[PLAINTIFF NAME], :
:
Plaintiff, : Civil Action
: Docket No.: [L-_-_]
v. :
: COMPLAINT, JURY DEMAND,
[DEFENDANT NAME], : DESIGNATION OF TRIAL
: COUNSEL & RULE 4:5-1(b)(2)
Defendant(s). : CERTIFICATION
________ :

[// GUIDANCE: Insert additional defendants (e.g., vehicle owner, employer, UM/UIM carrier) in the caption if applicable.]

TABLE OF CONTENTS

I. Preliminary Allegations (¶¶ 1-12)...............................2
II. Statement of Facts (¶¶ 13-25)...................................3
III. Counts
Count I – Negligence (Driver) (¶¶ 26-36)........................5
Count II – Negligent Entrustment / Vicarious Liability
(Owner/Employer) (¶¶ 37-43)...........................6
Count III – Punitive Damages (¶¶ 44-48).........................7
IV. Damages (¶¶ 49-55)..............................................7
V. Prayer for Relief & Jury Demand (¶¶ 56-59)......................8
VI. Certification Pursuant to R. 4:5-1(b)(2)........................9
VII. Redaction Certification (R. 1:38-7(b))..........................9
VIII. Designation of Trial Counsel....................................9
IX. Signature Block.................................................9

[// GUIDANCE: Page numbers will auto-adjust after editing in word-processing software.]

COMPLAINT & JURY DEMAND

Plaintiff, [PLAINTIFF NAME] (“Plaintiff”), by and through the undersigned counsel, alleges upon knowledge, information and belief as follows:

I. PRELIMINARY ALLEGATIONS
1. Plaintiff is an individual residing at [ADDRESS], County of [COUNTY], State of New Jersey.
2. Defendant [DEFENDANT-DRIVER NAME] (“Defendant Driver”) resides at [ADDRESS] and, at all times relevant, operated a motor vehicle in New Jersey.
3. Defendant [DEFENDANT-OWNER/EMPLOYER NAME] (“Defendant Owner/Employer”) is a [corporation/LLC/individual] with its principal place of business at [ADDRESS] and owned and/or maintained the subject vehicle.
4. The amount in controversy exceeds the monetary threshold for mandatory Small Claims Division and places this matter on Track II pursuant to R. 4:5A-1.
5. Venue is proper in this Court pursuant to R. 4:3-2 because the cause of action arose in [COUNTY] County and/or Defendants reside or conduct business here.
6. This action sounds in tort and is not barred by New Jersey’s No-Fault Law because Plaintiff has sustained bodily injuries that satisfy one or more verbal threshold categories under N.J. STAT. ANN. § 39:6A-8(a).
7. Allocation of fault, if any, shall be determined in accordance with New Jersey’s Comparative Negligence Act, N.J. STAT. ANN. §§ 2A:15-5.1 to -5.3.
8. Pursuant to N.J. STAT. ANN. § 2A:15-5.12, any award of punitive damages shall not exceed the statutory cap.
9. This matter is subject to compulsory, non-binding arbitration under R. 4:21A-1; Plaintiff reserves all rights to a de novo trial.
10. Plaintiff demands trial by jury as of right under N.J. CONST. art. I, ¶ 9 and R. 1:8-1.
11. Plaintiff designates [ATTORNEY NAME] as trial counsel in accordance with R. 4:25-4.
12. All conditions precedent to the filing of this action have been performed, satisfied, or waived.

II. STATEMENT OF FACTS
13. On [DATE] at approximately [TIME] a.m./p.m., Plaintiff was operating a [YEAR/MAKE/MODEL] motor vehicle eastbound on [ROADWAY] in [MUNICIPALITY], New Jersey.
14. Defendant Driver, operating a [YEAR/MAKE/MODEL] owned by Defendant Owner/Employer, was traveling [direction] on the same roadway.
15. Defendant Driver failed to keep a proper lookout, disregarded traffic conditions, and violently collided with Plaintiff’s vehicle.
16. At the time of impact, Plaintiff was lawfully operating his/her vehicle, obeying all traffic laws, and exercising due care.
17. The collision was solely and proximately caused by the negligence, carelessness, and recklessness of Defendant Driver.
18. As a direct result, Plaintiff sustained severe and permanent injuries, including but not limited to [LIST DIAGNOSED INJURIES].
19. Plaintiff’s injuries satisfy the “permanent injury” threshold within the meaning of N.J. STAT. ANN. § 39:6A-8(a).
20. Plaintiff has incurred and will continue to incur medical expenses, lost wages, diminished earning capacity, and other economic damages.
21. Plaintiff has also suffered pain, suffering, disability, impairment, loss of enjoyment of life, and other non-economic damages.
22. Plaintiff’s Personal Injury Protection (“PIP”) benefits under his/her automobile policy are primary for medical expenses; however, subject to the collateral-source rule, Plaintiff seeks recovery for economic losses not compensated or reimbursable by PIP.
23. At all times relevant, Defendant Driver was acting within the course and scope of his/her employment with Defendant Owner/Employer and/or with its permission, knowledge, and consent.
24. Defendant Owner/Employer negligently entrusted its vehicle to Defendant Driver despite knowing—or having reason to know—of Defendant Driver’s incompetence or unfitness.
25. The aforesaid acts and omissions constitute common-law negligence, negligent entrustment, and vicarious liability.

III. COUNTS

Count I – Negligence (Against Defendant Driver)
26. Plaintiff incorporates Paragraphs 1-25 as if fully set forth herein.
27. Defendant Driver owed Plaintiff a duty of reasonable care in the operation of a motor vehicle.
28. Defendant Driver breached that duty by, inter alia:
a. Operating the vehicle at an unsafe speed;
b. Failing to maintain a proper lookout;
c. Disregarding traffic control devices;
d. Violating N.J. motor-vehicle statutes and regulations.
29. Defendant Driver’s breaches were the direct and proximate cause of the collision and Plaintiff’s injuries.
30. Plaintiff did not assume the risk of injury and was free from comparative negligence; alternatively, any negligence attributable to Plaintiff does not exceed 50 % under N.J. STAT. ANN. § 2A:15-5.1.
31. As a result, Plaintiff suffered the damages described herein.
32. WHEREFORE, Plaintiff demands judgment against Defendant Driver as set forth below.

Count II – Negligent Entrustment / Vicarious Liability
(Against Defendant Owner/Employer)
37. Plaintiff realleges Paragraphs 1-36.
38. Defendant Owner/Employer owned the subject vehicle and knowingly permitted Defendant Driver to operate it.
39. Defendant Driver was unfit, inexperienced, or incompetent, which Defendant Owner/Employer knew or should have known.
40. Defendant Owner/Employer is vicariously liable for Defendant Driver’s negligence under the doctrine of respondeat superior and/or agency principles.
41. Defendant Owner/Employer’s own negligence in entrustment was a proximate cause of Plaintiff’s injuries.
42. Plaintiff suffered damages as previously described.
43. WHEREFORE, Plaintiff demands judgment against Defendant Owner/Employer as set forth below.

Count III – Punitive Damages
44. Plaintiff realleges Paragraphs 1-43.
45. Defendant Driver’s conduct exhibited willful and wanton disregard for the safety of others, justifying punitive damages.
46. Plaintiff seeks punitive damages consistent with N.J. STAT. ANN. §§ 2A:15-5.12 to -5.14.
47. Plaintiff reserves the right to amend proofs to conform with the evidence.
48. WHEREFORE, Plaintiff demands punitive damages in an amount permitted by law.

IV. DAMAGES
49. Economic Damages: past and future medical expenses, lost wages, loss of earning capacity, and out-of-pocket costs.
50. Non-Economic Damages: pain, suffering, disability, disfigurement, mental anguish, and loss of enjoyment of life.
51. Property Damage: repair or replacement costs of Plaintiff’s vehicle and personal property.
52. Pre- and post-judgment interest as allowed by R. 4:42-11(b).
53. Costs of suit and statutory fees.
54. Reasonable attorney’s fees where permitted by contract or statute.
55. Such other relief as the Court deems equitable and just.

V. PRAYER FOR RELIEF & JURY DEMAND
56. WHEREFORE, Plaintiff demands judgment, jointly and severally, against all Defendants for compensatory damages, punitive damages, interest, costs of suit, and such further relief as the Court may deem just.
57. Plaintiff demands trial by jury on all issues so triable.
58. Plaintiff specifically demands that comparative negligence, if any, be determined pursuant to N.J. STAT. ANN. § 2A:15-5.2.
59. Plaintiff reserves all rights to submit the matter to binding arbitration or settlement consistent with court rules.

VI. CERTIFICATION (Rule 4:5-1(b)(2))
I, [ATTORNEY NAME], certify that, to my knowledge and belief, the matter in controversy is not the subject of any other pending or contemplated action in any court or arbitration proceeding, nor are any non-party persons or entities known who should be joined in this action at this time. I recognize the continuing obligation to file and serve an amended certification if facts change.

VII. CONFIDENTIAL PERSONAL IDENTIFIERS REDACTION CERTIFICATION (R. 1:38-7(b))
I certify that confidential personal identifiers have been redacted from documents submitted to the court and will be submitted separately where required.

VIII. DESIGNATION OF TRIAL COUNSEL
Pursuant to R. 4:25-4, [ATTORNEY NAME], Esq., is hereby designated as trial counsel for Plaintiff.

IX. SIGNATURE BLOCK
Respectfully submitted,
DATED: [DATE]

[ATTORNEY NAME], ESQ.
Attorney for Plaintiff
[NJ Attorney ID No.]
[FIRM NAME]
[ADDRESS]
[PHONE] | [EMAIL]

END OF TEMPLATE

[// GUIDANCE:
1. Threshold Injuries – Verify Plaintiff’s medical documentation meets one of the six statutory categories before finalizing ¶ 19.
2. Additional Counts – Insert products-liability, Dram Shop, or UM/UIM counts as warranted.
3. Loss-of-Consortium – Add a separate count if Plaintiff’s spouse has claims.
4. Arbitration – Confirm county-specific monetary limits; if exceeded, remove ¶ 9 reference to R. 4:21A.
5. Service – Attach Summons (Form 4A) and Civil Case Information Statement (Form CIS) when filing.
6. Time Limits – Track statute of limitations (generally two years, N.J. STAT. ANN. § 2A:14-2).
]