Personal Injury Complaint - Auto Accident - Vermont
STATE OF VERMONT
SUPERIOR COURT — [COUNTY] UNIT
CIVIL DIVISION
DOCKET NO. ___________
| Party | Role |
|---|---|
| [PLAINTIFF NAME(S)], | Plaintiff(s) |
| v. | |
| [DEFENDANT NAME(S)], | Defendant(s) |
VERIFIED COMPLAINT AND DEMAND FOR JURY TRIAL
TABLE OF CONTENTS
- Parties ..................................................................................... 2
- Jurisdiction and Venue ............................................................... 2
- Factual Allegations ................................................................ 3
-
Causes of Action
4.1 Count I – Negligence .............................................................. 4
4.2 Count II – Negligent Infliction of Emotional Distress (Optional) .... 5 -
Comparative Negligence Allegations ...................................... 6
- Damages ................................................................................ 6
- Prayer for Relief ...................................................................... 7
- Jury Demand .......................................................................... 8
- Certification of Counsel (V.R.C.P. 11) ................................. 8
- Verification ............................................................................ 8
1. PARTIES
1.1 Plaintiff [PLAINTIFF FULL LEGAL NAME] (“Plaintiff”) is an individual residing at [ADDRESS], [CITY], Vermont.
1.2 Upon information and belief, Defendant [DEFENDANT FULL LEGAL NAME] (“Defendant”) is an individual residing at [ADDRESS], [CITY], [STATE].
OR
1.2 Upon information and belief, Defendant [DEFENDANT BUSINESS ENTITY NAME], a [STATE] corporation/LLC, maintains its principal place of business at [ADDRESS].
1.3 At all relevant times, Defendant owned, operated, or controlled the motor vehicle described herein and owed statutory and common-law duties of care to Plaintiff and to the motoring public.
2. JURISDICTION AND VENUE
2.1 This Court possesses subject-matter jurisdiction over this civil action pursuant to 4 V.S.A. § 31.
2.2 Venue is proper in this Unit under 12 V.S.A. § 402(a) because [Plaintiff resides in this Unit / Defendant resides in this Unit / neither party resides in Vermont].
2.3 Personal jurisdiction over Defendant exists because Defendant (a) resides in Vermont, (b) committed tortious acts within Vermont, and/or (c) regularly transacts business in Vermont, thereby purposefully availing [him/her/itself] of the privilege of conducting activities within the State.
3. FACTUAL ALLEGATIONS
3.1 On [DATE] at approximately [TIME], Plaintiff was lawfully operating a [YEAR, MAKE, MODEL] motor vehicle eastbound on [ROAD/STREET] in [TOWN/CITY], Vermont.
3.2 At the same time and place, Defendant was operating a [YEAR, MAKE, MODEL] motor vehicle [direction/lane] on the same roadway.
3.3 Without warning, Defendant [describe negligent conduct—e.g., failed to stop at a red light, crossed the centerline, drove at an excessive speed, used a handheld electronic device in violation of 23 V.S.A. § 1095b, etc.].
3.4 Defendant’s vehicle collided with Plaintiff’s vehicle (the “Accident”), causing Plaintiff to suffer serious bodily injuries and property damage.
3.5 Plaintiff was wearing a seatbelt, was otherwise in compliance with all applicable traffic regulations, and did not contribute to the Accident.
3.6 As a direct and proximate result of Defendant’s conduct, Plaintiff has incurred and will continue to incur medical expenses, lost earnings, pain and suffering, emotional distress, loss of enjoyment of life, and other damages in an amount to be proven at trial.
4. CAUSES OF ACTION
4.1 Count I – Negligence
4.1.1 Plaintiff realleges and incorporates Paragraphs 1 through 3.6 as if fully set forth herein.
4.1.2 Defendant owed Plaintiff a duty to operate [his/her/its] vehicle with reasonable care, to observe traffic laws, and to avoid injury to others.
4.1.3 Defendant breached that duty by, inter alia:
a. Failing to keep a proper lookout;
b. Operating at an unreasonable or unlawful speed;
c. Failing to maintain lane position/control;
d. Violating one or more provisions of Title 23, Vermont Statutes Annotated; and/or
e. Operating a vehicle while distracted and/or impaired.
4.1.4 Defendant’s breach was the direct and proximate cause of Plaintiff’s injuries and damages.
4.1.5 Plaintiff seeks all compensatory damages allowed by Vermont law, including but not limited to past and future medical expenses, lost wages and earning capacity, pain and suffering, loss of consortium (if applicable), and property damage.
4.2 Count II – Negligent Infliction of Emotional Distress (Optional)
4.2.1 Plaintiff realleges and incorporates Paragraphs 1 through 4.1.5 herein.
4.2.2 [If Plaintiff suffered physical impact from Defendant's conduct, describe the impact and resulting emotional distress.] [If Plaintiff suffered no physical impact, plead facts showing that Plaintiff was in the zone of danger of Defendant's negligent act, reasonably feared immediate personal injury, and suffered substantial bodily injury or illness as a result of the distress.]
4.2.3 Plaintiff is entitled to recover damages for said emotional distress as permitted by Vermont law.
5. COMPARATIVE NEGLIGENCE ALLEGATIONS
5.1 Under 12 V.S.A. § 1036(a), Plaintiff may recover only if Plaintiff's negligence is not greater than the combined causal negligence of Defendants; any permitted recovery is reduced in proportion to Plaintiff's negligence.
5.2 Plaintiff denies any comparative fault; however, to the extent Defendant alleges comparative negligence, the burden of proof rests with Defendant.
6. DAMAGES
6.1 Special Damages (Economic):
a. Past medical expenses: $[AMOUNT] (to date)
b. Estimated future medical expenses: $[AMOUNT]
c. Past lost wages: $[AMOUNT]
d. Future diminished earning capacity: $[AMOUNT]
e. Property damage (vehicle and personal property): $[AMOUNT]
6.2 General Damages (Non-Economic):
a. Past and future pain and suffering
b. Emotional distress
c. Loss of enjoyment of life
d. [Loss of consortium – identify spouse/partner if claimed]
6.3 Punitive Damages:
Plaintiff reserves the right to seek punitive damages should discovery reveal Defendant’s conduct was willful, wanton, or in reckless disregard of the rights of others.
7. PRAYER FOR RELIEF
WHEREFORE, Plaintiff respectfully requests that the Court enter judgment in favor of Plaintiff and against Defendant as follows:
A. Awarding compensatory damages in an amount to be determined by the trier of fact;
B. Awarding punitive damages where warranted;
C. Awarding pre-judgment and post-judgment interest at the legal rate;
D. Awarding taxable costs and allowable disbursements;
E. Awarding such other and further relief as the Court deems just and proper.
8. DEMAND FOR JURY TRIAL
Plaintiff hereby demands a trial by jury on all issues so triable as a matter of right pursuant to Vt. Const. ch. I, art. 12 and V.R.C.P. 38.
9. CERTIFICATION OF COUNSEL (V.R.C.P. 11)
By signing this Complaint, counsel certifies compliance with V.R.C.P. 11(b), including an inquiry reasonable under the circumstances, legal contentions warranted by existing law or a nonfrivolous argument for change, and no improper purpose.
10. VERIFICATION
I, [PLAINTIFF NAME], being duly sworn, state that I have read the foregoing Complaint and that the facts stated therein are true to the best of my knowledge, information, and belief.
_________________________________
[PLAINTIFF NAME]
State of Vermont
County of __________, ss.
Subscribed and sworn before me on this ___ day of __________, 20__, by [Plaintiff Name].
_________________________________
Notary Public
My Commission Expires: ___________
EXECUTION BLOCK
Respectfully submitted,
DATED: _____________, 20__.
____________________________________
[ATTORNEY NAME], Esq.
[LAW FIRM NAME]
[BAR ID NO.]
[ADDRESS]
[PHONE] • [EMAIL]
Counsel for Plaintiff
About this template
- Last updated
- September 26, 2026
- Jurisdiction
- Vermont
- Category
- Personal Injury
Legal authority
- 4 V.S.A. § 31 (Civil Division jurisdiction)
- 12 V.S.A. § 402 (venue)
- 12 V.S.A. § 512(4) (three-year statute of limitations for personal injury)
- 12 V.S.A. § 1036 (modified comparative negligence, 51% bar; proportional liability among defendants where the statute applies)
- 23 V.S.A. § 1095b (handheld electronic device prohibition)
- V.R.C.P. 38 (jury trial demand)
- Vt. Const. ch. I, art. 12 (right to jury trial)
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.
12 V.S.A. § 1036(a) (checked October 24, 2026): "Where recovery is allowed against more than one defendant, each defendant shall be liable for that proportion of the total dollar amount awarded as damages in the ratio of the amount of the defendant’s causal negligence to the amount of causal negligence attributed to all defendants against whom recovery is allowed."
4 V.S.A. § 31(1) (checked October 24, 2026): "original and exclusive jurisdiction of all original civil actions, except as otherwise provided"
Vincent v. DeVries, 2013 VT 34, n.2 (checked October 24, 2026): "a plaintiff who has not suffered a physical impact must show that the plaintiff ... was within the ‘zone of danger’ ... was subjected to a reasonable fear of immediate personal injury, and ... in fact suffered substantial bodily injury or illness as a result"
V.R.C.P. 11(b), quoted in Lafayette v. Abrami, No. 25-CV-00624 (Vt. Super. Ct. Dec. 18, 2025) (checked October 24, 2026): "the claims, defenses, and other legal contentions therein are warranted by existing law or by a nonfrivolous argument"
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