MIED ProSe 1 (Rev 5/16) Complaint for a Civil Case IN THE UNITED STATES DISTRICT COURT FOR THE EASTERN DISTRICT OF MICHIGAN Case No. ________________________________ (to be filled in by the Clerk's Office) (Write the full name of each plaintiff who is filing this complaint. If the names of all the plaintiffs cannot fit in the space above, please write "see attached" in the space and attach an additional page with the full list of names.) Jury Trial: Yes No (check one) v. (Write the full name of each defendant who is being sued. If the names of all the defendants cannot fit in the space above, please write "see attached" in the space and attach an additional page with the full list of names.) Complaint for a Civil Case American LegalNet, Inc. www.FormsWorkFlow.com MIED ProSe 1 (Rev 5/16) Complaint for a Civil Case I. The Parties to This Complaint A. The Plaintiff(s) Provide the information below for each plaintiff named in the complaint. Attach additional pages if needed. Name Street Address City and County State and Zip Code Telephone Number E-mail Address B. The Defendant(s) Provide the information below for each defendant named in the complaint, whether the defendant is an individual, a government agency, an organization, or a corporation. For an individual defendant, include the person's job or title (if known). Attach additional pages if needed. Defendant No. 1 Name Job or Title (if known) Street Address City and County State and Zip Code Telephone Number E-mail Address (if known) Defendant No. 2 Name Job or Title (if known) Street Address City and County State and Zip Code Telephone Number E-mail Address (if known) __________________________________________ __________________________________________ __________________________________________ __________________________________________ __________________________________________ __________________________________________ __________________________________________ 2 American LegalNet, Inc. www.FormsWorkFlow.com __________________________________________ __________________________________________ __________________________________________ __________________________________________ __________________________________________ __________________________________________ __________________________________________ __________________________________________ __________________________________________ __________________________________________ __________________________________________ __________________________________________ __________________________________________ MIED ProSe 1 (Rev 5/16) Complaint for a Civil Case Defendant No. 3 Name Job or Title (if known) Street Address City and County State and Zip Code Telephone Number E-mail Address (if known) Defendant No. 4 Name Job or Title (if known) Street Address City and County State and Zip Code Telephone Number E-mail Address (if known) __________________________________________ __________________________________________ __________________________________________ __________________________________________ __________________________________________ __________________________________________ __________________________________________ __________________________________________ __________________________________________ __________________________________________ __________________________________________ __________________________________________ __________________________________________ __________________________________________ II. Basis for Jurisdiction Federal courts are courts of limited jurisdiction (limited power). Generally, only two types of cases can be heard in federal court: cases involving a federal question and cases involving diversity of citizenship of the parties. Under 28 U.S.C. § 1331, a case arising under the United States Constitution or federal laws or treaties is a federal question case. Under 28 U.S.C. § 1332, a case in which a citizen of one State sues a citizen of another State or nation and the amount at stake is more than $75,000 is a diversity of citizenship case. In a diversity of citizenship case, no defendant may be a citizen of the same State as any plaintiff. What is the basis for federal court jurisdiction? (check all that apply) Federal question Diversity of citizenship Fill out the paragraphs in this section that apply to this case. 3 American LegalNet, Inc. www.FormsWorkFlow.com MIED ProSe 1 (Rev 5/16) Complaint for a Civil Case A. If the Basis for Jurisdiction Is a Federal Question List the specific federal statutes, federal treaties, and/or provisions of the United States Constitution that are at issue in this case. B. If the Basis for Jurisdiction Is Diversity of Citizenship 1. The Plaintiff(s) a. If the plaintiff is an individual The plaintiff, (name) _________________________________________, is a citizen of the State of (name) _______________________. If the plaintiff is a corporation The plaintiff, (name) ________________________________________, is incorporated under the laws of the State of (name) ______________________, and has its principal place of business in the State of (name) _______________________. b. (If more than one plaintiff is named in the complaint, attach an additional page providing the same information for each additional plaintiff.) 2. The Defendant(s) a. If the defendant is an individual The defendant, (name) ______________________, is a citizen of the State of (name) _______________________. Or is a citizen of (foreign nation) _______________________. If the defendant is a corporation The defendant, (name) _______________________, is incorporated under the laws of the State of (name) _______________________, and has its principal place of business in the State of (name) _______________________. Or is incorporated under the laws of (foreign nation) _______________________, and has its principal place of business in (name) _______________________. b. (If more than one defendant is named in the complaint, attach an additional page providing the same information for each additional defendant.) 4 American LegalNet, Inc. www.FormsWorkFlow.com MIED ProSe 1 (Rev 5/16) Complaint for a Civil Case 3. The Amount in Controversy The amount in controversy--the amount the plaintiff claims the defendant owes or the amount at stake--is more than $75,000, not counting interest and costs of court, because (explain): III. Statement of Claim Write a short and plain statement of the claim. Do not make legal arguments. State as briefly as