§ FORM 15 COMPLAINT FOR NEGLIGENCE OR WANTONNESS

Codes > Mississippi Rules of Civil Procedure > Chapter XI > Appendix A > FORM 15

FORM 15. COMPLAINT FOR NEGLIGENCE OR WANTONNESS

    1. On or about the _______ day of _______, upon a public highway [state the name of the street ] in [City]; _______ County, Mississippi, the defendant negligently [or wantonly] caused or allowed a motor vehicle to collide with a motor vehicle occupied by the plaintiff.

    2. As a proximate consequence of the defendant's said negligence [or wantonness], the plaintiff was caused to suffer the following injuries and damages:

[enumerate injuries and damages].

    Wherefore plaintiff demands judgment against defendant in the sum of _______ dollars and costs.

Table of Contents