Pedestrian Accident Complaint - Nebraska

Nebraska Personal Injury Updated October 6, 2026 Free Word and PDF

IN THE DISTRICT COURT OF [COUNTY] COUNTY, NEBRASKA

Party Role
[PLAINTIFF'S FULL NAME] Plaintiff
v.
[DEFENDANT DRIVER'S FULL NAME] Defendant

Case No. [________________]

PEDESTRIAN ACCIDENT COMPLAINT AND JURY DEMAND

Plaintiff alleges against Defendant as follows:

Parties, jurisdiction, and venue

  1. Plaintiff is [name and residence]. Defendant is [name and residence]. Defendant may be served at [address].
  2. This Court has subject matter jurisdiction under Neb. Rev. Stat. § 24-302, except as otherwise provided by law. Plaintiff seeks damages for injuries arising from the collision described below.
  3. This action is not one mentioned in Neb. Rev. Stat. §§ 25-401 to 25-403. Venue is proper in this county under § 25-403.01 because [state facts supporting one applicable basis: a defendant resides here; the cause arose here; part of the transaction giving rise to the cause occurred here; or all defendants are nonresidents of Nebraska].

Collision and injury

  1. On [date] at [time], Plaintiff was a pedestrian at [specific road and location]. Plaintiff was [in a marked crosswalk / in an unmarked crosswalk at an intersection / crossing elsewhere / walking along a roadway or shoulder]; the traffic signals, sidewalk, shoulder, and available route were [facts].
  2. Defendant operated a [vehicle description] at that location. Defendant's lane, direction, speed, visibility, and observed conduct were [facts]. Plaintiff's location and conduct immediately before the collision were [facts].
  3. Defendant struck Plaintiff when [describe collision mechanics and supported acts or omissions]. Plaintiff alleges that Defendant failed to exercise due care to avoid colliding with Plaintiff under Neb. Rev. Stat. § 60-6,109 because [specific supporting facts].
  4. Crosswalk allegation, if applicable: Traffic signals were not in place or operating, no pedestrian tunnel or overhead crossing was provided, and Plaintiff was within a crosswalk in Defendant's lane or the immediately adjacent lane. Defendant failed to yield by bringing the vehicle to a complete stop, as required by § 60-6,153(1), because [facts]. [If these conditions do not apply, omit this paragraph and renumber.]
  5. Plaintiff's conduct is described in paragraph 5. [If relevant, state facts concerning the curb or place of safety under § 60-6,153(2), yielding outside a crosswalk under § 60-6,154(1), or sidewalk use under § 60-6,156(1). Otherwise omit this sentence.]
  6. The collision caused Plaintiff [identify injuries, treatment, expenses, lost earnings, and other supported losses]. Future effects and costs, if claimed, are [identify supporting facts].

Claim for negligence

  1. Plaintiff alleges that Defendant negligently operated the vehicle through the acts and omissions stated above and that those acts and omissions caused Plaintiff's injuries and resulting damages. Plaintiff seeks compensation for [specify supported categories].
  2. Plaintiff [denies contributory negligence / alleges the following relevant facts concerning Plaintiff's conduct]. If contributory negligence is established and is a defense to this claim, Neb. Rev. Stat. § 25-21,185.09 governs the effect on recovery: damages attributable to it are diminished proportionately, and recovery is barred if Plaintiff's contributory negligence equals or exceeds the total negligence of all persons against whom recovery is sought.

Request for relief

Plaintiff requests judgment against Defendant for compensatory damages in an amount proved at trial, interest and taxable costs as allowed by law, and further relief the Court finds appropriate.

Plaintiff demands trial by jury on issues triable by jury.

Dated: [__/__/____]

[ATTORNEY NAME], Nebraska Bar No. [NUMBER]
[Law firm, address, telephone, and email]
Attorney for Plaintiff

Signature: ______________________________

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About this template

Last updated
October 6, 2026
Citations checked
October 6, 2026
Jurisdiction
Nebraska
Category
Personal Injury

Legal authority

  • Neb. Rev. Stat. § 24-302
  • Neb. Rev. Stat. § 25-403.01
  • Neb. Rev. Stat. § 25-21,185.09
  • Neb. Rev. Stat. § 60-6,109
  • Neb. Rev. Stat. § 60-6,153
  • Neb. Rev. Stat. § 60-6,154
  • Neb. Rev. Stat. § 60-6,156

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 6, 2026.

Neb. Rev. Stat. § 24-302 (checked October 6, 2026): "The district courts shall have and exercise general, original and appellate jurisdiction in all matters, both civil and criminal, except where otherwise provided."

Neb. Rev. Stat. § 25-403.01 (checked October 6, 2026): "Any action, other than the actions mentioned in sections 25-401 to 25-403, may be brought (1) in the county where any defendant resides, (2) in the county where the cause of action arose, (3) in the county where the transaction or some part of the transaction occurred out of which the cause of action arose, or (4) if all defendants are nonresidents of this state, in any county."

Neb. Rev. Stat. § 25-21,185.09 (checked October 6, 2026): "Any contributory negligence chargeable to the claimant shall diminish proportionately the amount awarded as damages for an injury attributable to the claimant's contributory negligence but shall not bar recovery, except that if the contributory negligence of the claimant is equal to or greater than the total negligence of all persons against whom recovery is sought, the claimant shall be totally barred from recovery."

Neb. Rev. Stat. § 60-6,109 (checked October 6, 2026): "Notwithstanding the other provisions of the Nebraska Rules of the Road, every driver of a vehicle shall exercise due care, which shall include, but not be limited to, leaving a safe distance of no less than three feet clearance, when applicable, to avoid colliding with any pedestrian upon any roadway and shall give an audible signal when necessary"

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