Personal Injury Complaint - Auto Accident - 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'S FULL NAME] Defendant

Case No. [________________]

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 or principal place of business]. 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 caused by the collision described below.
  3. This action is not within the actions mentioned in Neb. Rev. Stat. §§ 25-401 to 25-403. Venue is proper in this county under § 25-403.01 because [identify and 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 injuries

  1. On [date] at [time], the vehicles operated by Plaintiff and Defendant collided at [specific location] in Nebraska. Plaintiff's direction of travel and lane were [facts]. Defendant's direction of travel and lane were [facts].
  2. Immediately before the collision, Defendant [describe observed driving conduct, traffic control, speed, position, visibility, and other supported facts]. Plaintiff [describe conduct and position].
  3. Defendant [describe the act or omission alleged to be careless]. If relying on a traffic-law violation, identify the exact provision and facts establishing its application: [provision and facts / none alleged]. A citation or report, if any, is [identify accurately / none known].
  4. Defendant's conduct caused the collision and Plaintiff's injuries. Plaintiff suffered [identify physical injuries and treatment], incurred [past medical expenses], and reasonably expects [future care, if supported]. Plaintiff also suffered [lost earnings, loss of earning capacity, property loss, pain, or other supported injury].

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.
  2. Plaintiff seeks compensation for losses proved in this action, including [specify categories supported by the facts]. Plaintiff requests interest and taxable costs to the extent allowed by law.
  3. 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

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."

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