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Complaint (Civil) Form. This is a Missouri form and can be use in District Court Federal.
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Tags: Complaint (Civil), Missouri Federal, District Court
UNITED STATES DISTRICT COURT
EASTERN DISTRICT OF MISSOURI
DIVISION
(Enter above the full name of the Plaintiff[s]
in this action.)
- vs -
(Enter above the full name of ALL Defendant[s] in this action. Fed. R. Civ. P. 10(a)
requires that the caption of the complaint
include the names of all the parties. Merely
listing one party and "et al." is insufficient.
Please attach additional sheets if necessary.
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Case No.
(To be assigned by Clerk
of District Court)
COMPLAINT
I.
State the grounds for filing this case is Federal Court (include federal statutes and/or U.S.
Constitutional provisions, if you know them):
.
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II.
Plaintiff,
resides at
,
,
street address
city
,
state
,
zip code
,
county
.
telephone number
(if more than one plaintiff, provide the same information for each plaintiff below)
.
III.
Defendant,
lives at, or its business is located at
,
,
street address
city
,
state
,
county
.
zip code
(if more than one defendant, provide the same information for each defendant below)
.
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IV.
Statement of claim (State as briefly as possible the facts of your case. Describe how each
defendant is involved. You must state exactly what each defendant personally did, or
failed to do, which resulted in harm to you. Include also the names of other persons
involved, dates, and places. Be as specific as possible. You may use additional paper
if necessary):
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V.
Relief: State briefly and exactly what you want the Court to do for you.
VI.
MONEY DAMAGES:
A)
Do you claim either actual or punitive monetary damages for the acts alleged in
this complaint?
YES [ ]
B)
VII.
NO [ ]
If your answer to "A" is YES, state below the amount claimed and the reason or
reasons you believe you are entitled to recover such money damages:
Do you maintain that the wrongs alleged in the complaint are continuing to occur at the
present time?
YES [ ]
NO [ ]
I declare under penalty of perjury that the foregoing is true and correct.
Signed this
day of
, 20
Signature of Plaintiff(s)
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