Documenti di Didattica
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[REGION]
[COURT]
[BRANCH], [CITY]
[NAME],
Plaintiff,
CIVIL CASE No. ___________
x ----------------------------------- x
Ex. On or about 7:30 a.m. of May 5, 20XX, plaintiff was about to cross
the street along [name of street] on her way to work when a [name of bus]
bus with plate no. XXX-XXX being driven by [name of driver] suddenly
speeded up to the street curb and stopped to pick up some passengers in
a no-stop zone. The bus ended up hitting the plaintiff who fell on her
knees due to the force of the impact.
A copy of the police incident report is attached to and made part of this
complaint as Annex “A”.
4. As a result of the recklessness, negligence, and lack of precaution on the
part of the [bus/jeepney/taxi driver], plaintiff suffered injuries on the left
side of her body consisting of bruising on her shoulder and lacerations
on her leg. She had to get medical treatment and incurred expenses in
the amount of Php XXXXX.
5. As a consequence of her injuries and the shock she suffered from the
incident, plaintiff was unable to go to work from [Date] to [Date], which
led to loss of income for unworked days amounting to [Amount].
xxx
10. By way of example or correction for the public good, and to deter other
like-minded individuals from trampling upon the rights of others,
defendant/s should be held liable to pay [Amount] as exemplary
damages.
[City];[Date].
[Signature]
[Name of Counsel]
Counsel for Plaintiff
[Address]
Roll No. ____________
IBP No. _____________
issued on ________ at _____
PTR No. _____________
issued on ________ at _____
MCLE Compliance _________
VERIFICATION & CERTIFICATION AGAINST FORUM SHOPPING
[Signature]
[Name]
[Signature]
[Name]
Notary Public
Until [Date]
PTR No. [Number]
Issued at [Place]
On [Date]
Doc. No.
Page No.
Book No.
Series of [Year].