[br]the undersigned retains you to prosecute or adjust a claim for damages arising from personal injuries and /or property damage and /or loss of services [red]sustained [/red]by me on the above date through the negligence of other persons and I give you
[br]the undersigned retains you to prosecute or adjust a claim for damages arising from personal injuries and /or property damage and /or loss of services [red]sustained [/red]by me on the above date through the negligence of other persons and I give you
以下签署人保留您在本人的委托下追究在上述日期中因他人的疏忽而对本人造成的个人伤害和/或财产损失和/或服务损失的权利，本人仅授权您采取一切法律程序来进行索赔，且在未征得您同意的情况下，不得理赔。