Statement of claim for compensation of moral damage
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 (727) 971-78-58.
In _____________________________ The court ___________________________ regions
The plaintiff: Full name, date of birth, place of residence:
city __________, street _______ , d._____, room __ IIN ________________________________
cellular subscriber number: _________ email address: _____________________
Defendant: Full name and place of residence: ___________________________________ __,
IIN _________________________________ cellular subscriber number
connections: _________ email address: _____________________
(if the IIN is a cellular subscriber number
and the e-mail address is known to the plaintiff)
STATEMENT OF CLAIM
(on compensation for moral damage)
__________ (date) a traffic accident occurred due to the defendant's fault. My only son and heir was killed in an accident. ___________ ( Full name of the son), _________ year of birth. The defendant _________________ ( Full name) was found guilty of committing an accident, the death of my son and convicted by a verdict of _____ court of _____ year. The defendant's culpable actions caused me moral harm, which was expressed in the grief I experienced, the deterioration of my health due to an irreparable loss, since I lost my only son, the heir.
Statement of claim for compensation of moral damage
Considering the circumstances of the case, the guilt of the defendant, who did not even apologize for what he had done, did not realize his guilt, I consider it necessary to recover monetary compensation in the amount of ____ tenge from the defendant in compensation for moral damage. I ask that the costs of the case be borne by the defendant. To collect from the defendant on account of the refund of the state duty: ____ tenge. Based on the above, guided by Articles 9, 14, 141, 951-952 of the Civil Code of the Republic of Kazakhstan and Articles 148-149 of the Civil Procedure Code of the Republic of Kazakhstan, the claim is _______________ ( Plaintiff's full name) to _______________ ( Full name. to satisfy the defendant) on the recovery of moral damage.
Collect from ________________ ( Full name of the defendant), ____ year of birth, place of birth: ______________, IIN ______________, in favor of _________________ ( Full name of the plaintiff) in compensation for moral damage - ________ tenge.
The legal costs of the case shall be borne by the defendant.
To collect from the defendant a refund of the state duty - ____ tenge.
The list of documents attached to the statement of claim:
A copy of the statement of claim;
A document confirming the sending of a copy of the statement of claim and the documents attached to it to the defendant or his representative, to third parties;
Receipt of payment of state duty;
A copy of the court verdict;
A copy of the son's birth certificate;
A copy of his son's death certificate;
A copy of the plaintiff's identity card;
Medical record extract addressed to the plaintiff;
A copy of the citizens' registration book.
The plaintiff: (signature) (specify the last name and initials of the Date __________
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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