IN THE SUPERIOR COURT OF THE DISTRICT OF COLUMBIA
Civil Division

[PLAINTIFF FULL LEGAL NAME],
Plaintiff,

v. Civil Action No.: ____________

[DEFENDANT FULL LEGAL NAME],
Defendant.

COMPLAINT FOR NEGLIGENCE – PREMISES LIABILITY
(Slip-and-Fall/Trip-and-Fall Personal Injury Action)

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TABLE OF CONTENTS
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I. Parties ............................................................................................. 2
II. Jurisdiction and Venue ................................................................. 2
III. Factual Allegations ...................................................................... 3
IV. Count I – Negligence (Premises Liability) ............................... 5
V. Damages .................................................................................... 7
VI. Prayer for Relief ......................................................................... 8
VII. Jury Demand ............................................................................ 9
VIII. Certification & Signature Block ................................................ 9
IX. Verification (Optional) ............................................................... 10
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I. PARTIES

1. Plaintiff [PLAINTIFF FULL LEGAL NAME] (“Plaintiff”) is an individual resident of [COUNTY/STATE OF RESIDENCE] and, at all relevant times, was lawfully present on the premises described herein.

2. Defendant [DEFENDANT FULL LEGAL NAME] (“Defendant”) is a [corporation/limited liability company/individual/other] organized under the laws of [STATE OF FORMATION] with its principal place of business at [ADDRESS], and is the owner, lessee, operator, manager, and/or controller of the premises located at [PREMISES ADDRESS] (the “Premises”).

a. [If applicable] Defendant transacts substantial business in the District of Columbia and may be served through its registered agent:
[REGISTERED AGENT NAME & ADDRESS].

b. [If the Defendant is the District of Columbia or a D.C. agency, insert notice-of-claim compliance language referencing D.C. Code § 12-309.]

II. JURISDICTION AND VENUE

3. This Court has subject-matter jurisdiction pursuant to D.C. Code § 11-921 because Plaintiff seeks monetary relief for personal injuries exceeding $10,000, exclusive of interest, costs, and attorney’s fees.

4. Venue is proper in this Court under D.C. Code § 13-423(a) because the causes of action arose within the District of Columbia and the Premises are located within this judicial district.

5. Personal jurisdiction over Defendant exists because Defendant:
   a. owns, uses, or possesses real property situated in the District (§ 13-423(a)(5)); and/or
   b. regularly conducts business in the District (§ 13-422).

III. FACTUAL ALLEGATIONS

6. On or about [DATE OF INCIDENT] at approximately [TIME], Plaintiff was an [invitee/licensee] lawfully on the Premises for the purpose of [PURPOSE, e.g., shopping, visiting, employment].

7. At the aforesaid time and place, Plaintiff encountered a dangerous and hazardous condition, namely [DETAILED DESCRIPTION OF HAZARD, e.g., “an accumulation of water on the tiled floor near the entryway,” “a raised, broken concrete slab,” etc.] (the “Hazardous Condition”).

8. The Hazardous Condition was not open and obvious to a reasonable person exercising ordinary perception and caution under the circumstances.

9. Defendant, through its agents, servants, and/or employees, knew or, by the exercise of reasonable care, should have known of the Hazardous Condition because:
   a. [Actual Notice] Defendant’s employees had observed, created, or been informed about the condition; and/or
   b. [Constructive Notice] The condition existed for such a period of time that Defendant, in the exercise of reasonable inspection and maintenance procedures, should have discovered and remedied it.

10. Defendant failed to warn Plaintiff of the Hazardous Condition and failed to make the area safe, in violation of Defendant’s duty of reasonable care owed to invitees under District of Columbia premises-liability law.

11. As a direct and proximate result of Defendant’s negligence, Plaintiff slipped/tripped, fell, and sustained severe bodily injuries, including but not limited to [SPECIFY INJURIES, e.g., “fractured left ankle, torn ligaments, lumbar spine sprain”], resulting in pain, suffering, disability, medical expenses, and lost wages.

12. Plaintiff has incurred, and will continue to incur, medical and related expenses in an amount to be proven at trial, and has suffered loss of earnings and earning capacity.

IV. COUNT I – NEGLIGENCE (PREMISES LIABILITY)

13. Plaintiff realleges and incorporates by reference Paragraphs 1 through 12 as though fully set forth herein.

14. Defendant owed Plaintiff, an invitee, a non-delegable duty to use reasonable care to maintain the Premises in a reasonably safe condition, to correct dangerous conditions, and to warn invitees of any hazards that Defendant knew or should have known about through the exercise of reasonable inspection.

15. Defendant breached its duty of care by, inter alia:
    a. Failing to properly inspect and maintain the area where the Hazardous Condition existed;
    b. Failing to remedy or cordon off the Hazardous Condition;
    c. Failing to warn Plaintiff and others of the existence of the Hazardous Condition;
    d. Failing to establish and enforce safety policies or procedures adequate to discover and correct such hazards; and
    e. Otherwise acting with carelessness and negligence under the circumstances.

16. Defendant’s breaches were the direct and proximate cause of Plaintiff’s injuries and damages.

17. As a result, Plaintiff is entitled to recover compensatory damages in an amount to be determined by the enlightened conscience of a jury, including but not limited to: medical expenses (past and future), loss of earnings and earning capacity, pain and suffering, mental anguish, loss of enjoyment of life, and other general damages.

Comparative/Contributory Negligence Defense Notice
18. Defendant may assert that Plaintiff was contributorily negligent. Plaintiff denies any contributory negligence. However, pursuant to D.C. law, any finding of contributory negligence that is a proximate cause of the injury will bar or limit recovery. Plaintiff pleads that any such defense lacks merit or, alternatively, that Defendant had the last clear chance to avoid the injury.

V. DAMAGES

19. Plaintiff incorporates Paragraphs 1–18.

20. Special Damages (Economic):
    a. Past medical expenses: $[AMOUNT]
    b. Future medical expenses: $[AMOUNT]
    c. Past lost wages: $[AMOUNT]
    d. Future loss of earning capacity: $[AMOUNT]
    e. Other out-of-pocket expenses: $[AMOUNT]

21. General Damages (Non-Economic):
    a. Pain and suffering, mental anguish, and loss of enjoyment of life in an amount to be determined at trial.

22. Punitive Damages:
    Plaintiff reserves the right to seek punitive damages should discovery reveal Defendant’s conduct amounted to gross negligence, willful indifference, or conscious disregard for the safety of invitees.

VI. PRAYER FOR RELIEF

WHEREFORE, Plaintiff respectfully requests that this Court enter judgment in favor of Plaintiff and against Defendant as follows:

A. Compensatory damages in an amount to be proven at trial;
B. Pre-judgment and post-judgment interest as permitted by law;
C. Costs of suit herein incurred;
D. Reasonable attorney’s fees pursuant to any applicable statutory or contractual basis;
E. Punitive damages, if warranted; and
F. Such other and further relief as the Court deems just and proper.

VII. JURY DEMAND

Pursuant to the Seventh Amendment to the United States Constitution, Article III, § 17 of the District of Columbia Charter, and Superior Court Civil Rule 38, Plaintiff hereby demands a trial by jury on all issues so triable.

VIII. CERTIFICATION & SIGNATURE BLOCK

Respectfully submitted,

____________________________________
[ATTORNEY NAME] (D.C. Bar No. ________)
[LAW FIRM NAME]
[ADDRESS]
[TELEPHONE]
[EMAIL]
Counsel for Plaintiff

Dated: [DATE]

IX. VERIFICATION (Optional but recommended if Plaintiff is pro se or if required by insurer)

I, [PLAINTIFF NAME], being first duly sworn, depose and state that I am the Plaintiff in this action; I have read the foregoing Complaint and know the contents thereof; the same is true 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: __________

ADDITIONAL FILING REQUIREMENTS (DO NOT FILE WITH THE COURT – FOR ATTORNEY USE)

1. Civil Information Sheet (Form 3) – must accompany initial pleading (SCR-Civ 3).
2. Summons (Form 1) – one per Defendant; obtain Clerk seal and include return-of-service section.
3. ISPA Notice – if Plaintiff claims $10,000+ for medical expenses (D.C. Code § 16-2802).
4. Service of Process – effectuate under SCR-Civ 4 within 60 days; file affidavit of service.
5. Early Mediation Order – anticipate scheduling order requiring mediation per Superior Court Civil Rule 16.

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END OF TEMPLATE – PERSONAL INJURY COMPLAINT (D.C.)
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