Personal Injury Complaint - Auto Accident - Iowa
IN THE IOWA DISTRICT COURT FOR [COUNTY] COUNTY
| Party | Role |
|---|---|
| [PLAINTIFF NAME], | Plaintiff |
| v. | |
| [DEFENDANT DRIVER NAME], [DEFENDANT OWNER/EMPLOYER NAME], and [OPTIONAL UM/UIM INSURER NAME], | Defendants |
Civil No. ____________
COMPLAINT (PETITION AT LAW) – PERSONAL INJURY (MOTOR-VEHICLE COLLISION) AND JURY DEMAND
TABLE OF CONTENTS
- Document Header
- Definitions
- Jurisdiction & Venue
- Parties
- Operative Allegations (Facts)
-
Causes of Action
6.1 Count I – Negligence
6.2 Count II – Negligence Per Se [optional]
6.3 Count III – Vicarious Liability [optional]
6.4 Count IV – UM/UIM Benefits [optional] -
Comparative Fault & Affirmative Matters
- Damages
- Demand for Jury Trial
- Prayer for Relief
- Preservation & Spoliation Notice
- Verification [optional]
- Signature Block
1. DOCUMENT HEADER
1.1 Effective Date. Filed on ___ [DATE]___.
1.2 Governing Law. All claims are brought pursuant to Iowa substantive tort law, including Iowa Code ch. 668.
1.3 Forum. This action is brought in the Iowa District Court for [COUNTY] County pursuant to Iowa Code § 602.6101.
2. DEFINITIONS
For ease of reference, the following capitalized terms have the meanings set forth below.
“Collision” means the motor-vehicle crash occurring on ___ [DATE]___ at or near ___ [LOCATION]___.
“Plaintiff” means ___ [PLAINTIFF NAME]___, including all legal successors, heirs, and assigns.
“Driver-Defendant” means ___ [DEFENDANT DRIVER NAME]___.
“Owner-Defendant” means ___ [DEFENDANT OWNER/EMPLOYER NAME]___.
“Insurer-Defendant” means ___ [UM/UIM CARRIER NAME], if applicable.
“Vehicle” means the motor vehicle operated by Defendant(s) at the time of the Collision.
3. JURISDICTION & VENUE
3.1 Subject-Matter Jurisdiction. The Iowa District Court has general jurisdiction over this personal-injury action under Iowa Code § 602.6101. The damages sought meet any applicable jurisdictional amount-in-controversy requirement; no general minimum amount applies to this district court claim. Unliquidated damages will be proved at trial without stating a specific figure in this Petition.
3.2 Personal Jurisdiction. Each Defendant is subject to personal jurisdiction because he, she, or it:
(a) is domiciled in Iowa; or
(b) maintains systematic and continuous contacts with Iowa; or
(c) committed tortious acts within Iowa that give rise to this suit.
3.3 Venue. Venue is proper in [COUNTY] County pursuant to Iowa Code § 616.18 because the Collision occurred in this county and/or at least one Defendant resides here.
4. PARTIES
4.1 Plaintiff. [PLAINTIFF] is a resident of [CITY], [COUNTY] County, Iowa, and was lawfully operating his/her motor vehicle at the time of the Collision.
4.2 Driver-Defendant. [DEFENDANT DRIVER] is a resident of [CITY], Iowa. At all relevant times, Driver-Defendant operated the Vehicle negligently, causing Plaintiff’s injuries within the scope of the risks created by that negligence.
4.3 Owner-Defendant / Employer. [DEFENDANT OWNER] owned the Vehicle and, under Iowa’s owner-liability statute, Iowa Code § 321.493, is vicariously liable for Driver-Defendant’s negligence. If Driver-Defendant acted within the course and scope of employment, Owner-Defendant is also liable under the doctrine of respondeat superior.
4.4 Insurer-Defendant (Optional). [UM/UIM CARRIER] issued an auto policy, Policy No. ☐, affording uninsured/underinsured motorist (UM/UIM) coverage to Plaintiff.
5. OPERATIVE ALLEGATIONS (FACTS)
5.1 On ___ [DATE]___ at approximately ___ [TIME]___, Plaintiff was operating a ___ [VEHICLE MAKE/MODEL]___ eastbound on ___ [ROADWAY]___.
5.2 At the same time and place, Driver-Defendant operated a ___ [VEHICLE]___ traveling ___ [COMPASS DIRECTION]___ on ___ [ROADWAY/INTERSECTION]___.
5.3 Driver-Defendant:
(a) failed to keep a proper lookout;
(b) drove at an excessive and unsafe speed;
(c) failed to yield the right-of-way;
(d) violated, if supported by the facts, Iowa Code § 321.285 (speed), § 321.297 (right-hand roadway use), § 321.306(1) (unsafe lane movement on a roadway with three or more clearly marked lanes), § 321.298 (meeting vehicles), and/or other applicable provisions;
(e) was otherwise negligent as discovery may reveal.
5.4 As a result of Driver-Defendant’s conduct, the Collision occurred, causing Plaintiff to sustain severe bodily injuries and other damages described herein.
6. CAUSES OF ACTION
6.1 Count I – Negligence (Against Driver-Defendant)
6.1.1 Duty. Driver-Defendant owed Plaintiff the duty to operate the Vehicle with reasonable care under the circumstances.
6.1.2 Breach. Driver-Defendant breached that duty by the acts and omissions set forth in ¶ 5.3, each constituting negligence under Iowa law.
6.1.3 Causation. Driver-Defendant’s breaches were a factual cause of Plaintiff’s injuries, which fall within the scope of the risks created by those breaches.
6.1.4 Damages. Plaintiff has suffered past and future medical expenses, lost wages, loss of earning capacity, past and future pain and suffering, disfigurement, and other damages in an amount to be proven at trial.
6.2 Count II – Negligence Per Se (Traffic-Code Violations) [optional]
6.2.1 Driver-Defendant violated enumerated provisions of Iowa Code ch. 321; such violations constitute negligence per se.
6.2.2 Plaintiff is within the class of persons the statutes intend to protect, and the Collision is the type of harm the statutes intend to prevent.
6.3 Count III – Vicarious Liability / Owner-Liability (Against Owner-Defendant)
6.3.1 Under Iowa Code § 321.493, Owner-Defendant is liable for damages caused by the negligence of any person operating the Vehicle with the owner’s consent.
6.4 Count IV – Uninsured / Underinsured Motorist Benefits (Against Insurer-Defendant) [optional]
6.4.1 Plaintiff was an insured under Policy No. ☐.
6.4.2 Plaintiff has satisfied all conditions precedent, yet Insurer-Defendant has failed to pay UM/UIM benefits due and owing.
7. COMPARATIVE FAULT & AFFIRMATIVE MATTERS
7.1 Iowa is a modified comparative-fault jurisdiction. Under Iowa Code § 668.3, Plaintiff’s recovery shall be diminished by any percentage of fault attributed to Plaintiff, and barred only if Plaintiff’s fault exceeds fifty percent (50%).
7.2 Plaintiff affirmatively pleads that his/her fault, if any, does not exceed fifty percent (50%) of the total fault and therefore does not bar recovery.
7.3 Plaintiff denies all affirmative defenses not expressly admitted and demands strict proof thereof.
8. DAMAGES
8.1 Special Damages (Economic)
(a) Past medical expenses, subject to proof.
(b) Future medical expenses.
(c) Past lost wages.
(d) Future loss of earning capacity.
8.2 General Damages (Non-Economic)
(a) Past and future pain and suffering.
(b) Emotional distress and mental anguish.
(c) Loss of function of mind and body.
(d) Loss of consortium (if applicable).
8.3 Punitive Damages [optional]
Plaintiff requests punitive damages under Iowa Code § 668A.1 only if the evidence establishes, by a preponderance of clear, convincing, and satisfactory evidence, that Defendant acted with willful and wanton disregard for another's rights or safety. Plaintiff requests the special jury findings required by § 668A.1(1).
8.4 Pre- and Post-Judgment Interest. Plaintiff seeks interest as allowed by Iowa Code § 535.3 and Iowa Code § 668.13.
9. DEMAND FOR JURY TRIAL
Plaintiff requests a trial by jury on all issues so triable as a matter of right under Article I, § 9 of the Iowa Constitution and Iowa R. Civ. P. 1.902.
10. PRAYER FOR RELIEF
WHEREFORE, Plaintiff respectfully requests that the Court enter judgment:
- Awarding Plaintiff compensatory damages in amounts proven at trial;
- Awarding punitive damages as may be warranted;
- Awarding pre- and post-judgment interest as allowed by law;
- Taxing costs against Defendants; and
- Granting such other and further relief as the Court deems just and equitable.
11. PRESERVATION & SPOLIATION NOTICE
Plaintiff hereby demands that each Defendant preserve all evidence, including electronically stored information (ESI), pertaining to the Collision, vehicle maintenance, communications, and insurance claims. The intentional destruction or alteration of relevant evidence may give rise to sanctions, adverse-inference instructions, or other remedies.
12. VERIFICATION [OPTIONAL]
I, ___ [PLAINTIFF NAME]___, certify under penalty of perjury pursuant to the laws of the State of Iowa and Iowa Code § 622.1 that the preceding factual statements are true and correct.
Date: ___ [DATE]___
___________________________
[PLAINTIFF NAME]
13. SIGNATURE BLOCK
Respectfully submitted,
___ [LAW FIRM NAME]___
By: _____________________________
[ATTORNEY NAME], AT000____
[ADDRESS]
[PHONE]
[EMAIL]
ATTORNEY FOR PLAINTIFF
About this template
- Last updated
- October 30, 2026
- Jurisdiction
- Iowa
- Category
- Personal Injury
Legal authority
- Iowa Code § 614.1(2) (2-year statute of limitations for personal injury)
- Iowa Code § 668.3 (modified comparative fault, greater-than-50% bar)
- Iowa Code § 668.4 (joint and several liability, conditional on 50%+ fault)
- Iowa Code § 668A.1 (punitive damages standard)
- Iowa Code § 616.18 (venue for personal-injury actions)
- Iowa Code § 321.493 (owner liability for permissive use)
- Iowa Code ch. 321A (motor vehicle financial responsibility)
- Iowa Code § 602.6101 (unified district court)
- Iowa R. Civ. P. 1.402(2) (short and plain statement)
- Iowa R. Civ. P. 1.305 (personal service)
- Iowa R. Civ. P. 1.403(1) (damages pleading and amount-in-controversy statement)
- Iowa Code § 622.1 (certification under penalty of perjury)
- Iowa R. Civ. P. 1.413(4) (certification of a pleading required to be verified)
- Iowa R. Civ. P. 1.902 (jury demand)
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.
Iowa Code § 668A.1(1)(a) (checked October 30, 2026): "In a trial of a claim involving the request for punitive or exemplary damages, the court shall instruct the jury to answer special interrogatories or, if there is no jury, shall make findings, indicating all of the following: a. Whether, by a preponderance of clear, convincing, and satisfactory evidence, the conduct of the defendant from which the claim arose constituted willful and wanton disregard for the rights or safety of another."
Iowa Code § 321.297(1) (checked October 30, 2026): "A vehicle shall be driven upon the right half of the roadway upon all roadways of sufficient width, except as follows:"
Iowa Code § 321.306(1) (checked October 30, 2026): "A vehicle shall be driven as nearly as practical entirely within a single lane and shall not be moved from such lane until the driver has first ascertained that such movement can be made with safety."
Garr v. City of Ottumwa, No. 13-0778 (Iowa 2014) (checked October 28, 2026): "We no longer refer to proximate or legal cause; instead, we use a different formulation, scope of liability."
Draft your Personal Injury Complaint - Auto Accident in the editor
Answer a few questions, let the AI editor draft each section from your answers, review it, and download Word and PDF. $99 one time, or $249 per month for every document and every Ezel app.