Uninsured/Underinsured Motorist Complaint - District of Columbia

District of Columbia Personal Injury Updated September 6, 2026 Free Word and PDF

UNINSURED/UNDERINSURED MOTORIST COMPLAINT

District of Columbia Superior Court


TABLE OF CONTENTS

  1. Caption
  2. Parties
  3. Jurisdiction and Venue
  4. Insurance Policy Information
  5. Coverage Type — UM vs. UIM
  6. Facts of the Accident
  7. Uninsured/Underinsured Status of At-Fault Driver
  8. Exhaustion of Liability Coverage
  9. Breach of Contract
  10. Bad Faith (If Applicable)
  11. Damages
  12. Stacking Allegations
  13. Arbitration vs. Litigation
  14. Prayer for Relief
  15. Verification
  16. District of Columbia Practice Notes

1. CAPTION

SUPERIOR COURT OF THE DISTRICT OF COLUMBIA
CIVIL DIVISION

[PLAINTIFF FULL LEGAL NAME]
[________________________________]
[________________________________] Civil Action No. [________________]
Washington, DC [__________]
Plaintiff,
v.
[INSURANCE COMPANY FULL LEGAL NAME]
[________________________________]
[________________________________]
Defendant.

2. PARTIES

2.1 Plaintiff

  1. Plaintiff, [PLAINTIFF FULL LEGAL NAME], is an individual who at all relevant times resided at [________________________________], Washington, DC [__________].

  2. Plaintiff was, at the time of the incident described herein, an insured under a motor vehicle insurance policy issued by Defendant.

2.2 Defendant — Insurance Company

  1. Defendant, [INSURANCE COMPANY FULL LEGAL NAME], is an insurance company organized under the laws of [________________________________], authorized to conduct business and issue motor vehicle insurance policies in the District of Columbia, with its principal place of business at [________________________________].

3. JURISDICTION AND VENUE

  1. This Court has jurisdiction over this action pursuant to D.C. Code § 11-921, as the amount in controversy exceeds the jurisdictional minimum.

  2. Venue is proper in this Court because the insurance policy was issued and delivered in the District of Columbia and/or the accident giving rise to this claim occurred within the District of Columbia.


4. INSURANCE POLICY INFORMATION

  1. At all relevant times, Plaintiff was insured under a motor vehicle insurance policy issued by Defendant, Policy No. [________________________________], with an effective period from [__/__/____] to [__/__/____].

  2. The policy provided the following relevant coverages:

☐ Uninsured Motorist Bodily Injury: $[________] per person / $[________] per accident
☐ Uninsured Motorist Property Damage: $[________] per accident (subject to $200 deductible per D.C. Code § 31-2406(f)(3))
☐ Underinsured Motorist Coverage: $[________] per person / $[________] per accident
☐ Personal Injury Protection (PIP): $[________]

  1. Plaintiff paid all required premiums and complied with all conditions of the policy.

5. COVERAGE TYPE — UM vs. UIM

  1. This claim is brought under (select applicable):

☐ Uninsured Motorist (UM) Coverage — The at-fault driver maintained no applicable bodily injury liability insurance at the time of the accident.

☐ Underinsured Motorist (UIM) Coverage — The at-fault driver maintained bodily injury liability insurance in an amount insufficient to compensate Plaintiff for the full extent of damages sustained.

☐ Uninsured Motorist (UM) Coverage — Hit-and-Run — The at-fault vehicle left the scene and cannot be identified, qualifying as an "uninsured motor vehicle" under D.C. Code § 31-2406(f)(1)(C).


6. FACTS OF THE ACCIDENT

  1. On or about [__/__/____], at approximately [____] ☐ a.m. ☐ p.m., Plaintiff was operating/occupying a motor vehicle at or near [________________________________], Washington, DC.

  2. At said time and place, a motor vehicle operated by [AT-FAULT DRIVER NAME, if known] (hereinafter "Tortfeasor") struck Plaintiff's vehicle.

  3. The collision occurred under the following circumstances: [________________________________]
    [________________________________]
    [________________________________]

  4. The Tortfeasor was negligent in one or more of the following respects:

☐ Failing to maintain a proper lookout
☐ Failing to yield the right-of-way
☐ Operating a vehicle at an excessive speed
☐ Following too closely
☐ Operating a vehicle while impaired
☐ Violating applicable traffic laws, specifically: [________________________________]
☐ Other: [________________________________]

  1. As a direct and proximate result of the Tortfeasor's negligence, Plaintiff sustained serious bodily injuries and damages.

7. UNINSURED/UNDERINSURED STATUS OF AT-FAULT DRIVER

  1. The Tortfeasor's vehicle qualifies as an uninsured/underinsured motor vehicle because (select applicable):

☐ No bodily injury liability insurance was in effect at the time of the accident
☐ The applicable insurer has denied coverage
☐ The applicable insurer is insolvent
☐ The vehicle is a hit-and-run vehicle whose owner/operator cannot be identified
☐ The liability coverage limits ($[________]) are insufficient to compensate Plaintiff's damages

  1. [If UIM:] The Tortfeasor carried bodily injury liability insurance through [________________________________] with limits of $[________] per person / $[________] per accident, which are insufficient to compensate Plaintiff for the damages sustained.

8. EXHAUSTION OF LIABILITY COVERAGE (UIM Claims)

  1. [If applicable:] Plaintiff has exhausted the Tortfeasor's bodily injury liability coverage by receiving payment of $[________], representing the full policy limits available.

  2. Despite such payment, Plaintiff's damages exceed the Tortfeasor's liability coverage limits, entitling Plaintiff to UIM benefits under the policy.


9. COUNT I — BREACH OF CONTRACT

  1. Plaintiff re-alleges and incorporates all preceding paragraphs as though fully set forth herein.

  2. The insurance policy between Plaintiff and Defendant constitutes a binding contract.

  3. Plaintiff has performed all conditions required under the policy, including timely notice of the claim, cooperation with the investigation, and payment of all premiums.

  4. Defendant has breached the insurance contract by failing and refusing to pay UM/UIM benefits to which Plaintiff is entitled under the policy and D.C. Code § 31-2406.

  5. As a direct and proximate result of Defendant's breach, Plaintiff has suffered damages in an amount to be proven at trial.


10. COUNT II — BAD FAITH (If Applicable)

  1. Plaintiff re-alleges and incorporates all preceding paragraphs as though fully set forth herein.

  2. Defendant's refusal to pay UM/UIM benefits was unreasonable, without proper cause, and constituted bad faith, including but not limited to:

☐ Failing to conduct a reasonable investigation
☐ Unreasonably delaying payment of benefits
☐ Denying the claim without a reasonable basis
☐ Failing to provide a timely and adequate explanation of denial
☐ Other: [________________________________]


11. DAMAGES

  1. As a direct and proximate result of the accident and Defendant's failure to pay benefits, Plaintiff has suffered the following damages:

☐ Past medical expenses: $[________]
☐ Future medical expenses: $[________]
☐ Past lost wages/income: $[________]
☐ Future lost earning capacity: $[________]
☐ Pain and suffering: $[________]
☐ Mental anguish and emotional distress: $[________]
☐ Property damage (subject to $200 deductible): $[________]
☐ Loss of consortium (if applicable): $[________]
☐ Punitive damages (bad faith claim only): $[________]
☐ Attorney fees and costs: $[________]


12. STACKING ALLEGATIONS

  1. ☐ Plaintiff asserts the right to stack UM/UIM coverages across multiple vehicles and/or policies.

  2. ☐ Plaintiff acknowledges that D.C. Code § 31-2406(f)(7) permits anti-stacking provisions, but contends that the policy at issue does not contain a valid anti-stacking clause.


13. ARBITRATION VS. LITIGATION

  1. ☐ The policy does not contain a mandatory arbitration clause, and Plaintiff elects to pursue this claim through litigation.

  2. ☐ The policy contains an arbitration clause, but Plaintiff contends it is unenforceable because: [________________________________]

  3. ☐ Plaintiff has previously submitted this claim to arbitration. The arbitration resulted in [________________________________], and Plaintiff now seeks judicial review/enforcement.


14. PRAYER FOR RELIEF

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

a. Compensatory damages in an amount to be determined at trial, but not less than $[________];

b. UM/UIM policy benefits in the full amount owed under the policy;

c. Pre-judgment and post-judgment interest as permitted by law;

d. Punitive damages for bad faith conduct (if applicable);

e. Reasonable attorney fees and costs of suit;

f. Such other and further relief as this Court deems just and proper.


15. VERIFICATION

I, [PLAINTIFF FULL LEGAL NAME], declare under penalty of perjury under the laws of the District of Columbia that the foregoing is true and correct to the best of my knowledge, information, and belief.

Date: [__/__/____]

Signature: [________________________________]


RESPECTFULLY SUBMITTED,

[________________________________]
Attorney for Plaintiff
[________________________________]
[________________________________]
Washington, DC [__________]
Telephone: [________________________________]
Email: [________________________________]
D.C. Bar No.: [________________________________]


16. DISTRICT OF COLUMBIA PRACTICE NOTES

Statutory Framework:

  • D.C. Code § 31-2406(f) mandates UM coverage for all motor vehicle policies in D.C.
  • UIM coverage is optional but must be offered by insurers under § 31-2406(c-1).
  • Minimum UM limits: $25,000/$50,000 BI; $5,000 PD (with $200 deductible).
  • Optional higher UM limits: up to $100,000/$300,000 BI; $25,000 PD.

Anti-Stacking:

  • D.C. Code § 31-2406(f)(7) expressly permits anti-stacking clauses in policies.

Statute of Limitations:

  • D.C. Code § 12-301(8) supplies a three-year residual period only where no other limitation is specially prescribed; verify the governing period, claim-specific accrual rule, and any tolling.
  • Contract claims carry a three (3) year limitation (D.C. Code § 12-301(7)).

No-Fault / PIP Interaction:

  • D.C. is a no-fault jurisdiction. PIP benefits must be exhausted or coordinated with UM/UIM claims as applicable under D.C. Code § 31-2404.

Hit-and-Run Claims:

  • Physical contact with the unidentified vehicle is generally required unless the claimant can provide corroborating evidence.

Filing Location:

  • D.C. Superior Court, Civil Division, for claims exceeding $10,000 (D.C. Code § 11-1321).
  • Small Claims Branch for claims up to $10,000 (D.C. Code § 11-1321).

Pending Statutory Change — Effective October 1, 2027:

  • The Motor Vehicle Insurance Modernization Amendment Act of 2026 (D.C. Act A26-0358) increases the mandatory minimum UM bodily injury limits from $25,000/$50,000 to $50,000/$100,000 per D.C. Code § 31-2406(f)(2), and the UM property damage limit from $5,000 to $20,000. It also creates a new "enhanced underinsured motorist protection" as the default UIM coverage (new § 31-2406(f-1)), which an insured must affirmatively waive in writing, and restricts anti-stacking clauses to policies that carry only traditional (non-enhanced) UIM coverage. These changes apply to policies/claims arising on or after October 1, 2027; practitioners should verify which version of § 31-2406 governs a given policy period before filing.

SOURCES AND REFERENCES

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About this template

Last updated
September 6, 2026
Citations checked
July 9, 2026
Jurisdiction
District of Columbia
Category
Personal Injury

Legal authority

  • D.C. Code § 31-2406 (Availability of Required and Optional Insurance and Benefits)
  • D.C. Code § 31-2404 (Personal Injury Protection)
  • D.C. Code § 31-2402 (Definitions)
  • D.C. Code § 12-301 (Limitation of Time for Bringing Actions)

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

A reviewer verified this template's legal citations against the official source on July 9, 2026.

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