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Provide the information below for each plaintiff named in the complaint. Attach additional pages if needed. Name.In a negligence case, you want to allege duty, breach, causation, and damages. More personal injury complaint samples. 00, the exact amount to be proven at trial, arising out of. This information isn't a complete statement of the law. This case requires that a complaint must allege "enough facts to state a claim to relief that is plausible on its face. Negligently filing a false or frivolous complaint can subject an attorney to discipline or sanctions. The complaint briefly tells the story of the case. You must complete and file the enclosed NON-MILITARY AFFIDAVIT with the Clerk prior to any hearing on your complaint.