Legal Complaint Form

LEGAL COMPLAINT FORM

Court:   Case No.:

Plaintiff:   Defendant:

Date of Filing:   County:

RECITALS

WHEREAS, Plaintiff asserts that Defendant engaged in conduct that has caused Plaintiff loss, injury, and damages as set forth below; and

WHEREAS, the acts and omissions alleged in this Complaint occurred within the jurisdiction of this Court and give rise to causes of action recognized by applicable law; and

WHEREAS, Plaintiff seeks monetary damages, declaratory and injunctive relief, costs of suit, and such other relief as the Court deems appropriate.

NOW THEREFORE, Plaintiff alleges as follows:

1. PARTIES

2. JURISDICTION AND VENUE

This Court has subject matter jurisdiction because:

Venue is proper in this court because:

3. STATEMENT OF FACTS

4. CAUSES OF ACTION

Plaintiff asserts the following causes of action. Check all that apply and provide supporting allegations below.

Breach of Contract     Negligence     Intentional Tort (e.g., fraud, conversion)     Statutory Violation     Other

5. DAMAGES AND REMEDIES

Plaintiff seeks the following relief:

Attorney's Fees and Costs: Plaintiff requests an award of reasonable attorneys' fees and costs to the extent authorized by contract or statute.

Jury Demand: Plaintiff hereby demands a trial by jury on all triable issues.

6. PRAYER FOR RELIEF

WHEREFORE, Plaintiff respectfully prays for judgment against Defendant as follows:

1. For compensatory damages in an amount to be proven at trial;
2. For consequential and incidental damages as established by proof;
3. For injunctive and declaratory relief as alleged herein;
4. For costs of suit, pre- and post-judgment interest, and reasonable attorneys' fees where recoverable; and
5. For such other and further relief as the Court deems just and proper.

7. NOTICES

8. AMENDMENTS, WAIVER, AND COUNTERPARTS

Amendments: Plaintiff reserves the right to amend this Complaint to assert additional claims or parties as discovery proceeds and as allowed by the rules of this Court.

Waiver: No waiver of any provision or claim in this Complaint shall be effective unless in writing and signed by the party waiving the provision; the failure to exercise any remedy shall not constitute a waiver of any other remedy.

Counterparts: This Complaint and any documents in furtherance may be executed in counterparts, each of which shall be considered an original and all of which together shall constitute one instrument.

9. GOVERNING LAW, ENTIRE AGREEMENT, SEVERABILITY

Governing Law: This Complaint shall be governed by and construed in accordance with the laws of the state identified below, without regard to principles of conflict of laws.

Entire Agreement: This Complaint contains the entire statement of Plaintiff's claims with respect to the matters alleged and supersedes any prior statements or communications on the same subject matter.

Severability: If any provision of this Complaint is held to be invalid or unenforceable, the remaining provisions shall remain in full force and effect.

10. VERIFICATION AND CERTIFICATION

I, the undersigned, declare under penalty of perjury under the laws of the governing jurisdiction that the foregoing is true and correct to the best of my knowledge, information, and belief.

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