CF 5

Judgment Based on CA

Original – Court, 1st Copy – Prosecutor, 2nd Copy – Accused, Other copies as needed
Enter information in block letters in all parts of the Form except when reserved for Court use, which shall be
completed by the Clerk.

For Court Use Only

(Judicial Region)

METC/MTCC/MTC/MCTC Case No.

RTC
(Municipality/City/Province)

BRANCH

People of the Philippines , v.

,
Accused.

ATTORNEY OR PARTY WITHOUT ATTORNEY

Name
Firm Name
Address
Email Address
Tel./Cel./Fax Nos.
PTR No. Date/Place of Issuance
Roll No. Date/Place of Issuance
IBP No. Lifetime Date/Chapter
MCLE Compliance Exemption No.

Other Compliances

Attorney for
Prosecution: Public Prosecutor Private Prosecutor
Defense: Public Attorney Private Counsel
Other

JUDGMENT ON THE CIVIL ASPECT

BASED ON COMPROMISE AGREEMENT

The parties and have reached an amicable settlement and

submitted to the Court a Compromise Agreement dated on the civil aspect,
the terms and conditions of which are as follows:

(copy provisions of Agreement)

It appearing that the Agreement is not contrary to law, morals, good customs,
public order, and public policy, and pursuant to Article 2034 of the Civil Code, the
Court hereby renders judgment on the civil aspect of this/these case/s
APPROVING the Agreement and adopting the aforequoted terms and conditions.

The parties are hereby ordered to faithfully comply with the terms and
conditions of the Agreement, subject to execution upon non-compliance.

SO ORDERED.

Judge Date

JUDGMENT BASED ON COMPROMISE AGREEMENT Page 1 of 2

 CF 5
Judgment Based on CA

COPY FURNISHED

Person’s Name Method Place Served Date

Served
Personal Service
Trial Prosecutor Courier Service
Facsimile, Email,
SMS
Personal Service
Counsel for Accused Courier Service
Facsimile, Email,
SMS
Personal Service
Private Complainant Courier Service
Facsimile, Email,
SMS
Personal Service
Accused Courier Service
Facsimile, Email,
SMS
Personal Service
Courier Service
Facsimile, Email,
SMS
Personal Service
Courier Service
Facsimile, Email,
SMS

SPECIAL INSTRUCTIONS

Successful Mediation
If mediation is successful, upon receipt of the Motion for Approval of the Compromise
Agreement the Court shall issue this Judgment Based on Compromise Agreement and personally
furnish parties with a copy.

The effect of the compromise on the criminal aspect shall be determined by the Public
Prosecutor, subject to the court’s action.

JUDGMENT BASED ON COMPROMISE AGREEMENT Page 2 of 2