Statement A crime has been committed against me

 

Attention! The Law and Law Law Company draws your attention to the fact that this document is basic and does not always meet the requirements of a specific situation. Our lawyers are ready to assist you in drafting any legal document that suits your situation.       For more information, please contact a Lawyer/Lawyer by phone; +7 (708) 971-78-58; +7 (700) 978 5755, +7 (700) 978 5085.

To the boss___________________ District Department of Internal Affairs of the city_________________,

_________________________________________________

(Full name and title of the head, address of the pre-trial investigation body

from ________________________________,

(Your full name and date of birth) residing at:____________________________________

(address, home, mobile phone numbers)

 

S A I V L E N I E

about the commission of a crime

"___" _______201__ G. at __ hours at the address: _________________________________ In relation to me, it was A crime has been committed ____________________________________. (if known, please provide the full name and address of the suspect) I was attacked _________________________________________________________ When, who (gender, approximate height, age, build, race) attacked, signs (scars, accent, speech defect), _______________________________________________________________________________________________ in what way (who, how did he act, in what sequence, with what force, with what (hand, foot, in any way ________________________________________________________________________________________________ with an object) struck, on which parts of the body) attacked you. Accurately and briefly report what happened. As a result of the attack, I was injured._____________________ ( physical injuries) ________________________________________________________________________________________________ What physical difficulties do you experience in connection with the beating? After I returned home (by passers-by, neighbors, relatives), an ambulance was called. Statement a crime was committed against me, I was in the hospital for _____ days, a diagnosis was made ____________________________( specify diaznosis). I had the above-described persons in an open form (robbery) stolen ______________________________________________________________________ ( list the missing items, indicating their value, documents). Due to the beating and theft of my property, I experienced fear, moral suffering, humiliation, pain and resentment. Based on the above, in accordance with Articles 71, 179, 180, 181, 185 of the Criminal Procedure Code of the Republic of Kazakhstan,

ask:

1. Register this application in the Unified Register of Pre-Trial Investigations and initiate a pre-trial investigation (preliminary investigation) into the beating by a group of persons by prior agreement with respect to the above-described persons________________________( Full names and addresses of suspects persons, if known);

To recognize me as a victim, to issue an appropriate resolution and hand it over to me / send it to my address (specify the address for receiving letters);

Notify me, in accordance with the procedure provided for by Law, about whom, when and where I need to appear in order to provide a detailed account of the circumstances of the incident.

Attach medical certificates (video recording, if available) to the materials of the criminal case.

To carry out urgent investigative actions (for example, the seizure of a video recording of the incident, if there were shops, institutions nearby, or the beating occurred next to the road) at: ___________________________________________ ( the address of a store or public (private) institution near the place of the attack/beating)

Interrogate the witnesses (list the names, addresses, and contacts of the witnesses).

________________ FULL NAME, ____________ signature and "____"______________201___ G. (Submit one copy of the application through the office of the institution, the other with a stamp or a registration certificate - keep it for yourself).

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Attention!   

       Law and Law Law Law draws your attention to the fact that this document is basic and does not always meet the requirements of a particular situation. Our lawyers are ready to assist you in legal advice, drawing up any legal document suitable for your situation.  

 For more information,  please contact a Lawyer / Attorney by phone: +7 (708) 971-78-58; +7 (700) 978 5755, +7 (700) 978 5085. 

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