Fill and Sign the Premises Liability Form

SHORT TITLE: ––––– ––––– CASE NUMBER: ––––– ––––– CAUSE OF ACTION— Premise Liability Page ––––– (number) ATTACHMENT TO Complaint Cross-Complaint (Use a separate cause of action form for each cause of action. ) Prem.L-1 Plaintiff (name): ––––– alleges the acts of defendants were the legal (proximate) cause of damages to plaintiff. PLD-PI- 001(4) on (date): ––––– plaintiff was injured on the following premises in the following fashion (description of premises and circumstances of injury): ––––– ––––– ––––– ––––– ––––– ––––– ––––– ––––– ––––– ––––– ––––– Prem.L-2. Count One—Negligence The defendants who negligently owned, maintained, managed and operated the described premises were (names): ––––– ––––– Does ––– to ––– Prem.L-3. Count Two—Willful Failure to Warn [Civil Code section 846] The defendants owners who willfully or maliciously failed to guard or warn against a dangerous condition, use, structure, or activity were (names) : ––––– ––––– Does ––– to ––– Plaintiff, a recreational user, was an invited guest a paying guest. Prem.L-4. Count Three—Dangerous Condition of Public Property The defendants who owned public property on which a dangerous condition existed were (names): ––––– ––––– ––––– Does ––– to ––– a. The defendant public entity had actual constructive notice of the existence of the dangerous condition in sufficient time prior to the injury to have corrected it. b. The condition was created by employees of the defendant public entity. Prem.L-5. a. Allegations about Other Defendants The defendants who were the agents and employees of the other defendants and acted within the scope of the agency were (names): ––––– ––––– Does ––– to ––– b. The defendants who are liable to plaintiffs for other reasons and the reasons for their liability are described in attachment Prem.L- 5.b as follows (names) : ––––– ––––– Form Approved for Optional Use Judicial Council of California PLD-PI-001(4) [Rev. Jan 1, 2007] CAUSE OF ACTION — Premise Liability CCP 425.12 electronic form ã 1997- 2007 WWW.LawCA.com Law Publishers