Fill and Sign the Complaint Mississippi 497315425 Form

IN THE CIRCUIT COURT OF       COUNTY, MISSISSIPPI       PLAINTIFF VS. CIVIL ACTION NO.             DEFENDANT COMPLAINT Comes       , a adult resident citizen of       ,       , and brings this action for       self and on behalf of the heirs at law of       , namely,       , resident citizens of       ,       , against the defendants,       , adult resident citizens of       County, Mississippi, and       , whose name is unknown, but whose true name will be inserted by amendment when it is discovered; Plaintiff is ignorant of the name of the fictitious party at this time, and would show unto the court the following: Defendants, but       's profession is unknown but is believed to be that of a physician, are licensed physicians in the State of Mississippi. The matter in controversy exceeds, exclusive of interests and costs, the sum of       Dollars, and the damages claimed are within the jurisdictional limits of the Circuit Court of       County, Mississippi.       was the       of       and he/she       of the other Plaintiffs herein and all of them together were the sole surviving heirs of       . During       , Defendant       and       entered into a patient - doctor relationship and as direct and proximate result thereof,       lost his/her life through the medical negligence of       and through the negligence of       .       lost his/her life on       , by reason of the recklessness, carelessness and medical negligence of the Defendants,       . As a proximate result of the negligence of the Defendants, Plaintiffs should be awarded damages for the following: 1. The loss of society and companionship of       ; 2. The present net cash value at the time of the death of       's life expectancy; 3. Pain and suffering endured by       prior to       death; 4. All reasonable medical expenses incurred by       and reasonable funeral expenses incurred by       and/or the estate of       All of which said damages are in excess of       Dollars and are within the jurisdictional limits of this court. WHEREFORE, PREMISES CONSIDERED, Plaintiffs bring this action against the Defendants and demand judgment against       in an amount within the jurisdictional limits of this Court and in excess of Ten Thousand Dollars. Respectfully submitted, this the       day of       , 20       . _______________________________________ ATTORNEYS FOR PLAINTIFF BY: