Wrongful Death Complaint - Louisiana

Louisiana Personal Injury Updated July 8, 2026 Free Word and PDF

PETITION FOR DAMAGES FOR WRONGFUL DEATH AND SURVIVAL ACTION

(Louisiana State Court – [____] Judicial District Court for the Parish of [PARISH])


TABLE OF CONTENTS

  1. Caption & Parties Identification
  2. Definitions
  3. Jurisdiction, Venue & Governing Law
  4. Statement of Facts
  5. Cause of Action I – Wrongful Death (La. Civ. Code art. 2315.2)
  6. Cause of Action II – Survival Action (La. Civ. Code art. 2315.1)
  7. Damages Sought
  8. Reservation of Rights & Optional Arbitration Election
  9. Prayer for Relief
  10. Jury Demand
  11. Certification of Counsel (La. Code Civ. Proc. art. 863)
  12. Verification/Affidavit of Petitioners
  13. Service Information & Requests

1. CAPTION & PARTIES IDENTIFICATION

[____] JUDICIAL DISTRICT COURT
STATE OF LOUISIANA
PARISH OF [PARISH]

Party Role
[PETITIONER 1 FULL NAME], individually and on behalf of the wrongful-death beneficiaries of [DECEDENT FULL NAME]; and [PETITIONER 2 FULL NAME], individually and on behalf of the survival action beneficiaries of [DECEDENT FULL NAME], Petitioners
v.
[DEFENDANT ENTITY/INDIVIDUAL FULL NAME], Defendant

Docket/Civil Action No.: [_______]
Division: [____]
Judge: [_______________]


2. DEFINITIONS

For purposes of this Petition, the following capitalized terms have the meanings set forth below:

A. “Decedent” means [DECEDENT FULL NAME], who died on [DATE OF DEATH].
B. “Petitioners” means the individuals identified in Section 1 who are eligible beneficiaries under La. Civ. Code art. 2315.2 and/or art. 2315.1.
C. “Defendant” means [DEFENDANT FULL NAME], including all agents, employees, insurers, and successors.
D. “Incident” means the events occurring on [DATE OF INCIDENT] at [LOCATION] that caused Decedent’s injuries and subsequent death.
E. “Wrongful-Death Damages” means the damages recoverable under La. Civ. Code art. 2315.2(A), subject to the prescriptive period of art. 2315.2(B) and the heritability provision of art. 2315.2(C).
F. “Survival Damages” means the damages recoverable under La. Civ. Code art. 2315.1(A), subject to the succession-representative provision of art. 2315.1(B) and the prescriptive/heritability provisions of art. 2315.1(A) and (C).


3. JURISDICTION, VENUE & GOVERNING LAW

3.1 This Court has subject-matter jurisdiction pursuant to La. Const. art. V, § 16 and La. Code Civ. Proc. art. 2.

3.2 Venue is proper in this Parish under La. Code Civ. Proc. art. 74, which governs delictual actions (including wrongful death and survival actions) and permits suit in the parish where any Defendant resides or where the cause of action arose, and which supersedes the general venue rule of La. Code Civ. Proc. art. 42 for such actions, because [state specific venue facts].

3.3 Louisiana substantive law, including La. Civ. Code arts. 2315, 2315.1, and 2315.2, governs the causes of action asserted herein.


4. STATEMENT OF FACTS

4.1 On [DATE OF INCIDENT], at approximately [TIME], Decedent was [brief factual narrative].

4.2 Defendant owed Decedent a duty of reasonable care under Louisiana law, specifically [describe duty—e.g., duty to safely operate a motor vehicle / maintain premises / provide medical care].

4.3 Defendant breached said duty by [list specific negligent acts or omissions].

4.4 As a direct and proximate result of Defendant’s breach, Decedent suffered severe injuries culminating in death on [DATE OF DEATH].

4.5 Petitioners, as statutory beneficiaries, sustained economic and non-economic losses detailed in Section 7.


5. CAUSE OF ACTION I – WRONGFUL DEATH

(La. Civ. Code art. 2315.2)

5.1 Petitioners reallege and incorporate Paragraphs 4.1–4.5.

5.2 At all relevant times, Petitioners are among the class of beneficiaries enumerated in La. Civ. Code art. 2315.2(A), which grants the right of action, in order of priority, to only the highest-priority class that survives the Decedent:
a. ☐ Surviving spouse and/or children (art. 2315.2(A)(1));
b. ☐ Surviving parents, if no spouse or children survive (art. 2315.2(A)(2));
c. ☐ Surviving siblings, if no spouse, child, or parent survives (art. 2315.2(A)(3));
d. ☐ Surviving grandparents, if none of the foregoing survive (art. 2315.2(A)(4)).

5.3 Defendant’s fault caused Decedent’s death, entitling Petitioners to Wrongful-Death Damages, including but not limited to:
i. Loss of love, affection, companionship, and consortium;
ii. Loss of support and services;
iii. Funeral and burial expenses;
iv. Mental anguish and emotional distress.

5.4 This wrongful death action is timely because it is filed within the prescriptive period fixed by La. Civ. Code art. 2315.2(B): one year from the date of Decedent's death on [DATE OF DEATH], or two years from the day the injury or damage was sustained, whichever is longer. (Louisiana is a civil-law jurisdiction; the applicable time bar is termed "prescription," not a common-law "statute of limitations," and Louisiana does not apply a general common-law discovery-rule tolling doctrine to this prescriptive period — the express two-track rule of art. 2315.2(B) is the sole extension provided by the Article. A separate, shorter one-year-from-death prescriptive period applies to medical malpractice wrongful death claims under art. 2315.2(F).)


6. CAUSE OF ACTION II – SURVIVAL ACTION

(La. Civ. Code art. 2315.1)

6.1 Petitioners reallege and incorporate Paragraphs 4.1–4.5 and 5.1–5.3. The survival action asserted in this Section is a separate and distinct cause of action from the wrongful death action asserted in Section 5, though both actions employ the same beneficiary class and order of priority set forth in La. Civ. Code art. 2315.2(A) and art. 2315.1(A)(1)–(4).

6.2 Decedent survived for a period between the Incident and death, during which Decedent endured conscious pain and suffering.

6.3 Pursuant to La. Civ. Code art. 2315.1, Petitioners are entitled to recover Survival Damages, including:
i. Pre-death physical pain and suffering;
ii. Pre-death mental anguish and emotional distress;
iii. Medical expenses incurred prior to death;
iv. Loss of earnings and earning capacity during the survival period.

6.4 This survival action is timely because it is filed within the prescriptive period fixed by La. Civ. Code art. 2315.1(A): one year from the date of Decedent's death on [DATE OF DEATH], or two years from the day the injury or damage was sustained, whichever is longer. In the absence of any beneficiary within the classes described in Paragraph 5.2, the right to recover Survival Damages may instead be urged by Decedent's succession representative pursuant to art. 2315.1(B). (A separate prescriptive period governed by La. R.S. 9:5628 applies to medical malpractice survival actions under art. 2315.1(F).)


7. DAMAGES SOUGHT

7.1 Petitioners seek judgment against Defendant, jointly and severally with any insurers, in an amount reasonable in the premises, including all Wrongful-Death Damages and Survival Damages permitted by Louisiana law.

7.2 There is no general statutory cap on damages recoverable in an ordinary (non-medical-malpractice) Louisiana wrongful death or survival action. However, to the extent Defendant is, or is later shown to be, a "qualified health care provider" under the Louisiana Medical Malpractice Act and this action is a malpractice claim, Petitioners acknowledge the total-damages limitation of La. R.S. 40:1231.2(B)(1) ($500,000 plus interest and costs, exclusive of future medical care and related benefits, which are separately and uncapped under La. R.S. 40:1231.3), and reserve all rights therein.

7.3 Petitioners further claim legal interest from the date of judicial demand until paid, together with all taxable costs.


8. RESERVATION OF RIGHTS & OPTIONAL ARBITRATION ELECTION

8.1 Petitioners reserve the right to amend this Petition to assert additional claims, name additional parties, or adjust damages as discovery warrants.

8.2 [OPTIONAL] In the event Defendant demonstrates a binding and enforceable arbitration agreement covering the Incident, Petitioners elect [one: “to compel arbitration pursuant to said agreement” / “to object and demand judicial resolution”].


9. PRAYER FOR RELIEF

WHEREFORE, Petitioners pray that:
a. Defendant be duly cited and served;
b. After due proceedings, there be judgment in favor of Petitioners and against Defendant for all damages described herein, plus legal interest and costs;
c. All equitable and general relief be granted as justice requires.


10. JURY DEMAND

Pursuant to La. Code Civ. Proc. art. 1731 and the Louisiana Constitution, Petitioners hereby request a trial by jury on all issues so triable and tender the requisite filing fee.


11. CERTIFICATION OF COUNSEL

Undersigned counsel certifies, pursuant to La. Code Civ. Proc. art. 863(B), that he/she has read this Petition; that to the best of his/her knowledge, information, and belief it is well-grounded in fact, warranted by existing law, and not interposed for improper purpose.


12. VERIFICATION / AFFIDAVIT OF PETITIONERS

STATE OF LOUISIANA
PARISH OF [PARISH]

BEFORE ME, the undersigned Notary Public, personally came and appeared:

  1. [PETITIONER 1 NAME]
  2. [PETITIONER 2 NAME]

who, after being duly sworn, declared that they have read the foregoing Petition and that all facts alleged therein are true and correct to the best of their knowledge, information, and belief.

_______________________ _______________________
[PETITIONER 1 SIGNATURE] [PETITIONER 2 SIGNATURE]

SWORN TO AND SUBSCRIBED before me on this ____ day of __________, 20__, at __________, Louisiana.

____________________________
NOTARY PUBLIC
My Commission Expires: __________


13. SERVICE INFORMATION & REQUESTS

Please withhold service until requested. Upon issuance, kindly forward certified copies of citations and the Petition to undersigned counsel for service in accordance with La. Code Civ. Proc. arts. 1201–1235.


RESPECTFULLY SUBMITTED,

[LAW FIRM NAME]
[Address Line 1]
[Address Line 2]
Telephone: [___]
Facsimile: [___]
Email: [___]

By: ___________________________
[ATTORNEY NAME] (Bar # ______)
Counsel for Petitioners


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About this template

Last updated
July 8, 2026
Citations checked
July 8, 2026
Jurisdiction
Louisiana
Category
Personal Injury

Legal authority

  • La. Civ. Code art. 2315.2 (wrongful death action — beneficiary class and priority: (A)(1) surviving spouse and/or children; (2) surviving parents, if no spouse/children; (3) surviving siblings, if no spouse/children/parents; (4) surviving grandparents, if none of the foregoing; (B) prescribes one year from the death of the deceased or two years from the day injury or damage is sustained, whichever is longer, as amended by 2025 La. Acts No. 176 and No. 488 (eff. 8/1/2025); (F) medical malpractice wrongful death actions retain a separate one-year-from-death prescriptive period)
  • La. Civ. Code art. 2315.1 (survival action — a SEPARATE cause of action for the decedent's own pre-death damages (pain and suffering, medical expenses, lost earnings), using the SAME beneficiary class/priority order as art. 2315.2(A); in the absence of any listed beneficiary, the deceased's succession representative may urge the claim under Paragraph B; (A) prescribes one year from the death of the deceased or two years from the day injury or damage is sustained, whichever is longer, as amended by 2025 La. Acts No. 176 and No. 488 (eff. 8/1/2025); (F) medical malpractice survival actions are instead governed by La. R.S. 9:5628)
  • La. Civ. Code art. 2315 (general delictual liability — 'every act whatever of man that causes damage to another obliges him by whose fault it happened to repair it'; underlies both the wrongful death and survival causes of action)
  • La. Const. art. V, § 16 (district courts have original jurisdiction of all civil matters except as otherwise provided)
  • La. Code Civ. Proc. art. 2 (jurisdiction over the subject matter — the legal power and authority of a court to hear a class of actions based on the object of the demand, amount in dispute, or value of the right asserted)
  • La. Code Civ. Proc. art. 74 (special venue for an action on an offense or quasi offense — proper in the parish where the wrongful conduct occurred or where the damages were sustained; Paragraph C, added by 2020 La. Acts No. 148, further provides that a delictual action, which includes wrongful death and survival actions, may be brought in the parish where any defendant resides OR where the cause of action arose, and Paragraph D provides this SUPERSEDES the general venue rules of arts. 42, 73, and 76 for delictual actions)
  • La. Code Civ. Proc. art. 42 (general venue rules — parish of an individual defendant's domicile, or a domestic entity's registered office/principal business establishment; applies to the extent not superseded by the delictual-action venue rule of art. 74(C)-(D))
  • La. Code Civ. Proc. art. 1731 (right of trial by jury is recognized in civil cases, except as limited by art. 1732)
  • La. Code Civ. Proc. art. 1732 (jury trial unavailable where no individual petitioner's cause of action exceeds $10,000, exclusive of interest and costs, subject to stipulation exceptions, and other enumerated exclusions)
  • La. Code Civ. Proc. art. 1733 (procedure for demanding jury trial and posting bond/cash deposit; demand must be filed no later than 10 days after service of the last pleading directed to a jury-triable issue)
  • La. Code Civ. Proc. art. 863 (signing of pleadings; certification of good-faith, non-frivolous, evidentiary-supported filing; sanctions for violation)
  • La. Code Civ. Proc. arts. 1201-1235 (citation and service of citation; service must be requested within 90 days of filing)
  • La. R.S. 40:1231.2(B)(1) (Louisiana Medical Malpractice Act total damages cap of $500,000 plus interest and costs, exclusive of future medical care — applies ONLY to malpractice claims against a QUALIFIED health care provider; NOT a general cap on wrongful death or survival damages in an ordinary tort action)

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.

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Checked against the law it cites

A reviewer verified this template's legal citations against the official source on July 8, 2026.

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