Fill and Sign the Complaint Personal Form

IN THE ___________ COURT OF ____________ (County), ____________ (State) __________________ PLAINTIFF (Name of Plaintiff) V. CAUSE NO. ______,_______ __________________ DEFENDANT (Name of Defendant) Complaint COMES NOW ____________________ (Name of Plaintiff) , Plaintiff in the above-styled and numbered cause, by and through his attorney, and files this his/her Complaint against Defendant, _________________ (Name of Defendant) , and in support thereof would show unto the Court the following matters and facts: 1. Plaintiff is an adult resident citizen of ___________________________________ __________________________________________ (city, county, state) . 2. Defendant is an adult resident citizen of ________________________________ ____________________________________________ (city, county, state) . 3. At all times mentioned, Defendant operated an ice skating rink, known as ________________________ (Name of Rink) at ______________________________ ______________________________________ (street address, city, state, zip code) , and gave instructions in skating at the ice skating rink. 4. On or about _________________ ( date) , Plaintiff went to Defendant's premises to receive instruction in skating. For a consideration duly paid by Plaintiff, Defendant agreed to instruct Plaintiff. 5. Defendant not only failed to give his time and attention to Plaintiff, but during the course of the instruction, Defendant recklessly, carelessly, and negligently abandoned Plaintiff while Plaintiff was on the ice rink and was wearing skates, and left his/her to his/her own resources for an unreasonable period of time. 6. By reason of such recklessness, carelessness, and negligence of Defendant, Plaintiff was unable to stand on the ice in the skating rink and fell. As a proximate result of such negligent conduct, Plaintiff received severe permanent bodily injuries. 7. By reason of Defendant's negligence, Plaintiff suffered ( describe injuries) ______________________________________________________________________ ______________________________________________________________________ _____________________________________________________________________ . 8. Plaintiff has been obliged to incur expenses for medical care and attendance in endeavoring to effect a cure of his/her injuries, and Plaintiff is informed and believes that he/she will be obliged to incur further expenses for medical care and attendance and for medicines in effecting such cure, and has been otherwise damaged, all in the sum of $____________. WHEREFORE, Plaintiff requests judgment against Defendant for: 1. General damages in the amount of $____________; 2. Damages for medical and related expenses in the amount of $____________; 3. Interest according to law; 4. Costs of this action; and 5. Such other and further relief as the court deems just and proper. Respectfully submitted, _______________________ (Name of Plaintiff) By: _______________________________ (Name of Plaintiff’s Attorney) State Bar No. _____________ His/Her Attorney OF COUNSEL: _______________________ (Name of Plaintiff’s Attorney) Post Office Box ______________ ________________________________ (City, State, Zip Code) Telephone: ____________________