PLD-PI-001 Complaint - Personal Injury, Property Damage, Wrongful Death
PLD-PI-001
FOR COURT USE ONLYATTORNEY OR PARTY WITHOUT ATTORNEY (Name, State Bar number, and address):
TELEPHONE NO: FAX NO. (Optional):
E-MAIL ADDRESS (Optional):
ATTORNEY FOR (Name):
STREET ADDRESS:
MAILING ADDRESS:
CITY AND ZIP CODE:
BRANCH NAME:
PLAINTIFF:
DEFENDANT:
DOES 1 TO
COMPLAINT—Personal Injury, Property Damage, Wrongful Death
AMENDED (Number):
Type (check all that apply):
OTHER (specify):MOTOR VEHICLE
Wrongful Death
Other Damages (specify):
Jurisdiction (check all that apply):
ACTION IS A LIMITED CIVIL CASE
CASE NUMBER:
Amount demanded
1. Plaintiff (name or names):
alleges causes of action against defendant (name or names):
2. This pleading, including attachments and exhibits, consists of the following number of pages:
3. Each plaintiff named above is a competent adult
a. except plaintiff (name):
(1)
(2)
(3)
(4) an adulta minor
(a)
(b)
(5) other (specify):
b. except plaintiff (name):
(1)
(2)
(3)
(4) an adulta minor
(a)
(b)
(5) other (specify):
Information about additional plaintiffs who are not competent adults is shown in Attachment 3.
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COMPLAINT—Personal Injury, Property
Damage, Wrongful Death
Form Approved for Optional Use
Judicial Council of California
PLD-PI-001 [Rev. January 1, 2007]
Code of Civil Procedure, § 425.12
www.courtinfo.ca.gov
Property Damage
Personal Injury
does not exceed $10,000
exceeds $10,000, but does not exceed $25,000
ACTION IS AN UNLIMITED CIVIL CASE (exceeds $25,000)
ACTION IS RECLASSIFIED by this amended complaint
from limited to unlimited
from unlimited to limited
a corporation qualified to do business in California
an unincorporated entity (describe):
a public entity (describe):
for whom a guardian or conservator of the estate or a guardian ad litem has been appointed
other (specify):
a corporation qualified to do business in California
an unincorporated entity (describe):
a public entity (describe):
for whom a guardian or conservator of the estate or a guardian ad litem has been appointed
other (specify):
SUPERIOR COURT OF CALIFORNIA, COUNTY OF
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