Fill and Sign the Complaint Vehicle Accident Form

IN THE COUNTY COURT OF ____________ COUNTY, ___________ NAME OF PLAINTIFF )       ) ) V. ) NO.       ) ) NAME OF DEFENDANT )       ) ) COMPLAINT COMES NOW ______________ Plaintiff, by and through counsel and files this Complaint against the Defendant, ___________, and in support hereof would show unto the Court the following: 1. Plaintiff is a resident citizen of _______________County, __________________, and Defendant is a _____________ corporation, which may be served with process by serving its agent for service of process, ______________________. 2. On or about the _________ day of _______________ Defendant's vehicle, operated by Defendant's agent and employee ___________, struck the rear of Plaintiff's car causing damages to said vehicle. 3. Defendant's agent and employee was negligent in the operation of Defendant's vehicle by failing to maintain control, failing to provide a proper look out, and excessive speed. All of Defendant's negligence was the proximate cause of the accident and the proximate cause of Plaintiff's damages. 4. Plaintiff has incurred $___________ in repairs to his vehicle and has suffered approximately $_______________ in depreciation to Plaintiff's vehicle. 5. Plaintiff's vehicle involved in this accident was a ________ _________________ with less than ___________ thousand miles. 6. Plaintiff is also entitled to the fair rental value of said vehicle for loss of use between ____________ and ___________. WHEREFORE, PREMISES CONSIDERED, Plaintiff prays that upon a hearing hereof the Court will award unto Plaintiff a judgment against the Defendant in the amount of $____________ plus pre-judgment interest, post-judgment interest and all costs. Respectfully submitted, ________________________________