Public Liability Insurance Rules, 1991
FORM II : Form of Notice
[Rule 9(1)]
By registered post acknowledgement due
From*
To
Notice under clause (b) of section 18 of the Public Liability Insurance Act, 1991;
Whereas it appears to me/us that an offence under the Public Liability Insurance Act, 1991 (6 of 1991), has been committed/is being committed.
by**
I/We hereby give notice of sixty days under clause (b) of section 18 of the Public Liability Insurance Act, 1991, of my/our intention to file a complaint in the court against
(2)
for violation of section of the Public Liability Insurance Act, 1991.
I/We, in support of this notice, hereby enclose the following documents *** as evidence of proof of violation of the Public Liability Insurance Act, 1991.
Place:
Date:
Signature(s)
*In case the notice is given in the name of a company, documentary evidence authorizing the person to sign the notice shall be enclosed to this notice.
**Here give the name and address of the alleged offender. In case of a handling/ manufacturing/ processing/ operating unit indicate the name of the unit/ location and nature of activity.
***Documentary evidence includes photographs/technical reports/health reports of the area, etc., relating to the alleged violation/offence.