Personal Injury Complaint - Slip and Fall - Arkansas
VERIFIED COMPLAINT
(Personal Injury – Premises Liability / Slip-and-Fall)
IN THE CIRCUIT COURT OF [COUNTY] , ARKANSAS
[PLAINTIFF NAME],
Plaintiff,
v. Case No. _________________
[DEFENDANT NAME],
Defendant.
TABLE OF CONTENTS
- Parties ............................................................................................ 2
- Jurisdiction & Venue ................................................................ 2
- Facts Common to All Counts ................................................ 3
- Cause of Action – Negligence (Premises Liability) ............. 5
- Damages ..................................................................................... 7
- Demand for Jury Trial ............................................................ 8
- Prayer for Relief ........................................................................ 8
- Reservation of Rights & Notice of Comparative Fault ...... 9
- Certification & Signature (Ark. R. Civ. P. 11) ......................... 9
- Verification .............................................................................. 10
- Initial Service and Proof .......................................................... 11
1. PARTIES
1.1 Plaintiff [PLAINTIFF NAME] (“Plaintiff”) is an adult resident of [County], Arkansas, residing at [Address].
1.2 Defendant [DEFENDANT NAME] (“Defendant”) is a [type of entity or individual] that owns, operates, manages, and/or controls the premises located at [Premises Address] (“Premises”), and may be served through [Registered Agent / Service Address].
2. JURISDICTION & VENUE
2.1 This Court has subject-matter jurisdiction under Ark. Const. amend. 80, § 6 and Ark. Code Ann. § 16-13-201 because the amount in controversy exceeds the minimum jurisdictional limit of this Court and involves claims for personal injuries.
2.2 Venue is proper in [County] pursuant to Ark. Code Ann. § 16-60-101 because a substantial part of the events or omissions giving rise to this action occurred here and/or an individual Defendant resided here, or an entity Defendant had its Arkansas principal office here, when the event or omission occurred. Confirm any applicable specific venue provision before filing.
2.3 This action is timely filed within the three-year statute of limitations for personal injury actions. Ark. Code Ann. § 16-56-105.
3. FACTS COMMON TO ALL COUNTS
3.1 On [Incident Date] at approximately [Time], Plaintiff lawfully entered the Premises as an invitee for the purpose of [describe purpose, e.g., shopping, visiting, etc.].
3.2 At or near [specific location, e.g., “the main entry foyer”], an unreasonably dangerous condition existed, to wit: [describe hazard – e.g., pooled liquid, uneven flooring, loose carpeting, snow/ice accumulation] (“Hazardous Condition”).
3.3 The Hazardous Condition was not open and obvious to Plaintiff and was not marked by warning signs, barricades, or verbal notice.
3.4 Defendant, by and through its employees and agents, (a) created the Hazardous Condition and/or (b) had actual knowledge thereof and/or (c) had constructive knowledge because the condition existed for a sufficient period that Defendant, in the exercise of ordinary care, should have discovered and remedied it.
3.5 While exercising ordinary care for Plaintiff’s own safety, Plaintiff slipped/tripped on the Hazardous Condition and fell, sustaining bodily injuries including but not limited to [list injuries].
3.6 As a direct and proximate result of Defendant’s negligence, Plaintiff has incurred and will continue to incur medical expenses, lost wages, pain and suffering, mental anguish, permanent impairment, and other damages.
4. CAUSE OF ACTION – NEGLIGENCE (PREMISES LIABILITY)
4.1 Plaintiff realleges paragraphs 1–3 as if set forth fully herein.
4.2 Duty. Defendant owed Plaintiff, an invitee, a duty to exercise ordinary care to maintain the Premises in a reasonably safe condition and to either remedy or warn of dangers of which Defendant knew or should have known.
4.3 Breach. Defendant breached that duty by:
a. Failing to inspect and maintain the Premises in a reasonably safe condition;
b. Failing to timely remove or correct the Hazardous Condition;
c. Failing to place adequate warnings or barriers around the Hazardous Condition;
d. Creating or allowing creation of the Hazardous Condition; and
e. Otherwise failing to exercise ordinary care under the circumstances.
4.4 Causation. Defendant’s breaches were the direct and proximate cause of Plaintiff’s fall and resulting injuries.
4.5 Damages. Plaintiff suffered damages in an amount to be proven at trial.
5. DAMAGES
5.1 Past Medical Expenses: $ ☐
5.2 Future Medical Expenses: $ ☐
5.3 Past Lost Wages: $ ☐
5.4 Future Loss of Earning Capacity: $ ☐
5.5 Pain and Suffering (past & future): To be determined by the jury
5.6 Mental Anguish & Emotional Distress: To be determined by the jury
5.7 Permanent Impairment/Disability: To be determined by the jury
5.8 Pre- and Post-Judgment Interest, Costs, and any other relief the Court deems just and proper.
6. DEMAND FOR JURY TRIAL
Pursuant to Ark. R. Civ. P. 38 and Article 2, § 7 of the Arkansas Constitution, Plaintiff hereby demands a trial by jury on all issues so triable.
7. PRAYER FOR RELIEF
WHEREFORE, Plaintiff respectfully requests that the Court enter judgment in Plaintiff’s favor and against Defendant as follows:
a. Awarding compensatory damages in an amount to be determined by the jury;
b. Awarding costs as allowed by law;
c. Awarding pre- and post-judgment interest;
d. Granting such other and further relief, at law or in equity, as the Court deems just and proper.
8. RESERVATION OF RIGHTS & NOTICE OF COMPARATIVE FAULT
Plaintiff acknowledges Arkansas’s modified comparative-fault regime, Ark. Code Ann. § 16-64-122, and denies any contributory negligence. Plaintiff reserves the right to amend this Complaint to add additional parties or theories of liability as discovery may warrant.
9. CERTIFICATION & SIGNATURE (Ark. R. Civ. P. 11)
I certify that, after reasonable inquiry, to the best of my knowledge, information, and belief formed after reasonable investigation, the matters set forth in this pleading are well-grounded in fact and are warranted by existing law or a good-faith argument for the extension, modification, or reversal of existing law, and that it is not interposed for any improper purpose.
Respectfully submitted,
____________________________________
[ATTORNEY NAME], Bar No. [___]
[Law Firm Name]
[Address]
[Phone] | [Email]
Counsel for Plaintiff
10. VERIFICATION
STATE OF ARKANSAS )
) ss.
COUNTY OF __________)
I, [Plaintiff Name], being first duly sworn, state that I have read the foregoing Complaint and that the facts stated therein are true and correct to the best of my knowledge, information, and belief.
____________________________________
[PLAINTIFF NAME]
Subscribed and sworn to before me this ____ day of __________, 20__.
____________________________________
Notary Public
My Commission Expires: _____________
11. INITIAL SERVICE AND PROOF
After filing, obtain a clerk-issued summons for each Defendant. Under Ark. R. Civ. P. 4, serve the summons and Complaint together on each Defendant through a person authorized to serve process. A filing notice or electronic service to counsel does not itself accomplish initial service. If counsel uses a Rule 4 mail method, follow its exact requirements: certified mail generally requires a return receipt and restricted delivery, while first-class mail requires the court's notice-and-acknowledgment form, two copies, and a prepaid return envelope. Use the return on the summons or other Rule 4(d) proof of service after actual service.
| Defendant | Person served and capacity | Date and place | Rule 4 method and proof attached |
|---|---|---|---|
| [DEFENDANT] | [NAME; INDIVIDUAL / AUTHORIZED AGENT] | [DATE; ADDRESS] | [PERSONAL DELIVERY / CERTIFIED MAIL WITH REQUIRED RECEIPT / FIRST-CLASS MAIL WITH SIGNED ACKNOWLEDGMENT / OTHER RULE 4 METHOD]; [PROOF] |
About this template
- Last updated
- October 13, 2026
- Jurisdiction
- Arkansas
- Category
- Personal Injury
Legal authority
- Ark. Code Ann. § 16-56-105 (three-year statute of limitations for personal injury)
- Ark. Code Ann. § 16-64-122 (claimant fault must be less than fault of party or parties sought; § 16-118-109 exception)
- Ark. Code Ann. § 16-60-101 (general venue in circuit courts)
- Ark. Const. amend. 80, § 6 (circuit court original jurisdiction)
- Ark. Const. art. 2, § 7 (right to jury trial)
- Ark. R. Civ. P. 11 (signing/certification); Ark. R. Civ. P. 38 (jury trial demand)
- AMI 1107 (Arkansas Model Jury Instructions - Civil): invitee/licensee/trespasser duty-of-care distinctions
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.
Ark. R. Civ. P. 4(c)(1), (g)(1)(B) (checked October 13, 2026): "For purposes of this rule, the term "process" means the summons and a copy of the complaint, which shall be served together. First-class mail, postage prepaid, shall be addressed to the person to be served, together with two copies of a notice and acknowledgment conforming substantially to a form adopted by the Supreme Court and a return envelope, postage prepaid, addressed to the sender."
Ark. R. Civ. P. 4(g)(1)(A)(i) (checked October 13, 2026): "Certified mail shall be addressed to the person to be served with a return receipt requested and delivery restricted to the addressee or the agent of the addressee. Notwithstanding the foregoing, service on the registered agent of a corporation or other organization may be made by certified mail with a return receipt requested."
Ark. Code Ann. § 16-60-101(a)(2)(B) (checked September 23, 2026): "If the defendant is an entity other than an individual, the civil action shall be brought in the county where the entity had its principal office in this state at the time of the event or omission giving rise to the cause of action"
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