§ 9-11-109 - Form of complaint for negligence - Georgia Statutes

O.C.G.A. 9-11-109 (2010)
9-11-109. Form of complaint for negligence

IN THE COURT OF COUNTY

STATE OF GEORGIA

A.B., )
Plaintiff )

)
v. ) Civil action

) File no.

C.D., ) (Clerk will insert
Defendant ) number.)

COMPLAINT

The defendant C.D., herein named, is a resident of (street),
(city), County, Georgia, and is subject to the jurisdiction of this
court.

1.

On June 1, 1966, on a public highway called Broad Street in Athens,
Georgia, defendant negligently drove a motor vehicle against plaintiff who was
then crossing said highway.

2.

As a result plaintiff was thrown down and had his leg broken and was
otherwise injured, was prevented from transacting his business, suffered great
pain of body and mind, and incurred expenses for medical attention and
hospitalization in the sum of $1,000.00.

Wherefore, plaintiff demands judgment against defendant in the sum of
$10,000.00 and costs.

Attorney for plaintiff

Address