Wrongful Death Complaint - Missouri
WRONGFUL DEATH / SURVIVAL PETITION
(Missouri Circuit Court – Template)
TABLE OF CONTENTS
- Caption & Style of Case
-
Preliminary Allegations
2.1 Parties
2.2 Jurisdiction and Venue
2.3 Definitions -
Factual Background
-
Causes of Action
4.1 Count I – Wrongful Death (Negligence)
4.2 Count II – Survival Action
4.3 Count III – Punitive Damages (Optional) -
Damages Allegations
- Prayer for Relief
- Jury Demand
- Verification
- Certificate of Service
1. CAPTION & STYLE OF CASE
IN THE CIRCUIT COURT OF [COUNTY_NAME] COUNTY
STATE OF MISSOURI
| Party | Role |
|---|---|
| [PLAINTIFF NAME(S)], | Plaintiff[s], |
| v. | Case No. [_____________] |
| [DEFENDANT NAME(S)], | Division No. [_____________] |
| Defendant[s]. |
PETITION FOR WRONGFUL DEATH AND SURVIVAL DAMAGES
2. PRELIMINARY ALLEGATIONS
2.1 Parties
-
Plaintiff. Plaintiff [PLAINTIFF_NAME] is an individual residing at [PLAINTIFF_ADDRESS] and is:
a. the [relationship—e.g., spouse, child, parent, or court-appointed plaintiff ad litem] of [DECEDENT_NAME] (“Decedent”), who died on [DATE_OF_DEATH]; and
b. an eligible beneficiary under Mo. Rev. Stat. § 537.080. -
Defendant. Defendant [DEFENDANT_NAME] is a [corporation / individual / partnership] organized under the laws of [STATE] with its principal place of business at [DEFENDANT_ADDRESS] and may be served at [SERVICE_ADDRESS] pursuant to Mo. Sup. Ct. R. 54.13(b)(3) (corporate/partnership/unincorporated-association defendant) or R. 54.13(b)(1) (individual defendant), as applicable.
2.2 Jurisdiction and Venue
-
This Court has subject-matter jurisdiction under Mo. Const. art. V, § 14 and Mo. Rev. Stat. § 478.070, and this action is authorized by Mo. Rev. Stat. §§ 537.080–.090.
-
Venue is proper in [COUNTY_NAME] County under Mo. Rev. Stat. § 508.010.4 and .11 because Decedent was first injured by the wrongful acts or negligent conduct alleged in this action in [COUNTY_NAME] County, Missouri.
2.3 Definitions
For pleading clarity, the following terms are used:
a. “Decedent” means [DECEDENT_NAME], deceased.
b. “Beneficiaries” means the persons entitled to recover under Mo. Rev. Stat. § 537.080.
3. FACTUAL BACKGROUND
-
On or about [DATE_OF_INCIDENT], at or near [LOCATION], Defendant owed Decedent a duty of ordinary care to [describe duty, e.g., operate a motor vehicle safely / provide medical care in accordance with the standard of care].
-
Defendant breached that duty by [specific acts or omissions].
-
As a direct and proximate result of Defendant’s negligence, Decedent suffered severe injuries culminating in death on [DATE_OF_DEATH].
-
Decedent left surviving the following statutory beneficiaries, identified by the priority class under Mo. Rev. Stat. § 537.080.1 to which each belongs:
• [NAME], [relationship — e.g., spouse / child / lineal descendant of a deceased child / parent] (Class 1);
• [NAME], [relationship — e.g., sibling or descendant of a sibling, pleaded ONLY if no Class 1 beneficiary exists] (Class 2, if applicable).
- All statutory conditions precedent to filing this action have been satisfied or waived.
4. CAUSES OF ACTION
4.1 Count I – Wrongful Death (Negligence)
-
Plaintiff realleges Paragraphs 1–9.
-
Under Mo. Rev. Stat. § 537.080, Plaintiff, on behalf of all Beneficiaries, has a statutory cause of action for Decedent’s wrongful death.
-
Defendant’s negligent acts/omissions, detailed above, directly caused Decedent’s death.
-
Pursuant to Mo. Rev. Stat. § 537.090, Plaintiff seeks recovery of:
a. Pecuniary losses, including the value of Decedent’s services, companionship, comfort, instruction, guidance, counsel, training, and support;
b. Funeral and burial expenses;
c. Reasonable value of medical expenses;
d. Pre- and post-judgment interest as allowed by law; and
e. If applicable — damages between the time of injury and death that Decedent could have recovered had death not ensued, and damages for any aggravating circumstances attending the death; and
f. Costs of suit as allowed by law.
4.2 Count II – Survival Action
-
Plaintiff realleges Paragraphs 1–13.
-
Under Mo. Rev. Stat. §§ 537.020–.021, all causes of action that accrued to Decedent prior to death survive and may be prosecuted by Plaintiff as personal representative.
-
Decedent endured conscious pain, suffering, and medical expenses between the time of injury and death for which Plaintiff is entitled to recover.
4.3 Count III – Punitive Damages (Optional – plead only when supported by facts)
-
Plaintiff realleges Paragraphs 1–16.
-
Defendant acted with flagrant disregard for the safety of others, showing conscious indifference and reckless disregard warranting punitive damages to punish and deter such conduct.
5. DAMAGES ALLEGATIONS
- Plaintiff seeks the full measure of damages allowed by Mo. Rev. Stat. § 537.090, including:
• Economic and non-economic wrongful-death damages;
• Survival damages (pain, suffering, medical bills);
• Funeral and burial costs;
• Pre-/post-judgment interest;
• Costs of suit;
• Punitive damages where proven; and
• Any further relief the Court deems just and proper.
6. PRAYER FOR RELIEF
WHEREFORE, Plaintiff prays for judgment against Defendant, jointly and severally where applicable, for:
A. Compensatory damages in a fair and reasonable sum exceeding $25,000;
B. Survival damages for Decedent’s conscious pain and suffering;
C. Funeral and burial expenses;
D. Punitive damages (if pled and subsequently permitted);
E. Pre-judgment and post-judgment interest as allowed by law;
F. Costs of court; and
G. Such other and further relief as the Court deems just and proper.
7. JURY DEMAND
Plaintiff hereby demands trial by jury on all triable issues pursuant to Mo. Const. art. I, § 22(a) and Mo. Sup. Ct. R. 69.01(a).
8. VERIFICATION
STATE OF MISSOURI, COUNTY OF [_____________], ss.
I, [PLAINTIFF_NAME], being duly sworn, depose and state that I have read the foregoing Petition; that the facts stated therein are true and correct to the best of my knowledge, information, and belief.
_________________________________
[PLAINTIFF_NAME], Plaintiff
Subscribed and sworn to before me this ___ day of __________, 20__.
_________________________________
Notary Public
My Commission Expires: __________
9. CERTIFICATE OF SERVICE
I certify that on the ___ day of __________, 20__, a true and correct copy of the foregoing Petition was served upon all counsel/parties of record by [method of service] pursuant to Mo. Sup. Ct. R. 43.01.
_________________________________
[ATTORNEY_NAME], #________
Attorney for Plaintiff
[LAW FIRM NAME]
[ADDRESS]
[PHONE] | [EMAIL]
ATTORNEY SIGNATURE BLOCK
Respectfully submitted,
_________________________________
[ATTORNEY_NAME], Mo. Bar #________
[LAW FIRM NAME]
[ADDRESS]
[PHONE] | [EMAIL]
Counsel for Plaintiff
About this template
- Last updated
- July 8, 2026
- Citations checked
- July 8, 2026
- Jurisdiction
- Missouri
- Category
- Personal Injury
Legal authority
- RSMo § 537.080 (wrongful death cause of action; tiered beneficiary priority — Class 1: spouse, children/lineal descendants of deceased children, parents; Class 2: siblings or their descendants, if no Class 1 claimant; Class 3: court-appointed plaintiff ad litem, if no Class 1 or 2 claimant; only one action per defendant per death)
- RSMo § 537.090 (damages: pecuniary loss, funeral expenses, value of services/consortium/companionship/comfort/instruction/guidance/counsel/training/support, survival-type damages between injury and death; grief and bereavement not recoverable)
- RSMo § 537.100 (wrongful death action must be commenced within 3 years after accrual; tolled during defendant's absence from Missouri; distinct from the general 5-year personal-injury limitations period in RSMo § 516.120)
- RSMo § 537.020 (causes of action for personal injury or death survive the death of either party; survives to the personal representative)
- RSMo § 537.021 (survival of decedent's pre-death causes of action; personal representative or plaintiff ad litem may maintain the action)
- RSMo § 538.210 (noneconomic damages cap applies to a wrongful-death claim only when it arises out of the rendering of or failure to render health care services by a health care provider; upheld as constitutional for the statutorily created wrongful-death cause of action in Sanders v. Ahmed, 364 S.W.3d 195 (Mo. banc 2012); the cap does NOT apply to non-medical wrongful-death claims (e.g., motor vehicle, premises, products liability))
- Mo. Const. art. V, § 14 (circuit court original jurisdiction over all civil and criminal cases and matters)
- RSMo § 478.070 (circuit courts have original jurisdiction over all cases and matters, civil and criminal)
- RSMo § 508.010.4, .11 (tort venue: proper in the county where the decedent was first injured by the wrongful acts or negligent conduct alleged; not the general nontort residency-based venue rule)
- RSMo § 509.030 (pleadings need not be verified or accompanied by affidavit absent specific rule or statute requirement)
- Mo. Sup. Ct. R. 54.13(b)(3) (service on a corporation via officer, partner, managing/general agent, or registered agent)
- Mo. Sup. Ct. R. 55.03 (signing of pleadings; attorney certifications)
- Mo. Sup. Ct. R. 43.01 (service of pleadings and other papers; certificate of service)
- Mo. Sup. Ct. R. 69.01(a) (right of trial by jury preserved inviolate; waiver methods)
- Mo. Const. art. I, § 22(a) (right of trial by jury)
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 8, 2026.
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