IN THE COUNTY COURT IN THE CIRCUIT COURT OF THE ___________ JUDICIAL CIRCUIT IN AND FOR ___________________ COUNTY, FLORIDA ______________________ DIVISION ) ) ) ) ) ) ) ) ) ) ) ) , Plaintiff, -vs- Case No. Judge , Defendant(s). COMPLAINT Plaintiff , Defendant(s), 1. This is an action for damages which (insert jurisdictional amount) . 2. On or about , Defendant vehicle that was operated with his/her consent by Defendant at in OR On or about , Defendant owned and operated a motor vehicle at in owned a motor , , Florida. , sues , and alleges: , Florida. 3. At that time and place, Defendant(s) negligently operated or maintained the motor vehicle so that it collided with Plaintiff's motor vehicle. 4. As a result, Plaintiff suffered bodily injury and resulting pain and suffering, disability, disfigurement, mental anguish, loss of capacity for the enjoyment of life, expense of hospitalization, medical and nursing care and treatment, loss of earnings, loss of ability to earn money, and aggravation of a previously existing condition. The losses are either permanent or continuing and plaintiff will suffer the losses in the future. Plaintiff's automobile was damaged and he/she lost the use of it during the period required for its repair or replacement. 5. (Other) Motor Vehicle Negligence Complaint {1.945} Page 1 of 2 American LegalNet, Inc. www.USCourtForms.com WHEREFORE, Plaintiff demands judgment for damages against Defendant(s). Attorney or Plaintiff Firm/Address Phone/fax Florida Bar No. Motor Vehicle Negligence Complaint {1.945} Page 2 of 2 American LegalNet, Inc. www.USCourtForms.com