Traffic accident damage compensation mediation application
**** Traffic Police Team:
***, gender**, age ****, ID number ******************, contact number**********, address or unit ****************
On ****, ****, ***, ***, ***, ***, a traffic accident occurred in **************, no civil action was filed in the people's court, now Ask your team to mediate damages for traffic accidents.
Request
1................................................. .....
2................................................. .....
3................................................. ......
applicant****
year month day***
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