West Palm Beach Florida car accident Closed head injury complaint call 1-800-74-TRIAL

STATE OF _________________________
COUNTY OF SUPERIOR COURT

, )
West Palm Beach Florida car accident injury Plaintiff , )
)
v. ) C.A. No. ___________
)
, )
Defendant. )

COMPLAINT

1. West Palm Beach Florida car accident injury Plaintiff , (" ") is a resident of (insert city/town), County of (insert county), State of (insert state).

2. Defendant, (" "), is a resident of (insert city/town), County of (insert county), State of (insert state).

3. The amount in controversy satisfies the jurisdictional requirements
of this Court and venue is proper in this Court as this action arose within (insert county and state or insert other applicable basis for venue).

COUNT I

4. incorporates by reference paragraphs 1 through 3 above as if set forth again in full.

5. On or about (insert date) at approximately (insert time), was a passenger in a motor vehicle owned and operated by (the "Motor Vehicle").

6. At that time and place, negligently operated the motor vehicle so as to cause it to hit an embankment, roll over and strike a tree.

7. owed a duty to exercise reasonable care in the operation of the motor vehicle and breached that duty when he failed to operate the motor vehicle in a safe, reasonable and prudent manner.

8. As a direct and proximate result of 's breach of duty, sustained severe injuries and damages, including injury to the brain and spinal cord, resulting in a variety of closed head injuries including concussion, and also sustained damage to the cervical and lumbar spine as well as other physical and emotional injuries, costs of medical treatment for those injuries, a loss of earning capacity, a loss of earnings, pain and suffering and other consequential damages.

WHEREFORE, demands judgment against in an amount which exceeds the jurisdictional requirements of this Court, plus interest and costs, and _______ demands such other and further relief as this Court may deem just, proper and equitable.

WEST PALM BEACH FLORIDA CAR ACCIDENT INJURY PLAINTIFF ,_________________
By her Attorneys

WEST PALM BEACH FLORIDA CAR ACCIDENT INJURY PLAINTIFF , , DEMANDS A TRIAL BY JURY ON ALL ISSUES TRIABLE OF RIGHT BY JURY IN THE WITHIN ACTION.

WEST PALM BEACH FLORIDA CAR ACCIDENT INJURY PLAINTIFF ,_________________
By her Attorneys

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