(COURT LETTERHEAD)

PEOPLE OF THE PHILIPPINES

Complainant.
CRIMINAL CASE NO.: __________________
Versus
FOR
(Name of Subject and Complete
Address)
Accused.
RECKLESS IMPRUDENCE RESULTING IN
DAMAGE TO PROPERTY

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CRIMINAL COMPLAINT

The undersigned Investigator of the (Unit/Office), stationed at (Complete Address) under

oath accuses (Name of Subject) of Damage To Property Through Reckless Imprudence, committed
as follows:
That on ________________, at about _______________________, at _________________
City/Municipality of _________________, Philippines and within the jurisdiction of this
Honorable Court, said accused being then the driver of a six-wheeler aluminum van,
colored red and bearing plate number PPH-243 with top markings “PAMELA”, did then and
there, willfully, unlawfully and feloniously drive and operate the same while passing along
__________________________ in the said barangay in a negligent, careless and imprudent
manner, without due regard to the traffic laws and regulations and without taking the
necessary precaution to prevent the accident to persons and damages to property, causing
by such negligence, said aluminum van driven and operated by him to strike and collide
with a Yamaha Motorcycle (RS 100), colored red, bearing plate number VW3325 belonging
to and driven by _________________________, thereby causing to the said motorcycle
damages in the amount of ____________________________ (___________), to the damage and
prejudice of the owner thereof in the aforementioned amount.
CONTRARY TO LAW:
____________________________________
____________________________________
____________________________________
Investigator-On-Case
NOTED BY:
__________________________________
__________________________________
APPROVED FOR FILING:
__________________________________
__________________________________
SUBSCRIBED AND SWORN TO before me this ______ day of ____________________, at
______________________________________.
_____________________________________
Judge
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