DCPI           / 2020

IN THE DISTRICT COURT OF THE

HONG KONG SPECIAL ADMINISTRATIVE REGION

PERSONAL INJURIES ACTION NO.       OF 2020

____________________

BETWEEN

                                                PLAINTIFF_NAME                               Plaintiff

and

                                                               1st Defendant

                                               

                                               DEFENDANT_2_NAME               2nd Defendant

                                                  ____________________

  NOTICE TO INSURER

                TAKE NOTICE that the abovenamed Plaintiff has onWRIT_DATE commenced this action in the District Court against the 1st and 2nd Defendants for damages for personal injuries caused to the Plaintiff by reason of negligence and/or breach of common duty of care on the part of the 1st and 2nd Defendants in an accident which took place on ACCIDENT_DATE  at ACCIDENT_LOCATION. The 1st Defendant was the driver of the vehicle bearing registration no.  and the 2nd Defendant was the registered owner of the said vehicle at the said time.

               TAKE FURTHER NOTICE that at the time of the accident, the said Defendants were insured by you.

A sealed copy of the Writ of Summons filed herein on WRIT_DATE is enclosed herewith for your information.

                Dated the    day of               2020.

PLAINTIFF_NAME 

Plaintiff acting in person    

To: INSURER whose registered office is situated at INSURER_ADDRESS.

DCPI         / 2020

                                                         IN THE DISTRICT COURT OF THE

                                             HONG KONG SPECIAL ADMINISTRATIVE REGION

                                              PERSONAL INJURIES ACTION NO.      OF 2020

                         ____________________

                                          BETWEEN

                                                             PLAINTIFF_NAME                Plaintiff  

                            and

                                                           

                                                               1st Defendant

                                                                                       

                                                           DEFENDANT_2_NAME   2nd Defendant

                                                              ____________________

                                                              ********************                    

                                                                  NOTICE TO INSURER

                                                             ********************

                                                      Filed on this    day of              2020.

                                                            PLAINTIFF_NAME  

                                                                 Plaintiff acting in person

                                                             PLAINTIFF_ADDRESS

                                                             PLAINTIFF_TELEPHONE

                                                             PLAINTIFF_FAX