Fill and Sign the Complaint Regarding Assault and Battery Form

- 1 - IN THE ___________________ COURT OF __________________ COUNTY _______________ ____________________ PLAINTIFF VS. NO.______ ____________________ DEFENDANT COMPLAINT COMES NOW _______________, Plaintiff, and in support of his claim for relief would show unto the Court the following facts, to-wit: 1. That __________is an actual adult resident citizen of (Insert county and state). 2. That the Defendant, __________________________, is an actual adult resident citizen of (Insert county and state), that he is a (Insert occupation) at ____________at ____________, ____________, where he may be served with process. 3. This Court has jurisdiction of the parties and of the subject matter of this cause. 4. Plaintiff would show that on or about (Insert date), 20____, that he was at his home in (Insert county and state), when he was approached by the Defendant herein, _________, and that __________, after an argument with the Plaintiff for no apparent reason, and without justification and in a grossly reckless, negligent and intentional manner shot and injured the P laintiff. That as a result of the gunshot wound that the Plaintiff required medical attention, doctor bil ls, and hospitalization, that his bills continue to accrue, and that he has suffered s evere mental anguish and anxiety, and that he has permanent disability as a result of this injury. 5. Plaintiff would show that Defendant owed him a duty and duties and that that these duties were breached, to-wit: a. That the Defendant committed an aggravated assault and battery on the Pl aintiff herein. b. That the aggravated assault and battery was committed without justific ation in a grossly negligent, intentional, willful and reckless manner. c. As a proximate result of these breaches of duty, Plaintiff has sustained s pecial damages in a sum of no less than $_________, and that he is entitled to punitive dam ages in a sum of $_________. - 2 - WHEREFORE, PREMISES CONSIDERED, Plaintiff files this suit and demands judgment of and from the Defendant for both actual or compensatory damages, and punitive damages. Pl aintiff further demands interest and all costs of this action. Respectfully submitted, ______________________________ BY:___________________________, His Attorney ______________________________