Wrongful Death Complaint - Minnesota

Minnesota Personal Injury Updated November 9, 2026 Free Word and PDF

Before filing: Provide the district court administrator a completed Form CIV117 Civil Cover Sheet at the time this non-family civil case is filed, under Minn. Gen. R. Prac. 104.

STATE OF MINNESOTA

DISTRICT COURT

COUNTY OF [COUNTY]

[___] JUDICIAL DISTRICT

Court File No.: _____________
Assigned Judge: _____________

Party Role
[TRUSTEE FULL NAME], as Trustee for the Next-of-Kin and Heirs-at-Law of [DECEDENT FULL LEGAL NAME], deceased, Plaintiff
v.
[DEFENDANT 1 LEGAL NAME], a [state of formation] [corporation/LLC/partnership/individual], and [DEFENDANT 2 LEGAL NAME], Defendants

COMPLAINT FOR WRONGFUL DEATH AND SURVIVAL ACTION

(Jury Trial Demanded)


TABLE OF CONTENTS

  1. Parties ............................................................................................. 2
  2. Jurisdiction, Venue & Pre-Suit Compliance ....................................... 3
  3. Factual Allegations .............................................................................. 4
  4. Count I – Wrongful Death (Minn. Stat. § 573.02) ................................. 7
  5. Count II – Survival Action (Minn. Stat. § 573.01) ................................. 8
  6. Damages ............................................................................................. 9
  7. Demand for Jury Trial .......................................................................... 11
  8. Prayer for Relief ................................................................................ 11
  9. Reservation of Rights & Other Matters ............................................ 12
  10. Optional Declaration ......................................................................... 13
  11. Signature Block and Sanctions Acknowledgment ............................. 14

(Page numbers will auto-generate upon final formatting.)


1. PARTIES (¶ 1-10)

  1. Plaintiff [TRUSTEE FULL NAME] (“Trustee”) is a resident of [County/State] and was duly appointed trustee for the next of kin of [DECEDENT FULL LEGAL NAME] (“Decedent”) by Order of this Court dated [date], in File No. ________, pursuant to Minn. Stat. § 573.02, subd. 3, upon written petition by [the surviving spouse / one of the next of kin]. A true and correct copy of the Order Appointing Trustee is attached hereto as Exhibit A. The Trustee filed the consent and oath required by § 573.02, subd. 3, and, before receiving any funds, will file the bond required by that subdivision.
  2. The Trustee brings this action for the exclusive benefit of the surviving spouse and next of kin of Decedent, pursuant to Minn. Stat. § 573.02, subd. 1, including:
    a. [Spouse Name] – surviving spouse;
    b. [Child 1 Name] – minor child;
    c. [Child 2 Name] – adult child;
    d. [Parent 1 Name] – parent, if claiming pecuniary loss, even if a spouse or child survives;
    e. [Any other next of kin claiming pecuniary loss; identify relationship and loss].

  3. Decedent died on [Date of Death] as a result of the wrongful act or omission alleged herein and, had Decedent lived, could have maintained a personal-injury action against Defendants for the same conduct. Minn. Stat. § 573.02, subd. 1.

  4. Defendant [Defendant 1] is a [business entity] with its principal place of business at [address]. It engaged in, directed, or ratified the wrongful acts complained of herein.
  5. Defendant [Defendant 2] is a [business entity/individual] residing or headquartered at [address].
  6. At all times relevant, each Defendant acted individually and/or through its officers, employees, agents, or apparent agents, who were acting within the scope of their authority and in furtherance of Defendants’ interests.

2. JURISDICTION, VENUE & PRE-SUIT COMPLIANCE (¶ 11-18)

  1. This Court has subject-matter jurisdiction under Minn. Const. art. VI, § 3 and Minn. Stat. § 484.01, subd. 1, which vest the district court with original jurisdiction over all civil actions.
  2. Venue lies in [County] pursuant to Minn. Stat. § 542.09 because the cause of action arose here and/or Defendants reside, conduct business, or may be found in this county.
  3. Plaintiff has complied with all conditions precedent required by statute, including appointment of the Trustee under Minn. Stat. § 573.02, subd. 3, and, where applicable, timely notice under Minn. Stat. § 466.05, subd. 2, for a municipal defendant or employee, or § 3.736, subd. 6, for the State or a state employee. Each section sets a one-year notice period for wrongful-death claims; confirm the recipient and any notice already given.
  1. Minnesota imposes no general statutory cap on compensatory (pecuniary-loss) damages recoverable in a wrongful death action under Minn. Stat. § 573.02. Any punitive-damages award remains subject to the standards and procedures of Minn. Stat. §§ 549.191 and 549.20.
  2. [After reviewing the relevant agreements, state whether an arbitration clause is asserted and its effect, if any.] This filing invokes the Minnesota district court's original jurisdiction. If the requirements of 28 U.S.C. § 1332 are met, federal diversity jurisdiction and removal under 28 U.S.C. § 1441 may also be available; this statutory claim is not categorically confined to state court.
  3. Plaintiff requests trial by jury as of right under Minn. Const. art. I, § 4 and Minn. R. Civ. P. 38.

3. FACTUAL ALLEGATIONS (¶ 19-45)

  1. On [Date of Incident], Decedent was lawfully present at/on [location] when Defendants, through negligent acts and/or omissions, caused a [describe incident – e.g., motor-vehicle collision, defective product failure, medical negligence, etc.].
  2. Specifically:
    a. Defendant [1] breached its duty of reasonable care by [acts/omissions];
    b. Defendant [2] violated [statutory/regulatory standard] constituting negligence per se;
    c. Defendants jointly failed to warn, supervise, inspect, or otherwise act to prevent foreseeable harm.

  3. As a direct and proximate result, Decedent sustained catastrophic injuries resulting in death on [Date of Death].

  4. Decedent experienced conscious pain, suffering, and emotional distress from the time of injury until death.
  5. Plaintiff incurred medical, funeral, and burial expenses in excess of $[amount] and expects additional pecuniary losses.
  6. The surviving spouse and next of kin have suffered, and will continue to suffer, pecuniary loss from Decedent's death, including the monetary value of support, services, companionship, and guidance where supported by the facts. This paragraph does not seek damages for their grief or emotional suffering as a separate wrongful-death loss.

4. COUNT I – WRONGFUL DEATH (Minn. Stat. § 573.02, subd. 1) (¶ 46-56)

  1. Plaintiff realleges and incorporates ¶¶ 1-45.
  2. Under Minn. Stat. § 573.02, subd. 1, when death is caused by the wrongful act or omission of any person or corporation, the Trustee appointed under subd. 3 may maintain an action if Decedent might have maintained an action, had Decedent lived, for an injury caused by the wrongful act or omission.
  3. Decedent could have maintained a personal-injury action against Defendants for the conduct alleged.
  4. Defendants’ acts and omissions constituted negligence, gross negligence, and/or willful disregard for the safety of others.
  5. Defendants’ wrongful conduct was the direct and proximate cause of Decedent’s death.
  6. Plaintiff is therefore entitled to recover, under Minn. Stat. § 573.02, subd. 1, the amount the jury deems fair and just for all damages suffered by Decedent resulting from the injury prior to death and the pecuniary loss resulting from the death, for the exclusive benefit of the surviving spouse and next of kin, proportionate to the pecuniary loss severally suffered, including but not limited to:
    a. Loss of earnings and future earning capacity of Decedent;
    b. Loss of services, protection, care, assistance, society, and companionship to the surviving spouse and next of kin;
    c. Decedent's medical expenses caused by the injury before death, and funeral and burial expenses. Section 573.02, subdivision 1 directs that funeral expenses and court-allowed demands for the decedent's support be deducted and paid first from the recovery;
    d. Damages suffered by Decedent resulting from the injury prior to death, as authorized by the 2023 amendment to § 573.02, subd. 1;
    e. [If applicable] Punitive damages upon subsequent motion under Minn. Stat. § 549.191 and proof by clear and convincing evidence under Minn. Stat. § 549.20.

  7. The Court will determine the proportionate pecuniary loss of the persons entitled to recovery and order distribution accordingly, pursuant to Minn. Stat. § 573.02, subd. 1.


5. COUNT II – SURVIVAL ACTION (Minn. Stat. §§ 573.01, 573.02, subd. 1) (¶ 57-64)

  1. Plaintiff realleges and incorporates ¶¶ 1-56.
  2. Minn. Stat. § 573.01 provides that a cause of action arising out of an injury to the person survives the death of any party in accordance with Minn. Stat. § 573.02.
  3. Decedent sustained pre-death damages, including medical expenses, lost wages, and conscious pain and suffering, between the time of injury and death.
  4. Decedent's pre-death personal-injury claim survives and is recoverable by the Trustee, for the exclusive benefit of the surviving spouse and next of kin, as part of "all damages suffered by the decedent resulting from the injury prior to the decedent's death" under Minn. Stat. § 573.02, subd. 1.
  5. Plaintiff seeks all damages recoverable under Minn. Stat. §§ 573.01 and 573.02, subd. 1, subject to any statutory limitations then in force.
  6. These survival damages are part of, and recoverable together with, the wrongful-death damages sought in Count I, as a single action prosecuted by the Trustee.

6. DAMAGES (¶ 65-76)

  1. Plaintiff seeks judgment against Defendants for:
    a. Past and future pecuniary loss to the surviving spouse and next of kin;
    b. Pre-death medical expenses;
    c. Funeral and burial costs pursuant to Minn. Stat. § 573.02, subd. 1 (deducted and paid first from any recovery);
    d. All damages suffered by Decedent resulting from the injury prior to death, including conscious pain and suffering, under Minn. Stat. § 573.02, subd. 1;
    e. Pre- and post-judgment interest under Minn. Stat. § 549.09;
    f. Taxable costs and disbursements;
    g. Punitive damages upon motion under Minn. Stat. § 549.191, subject to proof by clear and convincing evidence under Minn. Stat. § 549.20;
    h. Any other relief the Court deems just and equitable.

  2. Minnesota law imposes no general statutory cap on the compensatory damages recoverable under Minn. Stat. § 573.02. Pursuant to Minn. R. Civ. P. 8.01, because Plaintiff seeks unliquidated damages in an amount greater than $50,000, Plaintiff states merely that recovery of reasonable damages in an amount greater than $50,000 is sought, and will provide computation via Rule 26 disclosures.


7. DEMAND FOR JURY TRIAL

  1. Pursuant to Minn. R. Civ. P. 38, Plaintiff demands a trial by jury on all triable issues.

8. PRAYER FOR RELIEF

WHEREFORE, Plaintiff respectfully requests that the Court enter judgment:

A. In favor of Plaintiff and against Defendants;
B. Awarding damages as set forth in ¶¶ 36(a)-(h);
C. Awarding lawful interest, costs, and disbursements; and
D. Granting such other and further relief as the Court deems just and proper.


9. RESERVATION OF RIGHTS & OTHER MATTERS

  1. Plaintiff reserves the right to:
    a. Amend this Complaint to conform to evidence;
    b. Assert punitive damages upon motion under Minn. Stat. § 549.191;
    c. Add additional parties or theories of liability as discovery warrants.

10. OPTIONAL DECLARATION

I, [TRUSTEE FULL NAME], as Trustee for the next of kin of [DECEDENT FULL LEGAL NAME], declare under penalty of perjury that everything I have stated in this document is true and correct.

Signature: ________________________________
[TRUSTEE FULL NAME], Trustee
Signed on [DATE] in [COUNTY], [STATE].


11. SIGNATURE BLOCK AND SANCTIONS ACKNOWLEDGMENT

Respectfully submitted,

[LAW FIRM NAME]
[Firm Address]
[City, State ZIP]
Telephone: (___) ___-____
Email: [attorney email]

By: __________________________________
[ATTORNEY NAME] (MN Bar No. ________)
Attorneys for Plaintiff

Acknowledgment under Minn. Stat. § 549.211, subd. 1: Plaintiff, through undersigned counsel, acknowledges that sanctions may be imposed under Minn. Stat. § 549.211. This signed acknowledgment is attached to and made part of this Complaint.

Signature: ________________________________
[ATTORNEY NAME] (MN Bar No. ________)
Date: __________________


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About this template

Last updated
November 9, 2026
Jurisdiction
Minnesota
Category
Personal Injury

Legal authority

  • Minn. Stat. § 573.02, subd. 1 (death action; trustee brings suit; recovery for exclusive benefit of surviving spouse and next of kin; 3-year SOL from date of death, no time limit for murder, 3-year/6-year outer bound for other acts; punitive damages per § 549.20)
  • Minn. Stat. § 573.02, subd. 2 (injury action where decedent dies of unrelated cause; same limitations structure)
  • Minn. Stat. § 573.02, subd. 3 (trustee for action — court must appoint a trustee upon written petition by surviving spouse or next of kin; condition precedent to suit)
  • Minn. Stat. § 573.02, subd. 4 (applicability/retroactivity, including special murder-case rule)
  • Minn. Stat. § 466.05, subd. 2 (municipal wrongful-death notice); § 3.736, subd. 6 (state wrongful-death notice)
  • Minn. Stat. § 573.01 (survival of causes — personal-injury causes of action survive in accordance with § 573.02; all other causes of action survive to personal representatives)
  • Minn. Stat. § 541.076 (health care provider actions — 4-year outer limitations period referenced by § 573.02, subd. 1 for professional-negligence deaths)
  • Minn. Stat. § 145.682, subds. 2–4, 6 (expert-review and expert-identification affidavits when expert testimony is necessary for a health care provider malpractice claim; dismissal for noncompliance)
  • Minn. Const. art. VI, § 3 (district court original jurisdiction over all civil cases)
  • Minn. Const. art. VI, § 11 (probate/estate administration jurisdiction vested in district court; no separate Probate Court)
  • Minn. Stat. § 484.01, subd. 1 (district court original jurisdiction; no amount-in-controversy floor)
  • Minn. Stat. § 542.09 (venue — defendant's residence or county where cause of action arose)
  • Minn. Stat. § 549.20 (punitive damages standard — clear and convincing evidence of deliberate disregard for rights or safety of others)
  • Minn. Stat. § 549.191 (punitive damages — motion to amend pleading required before punitive claim may be asserted)
  • Minn. Stat. § 549.09 (pre- and post-judgment interest)
  • Minn. Const. art. I, § 4 (right to jury trial)
  • Minn. R. Civ. P. 38 (jury trial demand)
  • Minn. R. Civ. P. 8.01 (pleading unliquidated damages; $50,000 pleading threshold, not a jurisdictional amount)
  • Minn. Stat. § 549.211, subd. 1 (signed sanctions acknowledgment attached to pleadings)
  • Minn. R. Civ. P. 11.01; Minn. Stat. § 358.116 (pleading signature and optional unsworn declaration)
  • Minn. Gen. R. Prac. 144.01, 144.05 (trustee petition and distribution)
  • 28 U.S.C. §§ 1332, 1441 (possible diversity jurisdiction and removal)

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.

Minn. Gen. R. Prac. 104(b) (checked November 9, 2026): "If the case is a non-family civil case other than those listed in Rule 111.01, basic information about the case in a Civil Cover Sheet"

Minn. Stat. § 573.02, subd. 1, payment priority (checked October 30, 2026): "Funeral expenses and any demand for the support of the decedent allowed by the court having jurisdiction of the action, are first deducted and paid."

Minn. Stat. § 466.05, subd. 2 (checked October 27, 2026): "the notice may be presented by the personal representative, surviving spouse, or next of kin, or the consular officer of the foreign country of which the deceased was a citizen, within one year after the alleged injury or loss resulting in such death"

Minn. Stat. § 3.736, subd. 6 (checked October 27, 2026): "the notice may be presented by the personal representative, surviving spouse, or next of kin, or the consular officer of the foreign country of which the deceased was a citizen, within one year after the alleged injury or loss resulting in the death"

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