Example of a "Complaint for Personal Injury"...

by James
(Seattle, WA)

I was involved in a motor vehicle accident on December 13th 2007. On Monday morning I have to file a complaint for personal injury and a summons to preserve the statute of limitations. What i need is an example of these two forms so that it is done correctly so I do not lose my claim.

Long story short: The insurance adjuster showed up at my house with a check for my car the day after I got home from the hospital (vehicle intrusion, I was hurt pretty bad). The adjuster's words were: "Mr. Bump I apologize for your inconvenience, here is the money for your car, It is 100% our fault and all your bills and work insurance will be reimbursed, however I can't give you any money until you are better."

My medical provider said "we can't fix you, all we can do is manage your pain." I am a registered longshoreman in Seattle I'm supposed to make $100,000 per year. For the last 3 years because of physical and mental pain I haven't.

A month ago a new adjuster tells me on the phone that I only have a claim with them and that if I don't accept their offer by the 13th I will lose everything. I had to get all the doctor's notes and bills and employment verification together by myself. The claims adjuster said if I got it to them fast enough he would work with me to negotiate a settlement.

There isn't enough time for me to get this information to them now. I am really worried, I had no idea that handling a motor vehicle claim was so complicated, I need some help, and possibly a lawyer to deal with these guys.