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Motor Accident Claim Petition

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The Tribunal and the petitioners
The accident
The respondents
The compensation claimed
Filing

Step 1 of 5

The Tribunal and the petitioners

Name of the Motor Accident Claims TribunalNeeded

For example: MOTOR ACCIDENT CLAIMS TRIBUNAL, SAS NAGAR (MOHALI)

Why does this Tribunal have jurisdiction?Needed

the accident took place within its local limitsthe Petitioner, or one of them, lives or carries on business within its local limitsthe driver or the owner of the vehicle lives within its local limits

Who is claiming, and for what?Needed

by the injured person, for the injuries suffered in the accidentby the legal representatives of the deceased, for the death caused by the accident

The petitioner or petitionersNeeded

One per line: full name, age, relation to the injured or deceased person, and address.

A long answer. Several lines are fine, and a break you make between paragraphs is the break the document keeps.

For example: Manpreet Kaur, aged 38, widow of the deceased, House No. 214, Sector 15-A, Chandigarh. Aman Singh, aged 12, son, through his mother as natural guardian, same address.

Name of the petitioner who signsNeeded

For example: Manpreet Kaur

Name of the injured or deceased personNeeded

For example: Harjinder Singh

Age of that person at the accidentNeeded

For example: 42 years

Occupation of that personNeeded

For example: a shopkeeper

Monthly income of that personNeeded

An amount in rupees. Commas and a ₹ sign are both fine — write it the way you would write it anywhere else, and the document is given the tidy form of it.

For example: 30000

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IN THE __________

Claim Petition No. _____ of _____ (to be filled in by the registry)

PETITION FOR COMPENSATION UNDER SECTION 166 OF THE MOTOR VEHICLES ACT, 1988

PETITIONER(S):
__________

VERSUS

RESPONDENTS:

MOST RESPECTFULLY SHOWETH:

1. THE PETITIONER(S)

1.1 This petition is filed __________.

1.2 The injured or deceased person is __________, aged __________, __________, whose monthly income was __________.

2. THE ACCIDENT

3. THE INJURIES OR THE DEATH

4. LIABILITY OF THE RESPONDENTS

4.1 Respondent 1 was driving the vehicle. Respondent 2 is its registered owner and is liable for the acts of the driver. Respondent 3 had insured the vehicle on the date of the accident and is bound to satisfy any award. The Petitioner(s) say that the Respondents are liable jointly and severally.

5. THE COMPENSATION CLAIMED

5.2 The Petitioner(s) have not claimed compensation for this accident from any other court or tribunal.

6. JURISDICTION AND FILING

6.1 This Tribunal has jurisdiction because __________.

7. PRAYER

7.1 The Petitioner(s) pray that the Tribunal may be pleased to award them just compensation against the Respondents, jointly and severally, with interest from the date of this petition until payment.

VERIFICATION

_________________________
__________
Petitioner

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