Form Approved for Optional Use
Judicial Council of California
PLD-PI-003 [Rev. January 1, 2007]
Code of Civil Procedure, § 425.12
www.courts.ca.gov
ANSWER—Personal Injury, Property Damage, Wrongful Death
Page 1 of 2
Insert name of court, judicial district or branch court, if any, and post office and street address:
PLAINTIFF:
ANSWERPersonal Injury, Property Damage, Wrongful Death
(name):
COMPLAINT OF
(name):
CROSS-COMPLAINT OF
FOR COURT USE ONLY
CASE NUMBER:
PLD-PI-003
DEFENDANT:
ATTORNEY OR PARTY WITHOUT ATTORNEY (NAME AND ADDRESS):
TELEPHONE NO.:
ATTORNEY FOR (NAME):
1.
This pleading, including attachments and exhibits, consists of the following number of pages:
DEFENDANT OR CROSS-DEFENDANT (name):
2.
3.
each allegation of the following numbered paragraphs:
a.
b.
c.
d.
e.
DENIES
each allegation of the following numbered paragraphs:
ADMITS
, ON INFORMATION AND BELIEF, each allegation of the following numbered paragraphs:
DENIES
, BECAUSE OF LACK OF SUFFICIENT INFORMATION OR BELIEF TO ANSWER, each allegation
of the following numbered paragraphs:
DENIES
the following allegations and generally denies all other allegations:
ADMITS
Generally denies each allegation of the unverified complaint or cross-complaint.
ANSWER—Personal Injury, Property Damage, Wrongful Death
(Signature of party or attorney)
PLD-PI-003 [Rev. January 1, 2007]
ANSWER—Personal Injury, Property Damage, Wrongful Death
Page 2 of 2
(Type or print name)
CASE NUMBER:SHORT TITLE:
PLD-PI-003
f.
(specify):
g.
AFFIRMATIVELY ALLEGES AS A DEFENSE
as follows:
4.
The expiration of the Statute of Limitations as follows:
5.
6.
7.
DEFENDANT OR CROSS - DEFENDANT PRAYS
For costs of suit and that plaintiff or cross-complainant take nothing.
the following allegations and admits all other allegations:
DENIES
Other
(specify):
Other
(specify):
Other
The comparative fault of plaintiff or cross-complainant (name):
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