How to write a civil action attached to criminal proceedings?

Criminal incidental civil indictment

Plaintiff XXX, male,1born in May 1966, Han nationality.

Address: the villagers of the sixth residential group in XXX village, XXX town, XXX county.

Plaintiff XXX, male,1born in May 1966, Han nationality.

Address: the villagers of the sixth residential group in XXX village, XXX town, XXX county.

Tel 123457

Defendant Chen Moumou, female, born on 1964, Han nationality.

Address: the villagers of the sixth residential group in XXX village, XXX town, XXX county.

Tel 123457

Defendant Wu Moumou, male, unknown date of birth, 36 years old, Han nationality,

Address: a villager in a county, a town and a village.

Tel 123457

Claims

1. Request that the defendants Chen Moumou and Wu Moumou be investigated for criminal responsibility for intentional injury according to law and be severely punished.

2. Request to order the defendants Chen and Wu to compensate me for medical expenses of injuries of RMB 00000, lost time of RMB 00000, nursing expenses of RMB 00000, food subsidies of RMB 0000, nutrition expenses of RMB 0000, transportation expenses of RMB 0000, forensic appraisal expenses of RMB 000, and disability subsidies (to be determined after disability appraisal) totaling RMB 0000.

3. Bear all litigation costs in this case.

Facts and reasons

On the evening of September 30th, 20 12, = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = =

= = = = = = = Go to a county people's hospital for first aid. The diagnosis result is = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = =

It was identified as minor injury by forensic doctor = = = This needs to be identified.

I have been hospitalized in a county people's hospital for 99 days, and I have spent RMB xxxxxx on medical expenses. During my stay in hospital, at first, two of my relatives took care of me in the hospital, and later, one of my relatives took care of me. After leaving the hospital, I stayed at home to treat X. After treatment, I still felt groggy, my memory decreased and my teeth were loose. = = = = = = Talk about the cost of treatment and other expenses.

Because of the defendant Chen's intentional injury crime, I was injured and hospitalized, and I spent huge medical expenses, which caused great mental pain and great economic losses. I run xxxxx business, and I was injured and hospitalized, which led to the suspension of production and heavy losses. = = = = = = = = = = Talk about the losses caused by injuries and other losses.

Based on the above facts, the defendants Chen Moumou and Wu Moumou ignored the national laws, were bold, attacked and hurt others in broad daylight for no reason, and deliberately hurt my health. If the circumstances are bad and the harm is serious, his behavior has constituted the crime of intentional injury and should be severely punished according to law. Because the defendants Chen Moumou and Wu Moumou intentionally injured the economic losses caused to me, they should be liable for compensation according to law. To this end, bring a lawsuit, request a fair judgment according to law, and safeguard the plaintiff's claim and legitimate rights and interests.

Zhezhi

A county people's court

plaintiff

Date, year and month