Personal Injury Complaint - Auto Accident - Connecticut

Connecticut Personal Injury Updated October 26, 2026 Free Word and PDF

Before filing: Use the official Summons–Civil (JD-CV-1) with this complaint. Select a Tuesday return day within two months after the date of process. Serve the process at least twelve days, inclusive, before that day under § 52-46, and return it to the Superior Court clerk at least six days before that day under § 52-46a. Under § 52-549u, the court may refer an eligible case to arbitration after a jury claim and certificate of closed pleadings; an arbitrator's award is capped at $50,000, exclusive of legal interest and costs.

STATE OF CONNECTICUT

SUPERIOR COURT

JUDICIAL DISTRICT OF [JUDICIAL DISTRICT] AT [COURTHOUSE LOCATION]

Party Role
[PLAINTIFF FULL LEGAL NAME], Plaintiff
v.
[DEFENDANT FULL LEGAL NAME(S)], Defendant(s)

CIVIL ACTION NO.: [DOCKET NO.]
RETURN DATE: [TUESDAY, MONTH DAY, YEAR]

COMPLAINT – MOTOR VEHICLE PERSONAL INJURY ACTION


I. PARTIES

  1. Plaintiff, [PLAINTIFF NAME] (“Plaintiff”), is an individual residing at [PLAINTIFF ADDRESS], Connecticut.

  2. Defendant, [DRIVER DEFENDANT NAME] (“Driver”), is an individual residing at [DRIVER ADDRESS], Connecticut, and at all relevant times was the operator of the motor vehicle described herein.

  3. Defendant, [OWNER DEFENDANT NAME] (“Owner”), is an individual/entity with a principal place of business/residence at [OWNER ADDRESS], and at all relevant times was the owner of said motor vehicle and permitted Driver to operate it.


II. JURISDICTION AND VENUE

  1. This Court has subject-matter jurisdiction under Conn. Gen. Stat. § 51-164s as the Superior Court, the court of original jurisdiction for this personal-injury action.

  2. Venue is proper in this Judicial District under Conn. Gen. Stat. § 51-345(a)(3) because [PLAINTIFF / DEFENDANT] resides in [TOWN], within this district. [If no party resides in Connecticut or another subsection governs, replace this allegation with the applicable § 51-345 provision and supporting facts.]


III. FACTUAL ALLEGATIONS

  1. On or about [DATE], at approximately [TIME], Plaintiff was lawfully operating a [YEAR/MAKE/MODEL] motor vehicle eastbound on [ROADWAY], in [TOWN], Connecticut.

  2. At that same time and place, Driver was operating a [YEAR/MAKE/MODEL] motor vehicle owned by Owner in the same vicinity.

  3. Driver, suddenly and without warning, [STRUCK/REAR-ENDED/FAILED TO YIELD TO] Plaintiff’s vehicle, causing a collision (the “Collision”).

  4. As a direct and proximate result of the Collision, Plaintiff sustained serious and painful personal injuries, incurred medical expenses, experienced lost wages and impairment of earning capacity, and endured significant physical and emotional pain and suffering, all of which are either permanent or likely to continue into the future.

  5. Plaintiff seeks damages from Driver for the injuries and losses caused by the Collision.


IV. COUNT ONE – NEGLIGENCE (Against Driver)

  1. Plaintiff repeats and realleges ¶¶1–10 as if fully set forth herein.

  2. Driver owed Plaintiff a duty to operate the motor vehicle with reasonable care, to obey all applicable traffic laws, and to maintain proper control and lookout.

  3. Driver breached that duty in one or more of the following ways:

a. Operating the vehicle at an unreasonable, improper, and unsafe speed;
b. Failing to keep a proper lookout for other vehicles lawfully upon the roadway;
c. Following Plaintiff’s vehicle more closely than was reasonable and prudent;
d. Failing to apply brakes in time to avoid the Collision;
e. Failing to remain within a single lane;
f. Otherwise operating the vehicle in violation of Connecticut motor-vehicle statutes and the common law duty of reasonable care.

  1. Driver’s negligence was the direct and proximate cause of the injuries and damages described in ¶9.

V. COUNT TWO – NEGLIGENCE PER SE (Statutory Violations Against Driver)

  1. Plaintiff repeats and realleges ¶¶1–14 as if fully set forth herein.

  2. At the time of the Collision, Driver was violating one or more Connecticut motor-vehicle statutes enacted for the safety of persons such as Plaintiff, including but not limited to statutes regulating speed, following distance, lane usage, right-of-way, and operation under the influence.

  3. Such statutory violations constitute negligence per se, directly and proximately causing Plaintiff’s injuries and damages.


VI. COUNT THREE – RECKLESS DISREGARD (Conn. Gen. Stat. § 14-295)

  1. Plaintiff repeats and realleges ¶¶1–17 as if fully set forth herein.

  2. Driver deliberately or with reckless disregard for the rights and safety of others violated [IDENTIFY EACH APPLICABLE STATUTE EXPRESSLY LISTED IN § 14-295, e.g., § 14-218a for unreasonable speed or § 14-222 for reckless driving] by [PLEAD THE SPECIFIC CONDUCT SUPPORTING EACH SELECTED VIOLATION]. Each pleaded violation was a substantial factor in causing Plaintiff's injuries. [Omit this count and the related damages request unless the evidence supports a listed violation and reckless conduct.]

  3. Pursuant to Conn. Gen. Stat. § 14-295, Plaintiff seeks an award of double or treble damages.


VII. COUNT FOUR – VICARIOUS LIABILITY (Against Owner)

  1. Plaintiff repeats and realleges ¶¶1–20 as if fully set forth herein.

  2. At all relevant times, Owner owned the vehicle operated by Driver and expressly or impliedly gave Driver permission to operate it.

  3. Under the doctrine of vicarious liability and Conn. Gen. Stat. § 52-183, Owner is legally responsible for Driver’s negligence and recklessness alleged herein.


VIII. DAMAGES

  1. As a direct and proximate result of Defendants’ acts and omissions, Plaintiff has sustained:

a. Past and future medical expenses;
b. Past and future lost wages and impairment of earning capacity;
c. Permanent and/or temporary disability;
d. Physical pain and suffering;
e. Mental anguish and emotional distress;
f. Loss of enjoyment of life and usual activities;
g. Property damage; and
h. Other economic and non-economic damages to be proven at trial.

  1. The amount in demand is Fifteen Thousand Dollars ($15,000.00) or more, exclusive of interest and costs.

IX. COMPARATIVE NEGLIGENCE NOTICE

  1. Pursuant to Conn. Gen. Stat. § 52-572h(b), Plaintiff’s recovery shall be diminished by the percentage of negligence, if any, attributable to Plaintiff, but recovery shall not be barred unless Plaintiff’s negligence is greater than the combined negligence of the person or persons against whom recovery is sought (i.e., Plaintiff is barred only if Plaintiff's own fault exceeds 50%).

  2. Pursuant to Conn. Gen. Stat. § 52-572h(c)–(d), if more than one Defendant is found negligent, each such Defendant is liable to Plaintiff only for that Defendant's proportionate share of both the recoverable economic damages and the recoverable noneconomic damages (several, not joint-and-several, liability among multiple negligent tortfeasors), except as otherwise provided by subsection (g) of that statute (e.g., certain reallocation among defendants unable to pay their share) or other applicable law.


X. PRAYER FOR RELIEF

WHEREFORE, Plaintiff respectfully requests that the Court enter judgment in favor of Plaintiff and against Defendants — with Owner's vicarious liability for Driver's conduct coextensive with Driver's own liability, and with liability among any additional negligent Defendants apportioned in accordance with Conn. Gen. Stat. § 52-572h (several liability for each Defendant's proportionate share of economic and noneconomic damages, except as otherwise provided by law) — and award:

  1. Compensatory damages in an amount to be determined by the trier of fact;
  2. Double or treble damages under Conn. Gen. Stat. § 14-295 (Count Three);
  3. Pre-judgment and post-judgment interest as allowed by law;
  4. Costs of suit;
  5. Such other and further relief as the Court deems just and proper.

XI. JURY DEMAND

Plaintiff hereby demands a trial by jury on all issues so triable. File the separate jury claim and pay the fee required by Conn. Gen. Stat. § 52-258 when claiming the case for the jury.


XII. NOTICE REGARDING PRE-JUDGMENT REMEDIES

Plaintiff reserves the right to seek a pre-judgment remedy pursuant to Conn. Gen. Stat. § 52-278a et seq.


XIII. SIGNATURE BLOCK

Respectfully submitted,

PLAINTIFF,
[PLAINTIFF FULL LEGAL NAME]

By: ____________________________________
[ATTORNEY NAME] (Juris No. ______)
[LAW FIRM NAME]
[STREET ADDRESS]
[CITY, STATE, ZIP]
Tel: [PHONE] | Fax: [FAX]
Email: [EMAIL]
Its Attorney


XIV. INITIAL PROCESS

Initial process: Complete the Judicial Branch Summons–Civil (JD-CV-1) and attach this Complaint. Select a Tuesday return day no later than two months after the date of process under Conn. Gen. Stat. § 52-48. Direct process to a state marshal, constable, or other officer authorized by statute, and arrange service of the summons and Complaint on each Defendant under §§ 52-45a, 52-50, and 52-57 at least twelve days, inclusive, before the return day under § 52-46. Return the process to the Superior Court clerk at least six days before the return day under § 52-46a. Confirm the officer's return of service. Mailing this Complaint to counsel of record is not initial service.

/s/ [ATTORNEY NAME]
[ATTORNEY NAME]


END OF DOCUMENT

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About this template

Last updated
October 26, 2026
Jurisdiction
Connecticut
Category
Personal Injury

Legal authority

  • Conn. Gen. Stat. § 52-584 (statute of limitations — 2 years from discovery, not more than 3 years from the act)
  • Conn. Gen. Stat. § 52-572h (modified comparative negligence with a 51% bar; several — not joint-and-several — liability of multiple negligent defendants for each defendant's proportionate share of both economic and noneconomic damages, subject to statutory exceptions)
  • Conn. Gen. Stat. § 14-295 (double or treble damages for reckless statutory motor-vehicle violations)
  • Conn. Gen. Stat. § 52-183 (rebuttable presumption that a non-owner operator is the owner's agent)
  • Conn. Gen. Stat. § 51-345 (venue); § 51-346 (return location within judicial district)
  • Conn. Gen. Stat. § 52-91 (contents of complaint; separate demand for relief and amount-in-demand category)
  • Conn. Gen. Stat. § 38a-371 (mandatory automobile liability insurance/financial responsibility)
  • Conn. Gen. Stat. § 52-549u (court-annexed arbitration eligibility and $50,000 award cap)
  • Conn. Gen. Stat. § 52-258 (jury fee due when case is claimed for the jury)
  • Conn. Gen. Stat. § 52-278a et seq. (prejudgment remedies)
  • Connecticut Practice Book § 10-1 (fact pleading standard)
  • Conn. Gen. Stat. §§ 52-45a, 52-50, 52-57 (writ of summons and initial process)
  • Conn. Gen. Stat. §§ 52-46, 52-46a, 52-48 (service, return, and return-day timing)

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

The statutes this template relies on are listed under Legal authority.

Conn. Gen. Stat. § 52-46 (checked October 26, 2026): "Civil process, if returnable to the Supreme Court, shall be served at least thirty days, inclusive, before the day of the sitting of the court, and, if returnable to the Superior Court, at least twelve days, inclusive, before such day."

Conn. Gen. Stat. § 51-164s (checked October 25, 2026): "The Superior Court shall be the sole court of original jurisdiction for all causes of action, except such actions over which the courts of probate have original jurisdiction, as provided by statute."

Conn. Gen. Stat. § 52-91 (current text) (checked October 24, 2026): "that the amount, legal interest or property in demand is fifteen thousand dollars or more, exclusive of interest and costs"

Conn. Practice Book § 10-20 (official 2026 edition) (checked October 24, 2026): "When money damages are sought in the demand for relief, the demand for relief shall include the information required by General Statutes § 52-91."

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