First of all, the plaintiff's name, gender, age, nationality, native place, occupation, home address and contact information should be clearly written, as well as the defendant's name, gender, age, nationality, native place, occupation, home address and contact information;
Secondly, state the detailed cause of action of the matter, including the related expenses that have been compensated;
Third, write the claim clearly;
IV. Facts and reasons: State the cause, process and consequences of the whole case, and list the basis for investigating the defendant's criminal responsibility and demanding compensation according to laws and regulations.
Fifth, find out the evidence and its source, as well as the name and address of the witness:
Finally, the signature.
Legal basis: Article 101 of the Criminal Procedure Law of People's Republic of China (PRC). If the victim suffers material losses due to the defendant's criminal behavior, he has the right to file an incidental civil action in the course of criminal proceedings. If the victim dies or loses his capacity for civil conduct, his legal representative and close relatives have the right to file an incidental civil action.