Section 9-11-110. Form of complaint for negligence where plaintiff is unable to determine definitely whether the person responsible is C.D. or E.F. or whether both are responsible and where the evidence may justify a finding of willfulness or of recklessness or of negligence  


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  •                       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
Ga. L. 1966, p. 609, § 110; Ga. L. 1980, p. 649, § 8.