Wrongful Death Complaint - Mississippi

Mississippi Personal Injury Updated July 14, 2026 Free Word and PDF

IN THE CIRCUIT COURT OF [COUNTY] COUNTY, MISSISSIPPI

Party Role
[PLAINTIFF'S LEGAL NAME], Individually and on Behalf of the Wrongful-Death Beneficiaries of [DECEDENT'S FULL LEGAL NAME], Deceased, Plaintiff
v.
[DEFENDANT'S LEGAL NAME(S)], Defendant(s)

Civil Action No.: __________
Jury Trial Demanded


COMPLAINT FOR WRONGFUL DEATH, SURVIVAL DAMAGES, AND OTHER RELIEF

(Miss. Code Ann. § 11-7-13)


TABLE OF CONTENTS

  1. Parties & Service ..................................................................................... 2
  2. Jurisdiction & Venue ............................................................................. 3
  3. Factual Allegations ................................................................................ 4
  4. Count I – Wrongful Death – Negligence (§ 11-7-13) ............................ 7
  5. Count II – Survival Damages (§ 11-7-13; § 91-7-233) ...................... 8
  6. Count III – Gross Negligence / Punitive Damages (§ 11-1-65) ............ 9
  7. Damages Sought .................................................................................. 10
  8. Prayer for Relief ................................................................................... 12
  9. Jury Demand ....................................................................................... 13
  10. Certification & Verification (if required) .............................................. 13
  11. Certificate of Service ......................................................................... 14

(Page numbers to be inserted upon finalization.)


1. PARTIES & SERVICE

1.1 Plaintiff [PLAINTIFF'S NAME] is a resident of [County] County, Mississippi, and is the [relationship — e.g., surviving spouse / parent / child / sibling / personal representative of the Decedent's estate] of [Decedent's Name] ("Decedent"). Miss. Code Ann. § 11-7-13 uniquely allows a broader class of plaintiffs than most states' wrongful-death statutes: the action may be brought by the personal representative of the deceased for the benefit of all persons entitled to recover, or by the widow for the death of her husband, or by the husband for the death of the wife, or by the parent for the death of a child, or by the child for the death of a parent, or by a sibling for the death of a sibling, or all interested parties may join in the suit. Pursuant to Miss. Code Ann. § 11-7-13, Plaintiff brings this single, consolidated action individually and on behalf of all statutory wrongful-death beneficiaries — there being but one (1) suit for the same death for the benefit of all parties concerned — including but not limited to the Decedent's:
a. Surviving spouse: [Name]
b. Natural and/or adopted children: [Name(s)]
c. Parent(s): [Name(s)]
d. Sibling(s): [Name(s)]

1.2 Defendant [DEFENDANT’S NAME] is a [corporation/LLC/individual] organized under the laws of [State], with its principal place of business in [City, State] and may be served with process through [registered agent / address].


2. JURISDICTION & VENUE

2.1 This Court has subject-matter jurisdiction over this civil action pursuant to Miss. Code Ann. § 9-7-81 (circuit court original jurisdiction) and Miss. Code Ann. § 11-7-13.

2.2 Venue is proper in this Court under Miss. Code Ann. § 11-11-3(1) because [Defendant resides here / substantial part of the events giving rise to the claim occurred here].

2.3 The amount in controversy exceeds the minimum jurisdictional threshold of this Court, exclusive of costs and interest.

2.4 This action is timely under [identify the limitations and presuit scheme governing the underlying alleged wrong]. For an ordinary negligence theory, analyze Miss. Code Ann. § 15-1-49 and accrual under current authority. For medical malpractice, analyze § 15-1-36's two-year period and presuit notice. Governmental, intentional-tort, products, and other theories may use different periods. The deadline is not automatically three years from death.


3. FACTUAL ALLEGATIONS

3.1 On [Date], at approximately [Time], Decedent was [describe activity—e.g., lawfully operating a motor vehicle eastbound on Highway XX].

3.2 Defendant [Name], through its agents, servants, and employees acting within the course and scope of employment, [describe negligent act or omission—e.g., failed to maintain proper lookout / manufactured and sold a defective product].

3.3 As a direct and proximate result of Defendant’s conduct, Decedent suffered severe bodily injuries leading to death on [Date].

3.4 The Estate incurred funeral and burial expenses of approximately $[Amount], and Decedent’s beneficiaries have sustained loss of support, society, companionship, and other damages set forth below.


4. COUNT I – WRONGFUL DEATH – NEGLIGENCE

(Miss. Code Ann. § 11-7-13)

4.1 Plaintiff realleges and incorporates by reference ¶¶ 1.1–3.4 above.

4.2 Defendant owed Decedent a duty of reasonable care [describe specific duty—e.g., to operate a motor vehicle in accordance with traffic laws].

4.3 Defendant breached that duty by [specific acts/omissions].

4.4 Defendant’s breach was the direct and proximate cause of Decedent’s death, entitling Plaintiff and all wrongful-death beneficiaries to recover damages under § 11-7-13.


5. COUNT II – SURVIVAL DAMAGES

(Miss. Code Ann. § 11-7-13; Miss. Code Ann. § 91-7-233)

5.1 Plaintiff realleges and incorporates ¶¶ 1.1–4.4.

5.2 Prior to death, Decedent experienced [identify supported injury-to-death losses]. Section 11-7-13 permits injury-and-death damages in the single wrongful-death action, while § 91-7-233 separately addresses survival of personal actions. Plaintiff pleads this component without duplicate recovery and subject to proof of the proper claimant, ownership, and applicable limitations period.

5.3 Plaintiff, as [personal representative / wrongful-death beneficiary], seeks all damages recoverable by the Estate, including but not limited to:
a. Medical bills in the approximate amount of $[Amount];
b. Conscious pain and suffering;
c. Pre-death mental anguish.


6. COUNT III – GROSS NEGLIGENCE / RECKLESSNESS – PUNITIVE DAMAGES

(Miss. Code Ann. § 11-1-65)

6.1 Plaintiff realleges and incorporates ¶¶ 1.1–5.3.

6.2 Defendant’s conduct was willful, wanton, and in reckless disregard for the safety of others, meeting the standard for punitive damages under § 11-1-65.

6.3 Plaintiff seeks punitive damages in an amount to be determined by the trier of fact, subject to statutory caps, to punish Defendant and deter similar conduct.


7. DAMAGES SOUGHT

Pursuant to Miss. Code Ann. § 11-7-13 and other applicable law, Plaintiff demands judgment for:

a. Economic Damages:
i. Funeral and burial costs..................... $[Amount]
ii. Loss of earnings and benefits............... $[Amount]
iii. Medical expenses prior to death............ $[Amount]

b. Non-Economic Damages, subject to the cap of Miss. Code Ann. § 11-1-60(2)(b) — currently $1,000,000 for this general civil (non-medical-malpractice) wrongful-death action, or, if this action is instead based on healthcare-provider malpractice, the lower cap of $500,000 under § 11-1-60(2)(a):
i. Pain and suffering of Decedent
ii. Loss of society, consortium, and companionship
iii. Emotional distress of beneficiaries

c. Punitive Damages under § 11-1-65 (subject to statutory limits);

d. Pre- and post-judgment interest at the lawful rate;

e. Costs of court and any discretionary fees allowed under Miss. R. Civ. P. 54(d);

f. Any such other and further relief—legal or equitable (including limited injunctive relief if necessary to preserve assets)—to which Plaintiff may be entitled.


8. PRAYER FOR RELIEF

WHEREFORE, PREMISES CONSIDERED, Plaintiff respectfully prays that:

  1. Process issue and be served upon Defendant in accordance with law;
  2. Defendant be summoned to appear and answer this Complaint;
  3. Upon trial by jury, Plaintiff obtains a judgment for all damages specified herein;
  4. The Court award such additional, different, or further relief as it deems just and proper.

9. JURY DEMAND

Pursuant to Miss. R. Civ. P. 38(b) and the Seventh Amendment to the United States Constitution (as incorporated), Plaintiff hereby demands a trial by jury on all issues so triable.


10. CERTIFICATION & VERIFICATION

[OPTIONAL / CASE-SPECIFIC]


11. CERTIFICATE OF SERVICE

I, the undersigned attorney, certify that on this the ___ day of __________ 20__, I electronically filed the foregoing with the Clerk of the Court using the MEC system, which sent notification of such filing to all counsel of record; and I served the foregoing document by [state method – e.g., U.S. Mail, hand delivery] upon:

[Name & Address of Counsel/Party Not Registered With MEC]

/s/ __________________________________
[ATTORNEY’S FULL NAME] (MSB #______)
[Law Firm Name]
[Street Address] | [P.O. Box]
[City], MS [ZIP]
Telephone: [___-___-____]
Facsimile: [___-___-____]
Email: [___]

Counsel for Plaintiff


[SIGNATURE BLOCK]

Respectfully submitted this ___ day of __________ 20__.

[PLAINTIFF’S NAME],

Individually and on behalf of all Wrongful-Death Beneficiaries of [Decedent]

By: /s/ [ATTORNEY NAME]
One of Their Attorneys


ATTORNEY INFORMATION

[ATTORNEY’S FULL NAME] (MSB #______)
[Law Firm Name]
[Street Address] | [P.O. Box]
[City], MS [ZIP]
Tel: [___-___-____] | Fax: [___-___-____]
Email: [___]


END OF TEMPLATE

Insert Image

Insert Table

Watch Ezel in action (sample case)Choose a plan

All changes saved
Save
Export
Export as DOCX
Export as PDF
Generating PDF...
wrongful_death_complaint_ms.pdf
Ready to export as PDF or Word
AI is editing...
Chat
Review

Draft it in the editor

The AI drafts each section from your answers and you review every word. Drafting from scratch takes hours; finish yours for $99 one time.

  • Built on this template
    Uses the Mississippi version and the statutes it cites.
  • Formatted like the template
    Captions, numbering and layout stay intact.
  • AI editing
    Rewrite any section from your own notes.
  • Export as PDF and Word
    Yours to review, sign, or file.
Secure checkout via Stripe
Need to customize this document?

About this template

Last updated
July 14, 2026
Jurisdiction
Mississippi
Category
Personal Injury

Legal authority

  • Miss. Code Ann. § 11-7-13 (wrongful death and survival — consolidated cause of action; beneficiary class; damages)
  • Miss. Code Ann. § 91-7-233 (survival of decedent's own personal action to executor/administrator)
  • Miss. Code Ann. § 15-1-49 (general 3-year catch-all limitation, when it governs the underlying claim)
  • Miss. Code Ann. § 9-7-81 (circuit court original jurisdiction)
  • Miss. Code Ann. § 11-11-3 (venue of civil actions)
  • Miss. Code Ann. § 11-1-60 (cap on noneconomic damages: $1,000,000 for general civil actions; $500,000 for medical malpractice actions)
  • Miss. Code Ann. § 11-1-65 (punitive damages — clear and convincing evidence standard; net-worth-based caps)
  • Miss. R. Civ. P. 38(b) (jury demand)

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.

Draft your Wrongful Death Complaint in the editor

Answer a few questions, let the AI editor draft each section from your answers, review it, and download Word and PDF. $99 one time, or $249 per month for every document and every Ezel app.