Attached Form

Regarding the written accident, the plaintiff against the defendant.

(2) Around 16:00 on April 17, 2016, Defendant (1966 females) was exposed to an accident (hereinafter “instant accident”) caused by the removal hole (see Article 21 of the Act on the Promotion of the Transportation Convenience of Mobility Disadvantaged Persons) from among pedestrian safety facilities installed by the head of a Si/Gun to ensure that pedestrians can walk safely and conveniently in a pedestrian priority zone.

(3) The Defendant suffered the instant injuries, such as the instant accident, such as the pelvise and slovash salt, etc., and immediately thereafter, received the “unsatisfying coloning” after being inside the G Hospital through G hospital 119 ambulances.

(A) The Defendant received respectively pain treatment from G oriental medical hospitals on April 19, 2016 to May 23, 2016, in relation to the instant injury, for 35 days at E general hospitals, from May 25, 2016 to May 23, 2016; for 25 times from F general hospitals, from May 25, 2016 to May 22, 2017, and for 4,51,983 won (hereinafter “E general hospital”), from each of the above medical treatment costs. The Defendant received both pain treatment from G oriental medical hospitals on May 27, 2016 and May 30, 2016.

Meanwhile, the sum of the above treatment costs of KRW 2,311,072 was borne by the National Health Insurance Corporation and the remainder was borne by the Defendant. Of the treatment costs incurred by the Defendant, KRW 2,013,690 was paid directly from H Co., Ltd., which is the insurer of the Plaintiff, to the hospital on May 24, 2016.

(4) At the time of the instant accident, the Defendant had earned the monthly average of KRW 1,739,829 while working for D Co., Ltd.

(5) The above facts do not conflict between the parties, or evidence A, Nos. 1, 2, and 2.