2018 Georgia Code
Title 9 - Civil Practice
Chapter 11 - Civil Practice Act
Article 10 - Forms
§ 9-11-110. Form of complaint for negligence when plaintiff is unable to determine responsible person

Universal Citation: GA Code § 9-11-110 (2018)
  • IN THE COURT OF COUNTY

  • STATE OF GEORGIA

  • A.B., )

  • Plaintiff )

  • )

  • v. ) Civil action

  • ) File no.

  • C.D. and E.F., ) (Clerk will insert

  • Defendants ) number.)

  • COMPLAINT

  • The defendant C.D., herein named, is a resident of (street),

  • (city), County, Georgia, and is subject to the jurisdiction of this

  • court. (Add appropriate statement about domicile of defendant E.F.)

  • 1.

  • On June 1, 1966, on a public highway called Broad Street in Athens,

  • Georgia, defendant C.D. or defendant E.F., or both defendants C.D. and E.F.,

  • willfully or recklessly or negligently drove or caused to be driven a motor

  • vehicle against plaintiff who was then crossing said highway.

  • 2.

  • As a result plaintiff was thrown down and had his leg broken and was

  • otherwise injured, was prevented from transacting his business, suffered great

  • pain of body and mind, and incurred expenses for medical attention and

  • hospitalization in the sum of $1,000.00.

  • Wherefore, plaintiff demands judgment against C.D. or against E.F. or

  • against both in the sum of $10,000.00 and costs.

  • Attorney for plaintiff

  • Address

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