WPC -՚ }|g(EuT#2ԀDISTRICTOF<__________________>B#XXX1X# L   .<X<(#(#., $      `  Plaintiff(s)      ` v.    , \     `  Defendant(s) 4    ) $  )    )   )   )   ) p  ) \  ) H  ) 4  )  p  1XXXXCivilActionNo.<Number>#XXX1X#> p  .<X<.@b b  COMPLAINTFORNEGLIGENCEWHENTHEPLAINTIFF H @" " DOESNOTKNOWWHOISRESPONSIBLE  4 1.0    (#(#  1XXXX  8<a.Fordiversity-of-citizenshipjurisdiction.> Theplaintiffis[acitizenofStateA][a  corporationincorporatedunderthelawsofStateAwithitsprincipalplaceofbusinessinState  A].Thedefendantis[acitizenofStateB][acorporationincorporatedunderthelawsofStateB   withitsprincipalplaceofbusinessinStateB].Theamountincontroversy,withoutinterestand t! costs,exceedsthesumorvaluespecifiedby28U.S.C.1332. `"    <b.Forfederal-questionjurisdiction.> Thisactionarisesunder[theUnitedStates L# Constitution;specifythearticleoramendmentandthesection][aUnitedStatestreaty;specify][a <$ federalstatute,___U.S.C.___]. (x%    <c.Foraclaimintheadmiraltyormaritimejurisdiction.> Thisisacaseofadmiralty d& ormaritimejurisdiction.< ToinvokeadmiraltystatusunderRule9(h)usethefollowing :This T' isanadmiraltyormaritimeclaimwithinthemeaningofRule9(h).>h#XXX1X# @( 2.  On ,at ,defendant Ԁordefendant9 Ԁorbothofthemwillfullyorrecklesslyornegligentlydrove,orcausedtobe "+ driven,amotorvehicle againsttheplaintiff. #, 3.  Asaresult,theplaintiffwasphysicallyinjured,lostwagesorincome,sufferedmental x% . andphysicalpain,andincurredmedicalexpensesof$<_____>. d&!/   Therefore,theplaintiffdemandsjudgmentagainstoneorbothdefendantsfor$<_____>, <(#1 pluscosts. ()x$2   *d%3 _& P  ((#(#(Date:y'P4    ________________________________________   t 
 `  L  x