Fill and Sign the Personal Injury from Power Lines Mississippi Form

IN THE CIRCUIT COURT OF       COUNTY, MISSISSIPPI       ,       , AND       BY AND THROUGH HIS/HER FATHER/MOTHER AND NEXT FRIEND,       PLAINTIFFS VS. NO.             ,       , AND       DEFENDANTS AMENDED COMPLAINT 1.       and       are adult resident citizens of       County, Mississippi, residing at       ,       , Mississippi. 2.       is an adult resident citizen of       County, Mississippi, residing at       ,       , Mississippi. 3.       resides with his/her father/mother 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 Plaintiffs were walking to a neighbor's home on       when the Defendants' negligence caused serious injuries to the Plaintiffs. The Defendants'       ran over a group of downed power lines, which in turn snapped up and seriously injured the Plaintiffs. 7. As a proximate result of the negligence of the Defendants, the Plaintiffs were caused to suffer the following injuries and damages:       A.       ; B.       ; C. Medical bills exceeding       Dollars and No/00 ($       ); D.       ; E.       ; F.       ; G.       .       A.       ; B.       ; C. Medical bills exceeding       Dollars and No/00 ($       ); D.       ; E.       .       , A MINOR A.       ; B.       ; C.       ; D. Medical bills exceeding       Dollars and No/00 ($       ) LOSS OF CONSORTIUM 8. As a direct and proximate result of the injury sustained by his/her       ,       ,       has suffered damages for loss of consortium in an amount exceeding       dollars ($       ). WHEREFORE PREMISES CONSIDERED, the Plaintiffs demand judgment of and from the Defendants in the amount of       Dollars ($       ) for       ,       Dollars ($       ) for       ,       Dollars ($       ) for       and       dollars ($       ) for       . Respectfully submitted, _______________________________________       Attorney for       Of counsel:                         Telephone:       MSB #       Attorney for