State Court Complaint - Personal Injury
SUPERIOR COURT OF THE DISTRICT OF COLUMBIA
CIVIL DIVISION
| Party | Role |
|---|---|
| [PLAINTIFF'S FULL LEGAL NAME AND RULE 10-I ADDRESS OR PERMITTED SUBSTITUTE ADDRESS] | Plaintiff |
| v. | |
| [DEFENDANT 1 FULL LEGAL NAME] | Defendant |
| [DEFENDANT 2 FULL LEGAL NAME, IF ANY] | Defendant |
Case No.: [CLERK ASSIGNS]
Assigned Judge / Calendar (if known): [____________________________]
COMPLAINT FOR NEGLIGENCE
☐ JURY TRIAL DEMANDED
1. Filing-Scope Gate
This general form assumes a direct claim for ordinary negligence causing personal injury. Before filing, counsel must identify and separately research every applicable classification and pre-suit requirement.
☐ No party or claim requires a different pleading or procedure for medical malpractice, the District or another government, wrongful death, survival, a minor or protected person, product liability, professional negligence, employment injury, intentional tort, statutory liability, or another specialized claim.
☐ Plaintiff's capacity to sue and every Defendant's correct legal name, entity status, and service recipient have been confirmed from current records.
☐ The governing law, accrual date, limitations period, tolling facts, notice requirements, immunities, damages rules, expert requirements, and available claims were checked on [DATE].
2. Parties
-
Plaintiff [FULL LEGAL NAME] is [an individual / personal representative / other capacity] and resides at [ADDRESS OR PERMITTED SUBSTITUTE ADDRESS].
-
Defendant [FULL LEGAL NAME] is [an individual / corporation / limited liability company / partnership / other entity] with [residence / principal office / registered office] at [ADDRESS].
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Defendant [ADDITIONAL DEFENDANT] is [STATUS AND ADDRESS].
-
At the relevant time, [IDENTIFY ANY AGENCY, EMPLOYMENT, OWNERSHIP, POSSESSION, OR CONTROL RELATIONSHIP AND THE FACTS SUPPORTING IT].
3. Jurisdiction
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This Court has subject-matter jurisdiction under D.C. Code § 11-921(a)(6) because this is a civil action at law brought in the District of Columbia. Superior Court jurisdiction under that subsection does not depend on alleging that damages exceed $10,000.
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This Court has personal jurisdiction over Defendant [NAME] because [DOMICILE / CONSENT / SERVICE IN THE DISTRICT / IDENTIFIED STATUTORY BASIS AND SUPPORTING FACTS].
-
If relying on the long-arm statute, the claim arises from Defendant's [act or omission causing tortious injury in the District under § 13-423(a)(3) / out-of-District act or omission plus the additional District contacts required by § 13-423(a)(4) / other exact subsection], specifically: [FACTS].
D.C. Code § 13-423 addresses personal jurisdiction, not venue. Do not cite it as an amount-in-controversy or venue statute.
4. Core Facts
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On [DATE] at approximately [TIME], Plaintiff was [LOCATION AND ACTIVITY].
-
Defendant [NAME] did or failed to do the following: [CONCRETE ACT OR OMISSION].
-
The surrounding conditions included [LIGHTING / WEATHER / TRAFFIC / PROPERTY CONDITION / WARNINGS / OTHER MATERIAL FACTS].
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Defendant knew or should have known [IDENTIFY THE FACT OR CONDITION AND THE BASIS FOR ACTUAL OR CONSTRUCTIVE KNOWLEDGE, IF RELEVANT] because [FACTS].
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Plaintiff encountered the condition or conduct as follows: [SEQUENCE OF EVENTS WITHOUT ARGUMENT OR EXAGGERATION].
-
Immediately afterward, [IDENTIFY REPORTED SYMPTOMS, TREATMENT, REPORTS, WITNESSES, PHOTOGRAPHS, OR OTHER FACTS].
-
The following persons observed or have information about the event: [NAMES OR DESCRIPTIONS].
5. Count I — Negligence Against [DEFENDANT]
-
Plaintiff incorporates paragraphs 1 through 14.
-
Defendant owed Plaintiff the following legally recognized duty or standard of care under the circumstances: [STATE THE DUTY AND ITS FACTUAL AND LEGAL BASIS].
-
Defendant deviated from that standard by [SPECIFIC ACT OR OMISSION; DO NOT RELY ONLY ON THE LABEL “NEGLIGENT”].
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Defendant's deviation caused Plaintiff's injury because [FACTUAL CAUSAL SEQUENCE].
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As a result, Plaintiff sustained [IDENTIFY EACH ACTUAL INJURY].
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Plaintiff incurred or is reasonably expected to incur [MEDICAL EXPENSES / LOST EARNINGS / LOSS OF EARNING CAPACITY / PROPERTY LOSS / OTHER PROVEN LOSS], in amounts to be established by admissible evidence.
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Plaintiff experienced [PAIN / LIMITATION / IMPAIRMENT / OTHER NON-ECONOMIC HARM], described factually as [DETAILS].
Add a separate count for each distinct defendant, transaction, duty, or legal theory when Rule 10(b) clarity requires it. Do not disguise an intentional-tort claim as negligence merely to obtain a different limitations period.
6. Damages Record
| Claimed category | Current factual basis | Supporting record or witness |
|---|---|---|
| Past medical expense | [____________________________] | [____________________________] |
| Future care or expense | [____________________________] | [____________________________] |
| Past lost earnings | [____________________________] | [____________________________] |
| Future earning loss | [____________________________] | [____________________________] |
| Property loss | [____________________________] | [____________________________] |
| Pain, impairment, or other harm | [____________________________] | [____________________________] |
| Other legally recoverable loss | [____________________________] | [____________________________] |
Do not request punitive damages, attorney's fees, a multiplier, or another special remedy in this general count unless current claim-specific authority and supporting facts have been added after legal review.
7. Request for Relief
Plaintiff asks the Court to:
- enter judgment against [DEFENDANT OR DEFENDANTS] on the counts proved;
- award compensatory damages in an amount established by the evidence;
- award taxable costs and interest only to the extent authorized by governing law; and
- grant other lawful relief supported by the pleaded claims and proof.
8. Jury Demand
☐ Under Superior Court Civil Rule 38(b), Plaintiff demands a jury trial on all issues triable of right by a jury. This written demand is included in the complaint and will be served and filed as the rule requires.
☐ Plaintiff does not make a jury demand in this complaint.
9. Signature
Respectfully submitted on [DATE].
/s/ [ATTORNEY OR UNREPRESENTED PLAINTIFF]
[PRINTED NAME]
☐ Counsel for Plaintiff ☐ Plaintiff, self-represented
D.C. Bar No. (if counsel): [________________]
Office or permitted address: [____________________________________________]
Email: [____________________________________________]
Telephone: [____________________________________________]
Civil Rule 11 requires the attorney or unrepresented party to sign. A separate “Rule 11 certification” or verification is not required unless another rule or statute specifically requires one.
10. Initial Process Checklist — Do Not File as Allegations
☐ Deliver a prepared summons for each Defendant to the Clerk when filing the complaint. Rule 4(b).
☐ Obtain the issued summons and the current Initial Order, any addendum, and every other filing-time order directed by the Court.
☐ Serve each Defendant with the summons, complaint, Initial Order, addendum, and other required order by the Rule 4 method applicable to that Defendant.
☐ Do not substitute Rule 5 service for original process. Electronic filing or later-paper service does not by itself serve the summons and complaint.
☐ Unless an exception or timely extension applies, file a separate acknowledgment or proof of service for each nonresponding Defendant within 60 days after filing the complaint. Rule 4(m).
☐ Record for each Defendant: recipient, authority to receive, method, date, server, returned receipt or acknowledgment, and proof filing date.
11. Final Review
☐ Caption names every party and complies with Rules 10 and 10-I, including any justified substitute address.
☐ Each paragraph states concrete facts and, as far as practicable, one set of circumstances.
☐ Each negligence count identifies a recognized duty or standard, a specific deviation, causation facts, and injury.
☐ No $10,000 Superior Court jurisdictional threshold is alleged.
☐ Section 13-423 is used only for personal jurisdiction and the selected subsection matches the pleaded facts.
☐ Every limitations, notice, immunity, expert, capacity, remedy, and damages issue has been resolved for the actual claim and parties.
☐ Confidential personal identifiers and unnecessary medical details have been redacted or handled under current court rules.
About This Template
These are the filings that drive a lawsuit through the system: complaints, answers, motions, briefs, discovery requests and responses, and post-judgment papers. Each has its own format requirements under federal and state procedural rules, and each has a deadline that cannot be missed without consequences. Clean, procedurally correct filings move a case forward; sloppy ones invite motions to strike, amended responses, and avoidable delays.
Important Notice
This template is provided for informational purposes. It is not legal advice. We recommend having an attorney review any legal document before signing, especially for high-value or complex matters.
Checked against the law it cites
A reviewer verified this template's legal citations against the official source on 2026-08-17.
Legal authority: D.C. Code § 11-921(a)(6); D.C. Code § 12-301(a)(8); D.C. Code § 13-423(a)(3)-(4); Stewart-Veal v. District of Columbia, 896 A.2d 232 (D.C. 2006); Super. Ct. Civ. R. 4(b), 4(c)(1), and 4(m); Super. Ct. Civ. R. 8(a), 10, 10-I, and 11; Super. Ct. Civ. R. 38(b)
D.C. Code § 11-921(a)(6) (checked 2026-08-17): "After expiration of the statutory transition period, the Superior Court has jurisdiction, regardless of the amount in controversy, over any civil action or other matter at law or in equity brought in the District of Columbia, subject to the exclusions in subsection (b)."
D.C. Code § 12-301(a)(8) (checked 2026-08-17): "Except as otherwise specifically provided by law, an action for which a limitation is not otherwise specially prescribed must be brought within 3 years after the right to maintain the action accrues."
D.C. Code § 13-423(a)(3)-(4) (checked 2026-08-17): "As to a claim arising from the listed conduct, a District of Columbia court may exercise personal jurisdiction over a person who causes tortious injury in the District by an act or omission in the District, or who causes tortious injury in the District by an out-of-District act or omission if the person regularly does or solicits business, engages in another persistent course of conduct, or derives substantial revenue from goods used or consumed or services rendered in the District."
Stewart-Veal v. District of Columbia, 896 A.2d 232 (D.C. 2006) (checked 2026-08-17): "The Court of Appeals stated that a negligence plaintiff bears the burden on the applicable standard of care, the defendant's deviation from that standard, and a causal relationship between the deviation and the plaintiff's injury. It also cautioned that merely using the words carelessly and negligently, without more, is conclusory and does not state a cognizable negligence claim."
Last updated: 2026-08-17
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