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Complaint Form: Manila Traffic and Parking Bureau Adjudication Board

This complaint form from the Manila Traffic and Parking Bureau Adjudication Board allows a complainant to provide details of a traffic or parking violation, including the name and contact information of the complainant, the type of violation, date and location of the incident, vehicle information, and a description of the complaint and requested action. The complainant signs the form which is then received by an official with the Bureau.

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Paul Casaje
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2K views1 page

Complaint Form: Manila Traffic and Parking Bureau Adjudication Board

This complaint form from the Manila Traffic and Parking Bureau Adjudication Board allows a complainant to provide details of a traffic or parking violation, including the name and contact information of the complainant, the type of violation, date and location of the incident, vehicle information, and a description of the complaint and requested action. The complainant signs the form which is then received by an official with the Bureau.

Uploaded by

Paul Casaje
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
  • Concerned Request: Details the actions or outcomes sought by the complainant in response to the complaint filed.
  • Nature of the Complaint: Specifies the fundamental concerns or issues prompting the complaint.
  • Violation Description: Section for detailing the specifics of the violation, including date, location, and notice number.

COMPLAINT FORM

MANILA TRAFFIC AND PARKING BUREAU


ADJUDICATION BOARD

Date: ____________________________
Complaint No.: ________________

Name of the Complainant: ___________________________________________________________________________


Address: ________________________________________________________________________________________________
Contact No.: ____________________________________________________________________________________________

I. VIOLATION DESCRIPTION
a. Name of Violation :
b. Date and Time of Violation :
c. Location of Violation :
d. Notice of Violation Number :
e. Type of Vehicle :

II. NATURE OF THE COMPLAINT


__________________________________________________________________________________________________________
__________________________________________________________________________________________________________
__________________________________________________________________________________________________________
__________________________________________________________________________________________________________
__________________________________________________________________________________________________________
__________________________________________________________________________________________________________
__________________________________________________________________________________________________________
__________________________________________________________________________________________________________

III. CONCERNED REQUEST


__________________________________________________________________________________________________________
__________________________________________________________________________________________________________
__________________________________________________________________________________________________________

_________________________________________
Printed Name and Signature
(Complainant)

Received by: ____(Name of the Receiving Personnel)_____


_________________(Position)____________________
___________________(Date)______________________

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