Wrongful Death Complaint - Iowa

Iowa Personal Injury Updated October 28, 2026 Free Word and PDF

Before filing: For health-care-provider negligence that requires expert testimony, arrange a separate expert certificate of merit for each provider defendant and serve it within 60 days after that defendant's answer, before discovery, subject to any timely extension under Iowa Code § 147.140. Check Iowa Code § 614.1(9) for patient-care injury or death claims against the providers and hospitals it lists: its two-year period runs from actual or reasonably discoverable knowledge or written notice, and its six-year outer limit has stated exceptions.

WRONGFUL DEATH PETITION

(Iowa State Court – Template)


CAPTION

Party Role
IN THE IOWA DISTRICT COURT FOR [_______________] COUNTY
[PLAINTIFF'S FULL NAME], in the capacity of Administrator of the Estate of [DECEDENT'S FULL NAME], Deceased, Plaintiff
v. Case No. [_______________]
[DEFENDANT #1 LEGAL NAME], a [STATE] [CORPORATE FORM]; [DEFENDANT #2 LEGAL NAME], an individual; and JOHN/JANE DOES 1–5, Defendants

PETITION AT LAW (WRONGFUL DEATH – SURVIVAL ACTION – JURY DEMAND)


TABLE OF CONTENTS

  1. Parties ............................................................................................. ¶ 1
  2. Jurisdiction & Venue ........................................................................ ¶ 6
  3. Definitions ...................................................................................... ¶ 9
  4. Factual Allegations ......................................................................... ¶ 13
  5. Causes of Action ............................................................................. ¶ 23

    • Count I – Survival Action (Wrongful Death) (Iowa Code §§ 611.20, 611.22, 633.336)
    • Count II – Loss of Spousal/Parental Consortium (Iowa Code § 613.15 / § 613.15A)
  6. Damages .......................................................................................... ¶ 40

  7. Prayer for Relief ............................................................................... ¶ 47
  8. Jury Demand .................................................................................. ¶ 51
  9. Certification & Signature Block ....................................................... ¶ 54

1. PARTIES

  1. Plaintiff [PLAINTIFF NAME] ("Plaintiff") is the duly appointed and acting Administrator of the Estate of [DECEDENT NAME] ("Decedent") pursuant to the Letters of Appointment issued by the Iowa District Court for [COUNTY] County, Probate No. [___], and brings this action in that representative capacity pursuant to Iowa Code §§ 611.20 and 611.22.

  2. At all relevant times, Decedent was a resident of [COUNTY], Iowa.

  3. Plaintiff brings Count I on behalf of the Estate and seeks any applicable § 613.15 services-and-support recovery in Count II. If a surviving parent seeks separate recovery for the death of a minor or adult child under § 613.15A, add that parent as a plaintiff and identify the parent in the caption and Exhibit A.

  4. Defendant [DEFENDANT #1] is a [corporation/LLC/etc.] organized under the laws of [STATE] with its principal place of business in [STATE] and doing business in Iowa.

  5. Defendant [DEFENDANT #2] is an individual residing in [COUNTY & STATE], and was acting within the scope of his/her employment and/or agency for Defendant #1 at all times material.

  6. John/Jane Does 1–5 are presently unknown persons or entities who may be liable for the occurrences alleged herein. Plaintiff will amend this Petition to substitute their true names when ascertained.

2. JURISDICTION & VENUE

  1. This Court has subject-matter jurisdiction under Iowa Code § 602.6101, which establishes the Iowa District Court as a unified trial court with exclusive, general, and original jurisdiction over civil actions, including this survival action for wrongful death and the related consortium claim.

  2. Venue is proper in [COUNTY] County under Iowa Code § 616.18 (personal injury or damage actions) because Defendants, or one of them, reside or maintain a principal place of business in this county and/or the injury or damage giving rise to Decedent's death was sustained in this county.

Plaintiff certifies that the damages sought meet the applicable jurisdictional amount requirement; no specific dollar amount is pleaded under Iowa R. Civ. P. 1.403(1) and Iowa Code § 619.18.

3. DEFINITIONS

  1. "Survival Statute" means Iowa Code § 611.20 (actions survive) and Iowa Code § 611.22 (actions by or against legal representatives — substitution), under which Decedent's own cause of action survived Decedent's death and is brought by Plaintiff as personal representative.

  2. "Wrongful Death Damages Statute" means Iowa Code § 633.336, which governs the disposition and apportionment of damages recovered in this survival action.

  3. "Consortium Statute" means Iowa Code § 613.15 (spouse/parent) and, if applicable, § 613.15A (child), which create a distinct cause of action for loss of services, support, companionship, and society.

  4. "Estate" means the Estate of [DECEDENT], Probate No. [___], pending in the Iowa District Court for [COUNTY] County.

4. FACTUAL ALLEGATIONS

  1. On [DATE], at approximately [TIME], Decedent was [describe activity – e.g., operating a motor vehicle eastbound on Highway ##].

  2. At the same time and place, Defendant #2, acting within the scope of employment for Defendant #1, [describe negligent act – e.g., failed to obey a stop sign and collided with Decedent's vehicle].

  3. Defendant #2 owed Decedent a duty of reasonable care under Iowa law.

  4. Defendant #2 breached that duty by [acts/omissions], including but not limited to:
    a. [Driving at an excessive speed];
    b. [Operating a vehicle while distracted];
    c. [Failing to keep a proper lookout].

  5. Defendants' breaches factually caused Decedent's catastrophic injuries leading to death on [DATE]; that harm falls within the scope of Defendants' liability.

  6. Decedent experienced conscious pain and suffering between the time of injury and death.

  7. Following the incident, Plaintiff incurred funeral and burial expenses in an amount to be proven at trial.

  8. At the time of death, Decedent was [AGE] years old and enjoyed an average life expectancy of [XX.X] additional years.

  9. Decedent provided financial support, services, companionship, and guidance to the surviving family members identified in Exhibit A attached hereto and incorporated herein.

  10. All statutory conditions precedent to bringing this action have been satisfied or waived.

5. CAUSES OF ACTION

COUNT I – SURVIVAL ACTION (WRONGFUL DEATH)

(Iowa Code §§ 611.20, 611.22, 633.336)

  1. Plaintiff realleges ¶¶ 1–22 as if fully set forth herein.

  2. Defendants owed Decedent statutory and common-law duties of care, including the duty to [operate a motor vehicle safely / provide competent medical care / etc.].

  3. Defendants breached those duties as set forth above.

  4. Defendants' breaches were a factual cause of Decedent's death, and that harm falls within the scope of Defendants' liability.

  5. Decedent's cause of action for these injuries and resulting death survived Decedent's death by operation of Iowa Code § 611.20 and is brought by Plaintiff, as personal representative, pursuant to Iowa Code § 611.22. The action is deemed a continuing one that accrued to Plaintiff, as representative, at the time it would have accrued to Decedent had Decedent survived.

  6. Pursuant to Iowa Code § 633.336, damages recovered in this action shall be disposed of as personal property belonging to the Estate, except to the extent such damages are for loss of services and support of a surviving spouse, child, or parent, which the Court shall apportion equitably among the surviving spouse, children, and parents consistent with their respective losses.

  7. Recoverable Estate damages include, without limitation:
    a. Decedent's pre-death conscious pain and suffering;
    b. Decedent's pre-death medical and hospital expenses;
    c. Decedent's pre-death loss of earnings;
    d. Funeral and burial expenses; and
    e. The present value of the Estate's lost accumulation: the amount Decedent would reasonably have saved and accumulated over the expected remainder of life, supported by evidence of earnings, expenses, and saving, rather than gross future earnings.

COUNT II – LOSS OF SPOUSAL/PARENTAL CONSORTIUM

(Iowa Code § 613.15; Iowa Code § 613.15A, if applicable)

  1. Plaintiff realleges ¶¶ 1–29 as if fully set forth herein.

  2. This Count is a cause of action distinct from the Estate's survival claim in Count I. See Roth v. Evangelical Lutheran Good Samaritan Society, 886 N.W.2d 601 (Iowa 2016) (recognizing the "critical difference between the wrongful death cause of action and the consortium cause of action").

  3. If Decedent was a spouse or parent, Plaintiff as the appropriate administrator seeks under Iowa Code § 613.15 the value of Decedent's services and support as a spouse or parent lost through the wrongful or negligent death. This Count does not assert a separate claim by the surviving spouse or children for those same elements.

  4. [If Decedent was a minor or adult child and a surviving parent is named as a plaintiff:] Pursuant to Iowa Code § 613.15A, the parent plaintiff(s) seek recovery for the expense and actual loss of services, companionship, and society resulting from Decedent's death.

  5. Recovery for these elements of damage under § 613.15 may not duplicate any recovery for the same elements to which the Estate, or its administrator, is otherwise entitled under Count I.

6. DAMAGES

  1. Plaintiff seeks judgment against Defendants in an amount that will fully and fairly compensate the Estate and the surviving family members identified herein. Joint and several liability is requested for economic damages only against any Defendant found to bear at least fifty percent of the total fault assigned to all parties under Iowa Code § 668.4. Requested damages include:

a. Decedent's pre-death pain and suffering (Count I);
b. Decedent's pre-death medical and hospital expenses (Count I);
c. Funeral and burial expenses (Count I);
d. Loss of spousal or parental services and support (Count II, § 613.15);
e. Loss of a child's services, companionship, and society, if applicable (Count II, § 613.15A);
f. Interest under Iowa Code § 668.13: on damages other than future damages from commencement of the action, and on future damages from entry of judgment, at the applicable treasury-based rate;
g. Court costs and all other relief the Court deems just and equitable.

  1. Statutory Damage Cap — Health Care Provider Claims Only. To the extent, and only to the extent, this claim arises from the professional negligence of a "health care provider" as defined in Iowa Code § 147.136A, the total amount recoverable for noneconomic damages is subject to that section's limitation — currently $250,000, or up to $1,000,000 (or $2,000,000 where a hospital is a defendant) if the jury finds a substantial or permanent loss or impairment of a bodily function, substantial disfigurement, loss of pregnancy, or death that would otherwise deprive Plaintiff of just compensation; these limits increase 2.1% annually beginning January 1, 2028, and do not apply if the health care provider's conduct constituted actual malice. This cap does NOT apply to economic damages, and does NOT apply at all to non-health-care-provider wrongful death claims (e.g., motor vehicle, premises liability, products liability) — Iowa imposes no general statutory cap on compensatory wrongful death damages outside the health-care-provider context.

7. PRAYER FOR RELIEF

WHEREFORE, Plaintiff respectfully requests that the Court:

A. Enter judgment in favor of Plaintiff and against Defendants, with joint and several liability only to the extent Iowa Code § 668.4 permits;
B. Award compensatory damages in amounts to be determined at trial on both Count I and Count II;
C. Award interest pursuant to Iowa Code § 668.13;
D. Award taxable court costs; and
E. Grant such other and further relief as the Court deems just and proper.

8. JURY DEMAND

  1. Pursuant to Article I, § 9 of the Iowa Constitution and Iowa R. Civ. P. 1.902, Plaintiff demands a trial by jury on all issues so triable.

9. CERTIFICATION & SIGNATURE BLOCK

Respectfully submitted this ___ day of __________ 20__.

[LAW FIRM NAME]

By: __________________________________________
    [ATTORNEY NAME], AT000[#####]
    [Firm Address]
    [City, State ZIP]
    Telephone: [###-###-####]
    Facsimile: [###-###-####]
    Email: [[email protected]]

ATTORNEYS FOR PLAINTIFF


VERIFICATION


INITIAL SERVICE

After filing, arrange service of an Original Notice with a copy of this Petition on each Defendant under Iowa R. Civ. P. 1.302 and the applicable method of service. Record and file proof of service separately after service is completed.


EXHIBIT A

(Surviving Family Members)

Filing note: Use only a minor child's initials in this public exhibit. Iowa R. Elec. P. 16.602(4) protects minor children's names; if a full name is required by law or essential to the court record, follow rules 16.603 and 16.606 for the narrow disclosure or protected information form as applicable.

  1. [SPOUSE NAME], spouse, residing at [address].
  2. [CHILD INITIALS], minor child, residing at [address].
  3. [PARENT NAME], parent, residing at [address].
  4. [etc.]

IMPORTANT DRAFTING NOTES


END OF TEMPLATE

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About this template

Last updated
October 28, 2026
Jurisdiction
Iowa
Category
Personal Injury

Legal authority

  • Iowa Code § 611.20 (survival of causes of action — decedent's own claim survives death; the estate representative brings the decedent's claim rather than a beneficiary-created cause of action)
  • Iowa Code § 611.21 (civil remedy not merged in crime)
  • Iowa Code § 611.22 (action brought by or continued through legal representative or successor in interest; deemed a continuing action)
  • Iowa Code § 633.336 (2026) (damages for wrongful death — disposition as estate property except loss-of-services/support portion; probate court apportionment; as amended by 2026 Iowa Acts, H.F. 2532, eff. and applicable 7/1/2026)
  • Iowa Code § 613.15 (injury or death of spouse or parent — measure of recovery; a distinct cause of action for loss of a spouse's or parent's services and support, brought by the administrator, separate from the estate's survival claim)
  • Iowa Code § 613.15A (injury to or death of a child — parental recovery for loss of services, companionship, and society)
  • Iowa Code § 614.1(2) (general two-year personal-injury period)
  • Iowa Code § 614.1(9) (patient-care injury or death claims against listed licensed providers and hospitals: two-year discovery period and six-year outer limit, subject to exceptions)
  • Iowa Code § 602.6101 (Iowa District Court — unified trial court with exclusive, general, and original civil jurisdiction)
  • Iowa Code § 616.18 (venue — personal injury or damage actions; county of defendant's residence or county where injury/damage sustained)
  • Iowa Code § 668.13 (interest on tort judgments)
  • Iowa Code § 668.4 (limits on joint and several liability)
  • Iowa Code § 147.140 (conditional certificate of merit for health-care-provider negligence)
  • Iowa Code § 147.136A (noneconomic damage awards against health care providers — applies ONLY where the claim arises from health care provider liability; not a general wrongful-death cap)
  • Iowa R. Civ. P. 1.902 (demand for jury trial; waived if not timely demanded)

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.

Garr v. City of Ottumwa, No. 13-0778 (Iowa May 2, 2014) (checked October 28, 2026): "We no longer refer to proximate or legal cause; instead, we use a different formulation, scope of liability."

Iowa Code § 613.15 (checked October 28, 2026): "such person, or the appropriate administrator, may recover the value of services and support as spouse or parent, or both, as the case may be, in such sum as the jury deems proper"

Iowa Code § 614.1(9)(a) (checked October 28, 2026): "within two years after the date on which the claimant knew, or through the use of reasonable diligence should have known, or received notice in writing of the existence of, the injury or death for which damages are sought in the action, whichever of the dates occurs first, but in no event shall any action be brought more than six years after the date on which occurred the act or omission or occurrence alleged in the action to have been the cause of the injury or death"

Iowa Code § 668.13(1) (checked October 24, 2026): "Interest, except interest awarded for future damages, shall accrue from the date of the commencement of the action."

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