Statement Claim (Accident) Form. This is a Florida form and can be use in Alachua Local County.
Tags: Statement Claim (Accident), Florida Local County, Alachua
COURT COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ......... .. : : Index No. Calendar No. IN THE COUNTY COURT OF THE EIGHTH JUDICIAL CIRCUIT, IN AND FOR ALACHUA COUNTY, FLORIDA : JUDICIAL SUBPOENA Plaintiff(s) 201 East University Avenue - Post Office Box 600 -against: Gainesville Florida 32602 (352) 374-3636 : Case No.: : PLAINTIFF Defendant(s)Division: : ...................................................... Address City, State Zip Code THE PEOPLE OF THE STATE OF NEW YORK Phone -vs- TO DEFENDANT DEFENDANT Address Address GREETINGS: WE COMMAND YOU, that all business and excuses being laid aside, you and each ofCity, State Zip Code you attend before City, State Zip Code , the Honorable at the Court located at County of Phone Phone in room , on the day of , 20 , at o'clock in the noon, and at any recessed or adjourned date, to testify and give evidence as a witnessCLAIM STATEMENT in this action on the part of the (Accident) Plaintiff(s), , Your failure to comply with this subpoena is punishable as a contempt of court and will make you liable to sue(s) the party on whose behalf this subpoena was issued for a maximum penalty of $50 and all damages sustained as a Defendant(s), and alleges: result of your failure to comply. 1. This is an action for damages which do not exceed the sum of $5,000.00, exclusive of costs, interest and attorney’s fees. Witness, Honorable , one of the Justices of the Court in 2. On or about in being operated by County, day of , 20 , , in the vicinity of County, Florida, a motor vehicle owned by must sign above and type name below) , (Attorney was in a collision with a motor vehicle owned by , being operated by . Attorney(s) for 3. The collision with Plaintiff’s vehicle was caused by the negligent and careless operation of Defendant’s vehicle, whereby Plaintiff’s vehicle was damaged and depreciated in value. Office and P.O. Address If a Defendant is to be served with process outside the State of Florida, see Exhibit “A”, attached. $ WHEREFORE, Plaintiff(s) demands Judgment for damages against Defendant(s) in the amount of Telephone No.: , plus $ Court costs. Facsimile No.: E-Mail Address: Mobile Tel. No.: PLAINTIFF(S) American LegalNet, Inc. www.USCourtForms.com Statement of Claim - Accident.doc