Dram Shop Liability Complaint - Iowa

Iowa Personal Injury Updated October 22, 2026 Free Word and PDF

TABLE OF CONTENTS

  1. Caption
  2. Parties
  3. Jurisdiction and Venue
  4. Factual Allegations
  5. Count I - Dramshop Liability: Sale to Visibly Intoxicated Person (Iowa Code § 123.92)
  6. Optional Count II - Non-Licensee Liability: Furnishing to Underage Person (Iowa Code § 123.92(3))
  7. Damages
  8. Jury Demand
  9. Prayer for Relief
  10. Signature
  11. State-Specific Notes
  12. Sources and References

CAPTION

IN THE IOWA DISTRICT COURT FOR [________________________________] COUNTY

Party Role
[PLAINTIFF], Plaintiff
v.
[LICENSEE DEFENDANT], and, if Count II is selected, [NON-LICENSEE DEFENDANT], Defendants

Case No.: [________________________________]

JURY DEMAND


PARTIES

  1. Plaintiff [________________________________] is a resident of [________________________________] County, Iowa, and is the person injured as a result of the acts described herein.

  2. Licensee Defendant [________________________________] is a licensee or permittee that sold and served alcoholic beverages directly to the Intoxicated Person at [PREMISES/LOCATION], Iowa.

  3. [________________________________] (hereinafter "Intoxicated Person") was a patron to whom the Licensee Defendant directly sold and served an alcoholic beverage.

3A. If Count II is selected: Non-Licensee Defendant [________________________________] is a person who was not required to hold an alcohol license or permit and physically presented an alcoholic-beverage receptacle to the underage Intoxicated Person.


JURISDICTION AND VENUE

  1. This is an action at law. This Court has jurisdiction under Iowa Code § 602.6101. Plaintiff certifies that the action meets applicable jurisdictional requirements for amount in controversy, without stating a dollar amount of damages, under Iowa Rule of Civil Procedure 1.403 and Iowa Code § 619.18.

  2. Venue is proper in this County pursuant to Iowa Code § 616.18 because ☐ a Defendant resides here ☐ the injury or damage was sustained here. Facts: [________________________________].


FACTUAL ALLEGATIONS

  1. On or about [__/__/____], the Intoxicated Person was present at the Licensee Defendant's premises at [________________________________].

  2. The Licensee Defendant, through its agents or employees, sold and served alcoholic beverages directly to the Intoxicated Person.

  3. At the time of sale or service, the Intoxicated Person was visibly intoxicated, as evidenced by:

☐ Slurred speech
☐ Unsteady gait or impaired balance
☐ Glassy, bloodshot, or unfocused eyes
☐ Aggressive, belligerent, or erratic behavior
☐ Impaired motor coordination
☐ Strong odor of alcohol
☐ Other: [________________________________]

  1. While the Intoxicated Person was visibly intoxicated, the Licensee Defendant sold and served an alcoholic beverage directly to that person at [TIME/LOCATION]: [________________________________].

  2. Following service, the Intoxicated Person [________________________________] [describe injurious conduct].

  3. The intoxication of the Intoxicated Person contributed to the injurious act described above.

  4. As a direct and proximate result, Plaintiff suffered injuries including but not limited to [________________________________].


COUNT I - DRAMSHOP LIABILITY: SALE TO VISIBLY INTOXICATED PERSON (Iowa Code § 123.92)

  1. Plaintiff re-alleges and incorporates paragraphs 1 through 12.

  2. Plaintiff is a third party, not the Intoxicated Person who caused the injury, and seeks damages actually sustained under Iowa Code § 123.92(1)(a). The Licensee Defendant sold and served an alcoholic beverage directly to the Intoxicated Person when that person was visibly intoxicated.

  3. Plaintiff gave written notice of intent to bring this action, stating the time, place, and circumstances of injury, to ☐ the Licensee Defendant ☐ its insurer on [__/__/____], within six months after injury on [__/__/____], under Iowa Code § 123.93. If the notice came later, the statutory extension applies because ☐ Plaintiff was incapacitated at the six-month mark ☐ Plaintiff could not identify the licensee, permittee, or person causing injury despite reasonable diligence; supporting dates and facts: [________________________________].

  4. The intoxication of the Intoxicated Person contributed to the injurious act that caused Plaintiff's damages.

16A. The service did not fall within Iowa Code § 123.95(2)(c)'s exclusion for a qualifying private-host gathering away from the licensed premises. Facts: [________________________________].

  1. As a result, the Licensee Defendant is liable to Plaintiff for damages.

OPTIONAL COUNT II - NON-LICENSEE LIABILITY: FURNISHING TO UNDERAGE PERSON (Iowa Code § 123.92(3))

  1. Plaintiff re-alleges and incorporates paragraphs 1 through 12.

  2. The Non-Licensee Defendant identified in paragraph 3A is not a licensee or permittee required to hold a license or permit.

  3. The Non-Licensee Defendant physically presented a receptacle containing an alcoholic beverage to [________________________________], who was under the legal drinking age, on [__/__/____] at [LOCATION].

  4. The Non-Licensee Defendant knew or should have known both that the recipient was under legal age and either ☐ the recipient was already intoxicated when given the beverage ☐ giving the beverage would cause the recipient to become intoxicated. Supporting facts: [________________________________].

  5. Under Iowa Code § 123.92(3), Plaintiff seeks damages actually sustained from the Non-Licensee Defendant for the injury caused by the underage person's intoxication under the facts pleaded above.

  6. The underage person's intoxication contributed to the injurious act that caused Plaintiff's damages.


DAMAGES

  1. As a direct and proximate result of the Defendant's conduct, Plaintiff has suffered:

Economic Damages:
☐ Past and future medical expenses
☐ Past and future lost wages and earning capacity
☐ Property damage
☐ Other economic losses

Noneconomic Damages:
☐ Pain and suffering
☐ Mental anguish and emotional distress
☐ Loss of enjoyment of life
☐ Other noneconomic losses


JURY DEMAND

  1. Plaintiff hereby demands a trial by jury on all issues so triable.

PRAYER FOR RELIEF

WHEREFORE, Plaintiff respectfully requests that this Court:

a. Enter judgment against Defendant(s) and in favor of Plaintiff;
b. Award economic damages in an amount to be determined at trial;
c. Award noneconomic damages against the Licensee Defendant subject to Iowa Code § 123.92(1)(c), including a jury determination on a supported statutory exception if claimed, and, if Count II is selected, against the Non-Licensee Defendant under Iowa Code § 123.92(3);
d. Award pre-judgment and post-judgment interest;
e. Award costs of this action;
f. Grant such other and further relief as this Court deems just and proper.


SIGNATURE

Respectfully submitted,

_____________________________________________
[________________________________]
Attorney for Plaintiff
[________________________________]
[________________________________]
Iowa Attorney No.: [________________________________]
Telephone: [________________________________]
Email: [________________________________]


STATE-SPECIFIC NOTES

  • Statute: Iowa Code § 123.92 (Iowa Dramshop Act).
  • Standard: Direct sale and service to a visibly intoxicated person by a licensee or permittee; the plaintiff in subsection (1)(a) must be a third party other than the intoxicated person who caused the injury.
  • Advance notice: Iowa Code § 123.93 requires written notice to the licensee, permittee, or carrier within six months of injury, stating time, place, and circumstances, with the statute's incapacity and reasonable-diligence extensions.
  • Catering exclusion: Section 123.95(2)(c) excludes a qualifying licensed caterer acting as a private social host's agent at an off-premises private gathering from § 123.92.
  • Affirmative Defense: Licensee may assert that the intoxication did not contribute to the injurious act.
  • Noneconomic Damages Cap: $250,000 per injury or death, with exceptions for substantial/permanent loss, disfigurement, or death where the cap would deprive plaintiff of just compensation.
  • Non-Licensee Immunity: Iowa Code § 123.49(1)(a) generally immunizes non-licensees from civil liability for dispensing/giving alcohol.
  • Non-Licensee Exception: Iowa Code § 123.92(3) requires a physical handoff of the beverage receptacle, actual or constructive knowledge of underage status, and actual or constructive knowledge of existing intoxication or that intoxication would result. Section 123.49(1)(a)'s general non-licensee rule remains subject to this statutory exception.
  • Dramshop Insurance: Section 123.92(2) requires proof of financial responsibility from covered retail licensees, subject to listed license-class exclusions.
  • Comparative Fault: Iowa Code § 668.3 applies; a claimant's recovery is diminished proportionally and is barred only if claimant fault is greater than the combined fault attributed to defendants, third-party defendants, and persons released under § 668.7.
  • Limitations: Iowa Code § 614.1(2) generally supplies two years after accrual for personal-injury claims unless otherwise specially declared; § 123.93 adds the separate licensee notice requirement.

SOURCES AND REFERENCES

  • Iowa Code §§ 123.49, 123.92–123.93 and 123.95: https://www.legis.iowa.gov/docs/ico/chapter/123.pdf
  • Iowa Code § 668.3: https://www.legis.iowa.gov/docs/code/2026/668.3.pdf
  • Iowa Code § 614.1: https://www.legis.iowa.gov/docs/ico/chapter/614.pdf
  • Iowa Code § 616.18: https://www.legis.iowa.gov/docs/ico/chapter/616.pdf
  • Iowa Code § 602.6101: https://www.legis.iowa.gov/docs/ico/chapter/602.pdf
  • Iowa Code § 619.18: https://www.legis.iowa.gov/docs/code/2026/619.18.pdf
  • Iowa Rules of Civil Procedure 1.403, 1.902, and 1.413: https://www.legis.iowa.gov/docs/ACO/CR/LINC/09-30-2026.chapter.1.pdf

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About this template

Last updated
October 22, 2026
Citations checked
October 22, 2026
Jurisdiction
Iowa
Category
Personal Injury

Legal authority

  • Iowa Code § 123.92 (Dramshop Act)
  • Iowa Code § 123.93 (Advance notice for licensee or permittee claim)
  • Iowa Code § 123.95(2)(c) (Off-premises private-host catering exclusion)
  • Iowa Code § 123.49(1)(a) (Non-Licensee Immunity)
  • Iowa Code § 668.3 (Comparative Fault)
  • Iowa Code § 614.1 (Statute of Limitations)
  • Iowa Code § 616.18 (Venue for personal-injury actions)
  • Iowa Code § 602.6101 (District court jurisdiction)
  • Iowa Code § 619.18 (Personal-injury damages pleading and amount-in-controversy certification)
  • Iowa Rule of Civil Procedure 1.403 (Claims for relief and at-law designation)
  • Iowa Rule of Civil Procedure 1.902 (Jury demand)
  • Iowa Rule of Civil Procedure 1.413 (Verification of pleadings)

Personal injury cases are brought by people who were hurt because of someone else's carelessness: car crashes, slip and falls, defective products, and more. Demand letters, settlement agreements, and court filings in these cases have to document the injuries, the medical treatment, the lost income, and the exact legal basis for holding the other side responsible. Well-prepared paperwork is what drives higher settlements and forces insurers to take the claim seriously.

Not legal advice

This template is provided for informational purposes. We recommend having an attorney review any legal document before signing, especially for high-value or complex matters.

Checked against the law it cites

A reviewer verified this template's legal citations against the official source on October 22, 2026.

Iowa Rule of Civil Procedure 1.403(1) (checked October 22, 2026): "Except in small claims and cases involving only liquidated damages, a pleading shall not state the specific amount of money damages sought but shall state whether the amount of damages meets applicable jurisdictional requirements for the amount in controversy."

Iowa Rule of Civil Procedure 1.403(2) (checked October 22, 2026): "The petition shall state whether it is at law or in equity."

Iowa Code § 619.18 (checked October 22, 2026): "In an action for personal injury or wrongful death, the amount of money damages demanded shall not be stated in the petition, original notice, or any counterclaim or cross-petition."

Iowa Code § 619.18, certification (checked October 22, 2026): "However, a party filing the petition, original notice, counterclaim, or cross-petition shall certify to the court that the action meets applicable jurisdictional requirements for amount in controversy."

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