The Legal Innovation & Technology Lab's Form Explorer ^Beta @ Suffolk Law School Last updated 2023-04-02

LIT Lab Home | About The Explorer | Find & Compare | Explore: California Lists

Here is the text we could read:

ATTORNEY OR PARTY WITHOUT ATTORNEY (Name, State Bar number, and address):

PLD-PI-001

FOR COURT USE ONLY

COMPLAINT—Personal Injury, Property Damage, Wrongful Death

CASE NUMBER:

FAX NO. (Optional):

SUPERIOR COURT OF CALIFORNIA, COUNTY OF
STREET ADDRESS:

TELEPHONE NO:

E-MAIL ADDRESS (Optional):

      ATTORNEY FOR (Name):

MAILING ADDRESS:

CITY AND ZIP CODE:

BRANCH NAME:

PLAINTIFF:

DEFENDANT:

DOES 1 TO

AMENDED (Number):

Type (check all that apply):
MOTOR VEHICLE

Property Damage
Personal Injury

Jurisdiction (check all that apply):

ACTION IS A LIMITED CIVIL CASE
Amount demanded 

OTHER (specify):
Wrongful Death
Other Damages (specify):

does not exceed $10,000
exceeds $10,000, but does not exceed $25,000

ACTION IS AN UNLIMITED CIVIL CASE (exceeds $25,000)
ACTION IS RECLASSIFIED by this amended complaint

from limited to unlimited
from unlimited to limited

1.  Plaintiff (name or names):

alleges causes of action against defendant (name or names):

2.  This pleading, including attachments and exhibits, consists of the following number of pages:
3. Each plaintiff named above is a competent adult
except plaintiff (name):

a. 

a corporation qualified to do business in California
an unincorporated entity (describe):
a public entity (describe):

a minor

an adult

(a) 
(b) 

for whom a guardian or conservator of the estate or a guardian ad litem has been appointed
other (specify):

b. 

(5) 

other (specify):

except plaintiff (name):
(1) 

a corporation qualified to do business in California
an unincorporated entity (describe):
a public entity (describe):

a minor

an adult

(1) 

(2) 

(3) 

(4) 

(2) 

(3) 

(4) 

(a) 
(b) 

for whom a guardian or conservator of the estate or a guardian ad litem has been appointed
other (specify):

(5) 

other (specify):

Information about additional plaintiffs who are not competent adults is shown in Attachment 3.

Form Approved for Optional Use 
Judicial Council of California 
PLD-PI-001 [Rev. January 1, 2007]

COMPLAINT—Personal Injury, Property 
Damage, Wrongful Death

Page 1 of 3

Code of Civil Procedure, § 425.12
www.courts.ca.gov

SHORT TITLE:

CASE NUMBER:

PLD-PI-001

4. 

Plaintiff (name):
is doing business under the fictitious name (specify):

and has complied with the fictitious business name laws.

5. Each defendant named above is a natural person

a. 

except defendant (name):

c. 

except defendant (name):

a business organization, form unknown

a business organization, form unknown

a corporation
an unincorporated entity
                                        (describe):

a corporation
an unincorporated entity
                                        (describe):

(4) 

a public entity
                       (describe):

(4) 

a public entity
                       (describe):

(5) 

other
         (specify):

(5) 

other
         (specify):

b. 

except defendant (name):

d. 

except defendant (name):

a business organization, form unknown

a business organization, form unknown

a corporation
an unincorporated entity
                                        (describe):

a corporation
an unincorporated entity
                                        (describe):

(4) 

a public entity
                       (describe):

(4) 

a public entity
                       (describe):

(5) 

other
         (specify):

(5) 

other
         (specify):

Information about additional defendants who are not natural persons is contained in Attachment 5.

6. The true names of defendants sued as Does are unknown to plaintiff.

Doe defendants (specify Doe numbers):
named defendants and acted within the scope of that agency or employment.

were the agents or employees of other

Doe defendants (specify Doe numbers):
plaintiff.

are persons whose capacities are unknown to

7.

Defendants who are joined under Code of Civil Procedure section 382 are
                                                                                                                       (names):

(1) 

(2) 

(3) 

(1) 

(2) 

(3) 

8. This court is the proper court because

at least one defendant now resides in its jurisdictional area.
the principal place of business of a defendant corporation or unincorporated association is in its jurisdictional area.
injury to person or damage to personal property occurred in its jurisdictional area.
other
         (specify):

(1) 

(2) 

(3) 

(1) 

(2) 

(3) 

a. 

b. 

a.
b.
c.
d.

a.

b.

9. 

Plaintiff is required to comply with a claims statute, and
has complied with applicable claims statutes, or
is excused from complying because
                                                          (specify):

PLD-PI-001 [Rev. January 1, 2007]

Page 2 of 3

COMPLAINT—Personal Injury, Property 
Damage, Wrongful Death

SHORT TITLE:

CASE NUMBER:

PLD-PI-001

10. The following causes of action are attached and the statements above apply to each (each complaint must have one or more 

causes of action attached):

Motor Vehicle

General Negligence

Intentional Tort

Products Liability

Premises Liability

         (specify):
Other

11. Plaintiff has suffered
wage loss

a.

loss of use of property

hospital and medical expenses

general damage

property damage

loss of earning capacity

other damage
                       (specify):

a.

b.

c.

d.

e.

f.

b.

c.

d.

e.

f.

g.

a.

b.

Date:

12. 

The damages claimed for wrongful death and the relationships of plaintiff to the deceased are

listed in Attachment 12.

as follows:

13. The relief sought in this complaint is within the jurisdiction of this court.

14. Plaintiff prays for judgment for costs of suit; for such relief as is fair, just, and equitable; and for

a.

(1) 

compensatory damages

punitive damages

(2) 
The amount of damages is (in cases for personal injury or wrongful death, you must check (1)):
(1) 

(2) 

according to proof
in the amount of: $

15.

The paragraphs of this complaint alleged on information and belief are as follows
                                                                                                                                  (specify paragraph numbers):

(TYPE OR PRINT NAME)

(SIGNATURE OF PLAINTIFF OR ATTORNEY)

PLD-PI-001 [Rev. January 1, 2007]

Page 3 of 3

COMPLAINT—Personal Injury, Property 
Damage, Wrongful Death

COMPLAINT—Personal Injury, Property Damage, Wrongful Death

This info page is part of the LIT Lab's Form Explorer project. It is not associated with the California state courts. To learn more about the project, check out our about page.

Downloads: You can download both the original form (last checked 2023-03) and the machine-processed form with normalized data fields.

About This Form:

Sourced from selfhelp.courts.ca.gov (2023-03)
Page(s): 3
Fields(s): 157
Average fields per page: 52
Reading Level: Grade 11
LIST Grouping(s): Unknown

Use our Rate My PDF tool to learn more. Go beyond the above insights and learn more about this or any pdf form at RateMyPDF.com, includes: counts of difficult words used, passive voice decetion, and suggestions for how to make the form more usable.

Identified Data Fields:

We have done our best to automaticly identify and name form fields according to our naming conventions. When possible, we've used names tied to our question library. See e.g., user1_name. If we think we've found a match to a question in our library, it is highlighted in green. Novel names are auto generated. So, you will probably need to edit some of them if you're trying to stick to the convention.

Here are the fields we could identify.

p_page_caption_set_case_number was PLD-PI-001[0].Page1[0].P1Caption[0].Set1[0].CaseNumber[0].CaseNumber[0] (0.55 conf)
page_set_party_info_text_field was PLD-PI-001[0].Page1[0].P1Caption[0].Set1[0].AttyPartyInfo[0].TextField1[0] (0.37 conf)
p_page_set_party_info_phone was PLD-PI-001[0].Page1[0].P1Caption[0].Set1[0].AttyPartyInfo[0].Phone[0] (0.35 conf)
pl_p_page_caption_set_atty_party_info_fax was PLD-PI-001[0].Page1[0].P1Caption[0].Set1[0].AttyPartyInfo[0].Fax[0] (0.35 conf)
page_caption_set_party_info_email was PLD-PI-001[0].Page1[0].P1Caption[0].Set1[0].AttyPartyInfo[0].Email[0] (0.35 conf)
pl_p_page_caption_set_atty_party_info_attorney was PLD-PI-001[0].Page1[0].P1Caption[0].Set1[0].AttyPartyInfo[0].Attorney[0] (0.35 conf)
pl_p_page_caption_court_info_crt_county was PLD-PI-001[0].Page1[0].P1Caption[0].CourtInfo[0].CrtCounty[0] (0.36 conf)
p_page_caption_court_info_street was PLD-PI-001[0].Page1[0].P1Caption[0].CourtInfo[0].CrtStreet[0] (0.36 conf)
page_caption_court_info_mailing_add was PLD-PI-001[0].Page1[0].P1Caption[0].CourtInfo[0].CrtMailingAdd[0] (0.42 conf)
pl_p_page_caption_court_info_crt_city_zip was PLD-PI-001[0].Page1[0].P1Caption[0].CourtInfo[0].CrtCityZip[0] (0.40 conf)
p_page_caption_court_info_branch was PLD-PI-001[0].Page1[0].P1Caption[0].CourtInfo[0].CrtBranch[0] (0.36 conf)
p_page_caption_title_party_name__1 was PLD-PI-001[0].Page1[0].P1Caption[0].TitlePartyName[0].Party1[0] (0.35 conf)
p_page_caption_title_party_name__2 was PLD-PI-001[0].Page1[0].P1Caption[0].TitlePartyName[0].Party2[0] (0.35 conf)
page_title_party_name_check_box was PLD-PI-001[0].Page1[0].P1Caption[0].TitlePartyName[0].CheckBox45[0] (0.35 conf)
p_page_caption_title_party_name__3 was PLD-PI-001[0].Page1[0].P1Caption[0].TitlePartyName[0].To[0] (0.35 conf)
page_title_party_name_fill_text was PLD-PI-001[0].Page1[0].P1Caption[0].TitlePartyName[0].FillText200[0] (0.38 conf)
p_page_form_title_check_box was PLD-PI-001[0].Page1[0].P1Caption[0].FormTitle[0].CheckBox51[0] (0.34 conf)
p_page_caption_form_title_number was PLD-PI-001[0].Page1[0].P1Caption[0].FormTitle[0].Number[0] (0.33 conf)
pl_p_page_caption_form_title__1 was PLD-PI-001[0].Page1[0].P1Caption[0].FormTitle[0].No[0] (0.33 conf)
pl_p_page_caption_form_title__2 was PLD-PI-001[0].Page1[0].P1Caption[0].FormTitle[0].No[1] (0.33 conf)
page_caption_form_title_specify__1 was PLD-PI-001[0].Page1[0].P1Caption[0].FormTitle[0].specify[0] (0.29 conf)
pl_p_page_caption_form_title__3 was PLD-PI-001[0].Page1[0].P1Caption[0].FormTitle[0].Chb1[0] (0.33 conf)
pl_p_page_caption_form_title__4 was PLD-PI-001[0].Page1[0].P1Caption[0].FormTitle[0].Chb2[0] (0.33 conf)
pl_p_page_caption_form_title__5 was PLD-PI-001[0].Page1[0].P1Caption[0].FormTitle[0].Chb3[0] (0.33 conf)
pl_p_page_caption_form_title__6 was PLD-PI-001[0].Page1[0].P1Caption[0].FormTitle[0].Chb4[0] (0.33 conf)
page_caption_form_title_specify__2 was PLD-PI-001[0].Page1[0].P1Caption[0].FormTitle[0].specify2[0] (0.29 conf)
page_form_title_jurisdiction_action__1 was PLD-PI-001[0].Page1[0].P1Caption[0].FormTitle[0].Jurisdiction[0].Action[0] (0.32 conf)
page_form_title_exceeds__1 was PLD-PI-001[0].Page1[0].P1Caption[0].FormTitle[0].Jurisdiction[0].exceeds[0] (0.33 conf)
page_form_title_exceeds__2 was PLD-PI-001[0].Page1[0].P1Caption[0].FormTitle[0].Jurisdiction[0].exceeds[1] (0.33 conf)
page_form_title_jurisdiction_action__2 was PLD-PI-001[0].Page1[0].P1Caption[0].FormTitle[0].Jurisdiction[0].Action1[0] (0.32 conf)
page_form_title_jurisdiction_action__3 was PLD-PI-001[0].Page1[0].P1Caption[0].FormTitle[0].Jurisdiction[0].Action2[0] (0.32 conf)
page_form_title_jurisdiction_limit__1 was PLD-PI-001[0].Page1[0].P1Caption[0].FormTitle[0].Jurisdiction[0].limit1[0] (0.33 conf)
page_form_title_jurisdiction_limit__2 was PLD-PI-001[0].Page1[0].P1Caption[0].FormTitle[0].Jurisdiction[0].limit1[1] (0.33 conf)
p_page_list_item_fill_text__1 was PLD-PI-001[0].Page1[0].List1[0].item1[0].FillText1[0] (0.34 conf)
p_page_list_item_fill_text__2 was PLD-PI-001[0].Page1[0].List1[0].item1[0].FillText2[0] (0.34 conf)
p_page_list_item_fill_text__3 was PLD-PI-001[0].Page1[0].List2[0].item2[0].FillText3[0] (0.34 conf)
pl_p_page_list_lia_limited was PLD-PI-001[0].Page1[0].List3[0].Lia[0].limited1[0] (0.30 conf)
pl_p_page_list_lia_text_field__1 was PLD-PI-001[0].Page1[0].List3[0].Lia[0].TextField4[0] (0.34 conf)
pl_p_page_list_lia_sub_lista_li_limited__1 was PLD-PI-001[0].Page1[0].List3[0].Lia[0].SubLista[0].Li1[0].limited2[0] (0.37 conf)
pl_p_page_list_lia_sub_lista_li_unlimited__1 was PLD-PI-001[0].Page1[0].List3[0].Lia[0].SubLista[0].Li2[0].unlimited22[0] (0.37 conf)
pl_p_page_list_lia_sub_lista_li_text_field__1 was PLD-PI-001[0].Page1[0].List3[0].Lia[0].SubLista[0].Li2[0].TextField5[0] (0.38 conf)
pl_p_page_list_lia_sub_lista_li_limited__2 was PLD-PI-001[0].Page1[0].List3[0].Lia[0].SubLista[0].Li3[0].limited4[0] (0.37 conf)
pl_p_page_list_lia_sub_lista_li_text_field__2 was PLD-PI-001[0].Page1[0].List3[0].Lia[0].SubLista[0].Li3[0].TextField6[0] (0.38 conf)
pl_p_page_list_lia_sub_lista_li_unlimited__2 was PLD-PI-001[0].Page1[0].List3[0].Lia[0].SubLista[0].Li4[0].unlimited10[0] (0.37 conf)
pl_p_page_list_lia_sub_lista_li_unlimited__3 was PLD-PI-001[0].Page1[0].List3[0].Lia[0].SubLista[0].Li4[0].unlimited10[1] (0.37 conf)
pl_p_page_list_lia_sub_lista_li_subitem_liia_unlimited was PLD-PI-001[0].Page1[0].List3[0].Lia[0].SubLista[0].Li4[0].Subitem4[0].Liia[0].unlimited4[0] (0.39 conf)
pl_p_page_list_lia_sub_lista_li_subitem_liib_unlimited was PLD-PI-001[0].Page1[0].List3[0].Lia[0].SubLista[0].Li4[0].Subitem4[0].Liib[0].unlimited4[0] (0.39 conf)
pl_p_page_list_lia_sub_lista_li_subitem_liib_text_field was PLD-PI-001[0].Page1[0].List3[0].Lia[0].SubLista[0].Li4[0].Subitem4[0].Liib[0].TextField8[0] (0.37 conf)
pl_p_page_list_lia_sub_lista_li_ch was PLD-PI-001[0].Page1[0].List3[0].Lia[0].SubLista[0].Li5[0].Ch1[0] (0.39 conf)
pl_p_page_list_lia_sub_lista_li_text_field__3 was PLD-PI-001[0].Page1[0].List3[0].Lia[0].SubLista[0].Li5[0].TextField9[0] (0.38 conf)
pl_p_page_list_lib_ch__1 was PLD-PI-001[0].Page1[0].List3[0].Lib[0].Ch2[0] (0.33 conf)
pl_p_page_list_lib_text_field__1 was PLD-PI-001[0].Page1[0].List3[0].Lib[0].TextField10[0] (0.34 conf)
pl_p_page_list_lib_sub_ch__1 was PLD-PI-001[0].Page1[0].List3[0].Lib[0].SubListb[0].Lii1[0].Ch3[0] (0.39 conf)
pl_p_page_list_lib_sub_ch__2 was PLD-PI-001[0].Page1[0].List3[0].Lib[0].SubListb[0].Lii2[0].Ch4[0] (0.39 conf)
p_list_lib_sub_text_field__1 was PLD-PI-001[0].Page1[0].List3[0].Lib[0].SubListb[0].Lii2[0].TextField11[0] (0.38 conf)
pl_p_page_list_lib_sub_ch__3 was PLD-PI-001[0].Page1[0].List3[0].Lib[0].SubListb[0].Lii3[0].Ch5[0] (0.39 conf)
p_list_lib_sub_text_field__2 was PLD-PI-001[0].Page1[0].List3[0].Lib[0].SubListb[0].Lii3[0].TextField12[0] (0.38 conf)
pl_p_list_lib_sub_unlimited__1 was PLD-PI-001[0].Page1[0].List3[0].Lib[0].SubListb[0].Lii4[0].unlimited15[0] (0.37 conf)
pl_p_list_lib_sub_unlimited__2 was PLD-PI-001[0].Page1[0].List3[0].Lib[0].SubListb[0].Lii4[0].unlimited15[1] (0.37 conf)
p_list_lib_sub_item_ch__1 was PLD-PI-001[0].Page1[0].List3[0].Lib[0].SubListb[0].Lii4[0].SubItem4[0].Liia[0].ch6[0] (0.39 conf)
p_list_lib_sub_item_ch__2 was PLD-PI-001[0].Page1[0].List3[0].Lib[0].SubListb[0].Lii4[0].SubItem4[0].Liib[0].ch6[0] (0.39 conf)
p_list_lib_sub_item_text was PLD-PI-001[0].Page1[0].List3[0].Lib[0].SubListb[0].Lii4[0].SubItem4[0].Liib[0].TextField13[0] (0.38 conf)
pl_p_page_list_lib_sub_ch__4 was PLD-PI-001[0].Page1[0].List3[0].Lib[0].SubListb[0].Li5[0].Ch7[0] (0.39 conf)
pl_p_page_list_lib_sub_listb_li_text_field was PLD-PI-001[0].Page1[0].List3[0].Lib[0].SubListb[0].Li5[0].TextField14[0] (0.38 conf)
pl_p_page_list_unlimited was PLD-PI-001[0].Page1[0].List3[0].unlimited[0] (0.27 conf)
p_page_caption_title_party_name__4 was PLD-PI-001[0].Page2[0].PxCaption[0].TitlePartyName[0].Party10[0] (0.33 conf)
p_page_px_caption_case_number__1 was PLD-PI-001[0].Page2[0].PxCaption[0].CaseNumber[0].CaseNumber[0] (0.34 conf)
p_page_list_item_r_b_choices__1 was PLD-PI-001[0].Page2[0].List4[0].item4[0].RB2Choices1[0] (0.28 conf)
p_page_list_item_fill_text__4 was PLD-PI-001[0].Page2[0].List4[0].item4[0].FillText25[0] (0.34 conf)
p_page_list_item_fill_text__5 was PLD-PI-001[0].Page2[0].List4[0].item4[0].FillText24[0] (0.34 conf)
pl_p_page_list_lia_ch was PLD-PI-001[0].Page2[0].List5[0].Lia[0].Ch15[0] (0.33 conf)
pl_p_page_list_lia_text_field__2 was PLD-PI-001[0].Page2[0].List5[0].Lia[0].TextField26[0] (0.34 conf)
pl_p_page_list_lia_sub_lista_lii_ch__1 was PLD-PI-001[0].Page2[0].List5[0].Lia[0].SubLista[0].Lii1[0].Ch16[0] (0.39 conf)
pl_p_page_list_lia_sub_lista_lii_ch__2 was PLD-PI-001[0].Page2[0].List5[0].Lia[0].SubLista[0].Lii2[0].Ch17[0] (0.39 conf)
pl_p_page_list_lia_sub_lista_lii_ch__3 was PLD-PI-001[0].Page2[0].List5[0].Lia[0].SubLista[0].Lii3[0].Ch18[0] (0.39 conf)
pl_p_page_list_lia_sub_lista_lii_text_field__1 was PLD-PI-001[0].Page2[0].List5[0].Lia[0].SubLista[0].Lii3[0].TextField27[0] (0.38 conf)
pl_p_page_list_lia_sub_lista_lii_ch__4 was PLD-PI-001[0].Page2[0].List5[0].Lia[0].SubLista[0].Lii4[0].Ch19[0] (0.39 conf)
pl_p_page_list_lia_sub_lista_lii_text_field__2 was PLD-PI-001[0].Page2[0].List5[0].Lia[0].SubLista[0].Lii4[0].TextField28[0] (0.38 conf)
pl_p_page_list_lia_sub_lista_lii_ch__5 was PLD-PI-001[0].Page2[0].List5[0].Lia[0].SubLista[0].Lii5[0].Ch20[0] (0.39 conf)
pl_p_page_list_lia_sub_lista_lii_text_field__3 was PLD-PI-001[0].Page2[0].List5[0].Lia[0].SubLista[0].Lii5[0].TextField29[0] (0.38 conf)
pl_p_page_list_lib_ch__2 was PLD-PI-001[0].Page2[0].List5[0].Lib[0].Ch21[0] (0.33 conf)
pl_p_page_list_lib_text_field__2 was PLD-PI-001[0].Page2[0].List5[0].Lib[0].TextField30[0] (0.34 conf)
pl_p_page_list_lib_sub_ch__5 was PLD-PI-001[0].Page2[0].List5[0].Lib[0].SubListb[0].Lii1[0].Ch22[0] (0.39 conf)
pl_p_page_list_lib_sub_ch__6 was PLD-PI-001[0].Page2[0].List5[0].Lib[0].SubListb[0].Lii2[0].Ch23[0] (0.39 conf)
pl_p_page_list_lib_sub_ch__7 was PLD-PI-001[0].Page2[0].List5[0].Lib[0].SubListb[0].Lii3[0].Ch24[0] (0.39 conf)
p_list_lib_sub_text_field__3 was PLD-PI-001[0].Page2[0].List5[0].Lib[0].SubListb[0].Lii3[0].TextField31[0] (0.38 conf)
pl_p_page_list_lib_sub_ch__8 was PLD-PI-001[0].Page2[0].List5[0].Lib[0].SubListb[0].Lii4[0].Ch25[0] (0.39 conf)
p_list_lib_sub_text_field__4 was PLD-PI-001[0].Page2[0].List5[0].Lib[0].SubListb[0].Lii4[0].TextField32[0] (0.38 conf)
pl_p_page_list_lib_sub_ch__9 was PLD-PI-001[0].Page2[0].List5[0].Lib[0].SubListb[0].Lii5[0].Ch26[0] (0.39 conf)
p_list_lib_sub_text_field__5 was PLD-PI-001[0].Page2[0].List5[0].Lib[0].SubListb[0].Lii5[0].TextField33[0] (0.38 conf)
pl_p_page_list_lic_ch was PLD-PI-001[0].Page2[0].List5[0].Lic[0].Ch27[0] (0.33 conf)
pl_p_page_list_lic_text_field was PLD-PI-001[0].Page2[0].List5[0].Lic[0].TextField39[0] (0.34 conf)
pl_p_page_list_lic_sub_listc_lii_ch__1 was PLD-PI-001[0].Page2[0].List5[0].Lic[0].SubListc[0].Lii1[0].Ch28[0] (0.39 conf)
pl_p_page_list_lic_sub_listc_lii_ch__2 was PLD-PI-001[0].Page2[0].List5[0].Lic[0].SubListc[0].Lii2[0].Ch29[0] (0.39 conf)
pl_p_page_list_lic_sub_listc_lii_ch__3 was PLD-PI-001[0].Page2[0].List5[0].Lic[0].SubListc[0].Lii3[0].Ch30[0] (0.39 conf)
pl_p_page_list_lic_sub_listc_lii_text_field__1 was PLD-PI-001[0].Page2[0].List5[0].Lic[0].SubListc[0].Lii3[0].TextField34[0] (0.38 conf)
pl_p_page_list_lic_sub_listc_lii_ch__4 was PLD-PI-001[0].Page2[0].List5[0].Lic[0].SubListc[0].Lii4[0].Ch31[0] (0.39 conf)
pl_p_page_list_lic_sub_listc_lii_text_field__2 was PLD-PI-001[0].Page2[0].List5[0].Lic[0].SubListc[0].Lii4[0].TextField35[0] (0.38 conf)
pl_p_page_list_lic_sub_listc_lii_ch__5 was PLD-PI-001[0].Page2[0].List5[0].Lic[0].SubListc[0].Lii5[0].Ch32[0] (0.39 conf)
pl_p_page_list_lic_sub_listc_lii_text_field__3 was PLD-PI-001[0].Page2[0].List5[0].Lic[0].SubListc[0].Lii5[0].TextField36[0] (0.38 conf)
pl_p_page_list_lid_ch was PLD-PI-001[0].Page2[0].List5[0].Lid[0].Ch33[0] (0.33 conf)
p_page_list_lid_text_field__1 was PLD-PI-001[0].Page2[0].List5[0].Lid[0].TextField37[0] (0.34 conf)
pl_p_page_list_lid_sub_listd_lii_ch__1 was PLD-PI-001[0].Page2[0].List5[0].Lid[0].SubListd[0].Lii1[0].Ch34[0] (0.39 conf)
pl_p_page_list_lid_sub_listd_lii_ch__2 was PLD-PI-001[0].Page2[0].List5[0].Lid[0].SubListd[0].Lii2[0].Ch35[0] (0.39 conf)
pl_p_page_list_lid_sub_listd_lii_ch__3 was PLD-PI-001[0].Page2[0].List5[0].Lid[0].SubListd[0].Lii3[0].Ch36[0] (0.39 conf)
pl_p_page_list_lid_sub_listd_lii_text_field__1 was PLD-PI-001[0].Page2[0].List5[0].Lid[0].SubListd[0].Lii3[0].TextField38[0] (0.38 conf)
pl_p_page_list_lid_sub_listd_lii_ch__4 was PLD-PI-001[0].Page2[0].List5[0].Lid[0].SubListd[0].Lii4[0].Ch37[0] (0.39 conf)
pl_p_page_list_lid_sub_listd_lii_text_field__2 was PLD-PI-001[0].Page2[0].List5[0].Lid[0].SubListd[0].Lii4[0].TextField39[0] (0.38 conf)
pl_p_page_list_lid_sub_listd_lii_ch__5 was PLD-PI-001[0].Page2[0].List5[0].Lid[0].SubListd[0].Lii5[0].Ch38[0] (0.39 conf)
pl_p_page_list_lid_sub_listd_lii_text_field__3 was PLD-PI-001[0].Page2[0].List5[0].Lid[0].SubListd[0].Lii5[0].TextField40[0] (0.38 conf)
pl_p_page_list_ch was PLD-PI-001[0].Page2[0].List5[0].Ch39[0] (0.30 conf)
pl_p_page_list_lia_che__1 was PLD-PI-001[0].Page2[0].List6[0].Lia[0].Che1[0] (0.33 conf)
pl_p_page_list_lia_text_field__3 was PLD-PI-001[0].Page2[0].List6[0].Lia[0].TextField41[0] (0.34 conf)
pl_p_page_list_lib_che__1 was PLD-PI-001[0].Page2[0].List6[0].Lib[0].Che2[0] (0.33 conf)
pl_p_page_list_lib_text_field__3 was PLD-PI-001[0].Page2[0].List6[0].Lib[0].TextField42[0] (0.34 conf)
p_page_list_item_r_b_choices__2 was PLD-PI-001[0].Page2[0].List7[0].item7[0].RB2Choices2[0] (0.28 conf)
p_page_list_item_fill_text__6 was PLD-PI-001[0].Page2[0].List7[0].item7[0].FillText44[0] (0.34 conf)
pl_p_page_list_lia_che__2 was PLD-PI-001[0].Page2[0].List8[0].Lia[0].Che4[0] (0.33 conf)
pl_p_page_list_lib_che__2 was PLD-PI-001[0].Page2[0].List8[0].Lib[0].Che5[0] (0.33 conf)
pl_p_page_list_lic_che was PLD-PI-001[0].Page2[0].List8[0].Lic[0].Che6[0] (0.33 conf)
pl_p_page_list_lid_che was PLD-PI-001[0].Page2[0].List8[0].Lid[0].Che7[0] (0.33 conf)
p_page_list_lid_text_field__2 was PLD-PI-001[0].Page2[0].List8[0].Lid[0].TextField46[0] (0.34 conf)
pl_p_page_list_r_b_choices was PLD-PI-001[0].Page2[0].List9[0].RB2Choices3[0] (0.28 conf)
pl_p_page_list_lia_lim was PLD-PI-001[0].Page2[0].List9[0].Lia[0].lim1[0] (0.30 conf)
pl_p_page_list_lib_lim was PLD-PI-001[0].Page2[0].List9[0].Lib[0].lim1[0] (0.30 conf)
pl_p_page_list_lib_text_field__4 was PLD-PI-001[0].Page2[0].List9[0].Lib[0].TextField51[0] (0.34 conf)
p_page_caption_title_party_name__5 was PLD-PI-001[0].Page3[0].PxCaption[0].TitlePartyName[0].Party10[0] (0.33 conf)
p_page_px_caption_case_number__2 was PLD-PI-001[0].Page3[0].PxCaption[0].CaseNumber[0].CaseNumber[0] (0.34 conf)
pl_p_page_list_lia_check_box__1 was PLD-PI-001[0].Page3[0].List10[0].Lia[0].CheckBox1[0] (0.35 conf)
pl_p_page_list_lib_check_box__1 was PLD-PI-001[0].Page3[0].List10[0].Lib[0].CheckBox2[0] (0.35 conf)
pl_p_page_list_lic_check_box__1 was PLD-PI-001[0].Page3[0].List10[0].Lic[0].CheckBox3[0] (0.35 conf)
pl_p_page_list_lid_check_box__1 was PLD-PI-001[0].Page3[0].List10[0].Lid[0].CheckBox4[0] (0.35 conf)
pl_p_page_list_lie_check_box__1 was PLD-PI-001[0].Page3[0].List10[0].Lie[0].CheckBox5[0] (0.35 conf)
pl_p_page_list_lif_check_box__1 was PLD-PI-001[0].Page3[0].List10[0].Lif[0].CheckBox6[0] (0.35 conf)
pl_p_page_list_text_field was PLD-PI-001[0].Page3[0].List10[0].Lif[0].TextField110[0] (0.34 conf)
pl_p_page_list_lia_check_box__2 was PLD-PI-001[0].Page3[0].List11[0].Lia[0].CheckBox7[0] (0.35 conf)
pl_p_page_list_lib_check_box__2 was PLD-PI-001[0].Page3[0].List11[0].Lib[0].CheckBox8[0] (0.35 conf)
pl_p_page_list_lic_check_box__2 was PLD-PI-001[0].Page3[0].List11[0].Lic[0].CheckBox9[0] (0.35 conf)
pl_p_page_list_lid_check_box__2 was PLD-PI-001[0].Page3[0].List11[0].Lid[0].CheckBox10[0] (0.35 conf)
pl_p_page_list_lie_check_box__2 was PLD-PI-001[0].Page3[0].List11[0].Lie[0].CheckBox11[0] (0.35 conf)
pl_p_page_list_lif_check_box__2 was PLD-PI-001[0].Page3[0].List11[0].Lif[0].CheckBox12[0] (0.35 conf)
pl_p_page_list_lig_check_box was PLD-PI-001[0].Page3[0].List11[0].Lig[0].CheckBox13[0] (0.35 conf)
pl_p_page_list_lig_text_field was PLD-PI-001[0].Page3[0].List11[0].Lig[0].TextField121[0] (0.34 conf)
pl_p_page_list_check_box was PLD-PI-001[0].Page3[0].List12[0].CheckBox14[0] (0.34 conf)
pl_p_page_list_lia_limi was PLD-PI-001[0].Page3[0].List12[0].Lia[0].limi1[0] (0.30 conf)
pl_p_page_list_lib_limi was PLD-PI-001[0].Page3[0].List12[0].Lib[0].limi1[0] (0.30 conf)
pl_p_page_list_lib_text_field__5 was PLD-PI-001[0].Page3[0].List12[0].Lib[0].TextField154[0] (0.34 conf)
p_page_list_item_text_field was PLD-PI-001[0].Page3[0].List13[0].item13[0].TextField178[0] (0.30 conf)
pl_p_page_list_lia_sub_lista_lii_check_box__1 was PLD-PI-001[0].Page3[0].List14[0].Lia[0].SubLista[0].Lii1[0].CheckBox20[0] (0.38 conf)
pl_p_page_list_lia_sub_lista_lii_check_box__2 was PLD-PI-001[0].Page3[0].List14[0].Lia[0].SubLista[0].Lii2[0].CheckBox21[0] (0.38 conf)
p_list_lib_sub_check_box__1 was PLD-PI-001[0].Page3[0].List14[0].Lib[0].SubListb[0].Lii1[0].CheckBox22[0] (0.38 conf)
p_list_lib_sub_check_box__2 was PLD-PI-001[0].Page3[0].List14[0].Lib[0].SubListb[0].Lii2[0].CheckBox23[0] (0.38 conf)
pl_p_page_list_lib_sub_listb_lii_decimal_field was PLD-PI-001[0].Page3[0].List14[0].Lib[0].SubListb[0].Lii2[0].DecimalField12[0] (0.34 conf)
p_page_list_item_r_b_choices__3 was PLD-PI-001[0].Page3[0].List15[0].item15[0].RB2Choices41[0] (0.28 conf)
p_page_list_item_fill_text__7 was PLD-PI-001[0].Page3[0].List15[0].item15[0].FillText109[0] (0.34 conf)
pl_p_page_sign_sig_date was PLD-PI-001[0].Page3[0].Sign[0].SigDate[0] (0.31 conf)
pl_p_page_sign_sig_name was PLD-PI-001[0].Page3[0].Sign[0].SigName[0] (0.31 conf)

We've done our best to group similar variables togther to avoid overwhelming the user.

Suggested Screen 0:

page_set_party_info_text_field
p_page_set_party_info_phone
page_caption_set_party_info_email
page_caption_court_info_mailing_add

Suggested Screen 1:

pl_p_page_caption_set_atty_party_info_fax
pl_p_page_caption_set_atty_party_info_attorney
pl_p_page_caption_court_info_crt_county
pl_p_page_caption_court_info_crt_city_zip
p_page_caption_court_info_branch

Suggested Screen 2:

p_page_caption_court_info_street
p_page_caption_title_party_name__1
p_page_caption_title_party_name__2
p_page_caption_title_party_name__3
p_page_caption_form_title_number
page_caption_form_title_specify__1
page_caption_form_title_specify__2
p_page_caption_title_party_name__4
p_page_caption_title_party_name__5

Suggested Screen 3:

page_title_party_name_check_box
p_page_form_title_check_box

Suggested Screen 4:

pl_p_page_caption_form_title__1
pl_p_page_caption_form_title__2
pl_p_page_caption_form_title__3
pl_p_page_caption_form_title__4
pl_p_page_caption_form_title__5
pl_p_page_caption_form_title__6

Suggested Screen 5:

page_title_party_name_fill_text
page_form_title_jurisdiction_action__1
page_form_title_exceeds__1
page_form_title_exceeds__2
page_form_title_jurisdiction_action__2
page_form_title_jurisdiction_action__3
page_form_title_jurisdiction_limit__1
page_form_title_jurisdiction_limit__2

Suggested Screen 6:

p_page_list_item_fill_text__1
p_page_list_item_fill_text__2
p_page_list_item_fill_text__3
p_page_list_item_fill_text__4
p_page_list_item_fill_text__5
p_page_list_item_fill_text__6
p_page_list_item_text_field
p_page_list_item_fill_text__7

Suggested Screen 7:

pl_p_page_list_lia_sub_lista_li_limited__1
pl_p_page_list_lia_sub_lista_li_unlimited__1
pl_p_page_list_lia_sub_lista_li_limited__2
pl_p_page_list_lia_sub_lista_li_unlimited__2
pl_p_page_list_lia_sub_lista_li_unlimited__3
pl_p_page_list_lia_sub_lista_li_subitem_liia_unlimited
pl_p_page_list_lia_sub_lista_li_subitem_liib_unlimited

Suggested Screen 8:

p_list_lib_sub_text_field__1
p_list_lib_sub_text_field__2
p_list_lib_sub_item_text
p_list_lib_sub_text_field__3
p_list_lib_sub_text_field__4
p_list_lib_sub_text_field__5

Suggested Screen 9:

p_page_caption_set_case_number
p_page_px_caption_case_number__1
p_page_px_caption_case_number__2

Suggested Screen 10:

p_page_list_item_r_b_choices__1
p_page_list_item_r_b_choices__2
pl_p_page_list_r_b_choices
p_page_list_item_r_b_choices__3

Suggested Screen 11:

pl_p_page_list_lia_sub_lista_li_ch
pl_p_page_list_lia_sub_lista_lii_ch__1
pl_p_page_list_lia_sub_lista_lii_ch__2
pl_p_page_list_lia_sub_lista_lii_ch__3
pl_p_page_list_lia_sub_lista_lii_ch__4
pl_p_page_list_lia_sub_lista_lii_ch__5

Suggested Screen 12:

pl_p_page_list_lia_sub_lista_li_text_field__1
pl_p_page_list_lia_sub_lista_li_text_field__2
pl_p_page_list_lia_sub_lista_li_subitem_liib_text_field
pl_p_page_list_lia_sub_lista_li_text_field__3
pl_p_page_list_lia_sub_lista_lii_text_field__1
pl_p_page_list_lia_sub_lista_lii_text_field__2
pl_p_page_list_lia_sub_lista_lii_text_field__3
pl_p_page_list_lic_sub_listc_lii_text_field__1
pl_p_page_list_lic_sub_listc_lii_text_field__2
pl_p_page_list_lic_sub_listc_lii_text_field__3
pl_p_page_list_lid_sub_listd_lii_text_field__1
pl_p_page_list_lid_sub_listd_lii_text_field__2
pl_p_page_list_lid_sub_listd_lii_text_field__3
pl_p_page_list_lia_sub_lista_lii_check_box__1
pl_p_page_list_lia_sub_lista_lii_check_box__2
pl_p_page_list_lib_sub_listb_lii_decimal_field

Suggested Screen 13:

pl_p_page_list_lib_ch__1
pl_p_page_list_lib_sub_ch__1
pl_p_page_list_lib_sub_ch__2
pl_p_page_list_lib_sub_ch__3
pl_p_list_lib_sub_unlimited__1
pl_p_list_lib_sub_unlimited__2
p_list_lib_sub_item_ch__1
p_list_lib_sub_item_ch__2
pl_p_page_list_lib_sub_ch__4
pl_p_page_list_unlimited
pl_p_page_list_lib_ch__2
pl_p_page_list_lib_sub_ch__5
pl_p_page_list_lib_sub_ch__6
pl_p_page_list_lib_sub_ch__7
pl_p_page_list_lib_sub_ch__8
pl_p_page_list_lib_sub_ch__9
pl_p_page_list_lid_ch
pl_p_page_list_ch
pl_p_page_list_lib_lim
pl_p_page_list_lib_limi

Suggested Screen 14:

pl_p_page_list_lic_ch
pl_p_page_list_lic_sub_listc_lii_ch__1
pl_p_page_list_lic_sub_listc_lii_ch__2
pl_p_page_list_lic_sub_listc_lii_ch__3
pl_p_page_list_lic_sub_listc_lii_ch__4
pl_p_page_list_lic_sub_listc_lii_ch__5
pl_p_page_list_lid_sub_listd_lii_ch__1
pl_p_page_list_lid_sub_listd_lii_ch__2
pl_p_page_list_lid_sub_listd_lii_ch__3
pl_p_page_list_lid_sub_listd_lii_ch__4
pl_p_page_list_lid_sub_listd_lii_ch__5

Suggested Screen 15:

pl_p_page_list_lia_che__1
pl_p_page_list_lib_che__1
pl_p_page_list_lia_che__2
pl_p_page_list_lib_che__2
pl_p_page_list_lic_che
pl_p_page_list_lid_che

Suggested Screen 16:

pl_p_page_list_lia_check_box__1
pl_p_page_list_lib_check_box__1
pl_p_page_list_lic_check_box__1
pl_p_page_list_lid_check_box__1
pl_p_page_list_lie_check_box__1
pl_p_page_list_lif_check_box__1
pl_p_page_list_lia_check_box__2
pl_p_page_list_lib_check_box__2
pl_p_page_list_lic_check_box__2
pl_p_page_list_lid_check_box__2
pl_p_page_list_lie_check_box__2
pl_p_page_list_lif_check_box__2
pl_p_page_list_lig_check_box
pl_p_page_list_check_box
p_list_lib_sub_check_box__1
p_list_lib_sub_check_box__2

Suggested Screen 17:

pl_p_page_list_lia_limited
pl_p_page_list_lia_ch
pl_p_page_list_lia_lim
pl_p_page_list_lia_limi

Suggested Screen 18:

pl_p_page_list_lia_text_field__1
pl_p_page_list_lib_text_field__1
pl_p_page_list_lib_sub_listb_li_text_field
pl_p_page_list_lia_text_field__2
pl_p_page_list_lib_text_field__2
pl_p_page_list_lic_text_field
p_page_list_lid_text_field__1
pl_p_page_list_lia_text_field__3
pl_p_page_list_lib_text_field__3
p_page_list_lid_text_field__2
pl_p_page_list_lib_text_field__4
pl_p_page_list_text_field
pl_p_page_list_lig_text_field
pl_p_page_list_lib_text_field__5

Suggested Screen 19:

pl_p_page_sign_sig_date
pl_p_page_sign_sig_name

Create an Interactive Version of this Form:

The Weaver creates a draft guided interview from a template form, like the one provided here. You can use the link below to open this form in the Weaver. To learn more, read "Weaving" your form into a draft interview.

Launch Form in Weaver

The Legal Innovation & Technology Lab's Form Explorer Beta @ Suffolk Law School Last updated 2023-04-02

COMPLAINT—Personal Injury, Property Damage, Wrongful Death

About This Form:

Identified Data Fields:

Create an Interactive Version of this Form:

The Legal Innovation & Technology Lab's Form Explorer ^Beta @ Suffolk Law School Last updated 2023-04-02