Wrongful Death Complaint - Wisconsin

STATE OF WISCONSIN

CIRCUIT COURT – [COUNTY] COUNTY

[BRANCH DESIGNATION]

VERIFIED COMPLAINT

(Wrongful Death and Survival Action)

TABLE OF CONTENTS

1. Parties, Capacity, and Service .............................................................. ¶ 1
2. Jurisdiction & Venue ......................................................................... ¶ 6
3. Factual Allegations .......................................................................... ¶ 11
4. Count I – Wrongful Death (Wis. Stat. §§ 895.03, 895.04) ................. ¶ 20
5. Count II – Survival Claim (Wis. Stat. §§ 895.01, 895.04) ................. ¶ 30
6. Damages ............................................................................................ ¶ 36
7. Demand for Jury Trial .................................................................. ¶ 42
8. Prayer for Relief ............................................................................. ¶ 44
9. Verification, Signature Block & Certifications ............................ ¶ 49

DEFINITIONS

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

A. “Decedent” means [DECEDENT NAME], who died on [DATE OF DEATH].
B. “Estate” means the probate estate of the Decedent, pending in [COUNTY] County Case No. ________, for which Plaintiff serves as duly appointed Personal Representative.
C. “Statutory Beneficiaries” means those individuals designated under Wis. Stat. § 895.04(2), in the following order of priority: (i) the surviving spouse or domestic partner (subject to a court-determined set-aside, not to exceed 50% of the net recovery, for surviving minor children with whose support the Decedent was legally charged); (ii) if none, the Decedent's lineal heirs as determined under Wis. Stat. § 852.01; or (iii) if none, the Decedent's brothers and sisters. Only certain of these relatives — the spouse/domestic partner, children, or parents of the Decedent, or the Decedent's minor siblings at the time of death — may additionally recover loss-of-society-and-companionship damages under Wis. Stat. § 895.04(4).
D. “Defendant” or “Defendants” means [DEFENDANT NAME(S)], together with any agents, servants, or employees whose acts or omissions are alleged herein.

1. PARTIES, CAPACITY, AND SERVICE

1. Plaintiff [PLAINTIFF NAME] (“Plaintiff”) is an adult resident of the State of Wisconsin, residing at [ADDRESS], and is the duly appointed Personal Representative of the Estate.
2. Decedent died intestate/testate on [DATE] as a direct and proximate result of Defendant’s wrongful acts and omissions described herein.

3. The Statutory Beneficiaries include:
   a. [SPOUSE/DOMESTIC PARTNER NAME], spouse/domestic partner;
   b. [CHILD NAME(S)], minor/adult child(ren); and
   c. Any other beneficiaries to be identified pursuant to Wis. Stat. § 895.04(2).

4. Defendant [DEFENDANT NAME] is a [corporation/LLC/individual] organized under the laws of [STATE] with its principal place of business at [ADDRESS] and may be served through its registered agent, [AGENT NAME & ADDRESS].

5. All parties have the requisite capacity to sue and be sued.

2. JURISDICTION & VENUE

6. This Court has subject-matter jurisdiction under Wis. Stat. § 895.03 (2023) and Wis. Stat. § 801.04 (2023).
7. Personal jurisdiction exists because Defendant [is domiciled in/does substantial business in/committed tortious acts within] Wisconsin.
8. Venue is proper in [COUNTY] County under Wis. Stat. § 801.50 (2023) because the events giving rise to this action occurred here and/or Defendant resides or conducts business here.
9. The amount in controversy exceeds the jurisdictional minimum of this Court.
10. All statutory conditions precedent to bringing this action have been satisfied, waived, or excused. This action is timely commenced within the applicable statute of limitations: Wis. Stat. § 893.54(1m)(b) sets a general three (3)-year limitations period for a wrongful death action, but Wis. Stat. § 893.54(2m) instead applies a shorter two (2)-year limitations period if the death arose from an accident involving a motor vehicle. Counsel must confirm which period governs before filing.

3. FACTUAL ALLEGATIONS

11. On [DATE], at approximately [TIME], Decedent was [brief description of activity—e.g., driving northbound on Hwy XX, undergoing surgery at Hospital Y, using Product Z].
12. Defendant owed Decedent a duty of reasonable care [describe source of duty—statutory, common-law, contractual].
13. Defendant breached that duty by [specific acts/omissions].
14. As a direct and proximate result of Defendant’s breach, Decedent sustained severe injuries, conscious pain and suffering, and ultimately death on [DATE OF DEATH].
15. Decedent incurred medical expenses in the amount of approximately $[AMOUNT].
16. Funeral and burial expenses totaled approximately $[AMOUNT].
17. Decedent was [AGE] years old and had a normal life expectancy of [NUMBER] additional years.
18. Prior to death, Decedent provided financial support, society, and companionship to the Statutory Beneficiaries.
19. Plaintiff incorporates paragraphs 1–18 as though fully set forth herein.

4. COUNT I – WRONGFUL DEATH

(Against All Defendants)
(Wis. Stat. §§ 895.03, 895.04)

20. Plaintiff realleges paragraphs 1–19.
21. Defendant’s negligent acts and omissions constitute a “wrongful act, neglect or default” within the meaning of Wis. Stat. § 895.03 (2023).
22. Pursuant to Wis. Stat. § 895.04(1) (2023), Plaintiff, as Personal Representative, is authorized to maintain this action.
23. As a direct and proximate result of Defendant’s negligence, Decedent died, causing pecuniary injury to the Statutory Beneficiaries.

24. Recoverable wrongful-death damages include but are not limited to:
    a. Reasonable medical expenses and funeral/cemetery expenses (including the cost of a cemetery lot, grave marker, and care of the lot) pursuant to Wis. Stat. § 895.04(5);
    b. Loss of society and companionship, awardable only to the spouse, children, or parents of the Decedent, or to the Decedent's siblings if the siblings were minors at the time of death, subject to the statutory cap under Wis. Stat. § 895.04(4) of $350,000 per occurrence if the Decedent was an adult, or $500,000 per occurrence if the Decedent was a minor (current figures; confirm no intervening legislative amendment before filing); and
    c. Pecuniary damages, including loss of support, services, care, and guidance.

25. Plaintiff demands judgment accordingly.

5. COUNT II – SURVIVAL CLAIM

(Against All Defendants)
(Wis. Stat. §§ 895.01, 895.04)

30. Plaintiff realleges paragraphs 1–29.
31. Under Wis. Stat. § 895.01 (2023), Decedent’s cause of action for personal injuries, conscious pain, and suffering survived his/her death and is now vested in the Estate.
32. Prior to death, Decedent endured conscious pain and suffering, loss of enjoyment of life, and emotional distress.

33. Plaintiff seeks all damages recoverable by the Estate under Wisconsin law, including but not limited to:
    a. Pre-death medical expenses;
    b. Pre-death lost earnings;
    c. Conscious pain and suffering; and
    d. Punitive damages under Wis. Stat. § 895.043, if the evidence establishes that Defendant acted maliciously toward Decedent or in intentional disregard of Decedent's rights; and
    e. Any other lawful damages.

34. Plaintiff further seeks prejudgment interest and costs allowable by law.

35. Plaintiff demands judgment accordingly.

6. DAMAGES

36. Total damages sought exceed the minimum jurisdictional amount and are believed to be in excess of $[AMOUNT], exclusive of costs, interest, and statutory caps where applicable.
37. Plaintiff reserves the right to amend to conform to proof at trial.
38. Any award for loss of society and companionship shall not exceed the statutory limit set forth in Wis. Stat. § 895.04(4), and the aggregate of damages under Wis. Stat. § 895.04(4)-(5) shall be diminished as provided in Wis. Stat. § 895.045 if the Decedent or a person entitled to recover is found causally negligent.

39. Punitive damages are not recoverable as an element of the wrongful-death claim itself (Count I). To the extent Plaintiff seeks punitive damages, they are sought solely on the survival claim (Count II), pursuant to Wis. Stat. § 895.043(3), if discovery establishes that Defendant acted maliciously toward Decedent or in intentional disregard of Decedent's rights, subject to the cap in Wis. Stat. § 895.043(6) (the greater of twice compensatory damages or $200,000).

40. Plaintiff also seeks taxable costs and disbursements, together with prejudgment and post-judgment interest as allowed by law.

41. Liability is sought against each Defendant under the allocation applicable to the proven theory. For negligence under Wis. Stat. § 895.045(1), a person below 51 percent causal negligence is liable only for that person's percentage, while a person at 51 percent or more is jointly and severally liable for the damages allowed; subsection (2) separately governs concerted action.

7. DEMAND FOR JURY TRIAL

42. Pursuant to Article I, Section 5 of the Wisconsin Constitution and Wis. Stat. § 805.01 (2023) (right to and demand for jury trial), Plaintiff demands a trial by a jury of twelve (12) persons, see Wis. Stat. § 805.08 (jurors), on all triable issues, with a verdict subject to the five-sixths rule of Wis. Stat. § 805.09.

8. PRAYER FOR RELIEF

WHEREFORE, Plaintiff respectfully requests that the Court enter judgment in Plaintiff’s favor and against Defendant(s) as follows:

a. For compensatory damages in an amount to be determined at trial, within statutory limits;
b. For punitive damages as allowed by Wis. Stat. § 895.043, if proven;
c. For prejudgment and post-judgment interest as allowed by law;
d. For Plaintiff’s taxable costs, disbursements, and attorney fees as permitted;
e. For such other and further relief as the Court deems just and proper.

9. VERIFICATION, SIGNATURE BLOCK & CERTIFICATIONS

[PLAINTIFF NAME]
Personal Representative of the Estate of [DECEDENT NAME]
By Counsel:

________________________________
[ATTORNEY NAME]
State Bar No. __________
[FIRM NAME]
[ADDRESS]
[PHONE] | [EMAIL]

DATED: __________

Verification

I, [PLAINTIFF NAME], verify under penalty of perjury that the factual allegations contained in the foregoing Complaint are true and correct to the best of my knowledge, information, and belief.
________________________________
[PLAINTIFF NAME]

Wis. Stat. § 802.05 Certification

The undersigned counsel certifies that, to the best of his/her knowledge, information, and belief, formed after reasonable inquiry, this pleading is well-grounded in fact and warranted by existing law or a good-faith argument for the extension, modification, or reversal of existing law.
________________________________
[ATTORNEY NAME]

OPTIONAL ADDENDA

1. Proposed Summons (Wis. Stat. § 801.095).
2. Probate Letters of Authority appointing Plaintiff as Personal Representative.
3. Expert Affidavit (if required under medical-malpractice or professional-negligence statutes).

END OF DOCUMENT