
Last updated: 3/24/2025
Statement Of Claim - Auto Negligence
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Description
STATEMENT OF CLAIM AUTO NEGLIGENCE.This form is used in the Small Claims Division of the County Court in Santa Rosa County, Florida. It is a legal document filed by a plaintiff who is suing the defendant for damages caused by an automobile collision. The plaintiff alleges that the defendant was negligent in operating their vehicle, leading to a collision with the plaintiff's vehicle. The form outlines the specifics of the accident, including the date, location, and the parties involved, as well as the damages caused to the plaintiff's vehicle. The plaintiff seeks a judgment for a specified amount of money to cover the damages and court costs incurred as a result of the accident. The plaintiff must also swear under oath that the information provided is true. The form must be notarized or signed by a deputy clerk, and it requires an official court summons with the signature and seal of the court. www.FormsWorkflow.com