….. ADMINISTRATIVE COURT;

PLAINTIFF :

TC IDENTIFICATION NUMBER :

ADDRESS :

Deputy :

(Legal representatives of the parties, if any)

ADDRESS :

(Legal representatives of the parties, if any)

DEFENDANT :

Subject: due to a terrorist act under law 5233

it is our request for compensation for the damages suffered.

INSTRUCTIONS :

1 -) Our client, … / … / … in the history … province,….County, …. While in the village coffee shop, he was wounded when the coffee shop was searched by unidentified people with automatic weapons.

2 -) our application for compensation for damage caused by injury in accordance with law 5233, (Annex-1)…. It was evaluated by the damage detection Commission of the prefecture of the province, and as a result of this assessment to the client…. TL. a magistrate’s bill for payment has been submitted. (Annex-2) however, our client’s business is not accepted by this bill … / … / … with the cancellation of the dispute minutes dated, with the loss of Labor suffered due to the incident…. TL. it is necessary to open this case with a request for compensation for treatment costs.

3 -) Our client was treated in hospital due to the incident in question, was deprived of his work and strength for a day. (Annex-3)hence the … TL. compensation for material losses is required.

4 -) for the reasons we have tried to explain above, we have been obliged to file a lawsuit within the legal period to compensate for the damage caused by the cancellation of the dispute minutes.

Legal reasons: 5233 P. K. m. 4, 5, 6, 7, 9, 2577 S. K. m. 15, Terrorism And Terrorism

About Compensation For Damages Arising From The Struggle

Regulation m. 15, 16, 17

LEGAL EVIDENCE :

1 -) … / … / … dated governorship application petition

2 -) … / … / … dated governor’s dispute minutes

3- ) hospital records

4- ) all other relevant legal evidence.

Conclusion and request: for the reasons we have tried to explain above, the cancellation of the dated and numbered decision of the governorship of the province from the point of view of our client,…. TL. we demand by proxy that the compensation be decided together with the interest to be operated from the date of the compensation, that the trial costs and Attorney’s fee be charged to the other party. …/…/…

Annexes: 1 -) … / … / … dated governorship application petition

2 -) … / … / … dated governor’s dispute minutes

3- ) hospital records

4 -) example of approved power of attorney.

Acting Plaintiff

Lawyer