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COMPLAINT (PERSONAL INJURY/ PROPERTY DAMAGES); SUMMONS Form #3DC09 IN THE DISTRICT COURT OF THE THIRD CIRCUIT DIVISION STATE OF HAWAII Plaintiff(s) Reserved for Court Use Civil No. Plaintiff(s)/Plaintiff(s)
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How to fill out complaint personal injury form

How to Fill Out a Complaint Personal Injury Form:
01
Start by obtaining a complaint personal injury form from the appropriate authority or organization. This form is typically available online or at a local courthouse or legal aid office.
02
Read the instructions carefully to ensure you understand the requirements and any specific information that needs to be included in the form.
03
Begin filling out the form by providing your personal information, such as your full name, address, phone number, and email address. This information will allow the authorities to contact you regarding your complaint.
04
Clearly state the details of the personal injury incident that occurred. Include the date, time, and location of the incident, as well as a detailed description of what happened and how it has impacted you physically, emotionally, and financially.
05
If applicable, provide supporting documentation or evidence, such as medical records, photographs, or witness statements. Make sure to label and organize these documents carefully to ensure they are easily referenced by the authorities.
06
Indicate the extent of your injuries and damages by itemizing any medical expenses, lost wages, or other financial losses you have incurred as a result of the personal injury incident.
07
If you have already engaged legal representation, include the name and contact information of your attorney. This can be helpful for the authorities to communicate with your legal representative if necessary.
08
Review the completed form carefully before submitting it. Double-check for any errors or missing information. It may also be beneficial to have a trusted individual proofread the form to ensure its accuracy.
09
Once you are satisfied with the information provided, sign and date the form according to the instructions. Some forms may require a notary public's signature as well.
10
Make copies of the completed form and any supporting documents for your own records before submitting it to the appropriate authority or organization.
Who Needs a Complaint Personal Injury Form?
01
Individuals who have suffered a personal injury due to someone else's negligence, intentional actions, or wrongdoing may need to fill out a complaint personal injury form.
02
This form is typically required when filing a formal complaint or seeking legal action against the responsible party or entity.
03
It is important to consult with a legal professional to determine the specific circumstances and requirements for filing a complaint personal injury form in your jurisdiction.
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