Civil indictment

   Plaintiff: name, sex, nationality, Years MonthLive on

   Defendant: name, gender, nationality, age, live  

   Defendant.**Company

   Domicile:

   Legal representative:

   Defendant.**The insurance company**Branch

   Domicile:

   Legal representative:

The claim:

   Request the court to order the defendant to compensate the plaintiff three economic loss Yuan.

The facts and reasons:

    *Years*Month*Day, the plaintiff in the all cars (license plate number ) in**Driving on the highway when, be**The license plate number for driving**Car (the car is**All of the company, by Chinese**InsuranceCompanyCheng Bao) collision, the accidents caused by the damage of automobile rear. The public security department responsibility, the defendant**This should bear full responsibility for the accident, the plaintiff has no responsibility.*Years*Month*Day,**To detect the insurance company loss will be on the vehicle after the issuance of the report of loss, that loss amount is RMB Element.

   Defendant**As the direct infringement, should give the plaintiff's economic losses shall bear the responsibility for compensation; the defendant**Company as the owner, should the defendant**Shared responsibility;**The insurance company**The branch is the vehicle to participate in the compulsory liability insurance underwriting companies, for the economic loss should be compensated in the motor vehicle traffic accident liability compulsory insurance liability limit.

   Accordingly, the plaintiff to safeguard their legitimate rights and interests, to initiate proceedings, request the court to support the plaintiff's claim.

   Yours sincerely

* *The people's court

                                                                                                                                                                                  The prosecution

                                                                                        Date