Wrongful Death Complaint
| [PLAINTIFF 1], individually and as [Relationship] of Decedent; [PLAINTIFF 2], individually and as [Relationship] of Decedent; [and/or the ESTATE OF [DECEDENT], by and through [ADMINISTRATOR/EXECUTOR], Successor in Interest (Cal. Code Civ. Proc. § 377.30)], | Case No.: [_______________] |
| Plaintiffs, | |
| v. | ☐ Unlimited Civil Case ☐ Limited Civil Case |
| [DEFENDANT 1], a [California Corporation]; [DEFENDANT 2]; and DOES 1–50, inclusive, | COMPLAINT FOR: |
| Defendants. | 1. Wrongful Death (Cal. Code Civ. Proc. § 377.60) |
| 2. Survival Action (Cal. Code Civ. Proc. §§ 377.30, 377.34) | |
| DEMAND FOR JURY TRIAL: ☐ Yes ☐ No | |
| [OPTIONAL] LIMITED REQUEST FOR INJUNCTIVE RELIEF |
SUPERIOR COURT OF THE STATE OF CALIFORNIA
FOR THE COUNTY OF [COUNTY]
TABLE OF CONTENTS
- Parties ............................................................................................................... 2
- Jurisdiction and Venue ................................................................................. 3
- General Allegations ...................................................................................... 3
- First Cause of Action – Wrongful Death ..................................................... 5
- Second Cause of Action – Survival Action ................................................ 7
- Prayer for Relief ........................................................................................... 9
- Demand for Jury Trial ................................................................................ 10
- Verification .................................................................................................... 11
1. PARTIES
1.1 Plaintiff [PLAINTIFF 1] (“Plaintiff 1”) is an individual residing in the County of [COUNTY], State of California, and is the [spouse/child/parent] and statutory heir of the decedent, [DECEDENT] (“Decedent”).
1.2 Plaintiff [PLAINTIFF 2] is an individual residing in the County of [COUNTY], State of California, and is the [relationship] and statutory heir of Decedent.
1.3 The ESTATE OF [DECEDENT] (“Estate”) appears by and through its duly appointed [Administrator/Executor], [NAME], as successor in interest pursuant to Code Civ. Proc. §377.30.
1.4 Defendant [DEFENDANT 1] is a [type of entity] organized and existing under the laws of the State of [STATE] doing business in the County of [COUNTY], State of California.
1.5 Plaintiffs are ignorant of the true names and capacities of Defendants sued herein as DOES 1 through 50, inclusive, and therefore sue these Defendants by such fictitious names. Plaintiffs will amend this Complaint to allege their true names and capacities when ascertained. (Code Civ. Proc. §474.)
2. JURISDICTION AND VENUE
2.1 This Court has subject-matter jurisdiction under Cal. Const. art. VI, § 10 because this is an Unlimited Civil Case in which the amount in controversy exceeds $35,000, exclusive of interest and costs, and involves personal-injury and wrongful-death claims arising under California law.
2.2 Venue is proper in this Court under Code Civ. Proc. §395(a) because the injury or the injury causing death occurred in this county, and/or at least one Defendant resides or does business in this county at the commencement of this action.
3. GENERAL ALLEGATIONS
3.1 On or about [DATE], at approximately [TIME], Decedent was lawfully present at [LOCATION] when Defendants, and each of them, negligently, recklessly, and/or willfully engaged in the acts and omissions described below.
3.2 [DESCRIBE THE SPECIFIC CONDUCT GIVING RISE TO LIABILITY.]
3.3 As a direct and proximate result of Defendants’ wrongful conduct, Decedent sustained severe injuries that caused Decedent’s death on [DATE OF DEATH].
3.4 At all relevant times, Defendants owed Decedent a duty of reasonable care, breached that duty, and such breach was a substantial factor in causing Decedent’s death.
3.5 Plaintiffs, as Decedent’s statutory heirs, have suffered and will continue to suffer pecuniary loss, loss of love, companionship, comfort, care, assistance, protection, affection, society, and moral support.
3.6 Prior to death, Decedent incurred medical and related expenses and other economic loss recoverable by the Estate under Code Civ. Proc. §§ 377.30 and 377.34.
3.7 All conditions precedent to bringing this action have been performed, have occurred, or have been excused.
4. FIRST CAUSE OF ACTION
Wrongful Death – Code Civ. Proc. §377.60
(Against All Defendants)
4.1 Plaintiffs reallege and incorporate by reference paragraphs 1 through 3.7 as though fully set forth herein.
4.2 Under Code Civ. Proc. § 377.60, a cause of action for wrongful death may be asserted by the decedent's surviving spouse, domestic partner, children, and issue of deceased children, or, if there is no surviving issue of the decedent, by the persons (including the surviving spouse or domestic partner) who would be entitled to the decedent's property by intestate succession (§ 377.60(a)); by a putative spouse, children of the putative spouse, stepchildren, parents, or legal guardians of the decedent if the parents are deceased, whether or not qualified under subdivision (a), if dependent on the decedent (§ 377.60(b)); or by a minor who resided in the decedent's household for the 180 days preceding death and depended on the decedent for one-half or more of the minor's support (§ 377.60(c)). Plaintiffs, as Decedent's [relationships — specify which § 377.60 subdivision applies to each Plaintiff], are persons entitled to assert this cause of action under § 377.60.
4.3 Defendants owed Decedent and Plaintiffs duties imposed by common law and statute, including but not limited to [cite specific statutory duties if appropriate—e.g., Veh. Code provisions, Health & Safety Code, etc.].
4.4 Defendants breached those duties by the acts and omissions described above.
4.5 Defendants’ breach was a substantial factor in causing the death of Decedent and consequent damages to Plaintiffs.
4.6 Damages recoverable by Plaintiffs include, without limitation:
a. Financial support Decedent would have contributed to Plaintiffs;
b. Gifts or benefits Plaintiffs would have expected to receive from Decedent;
c. Funeral and burial expenses;
d. The reasonable value of household services Decedent would have provided;
e. Loss of love, companionship, comfort, affection, society, solace, and moral support.
4.7 To the extent this action arises from professional negligence by a "health care provider" or "health care institution," recovery of noneconomic damages is limited pursuant to Civil Code § 3333.2(c) to the statutory cap in effect on the date this action accrued or was filed [INSERT APPLICABLE CAP — [$_____]].
5. SECOND CAUSE OF ACTION
Survival Action – Code Civ. Proc. §377.30
(Against All Defendants)
5.1 Plaintiffs reallege and incorporate by reference paragraphs 1 through 4.7.
5.2 [ADMINISTRATOR/EXECUTOR], as personal representative and successor in interest to Decedent’s Estate, brings this cause of action on the Estate’s behalf pursuant to §377.30.
5.3 Prior to death, Decedent possessed causes of action against Defendants for the injuries that ultimately resulted in death. Those causes of action survive Decedent’s death.
5.4 As successor in interest, the Estate seeks, pursuant to Code Civ. Proc. § 377.34(a):
a. Medical and related expenses incurred by Decedent prior to death;
b. Property damage and other economic losses suffered by Decedent prior to death;
c. Punitive and exemplary damages pursuant to Civil Code § 3294 that Decedent would have been entitled to recover had Decedent lived, subject to the joinder/consolidation procedures of Code Civ. Proc. § 377.62 preventing multiple punitive-damages recoveries for the same wrongful act.
5.5 All prerequisites under Code Civ. Proc. § 377.32 for assertion of a survival claim (including execution of the affidavit or declaration of successor in interest, stating the matters required by § 377.32(a), and attachment of a certified copy of Decedent's death certificate) have been satisfied or will be satisfied concurrently with this pleading.
6. PRAYER FOR RELIEF
WHEREFORE, Plaintiffs pray for judgment against Defendants, and each of them, as follows:
A. General and special damages according to proof at trial;
B. Non-economic damages as allowed by law and subject to any applicable statutory cap;
C. Funeral and burial expenses according to proof;
D. Pre-death economic losses recoverable by the Estate;
E. Punitive and exemplary damages where legally permissible;
F. Pre-judgment and post-judgment interest at the maximum rate allowed;
G. Costs of suit herein incurred;
H. Reasonable attorneys’ fees where authorized by contract or statute;
I. Limited injunctive relief preserving evidence and/or restraining spoliation, as necessary; and
J. Such other and further relief as the Court deems just and proper.
7. DEMAND FOR JURY TRIAL
Plaintiffs hereby demand trial by jury on all issues so triable. (Cal. Const. art. I, § 16; Code Civ. Proc. § 631.)
8. VERIFICATION
I, [NAME], am the [Plaintiff/Administrator] in the above-entitled action. I have read the foregoing Complaint and know its contents. The matters stated therein are true of my own knowledge, except as to those matters that are stated on information and belief, and as to those matters, I believe them to be true. I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct.
Executed on [DATE], at [CITY], California.
____________________________
[NAME]
[Title/Capacity]
9. SIGNATURE BLOCK
Respectfully submitted,
[LAW FIRM NAME]
By: ____________________________
[ATTORNEY NAME]
Attorneys for Plaintiffs
State Bar No. [####]
Address: [ADDRESS]
Telephone: [(###) ###-####]
Email: [EMAIL]
NOTICE REGARDING DOE DEFENDANTS AND AMENDMENT
Plaintiffs will amend this Complaint to substitute the true names of fictitiously named Defendants when ascertained.
PROOF OF SERVICE
[ATTACH PROOF OF SERVICE]
About This Template
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.
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.
Last updated: July 2026
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