Personal Injury Complaint - Auto Accident - Hawaii

IN THE CIRCUIT COURT OF THE ☐[CIRCUIT NUMBER] CIRCUIT

STATE OF HAWAIʻI

COMPLAINT; DEMAND FOR JURY TRIAL; VERIFICATION;
SUMMONS TO ISSUE; INITIAL SERVICE CHECKLIST

TABLE OF CONTENTS

1. Document Header
2. Definitions
3. Jurisdiction & Venue
4. Compliance With Hawai‘i No-Fault Statute
5. Factual Allegations

6. Causes of Action
   6.1 Count I – Negligence
   6.2 Count II – Negligence Per Se (optional)
   6.3 Count III – Loss of Consortium (optional)

7. Comparative Negligence Allegations

8. Damages
9. Prayer for Relief
10. Jury Demand
11. Optional Arbitration Election Statement
12. Attorneys’ Fees & Costs
13. Verification (Hawai‘i R. Civ. P. 11 & 23(b))
14. Initial Service of Process

1. DOCUMENT HEADER

1.1 Plaintiff ☐[PLAINTIFF FULL NAME] (“Plaintiff”) brings this Complaint against Defendant ☐[DEFENDANT FULL NAME] (“Defendant”) arising out of a motor-vehicle collision that occurred on ☐[DATE] at or near ☐[LOCATION] (the “Subject Accident”).
1.2 This action seeks recovery of special, general, and, where authorized, punitive damages, together with costs and such other relief as the Court deems just and equitable.

2. DEFINITIONS

For purposes of this Complaint:
(a) “Subject Vehicle” means the ☐[year/make/model] operated by Defendant at the time of the Subject Accident.
(b) “Plaintiff Vehicle” means the ☐[year/make/model] owned/operated by Plaintiff.
(c) “Serious Injury Threshold” refers to the statutory prerequisites to maintain a tort action under Hawai‘i’s Motor Vehicle Insurance Law, Haw. Rev. Stat. ch. 431:10C.

3. JURISDICTION & VENUE

3.1 This Court has subject-matter jurisdiction pursuant to Haw. Rev. Stat. § 603-21.5.
3.2 Venue is proper in this Circuit under Haw. Rev. Stat. § 603-36 because (a) the Subject Accident occurred within this Circuit and/or (b) Defendant resides or can be served here.
3.3 The amount in controversy exceeds the jurisdictional minimum of the District Court of the State of Hawai‘i.

4. COMPLIANCE WITH HAWAI‘I NO-FAULT STATUTE

4.1 Under Hawai‘i’s no-fault Motor Vehicle Insurance Law, Haw. Rev. Stat. § 431:10C-306(a), tort liability for accidental harm arising from a motor vehicle accident is abolished unless one of the exceptions in § 431:10C-306(b) applies.
4.2 Plaintiff satisfies at least one statutory exception to the abolition of tort liability in that (select all that apply):
(a) ☐ Plaintiff’s accident-related personal injury protection benefits incurred, paid, or payable equal or exceed $5,000, as calculated under Haw. Rev. Stat. § 431:10C-306(b)(4); and/or
(b) ☐ Plaintiff suffered a significant permanent loss of use of a part or function of the body, Haw. Rev. Stat. § 431:10C-306(b)(2); and/or
(c) ☐ Plaintiff suffered a permanent and serious disfigurement resulting in mental or emotional suffering, Haw. Rev. Stat. § 431:10C-306(b)(3); and/or
(d) ☐ Death occurred as a result of the Subject Accident, Haw. Rev. Stat. § 431:10C-306(b)(1).
4.3 Plaintiff has complied with all applicable notice and claim requirements under Haw. Rev. Stat. ch. 431, art. 10C.
4.4 Accordingly, Plaintiff is legally entitled to pursue tort remedies against Defendant.

5. FACTUAL ALLEGATIONS

5.1 On ☐[DATE] at approximately ☐[TIME], Defendant operated the Subject Vehicle on ☐[STREET/ROUTE].
5.2 Defendant negligently ☐[describe specific act—e.g., failed to yield, exceeded the speed limit, drove while distracted], causing the Subject Vehicle to collide with the Plaintiff Vehicle.
5.3 As a direct and proximate result, Plaintiff sustained severe bodily injuries including, without limitation, ☐[list injuries], incurred medical expenses in excess of ☐[$____], and suffered pain, mental anguish, loss of enjoyment of life, and other damages.
5.4 At all relevant times, Plaintiff exercised reasonable care and was lawfully operating the Plaintiff Vehicle.

6. CAUSES OF ACTION

6.1 COUNT I – NEGLIGENCE

6.1.1 Plaintiff re-alleges and incorporates Paragraphs 1 through 5 as though fully set forth herein.
6.1.2 Defendant owed Plaintiff a duty to operate the Subject Vehicle with reasonable care, obey traffic laws, and avoid foreseeable risk of harm.
6.1.3 Defendant breached that duty by ☐[insert specific breaches].
6.1.4 Defendant’s breach was the actual and proximate cause of Plaintiff’s injuries and damages.
6.1.5 WHEREFORE, Plaintiff prays for judgment as set forth in Section 9 below.

6.2 COUNT II – NEGLIGENCE PER SE (optional)

6.2.1 Defendant violated ☐[identify traffic statute/regulation] intended to protect persons such as Plaintiff.
6.2.2 Such violation constitutes negligence per se, entitling Plaintiff to damages as alleged.

6.3 COUNT III – LOSS OF CONSORTIUM (optional)

6.3.1 ☐[SPOUSE/PARTNER NAME] (“Consortium Plaintiff”) is the lawful spouse/domestic partner of Plaintiff.
6.3.2 As a direct result of Defendant’s negligence, Consortium Plaintiff has been deprived of Plaintiff’s companionship, services, society, and consortium.

7. COMPARATIVE NEGLIGENCE ALLEGATIONS

7.1 Should Defendant assert comparative negligence, Plaintiff affirmatively alleges that Plaintiff’s negligence, if any, is not greater than the negligence of Defendant (or, if more than one defendant, the aggregate negligence of the defendants against whom recovery is sought), such that recovery is not barred under Hawai‘i’s modified comparative negligence rule, Haw. Rev. Stat. § 663-31.
7.2 Plaintiff further alleges that any comparative negligence attributable to Plaintiff is minimal relative to Defendant’s misconduct, and that any damages awarded should be diminished only in proportion to the percentage of negligence, if any, so attributed to Plaintiff.
7.3 If more than one Defendant is found liable, Plaintiff alleges that joint and several liability applies to this motor-vehicle-accident tort action for both economic and noneconomic damages pursuant to Haw. Rev. Stat. § 663-10.9(2)(F), except as otherwise limited by § 663-10.9(4) (highway maintenance/design claims) or § 663-10.5 (government-entity tortfeasors), which impose a proportional-share (several) liability standard in those specific circumstances.

8. DAMAGES

8.1 Special Damages (economic):
(a) Past medical expenses: ☐[$____]
(b) Future medical care: ☐[$____]
(c) Past wage loss: ☐[$____]
(d) Future loss of earning capacity: ☐[$____]
8.2 General Damages (non-economic): Pain and suffering, mental anguish, loss of enjoyment of life, and other intangible harms in an amount to be proven at trial.
8.3 Property Damage: ☐[$____] (repair/replacement of Plaintiff Vehicle and personal property).
8.4 Punitive Damages: Plaintiff reserves the right to seek punitive damages upon a showing, by clear and convincing evidence, that Defendant intended to harm Plaintiff, recklessly disregarded a substantial risk of harm to Plaintiff, or otherwise acted in an outrageous or malicious manner, consistent with Hawai‘i law. Guieb v. Guieb, 571 P.3d 382 (Haw. 2025) (adopting Restatement (Third) of Torts: Remedies § 39). There is no general statutory cap on punitive damages in Hawai‘i.

9. PRAYER FOR RELIEF

WHEREFORE, Plaintiff respectfully prays for:
(a) Judgment against Defendant for all special and general damages in amounts to be proven at trial;
(b) Punitive damages where authorized;
(c) Pre- and post-judgment interest as permitted by law;
(d) Reasonable attorneys’ fees and costs pursuant to any applicable statute or rule;
(e) Such other and further relief as the Court deems just and proper.

10. JURY DEMAND

Pursuant to Article I, Section 13 of the Hawai‘i Constitution and Hawai‘i Rules of Civil Procedure Rule 38, Plaintiff hereby demands a trial by jury on all issues so triable.

11. OPTIONAL ARBITRATION ELECTION STATEMENT

12. ATTORNEYS’ FEES & COSTS

Plaintiff seeks recovery of attorneys’ fees and costs to the fullest extent allowed by Haw. Rev. Stat. §§ 607-14, 431:10C-211, and any other applicable authority.

13. VERIFICATION

I, ☐[PLAINTIFF NAME], declare under penalty of perjury that I am the Plaintiff in the above-entitled action; I have read the foregoing Complaint and know its contents; and the same is true of my own knowledge except as to those matters stated on information and belief, and as to those matters I believe them to be true.

DATED: ☐[City], Hawai‘i, ☐[DATE].

________________________________________
☐[PLAINTIFF NAME]

14. INITIAL SERVICE OF PROCESS

Do not use a Rule 5 or JEFS certificate as a substitute for initial service on an unserved defendant. After filing, obtain the clerk-issued summons under HRCP Rule 4(a), serve the summons and Complaint together by the Rule 4(d) method applicable to each defendant, and have the process server make proof of service under Rule 4(g).

SIGNATURE BLOCK

Respectfully submitted,

☐[LAW FIRM NAME]
By: ___________________________________
☐[ATTORNEY NAME]
Hawai‘i Bar No. ☐☐
☐[Firm Address]
Tel: ☐[___-___-____] | Fax: ☐[___-___-____]
Email: ☐[[email protected]]
Attorneys for Plaintiff