Below you will find a sample of the State of Colorado General Power of Attorney form filled in as part of an assignment.
Colorado General Power of Attorney form
Below, you will find a downloadable document to view the Last Will and Testament I have drafted based on the information provided in my textbook.
Below I have samples of a form to File a Complaint from Injury. Please follow the link for a downloadable version.
IN THE UNITED STATES DISTRICT COURT
FOR THE DISTRICT OF COLORADO
Civil Action No.
Rowan Smith and Iris Smith, Plaintiff(s),
v.
BIG Truck Company and Joe Driver, Defendant(s).
COMPLAINT
PARTIES
- Plaintiffs Rowan Smith and Iris Smith is/are a citizen of El Paso County, Colorado who presently resides at the following address: 1234 TheirHouse Street, Colorado Springs, CO 80909.
- Defendant BIG Truck Company is a citizen of Sacramento County, California who live(s) at or is/are located at the following address: 1456 Down Street, Sacramento, CA 98212.
- Defendant Joe Driver is a citizen of El Paso County, Colorado who live(s) at or is/are located at the following address: 689 Up Street, Colorado Springs, CO 80918.
(Attach a separate page, if necessary, to list additional parties.)
JURISDICTION
- Jurisdiction is asserted pursuant to following statutory authorities:
28 U.S.C. §1331, 28 U.S.C. §4 §§85(a)(1), (c)(1), 49 U.S.C. §311 §§31100
- Briefly state the background of your case:
On October 15, 2014, Rowan Smith, a middle school student, and his sister, Iris Smith, a high school student, were passengers on the last school bus of the day on their way home after Rowan’s basketball practice and his sister’s choir practice. The bus had made its regular stops and was on a public highway when it was struck by a large commercial truck. Rowan’s injuries were severe enough to prevent him from playing basketball for the rest of the season on his school team and local club team that was in the championship. Iris had been practicing and eagerly looking forward to traveling with the school choir on an invitational European tour. She was not able to go. A review of the medical bills shows expenses in excess of $75,000 for each child.
The truck is owned by BIG Truck Company, with headquarters in Sacramento, CA.
The truck was driven by trucker, Joe Driver. Because of the nature of the accident, it was investigated by the National Transportation Safety Board; the NTSB issued a report indicating the probable cause of the accident was the failure of the brakes on the truck. In his initial police statement, Joe Driver indicated that he had had no problems with the vehicle, and especially the brakes. BIG Truck Company has denied any liability. No initial reports or documentation were provided by the trucking company to the Colorado State Highway Patrol because all of the maintenance records were kept in electronic format at the company’s corporate headquarters in California.
FIRST CLAIM FOR RELIEF
AND SUPPORTING FACTUAL ALLEGATIONS
(Please number your paragraphs and attach any necessary additional pages.)
- Rowan Smith was severely injured when the Defendant Driver slammed his commercial truck into the back of the school bus in which Rowan was a passenger. The accident was in no way caused by the Plaintiff or by Plaintiff’s bus driver. The NTSB has pinned the blame on the failure of the commercial truck’s brakes, a maintenance issue.
- Rowan was hospitalized for a month. He currently is receiving physical therapy to help him regain the ability to walk unassisted. Rowan, who was a solid middle school student, member of his school’s basketball team, and member of an elite basketball club that went to the league championship, now finds that he has trouble standing for more than a few minutes when unassisted, and that he cannot walk without assistance. Needless to say, Rowan missed the championship. Because he lives in a two-story home with his bedroom upstairs, this has placed a great burden on his family, who now has to carry him up the stairs to his bed.
- Rowan’s medical bills have currently topped $75,000, and are expected to at least double this amount before his therapy is complete.
- Rowan’s family has taken a financial hit, because one of his parents has to be at home at all times to tend to his physical needs and to drive him to his appointments. His mother quit her well-paid full-time job and took a low-paid part-time night job so that she would be able to care for Rowan will his father is at work; his father cares for him at night while his mother is at work.
- Rowan’s family does not have medical insurance, and cannot afford to pay these medical bills. The Smith family is facing bankruptcy, through no fault of its own. In addition the
Smith family needs money in order to remodel their home so that it can be made handicapped-accessible for Rowan.
SECOND CLAIM FOR RELIEF
AND SUPPORTING FACTUAL ALLEGATIONS
(Please number your paragraphs and attach any necessary additional pages.)
- Iris Smith also was badly injured when the Defendant Driver slammed his commercial truck into the back of the school bus in which Iris was a passenger; Iris was hospitalized for three weeks. She currently is receiving chiropractic treatment twice a week to relieve the pain of severe whiplash that was caused by the accident. She is also receiving physical therapy. Iris, who was a solid high school student, had been practicing and eagerly looking forward to traveling with the school choir on an invitational European tour. She was not able to go. She was in the hospital until just before the choir left, then had to stay behind to help her family. Iris is suffering memory problems since the accident, and may have trouble completing high school on schedule.
- Iris’s medical bills have reached $75,000, and are expected to go higher by an undetermined amount; it will depend on how much chiropractic and physical therapy she requires before her whiplash pain is under control.
- Iris’s family has taken a financial hit, not only because of her parents’ problems, but also because Iris herself has not been able to work since the accident. She is both in pain and experiencing too much mental confusion to hold down even a part-time job. Iris had been working 20 hours per week as a waitress at a popular family restaurant, earning modest wages and good tips. She was averaging about $250 a week.
- Iris’s family does not have medical insurance, and cannot afford to pay these medical bills. The Smith family is facing bankruptcy, through no fault of its own.
THIRD CLAIM FOR RELIEF
AND SUPPORTING FACTUAL ALLEGATIONS
(Please number your paragraphs and attach any necessary additional pages.)
REQUEST FOR RELIEF
Plaintiff requests the following relief:
- $80,000 to pay the past-due medical bills for Rowan Smith.
- $75,000 to pay the past-due medical bills for Iris Smith.
- $75,000 to pay the future medical bills for Rowan Smith.
- $75,000 to pay the future medical bills for Iris Smith.
- $ 2,000 to cover lost wages for Iris Smith.
- $50,000 to cover lost wages for mother, Mary Smith.
- $50,000 to pay remodeling costs for the Smith family residence, in support of Rowan Smith.
- $10,000 for a motorized wheelchair to assist Rowan’s mobility until he is able to walk unassisted.
- $35,000 to purchase a wheelchair-accessible van to assist the Smith family in transporting Rowan to his medical appointments.
Date: October 30, 2014
___________________________ ____________________________
Rowan Smith Iris Smith
(Plaintiff’s Original Signature)
1234 TheirHouse Street
(Street Address)
Colorado Springs, CO 80909
(City, State, ZIP)
719-678-1234
(Telephone Number)
Here, I have provided links to showing examples of work I have done for my Intro to Law class of filing a claim and an answer to the claim. Please follow the provided links to view the samples.
| County Court ___El Paso________ County, Colorado
Court Address:
Plaintiff(s): JANE ANDERSON v. Defendant(s): JOSEPH BURTON
|
COURT USE ONLY |
| Attorney or Party Without Attorney (Name and Address):
JONES ASSOCIATION 1234 HAZARDOUS ROAD COLORADO SPRINGS, CO 80903 Phone Number: 719-456-7890 E-mail: jonesassociation@lawmail.com FAX Number: 719-234-5678 Atty. Reg. #: 1234556 |
Case Number:
Division 21 Courtroom 2 |
COMPLAINT UNDER SIMPLIFIED CIVIL PROCEDURE |
|
- _JOSEPH BURTON________, defendant(s), is (are) resident(s) of ______EL PASO___County, with a post office address of ___123 NOWHERE _____ Street, City _COLORADO SPRINGS__, State of _COLORADO
- The amount claimed herein does not exceed the jurisdiction of the court.
OR
- The amount claimed from____JOSEPH BURTON_____, defendant(s), is/are_FIFTY-FIVE THOUSAND__ dollars and __NO_ cents ($_55,000.00__), together with proper interest, costs and any other items allocable by statute or specific agreement.
- Such claim arises from the following event(s) or transaction(s):
Jane Anderson was driving her vehicle on Pikes Peak Ave. in Colorado Springs, Colorado on October 5, 2014 when Joseph Burton drove his vehicle running a red traffic light indicator and struck Ms. Anderson’s vehicle. The collision caused severe physical injuries to Ms. Anderson, as well as great damage to her vehicle.______
- The Defendant(s) qis (are) xis not (are not) in the military service of the United States. In support of this statement, the Plaintiff(s) set(s) forth the following facts: (State facts concerning military status of the Defendant(s), if the military status of the Defendant(s) is (are) not known, so state here.)
- The Plaintiff(s) xdoes (do) qdoes (do) not demand trial by jury (if demand is made, a jury fee must be paid).
WARNING: ALL FEES ARE NON-REFUNDABLE. IN SOME CASES, A REQUEST FOR A JURY TRIAL MAY BE DENIED PURSUANT TO LAW EVEN THOUGH A JURY FEE HAS BEEN PAID.
Note: All Plaintiffs filing this complaint must sign, unless the complaint is signed by an attorney.
__Jane Anderson____ __Jadeane Jones____
Signature of Plaintiff(s) Signature of Attorney for Plaintiff(s) (if applicable)
_456 Anderson Way Colorado Springs, CO 80906___
Address(es) of Plaintiff(s)
Telephone Number(s) of Plaintiff(s) __719-123-2345_
| County Court ___El Paso______ County, Colorado
Court Address:
Plaintiff(s): JANE ANDERSON v. Defendant(s): JOSEPH BURTON |
COURT USE ONLY |
| Attorney or Party Without Attorney (Name and Address):
JONES ASSOCIATION 1234 HAZARDOUS ROAD COLORADO SPRINGS, CO 80903 Phone Number: 719-456-7890 E-mail: jonesassociation@lawmail.com FAX Number: 719-234-5678 Atty. Reg. #:1234556 |
Case Number:
Division 21 Courtroom 2 |
ANSWER UNDER SIMPLIFIED CIVIL PROCEDURE(including counterclaim(s) and/or cross claim(s)) |
|
The Defendant(s) JOSEPH BURTON (name), answer(s) the complaint as follows:
- The amount of damages claimed to be due to the Plaintiff(s) by the complaint in this action is not due and owing for the following reasons:
N/A
OR
the Plaintiff(s) is/are not entitled to possession of the property and Defendant(s) is/are entitled to retain possession for the following reasons:
N/A
OR
the injunctive relief requested by the Plaintiff(s) should not be allowed for the following reasons:
PLANTIFF HAS ALREADY BEEN COMPENSATED THROUGH INSURANCE COMPANY SETTLEMENT.
- (If applicable) the Defendant(s), , assert(s) the following counterclaim(s) or setoff(s) against the Plaintiff(s)
- (If applicable) the Defendant(s) ______________________________________, assert(s) the following cross claim(s) against __________________________________, named Defendant(s) (you are limited to the jurisdiction of the court):
- If a counterclaim is asserted above, you must check one of the following statements:
The amount of the counterclaim does not exceed the jurisdiction of the court (County Court filing fee required).
The amount of the counterclaim does exceed the jurisdiction of the court, but I wish to limit my recovery to the jurisdiction of the court (County Court filing fee required).
The amount of the counterclaim does exceed the jurisdiction of the court, and I wish the case transferred to the District Court (District Court filing fee required)
- The Defendant(s):
qRequest(s) a trial to the court.
qRequest(s) a jury trial. By requesting a jury trial, the Defendant(s) understand(s) that a jury fee must be paid unless the fee is waived by the Court.
WARNING: ALL FEES ARE NON-REFUNDABLE. IN SOME CASES, A REQUEST FOR A JURY TRIAL MAY BE DENIED PURSUANT TO LAW EVEN THOUGH A JURY FEE HAS BEEN PAID.
Note: All Defendants filing this answer must sign unless the answer is signed by an attorney.
_Joseph Burton__ _Letme Helpu_
Signature of Defendant(s) Signature of Attorney for Defendant(s) (if applicable)
Address(es) of Defendant(s): 123 NOWHERE STREET COLORADO SPRINGS, CO 80910
Phone Number(s) of Defendant(s): _719-467-8902___
CERTIFICATE OF SERVICE
I certify that on November 12, 2014 (date) a true and accurate copy of this ANSWER UNDER SIMPLIFIED CIVIL PROCEDURE was served on ___JADEANE JONES_____the other party(s) or attorney(s) by: Hand Delivery
______Letme Helpu_____
Defendant(s) or Attorney for Defendant(s) Signature
Paralegal Adventures 