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国家赔偿申请书(向人民法院申请国家赔偿用)(最高人民法院2012版)

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<!DOCTYPE html PUBLIC "-//W3C//DTD XHTML 1.1//EN" "http://www.w3.org/TR/xhtml11/DTD/xhtml11.dtd"><html xmlns="http://www.w3.org/1999/xhtml"><head><meta http-equiv="Content-Type" content="application/xhtml+xml; charset=utf-8" /><title></title><style type="text/css">body{ font-family:'Times New Roman'; font-size:1em; } p {padding:0;margin-top:5pt;margin-right:0;margin-bottom:5pt;margin-left:0;} ul, ol{ margin-top: 0; margin-bottom: 0; } .Normal{page-break-inside:auto;page-break-after:auto;page-break-before:auto;margin-left:0.0pt;text-indent:0.0pt;border-top-style: none;border-left-style: none;border-right-style: none;border-bottom-style: none;font-size:11.0pt;font-family:SimSun;mso-fareast-font-family:宋体;mso-bidi-font-family:Arial;lang:EN-US;mso-fareast-language:EN-US;mso-ansi-language:AR-SA;} .Heading-1{page-break-inside:avoid;page-break-after:avoid;page-break-before:auto;margin-left:0.0pt;text-indent:0.0pt;border-top-style: none;border-left-style: none;border-right-style: none;border-bottom-style: none;color:#3B608D;font-size:14.0pt;font-family:SimSun;mso-fareast-font-family:宋体;mso-bidi-font-family:'Times New Roman';font-weight:bold;} .Default-Paragraph-Font{font-size:11.0pt;font-family:SimSun;mso-fareast-font-family:宋体;mso-bidi-font-family:Arial;lang:EN-US;mso-fareast-language:EN-US;mso-ansi-language:AR-SA;} .Normal-Table{} .Heading-1-Char{color:#3B608D;font-size:14.0pt;font-family:SimSun;mso-fareast-font-family:宋体;mso-bidi-font-family:'Times New Roman';font-weight:bold;} .Heading-2{page-break-inside:avoid;page-break-after:avoid;page-break-before:auto;margin-left:0.0pt;text-indent:0.0pt;border-top-style: none;border-left-style: none;border-right-style: none;border-bottom-style: none;color:#4F81BD;font-size:13.0pt;font-family:SimSun;mso-fareast-font-family:宋体;mso-bidi-font-family:'Times New Roman';font-weight:bold;} .Heading-2-Char{color:#4F81BD;font-size:13.0pt;font-family:SimSun;mso-fareast-font-family:宋体;mso-bidi-font-family:'Times New Roman';font-weight:bold;} </style></head><body style="pagewidth:612.0pt;pageheight:792.0pt;"><div class="Section0"><div style="min-height:72pt" /> <p class="Heading-1" style="text-align:center;line-height:1.0;"><span style="color:#000000;font-size:18.0pt;font-family:SimSun;mso-fareast-font-family:宋体;mso-bidi-font-family:SimSun;font-weight:bold;">国家赔偿申请书</span></p> <p class="Normal" style="line-height:1.0;"><span style="color:#000000;font-size:12.0pt;font-family:SimSun;mso-bidi-font-family:SimSun;">(向人民法院申请国家赔偿用)</span></p> <p class="Normal" style="line-height:1.0;"><span style="color:#000000;font-size:12.0pt;font-family:SimSun;mso-bidi-font-family:SimSun;">赔偿请求人:……(写明姓名或名称等基本情况)。</span></p> <p class="Normal" style="line-height:1.0;"><span style="color:#000000;font-size:12.0pt;font-family:SimSun;mso-bidi-font-family:SimSun;">赔偿义务机关:……(写明名称、住所地)。</span></p> <p class="Normal" style="line-height:1.0;font-size: 12pt;"><span style="color:#000000;font-size:12.0pt;font-family:SimSun;mso-bidi-font-family:SimSun;">&#xa0;</span></p> <p class="Normal" style="line-height:1.0;"><span style="color:#000000;font-size:12.0pt;font-family:SimSun;mso-bidi-font-family:SimSun;">法定代表人:……(写明姓名、职务)。</span></p> <p class="Normal" style="line-height:1.0;"><span style="color:#000000;font-size:12.0pt;font-family:SimSun;mso-bidi-font-family:SimSun;">×××(赔偿请求人姓名或名称)因……(申请国家赔偿案由),申请×××(被申请人民法院名称)……(申请国家赔偿的具体要求)。</span></p> <p class="Normal" style="line-height:1.0;"><span style="color:#000000;font-size:12.0pt;font-family:SimSun;mso-bidi-font-family:SimSun;">……(事实与理由,主要是认为人民法院及其工作人员侵权造成赔偿请求人合法权益损害的事实和根据,申请国家赔偿的法律依据等)。</span></p> <p class="Normal" style="line-height:1.0;font-size: 12pt;"><span style="color:#000000;font-size:12.0pt;font-family:SimSun;mso-bidi-font-family:SimSun;">&#xa0;</span></p> <p class="Normal" style="line-height:1.0;"><span style="color:#000000;font-size:12.0pt;font-family:SimSun;mso-bidi-font-family:SimSun;">此致</span></p> <p class="Normal" style="line-height:1.0;"><span style="color:#000000;font-size:12.0pt;font-family:SimSun;mso-bidi-font-family:SimSun;">×××人民法院</span></p> <p class="Normal" style="line-height:1.0;font-size: 12pt;"><span style="color:#000000;font-size:12.0pt;font-family:SimSun;mso-bidi-font-family:SimSun;">&#xa0;</span></p> <p class="Normal" style="line-height:1.0;"><span style="color:#000000;font-size:12.0pt;font-family:SimSun;mso-bidi-font-family:SimSun;">附:……(有关法律文书及证明材料目录)</span></p> <p class="Normal" style="line-height:1.0;font-size: 12pt;"><span style="color:#000000;font-size:12.0pt;font-family:SimSun;mso-bidi-font-family:SimSun;">&#xa0;</span></p> <p class="Normal" style="line-height:1.0;font-size: 12pt;"><span style="color:#000000;font-size:12.0pt;font-family:SimSun;mso-bidi-font-family:SimSun;">&#xa0;</span></p> <p class="Normal" style="line-height:1.0;"><span style="color:#000000;font-size:12.0pt;font-family:SimSun;mso-bidi-font-family:SimSun;">赔偿请求人×××(签名或盖章)</span></p> <p class="Normal" style="line-height:1.0;"><span style="color:#000000;font-size:12.0pt;font-family:SimSun;mso-bidi-font-family:SimSun;">××××年××月××日</span></p> <p class="Normal" style="line-height:1.0;"><span style="color:#000000;font-size:12.0pt;font-family:SimSun;mso-bidi-font-family:SimSun;"> </span></p> <p class="Heading-2" style="text-align:center;line-height:1.0;"><span style="color:#000000;font-size:14.0pt;font-family:SimSun;mso-fareast-font-family:宋体;mso-bidi-font-family:SimSun;font-weight:bold;">制作说明</span></p> <p class="Normal" style="line-height:1.0;"><span style="color:#000000;font-size:12.0pt;font-family:SimSun;mso-bidi-font-family:SimSun;">一、本申请书样式供赔偿请求人向作为赔偿义务机关的人民法院申请国家赔偿时使用。</span></p> <p class="Normal" style="line-height:1.0;"><span style="color:#000000;font-size:12.0pt;font-family:SimSun;mso-bidi-font-family:SimSun;">二、赔偿请求人是自然人的,写明其姓名、性别、有效身份证件号码(包括身份证号、军官证号、护照号等)、民族、职业(或工作单位和职务)、住址、送达地址、联系电话;有别名或者曾用名,应在姓名之后用括号标明。赔偿请求人是法人的,写明其名称、住所地,并写明法定代表人的姓名和职务、联系电话。赔偿请求人是依法成立的不具备法人资格的其他组织的,写明其名称和住所地,并写明负责人姓名和职务、联系电话。赔偿请求人有法定代理人,应写明其姓名、性别、职业(或工作单位和职务)及住址、联系电话。赔偿请求人有委托代理人的,应写明其姓名、性别、职业(或工作单位和职务)及住址、联系电话。</span></p> <p class="Normal" style="line-height:1.0;"><span style="color:#000000;font-size:12.0pt;font-family:SimSun;mso-bidi-font-family:SimSun;">三、用A4纸打印或书写,书写时应字迹清楚,不要使用铅笔、圆珠笔或者红色、纯蓝色墨水等易褪色不易长期保存的工具材料书写。</span></p> <p class="Normal" style="line-height:1.0;"><span style="color:#000000;font-size:12.0pt;font-family:SimSun;mso-bidi-font-family:SimSun;">四、“附:有关法律文书及证明材料目录”根据具体情况分别列项标注,附件目录应与提交的有关法律文书及证明材料相符。</span></p> </div></body></html>

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