Template of application for change of litigation request 1 Applicant: Le xx, male, 19xx, born on xx, Han nationality, living in xxxxxx.
Claim after change:
1. The defendant Chen xx was ordered to compensate the plaintiff for medical expenses 15589.95 yuan (33,500 yuan has been deducted), lost time105,000 yuan, nursing expenses of 4,545 yuan, transportation expenses of 834.5 yuan, hospital food subsidies 1335 yuan and necessary nutrition expenses.
2. Defendant China was ordered by the United Front Work Department of Hubei Provincial Party Committee to bear joint and several liability for the above responsibilities;
Three. The defendant, China Ping An Property Insurance Co., Ltd. Hubei Branch, was ordered to bear joint liability for the above liabilities within 100000 yuan;
Four. The defendants Chen xx, xx and xxx were ordered to bear the legal costs of this case.
Facts and reasons: Your hospital has accepted the case of the road traffic accident of the applicant v. Chen xx, the defendant xx and the defendant xxx, and now entrusts the judicial expertise department to conduct judicial expertise. According to the relevant laws and regulations, the applicant hereby submits the above-mentioned change litigation request to your hospital for your approval!
I am here to convey
Xxx people's court
Applicant:
date month year
Application Form 2 for Change of Litigation Request Applicant: Le xx, male, born on 19xx, Han nationality, living in xxxxxx.
Claim after change:
1. The defendant Chen xx was ordered to compensate the plaintiff for the medical expenses up to the date of disability 15589. 95 yuan (33,500 yuan has been deducted), lost time105,000 yuan, nursing expenses 4,545 yuan and transportation expenses 834 yuan. In 5 yuan, the hospital food allowance 1335 yuan, the necessary nutrition fee 1335 yuan, the disability compensation fee of 70,288 yuan, the follow-up treatment fee of 7,000 yuan, the mental consolation fee of 33,000 yuan and the forensic appraisal fee of 500 yuan, the total cost is144,928 yuan;
2. The defendant was ordered by the United Front Work Department of Hubei Provincial Committee of the Communist Party of China to bear joint and several liability for the above responsibilities;
Three. The defendant, China Ping An Property Insurance Co., Ltd. Hubei Branch, was ordered to bear joint liability for the above liabilities within 100000 yuan;
Four. The defendants Chen xx, xx and xxx were ordered to bear the legal costs of this case.
Facts and reasons: Your hospital has accepted the case of the road traffic accident of the applicant v. Chen xx, the defendant xx and the defendant xxx, and now entrusts the judicial expertise department to conduct judicial expertise. According to the relevant laws and regulations, the applicant hereby applies to your hospital for the above-mentioned change litigation request, and earnestly requests your hospital to approve it!
I am here to convey
Xxx people's court
Applicant:
Date, year and month
Precautions:
1, which will be changed within the time limit for giving evidence. 2. Pay attention to whether the court has no jurisdiction after changing the litigation request. Article 30 of Judicial Interpretation of Contract Law (I) stipulates that if the court has no jurisdiction after the change, it shall dismiss the prosecution instead of transferring it.
Application Form 3 for Change of Litigation Request Applicant: _ _ _ _ _ _ _, female, Han nationality, Born in _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _.
Change request:
1. Request to order the defendant to compensate the plaintiff for various losses according to law: _ _ _ _ _ _ _. Among them, disability compensation: 13676 yuan, hospitalization food subsidy: 1200 yuan, nutrition fee: 10200 yuan, spiritual consolation fee: 10000 yuan, transportation and accommodation expenses for participating in the appraisal: 2524 yuan, and medical expenses: 25476.69 yuan. Late rehabilitation treatment fee: 10000 yuan, totaling 134296.92 yuan. According to the opinion of judicial expertise, 90% of Shanxi Grand Hospital claims that the total amount is 120867.23 yuan, and the appraisal fee and visiting fee are 22,800 yuan, all of which shall be borne by the defendant. Total: 143667.23 yuan.
2. The litigation costs in this case shall be borne by the defendant.
Facts and reasons:
Your hospital has accepted the case of the applicant v. _ _ _ _ _ _ _ _ _. Now the applicant requests the people's court to change the applicant's claim according to the new appraisal evidence, the new standard of personal injury compensation in _ _ _, the relevant judicial interpretation of the Civil Procedure Law of People's Republic of China (PRC) and the Opinions of the Supreme People's Court on the Trial of Personal Injury Compensation Cases, so as to safeguard the legitimate rights and interests of the parties and show the justice of the law!
I am here to convey
_ _ _ _ _ People's Court
Applicant:
Date:
Application Form for Change of Litigation Request Template 4 Applicant:
Respondents:
Reasons for application:
Apply for the first item of the original lawsuit: "order the defendant to pay the plaintiff's medical expenses of 9658.48 yuan; Lost time 1447.2 yuan; Transportation fee 1 1000.00 yuan; Food allowance during hospitalization 168.00 yuan; Nutrition costs 5,000 yuan; The accommodation fee for relatives to handle medical disputes is 300.00 yuan, the lost time is 300.00 yuan, and the transportation fee is 904.00 yuan. "Amended as:" The defendant was ordered to pay the plaintiff's medical expenses 149+0 yuan; Lost time 1447.2 yuan; Transportation fee 1 1000.00 yuan; Food allowance during hospitalization 168.00 yuan; Nutrition costs 5,000 yuan; The accommodation fee for relatives to handle medical disputes is 300.00 yuan, the lost time is 300.00 yuan, and the transportation fee is 2 145.00 yuan. "
Facts and reasons:
The Applicant v. the Respondent: Dispute over Compensation for Other Medical Damage. Your court session is scheduled for July 20xx 12. Due to the necessary expenses incurred by the applicant between the prosecution and the court session, the applicant made the above request. Please agree.
Applicant: xxx
Application time: XX, XX, xx, xx.
Application for change of registration number _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
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Address _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
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Name _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
Registered capital _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ (ten thousand yuan)
Paid-in capital _ _ _ _ _ _ _ _ _ _ _ _ _ _ (ten thousand yuan)
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Business scope _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
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Shareholder _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
(Sponsor) _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
Record items _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _.
The Company applied for registration of change in accordance with the Company Law of People's Republic of China (PRC) and the Regulations of the People's Republic of China on the Administration of Company Registration, and the submitted materials are true and valid. I am responsible for the authenticity here.
Signature of legal representative: _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
Signature of designated representative or entrusted agent: _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
Company seal: _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _.
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Note: 1. To apply for change registration, you only need to fill in the contents of the change application.
2. The documents and certificates submitted shall be in a4 paper.
3. Fill in the form or sign it neatly with a pen, brush or signature pen.
Application Form for Change of Litigation Request Template 6 Applicant:
Our court has accepted the case of motor vehicle traffic accident liability dispute, and now the plaintiff changes the claim as follows: the changed claim is:
The plaintiff's losses were medical expenses, lost time, nursing expenses, transportation expenses, hospital food subsidies, nutrition expenses, disability compensation, spiritual comfort and property losses totaling 267,546. 12 yuan, the defendant has paid 75964. 62 yuan.
1. ordered the three defendants to compensate the plaintiff 19 158 1.5 yuan;
2. Among them, Wenzhou Branch of Defendant Property Insurance Co., Ltd. is liable for compensation within the scope of compulsory insurance;
3. The defendant shall be responsible for the rest;
The legal costs of this case shall be borne by the three defendants.
I am here to convey
Municipal people's court
XX，XX，XX，XX
Litigation Request Change Application Template 7 Applicant: xxxxxx
Defendant: xxxxxx
Request: The respondent was ordered to immediately compensate the applicant for disability compensation of 49,450 yuan (24,725 times 20 years times 10%), lost time18,000 yuan (1800 times 10 month) and spiritual comfort of 2,065,438 yuan.
Reason: The applicant and the two respondents failed to reach an agreement on the dispute over compensation for personal injury caused by traffic accidents, so they filed a lawsuit in xxxx People's Court on July 20xx/kloc-0. Afterwards, the court entrusted a judicial authentication institution to authenticate the applicant's disability level. The applicant's disability grade was 10 on October 9th, 20xx, and the applicant paid the necessary expenses for disability appraisal.
I am here to convey
Salute!
Applicant: xxx
Xx，xx，XX，XX
Claim change application template 8 Add (change) claim application
Plaintiff: name, gender, nationality, ID number, date of birth, address and telephone number.
Defendant: name, gender, nationality, ID number, date of birth, address and telephone number.
Increase (change) litigation request: request the court to divide the house with the title certificate number of ×× under the defendant's name according to law.
Facts and reasons: Your hospital has accepted the case of divorce dispute that was originally told to the defendant. Recently, the plaintiff found that the defendant concealed information from the plaintiff during the existence of the relationship between husband and wife, and used the common property of the original defendant to purchase the house with the title certificate number of ×××. This house should be the joint property of husband and wife and should be divided according to law. Therefore, we hereby add (change) the litigation request for your trial.
I am here to convey
People's court of so-and-so
Applicant:
Date, year and month
Applicant: Lin Benzhen, female, born on1October 26th, 19xx 65438, Han nationality, farmer, living in Wujianwu Group, Yanggong Village, Liu Dong, Xinhang Town, Guangde County.
Ma Yucheng, male, born in September 19xx, Han nationality, farmer, lives in Wujianwu Group, Yanggong Village, Liu Dong, Xinhang Town, Guangde County.
Ma Yuxiang, female,19xx1kloc-0/October 22nd, born in Han nationality, farmer, with the same address as above.
Huang Lifeng, female, 19xx was born on March 8th, Han nationality, farmer, with the same address as above.
Matters to be applied for: The above applicant needs to change the plaintiff (Guangde County People's Court has accepted (20xx) GuangminchuziNo.) because of the death of the plaintiff in the dispute over personal injury compensation in a horse traffic accident.
Reason for application: Plaintiff Ma, Defendant, (Guang Min Chu ZiNo. 102. 20xx) has been accepted by Guangde County People's Court, and a lawsuit for personal injury compensation in traffic accident is under way, and the plaintiff Ma died. According to the provisions of the Civil Procedure Law, the applicant should participate in the litigation as an heir, so the people's court is requested to allow the applicant to participate in the litigation as a plaintiff.
I am here to convey
Salute!
Template of application for change of litigation request 10 xx District People's Court:
Applicant: xxx, male, Han nationality, born in xx year165438+1October 7th, living in xxx.
Respondent: Xiangya Hospital of xx University.
Address: No.87, xx Road, xx City
Legal representative: xx, position: xx, telephone number of president: xxx.
Reasons for application:
The first item of the application for the original lawsuit: "order the defendant to pay the plaintiff's medical expenses; Lost time fee yuan; Transportation fee .00 yuan; The food allowance during hospitalization is X yuan; Nutrition costs 5,000 yuan; Relatives handle medical disputes, accommodation, lost time and transportation expenses. "changed to:" ordered the defendant to pay the plaintiff's medical expenses. 9 1 yuan; Lost time fee yuan; Transportation fee .00 yuan; During hospitalization, the food allowance is RMB; Nutrition costs 5,000 yuan; Relatives handle medical disputes, including accommodation, lost time and transportation. "
Facts and reasons:
The Applicant v. the Respondent: Dispute over Compensation for Other Medical Damage. Your court session is scheduled for July 20xx 12. Due to the necessary expenses incurred by the applicant between the prosecution and the court session, the applicant made the above request. Please agree.
I am here to convey
Salute!
Applicant:
20xx July 9th
Template of application for change of litigation request 1 1 Applicant: xxx, male,1born on February 26th, 980, Han nationality, living in xxx, Tel:
Respondent: xxx, male, 35 years old, Han nationality, living in Xi xxx, telephone number: XXX.
Requested items:
The first claim in the original complaint remains unchanged, and the second and third claims are amended as follows:
1. Request an order to divide the applicant's partnership property into 90,600 yuan;
2. Require the respondent to pay the applicant an operating income of 96,850 yuan.
Facts and reasons:
The case of partnership dispute between the applicant and the respondent has been accepted by your hospital, and the value of partnership property and operating income has not been accurately calculated when the applicant is sued. After the court accepted the case, in order to accurately calculate the property value and operating income of the partnership, the applicant applied to the court to entrust a specialized agency for judicial appraisal, and the Xi Intermediate People's Court entrusted Xi Anzhengheng Assets Appraisal Co., Ltd. for appraisal. Xi anzhengheng assets appraisal co., ltd. made the appraisal report [20xx]No. 166, and the appraisal conclusion was that the market value of the vehicle involved was 18 1200.00 yuan on June 5th, and it was 20xx on May 3rd1to June 65438. Therefore,
I am here to convey
Xxx people's court
Applicant: xxx
Xxx year xxx month xxx day