Personal Injury Complaint - Auto Accident - Washington
SUPERIOR COURT OF WASHINGTON FOR [COUNTY] COUNTY
| Party | Role |
|---|---|
| [PLAINTIFF FULL LEGAL NAME], | Plaintiff |
| v. | |
| [DEFENDANT FULL LEGAL NAME(S)], | Defendant(s) |
| No. | [To be assigned by Clerk] |
| COMPLAINT FOR DAMAGES — PERSONAL INJURY (MOTOR-VEHICLE COLLISION) | |
| JURY TRIAL DEMANDED |
TABLE OF CONTENTS
- Parties
- Jurisdiction and Venue
- Factual Allegations
-
Cause(s) of Action
4.1 Negligence
4.2 Statutory Breach (Optional) -
Damages
- Comparative Fault Allegations
- Prayer for Relief
- Demand for Jury Trial
- Court-Annexed Arbitration
- Reservation of Rights
- CR 11 Attorney Certification
- Verification (Optional)
1. PARTIES
1.1 Plaintiff [Plaintiff Name] (“Plaintiff”) is an individual resident of [County] County, Washington, and was so at all times material.
1.2 Defendant [Defendant Name] (“Defendant”) is [an individual resident of / a corporate entity organized under the laws of] the State of [State], doing business and/or operating a motor vehicle in [County] County, Washington at all times material.
2. JURISDICTION AND VENUE
2.1 This Court has subject-matter jurisdiction pursuant to RCW 2.08.010.
2.2 Venue is proper under RCW 4.12.020(3) because [the cause arose in [County] County / an individual Defendant resides here]. For a corporation Defendant, state the applicable RCW 4.12.025 residence or tort-county facts: [________________].
2.3 Plaintiff seeks damages arising from personal injuries in an amount to be determined at trial; no amount of damages sought is stated in this Complaint.
3. FACTUAL ALLEGATIONS
3.1 On [date], at approximately [time], Plaintiff was lawfully operating a [year/make/model] in an easterly direction on [roadway/highway] near [nearest intersection/landmark] in [City], Washington.
3.2 At that same time, Defendant was operating a [year/make/model] in a [northbound/etc.] direction on the same roadway.
3.3 Defendant negligently [describe act(s) of negligence—e.g., failed to yield, exceeded the posted speed limit, followed too closely], causing Defendant’s vehicle to collide with Plaintiff’s vehicle (“Collision”).
3.4 As a direct and proximate result of the Collision, Plaintiff sustained bodily injuries, property damage, economic losses, and noneconomic damages more fully set forth below.
4. CAUSE(S) OF ACTION
4.1 Negligence
4.1.1 Defendant owed Plaintiff a duty to operate a motor vehicle with reasonable care.
4.1.2 Defendant breached that duty by the negligent acts and omissions described above.
4.1.3 Defendant’s breach was the actual and proximate cause of Plaintiff’s injuries and damages.
4.2 Statutory Breach (Optional)
4.2.1 At all material times, Defendant was subject to and bound by the Washington Rules of the Road, including but not limited to [cite specific traffic statute/regulation—e.g., RCW 46.61.400 (Basic Rule and Maximum Limits)].
4.2.2 Under RCW 5.40.050, Defendant's alleged violation(s) of the identified traffic statute(s) may be considered as evidence of negligence. Defendant's conduct proximately caused Plaintiff's damages.
5. DAMAGES
5.1 Past and future medical expenses in an amount to be proven at trial.
5.2 Past and future wage loss and loss of earning capacity.
5.3 Past and future noneconomic damages, including pain, suffering, disability, and loss of enjoyment of life. Washington imposes no statutory cap on noneconomic damages for personal injury claims against private defendants (see Sofie v. Fibreboard Corp.).
5.4 Property damage to Plaintiff’s vehicle and personal property.
5.5 Out-of-pocket expenses, including but not limited to transportation and medication costs.
5.6 Interest on any judgment as provided by RCW 4.56.110 (and pre-judgment interest on liquidated sums where allowed by law).
5.7 Costs and disbursements as allowed by law; attorney fees where recoverable under contract, statute, or common-law exception.
6. COMPARATIVE FAULT ALLEGATIONS
6.1 Plaintiff’s recovery, if any, shall be reduced only by Plaintiff’s proportionate share of fault, if any, pursuant to Washington’s pure comparative fault system, RCW 4.22.005.
7. PRAYER FOR RELIEF
WHEREFORE, Plaintiff respectfully requests judgment against Defendant as follows:
A. General and special damages in an amount to be proven at trial;
B. Pre- and post-judgment interest as permitted by law;
C. Statutory costs and, where applicable, reasonable attorney fees;
D. Such other and further relief as the Court deems just and equitable.
8. DEMAND FOR JURY TRIAL
Plaintiff demands a trial by jury on all issues so triable as a matter of right under Article I, Section 21 of the Washington Constitution and CR 38. Serve and file this written demand and pay the jury fee when demanded under CR 38(b): $125 for six jurors or $250 for 12 jurors under RCW 36.18.016(3)(a).
9. COURT-ANNEXED ARBITRATION
9.1 If the filing court requires a separate statement or election concerning arbitration eligibility, Plaintiff will provide it as directed by that court. This Complaint states no dollar amount of damages sought.
10. RESERVATION OF RIGHTS
10.1 Plaintiff reserves the right to amend this Complaint to add additional parties, causes of action, and damages as discovery proceeds and new information becomes available, consistent with CR 15.
11. CR 11 ATTORNEY CERTIFICATION
Pursuant to CR 11, the undersigned certifies that the foregoing Complaint is well-grounded in fact and warranted by existing law or a good-faith argument for the extension, modification, or reversal of existing law, and is not interposed for any improper purpose.
12. VERIFICATION (OPTIONAL)
I, [Plaintiff Name], being first duly sworn on oath, depose and say that I am the Plaintiff in the above-entitled action, have read the foregoing Complaint, know the contents thereof, and believe the same to be true to the best of my knowledge, information, and belief.
______________________________
[PLAINTIFF NAME]
SUBSCRIBED AND SWORN to before me this ___ day of __________, 20___.
______________________________
Notary Public in and for the
State of Washington, residing at __________
My commission expires: __________
SIGNATURE BLOCK
DATED this ___ day of __________, 20__.
Respectfully submitted,
[LAW FIRM NAME]
By: ___________________________
[ATTORNEY NAME], WSBA No. _____
Attorneys for Plaintiff
[Street Address]
[City, State ZIP]
Telephone: [___-___-____]
Email: [___]
ADDITIONAL FILING REQUIREMENTS (NOT PART OF PLEADING)
END OF TEMPLATE
About this template
- Last updated
- October 24, 2026
- Jurisdiction
- Washington
- Category
- Personal Injury
Legal authority
- RCW 2.08.010 (superior court jurisdiction)
- RCW 4.12.020(3) and RCW 4.12.025 (personal-injury and corporation venue)
- RCW 4.16.080(2) (three-year statute of limitations, personal injury)
- RCW 4.22.005 (pure comparative fault)
- RCW 4.22.070 (several liability; joint-and-several exceptions)
- RCW 46.61.400 (basic rule and maximum speed limits)
- RCW 4.56.110 (interest on judgments)
- CR 38 (jury trial demand)
- CR 11 (attorney certification)
- CR 15 (amendment of pleadings)
- RCW 5.50.050 (Uniform Unsworn Declarations Act, declaration form)
- Sofie v. Fibreboard Corp., 112 Wn.2d 636 (1989) (no cap on noneconomic damages)
- RCW 5.40.050 (Ordinary statutory breach as evidence of negligence)
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.
RCW 4.28.360 (checked October 21, 2026): "In any civil action for personal injuries, the complaint shall not contain a statement of the damages sought but shall contain a prayer for damages as shall be determined."
RCW 5.40.050 (checked October 6, 2026): "A breach of a duty imposed by statute, ordinance, or administrative rule shall not be considered negligence per se, but may be considered by the trier of fact as evidence of negligence"
CR 38(b), (d) (checked October 24, 2026): "by serving upon the other parties a demand therefor in writing, by filing the demand with the clerk, and by paying the jury fee required by law"
RCW 36.18.016(3)(a) (checked October 24, 2026): "The party making a demand for a jury of six in a civil action shall pay, at the time, a fee of $125; if the demand is for a jury of 12, a fee of $250."
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