Fill and Sign the Jury Instruction Complaint Injury by Power Lines Mississippi Form

IN THE CIRCUIT COURT OF       COUNTY, MISSISSIPPI       ,       AND       , BY AND THROUGH PLAINTIFFS HER MOTHER AND NEXT FRIEND,       VS. NO.             ,       AND       DEFENDANTS COMPLAINT 1.       is an adult resident citizen of       County, Mississippi, residing at       ,       , Mississippi. 2.       is an adult resident citizen of       County, Mississippi, residing at       ,       , Mississippi. 3.       resides with her mother and father at       ,       , Mississippi. 4.       (hereinafter referred to as "       ") is a       Corporation, authorized to do business in Mississippi, and may be served with summons and a copy of the Complaint by service upon their designated agent for service of process, who is       ,       ,       , Mississippi       . 5.       and       were at all times material to this Complaint employees or agents of       and were acting in the course and scope of their employment when the incident in question occurred. They may be served with summons and a copy of the complaint at       ,       , Mississippi. Facts 6. On or about the       day of       ,       the Plaintifs were walking to a neighbor's home on Highway 469 when the Defendants' negligence caused serious injuries to the Plaintifs. The Defendant's truck ran over a group of drowned power lines which in turn snapped up and seriously injured the Plaintifs. 7. As a proximate result of the negligence of the Defendants, the Plaintifs were caused to sufer the following injuries and damages:       A. Left foot injury; B. Broken knee; C. Loss of past wages; D. Medical bills exceeding       ($       ); E. Past and future pain and sufering; F. Permanent disability; G. Increased risk of arthritis or other future bone and joint deterioration; H. Diminished enjoyment of life.       A. Neck injury; B. Loss of past wages; C. Medical bills exceeding       ($       ); D. Past and future pain and sufering; E. Diminished enjoyment of life.       , A MINOR A. Acute mental distress; B. Past and future pain and sufering; C. Left foot injury; D. Medical bills exceeding       ($       ) WHEREFORE PREMISES CONSIDERED, the Plaintifs demand judgment of and from the Defendants in the amount of       ($       ) for       ,       ($       ) for       and       ($       ) for       . Respectfully submitted,