail Title of the Status of

Non-
Age Gender/Sex Case No.
Address Case the Case
If any

1
2
3
4
5
6
7
8
9
10
11
12
13
As of ______________
1 JUDICIAL - Representation in court. *Rendered Legal advice
2 QUASI-JUDUCIAL - Representation in Labor, Office of the Prosecutor, DARAB and other quasi-judicial bodies. Rendered to other District Office
3 NON-JUDICIAL – Counseling, Documentation, Administration of Oath, Referral, Drafting or Rendering of Legal Opinion, Asissted for Documentation
Barangay Legal Outreach, Jail Visitation and Decongestion, etc. Administered Oath
4 If CRIMINAL CASE, weather murder, homicide, etc. Represented clients in court/quasi-judicial body
If CIVIL CASE, weather annulment, sum of money, etc. Others, please specify

Prepared by: Noted by:

_____________________________________ _______________________________
(Signature over printed name / Date) (OIC/DPA/ Immediate Supervisor)

FOSS.F.017/REV.0