Fill and Sign the In the Superior Court of the State of Lewis County Wa Form

- 1 - IN THE ______________ COURT OF ______________ COUNTY STATE OF ________________ ) ) ) Petitioner/Plaintiff, ) ) ) NO. Vs. ) ) ) Respondent/Defendant ) ) MOTION IN LIMINE COME NOW the Plaintiffs, ___________________, through counsel, and move the Court for an Order commanding and directing that Defendant, Defendant's witnesses, Defendant's attorney, and Defendant's representatives refrain from mentioning, alluding to, telling, describing or communicating in the presence of the jury that hears this case any of the following facts and matters for the reasons stated below: 1. Any testimony regarding Plaintiff's not wearing seat belts at the time of the accident on the ______ day of ______________, 20___ as it is not relevant and ___________ Code Ann. Sec. _____ provides that failure to provide or use a seat belt restraint device or system shall not be considered contributory or comparative negligence. 2. Such evidence serves no purpose other that to appeal to the bias, prejudice and passion of the jury. 3. The Plaintiff is entitled to this case being tried without the interjecti on of the matters described above, and Plaintiff is best protected by an Order of the Court in advance of - 2 - trial so that interruptions of testimony with objections is unnecessary and so that Plaintiff can have a fair trial. WHEREFORE, PREMISES CONSIDERED, Plaintiff moves this Court to enter an Order as requested. Respectfully submitted, Dated: Name: Title: Address: Address: City, State, Zip: Phone: Fax: E-Mail: Attorney No.: CERTIFICATE OF SERVICE I, ______________________________, do hereby certify that I have this day mailed, U.S. Mail, postage prepaid, a true and correct copy of the above and foregoing to __________________________________, at the following address; ___________________________________________________________________ THIS the ____ day of _____________, 20____.