…… TO THE EMPLOYMENT TRIBUNAL JUDGE

PLAINTIFF :

Acting :

ADDRESS :

DEFENDANT :

ADDRESS :

Subject: it consists of the determination of Disability Pension right.

INSTRUCTIONS

1–) Our client has started working in the Iron and steel factory at the address on the date of…/…/…. (Annex 1) our client has been insured for 10 (ten) years since his entry into the business (Annex 2); the insurance registration number is …

2 -) … / … / … our client had an accident at work (Appendix 3); he was paralyzed from the waist down as a result of the iron blocks in the factory falling on our client. (Appendix 4)

3 -) Our client has completely lost his work force due to this accident and is in a very difficult situation economically. Therefore, his disability has to be determined and attached to his pension. For this reason, it is necessary to apply to your court.

Legal reasons: 506 S. K. m. 53, 54, 55.

Legal evidence: 1 -) Workplace records

2 -) Insurance File, Insurance Records

3 -) Work Accident Report

4 -) Doctor Reports

5 -) expert examination

RESULT AND PROMPT

For the reasons explained above, we respectfully request the determination of the invalidity of our client as a result of the accident, the attachment of pension pension to our client after the determination is made, the judgment expense and the power of attorney fee to be charged to the other party, and the decision to be made, on behalf of our client. …/…/…

Adds: 1 -) Workplace records

2 -) Insurance File, Insurance Records

3 -) Work Accident Report

4 -) Doctor Reports

5 -) expert examination

6 -) One certified power of attorney sample