Haw. R. Civ. P. Form 10 (2026)

Form 10. Complaint for Negligence Where Plaintiff Is Unable to Determine Person Responsible Is C. D. or E. F. or Whether Both Are Responsible and Where Plaintiff's Evidence May Justify a Finding of Wilfulness or of Recklessness or of Negligence.

IN THE CIRCUIT COURT OF THE FIRST CIRCUIT

STATE OF HAWAIʻI A.B., Plaintiff, ) Civil No. _______________

) COMPLAINT C.D. and E.F., Defendants. )

1. Allegation of residence of parties.

2. On June 1, 1952, in a public highway called King Street, Honolulu, Hawaiʻi, defendant C. D. or defendant E. F., or both defendants C. D. and E. F. willfully or recklessly or negligently drove or caused to be driven a motor vehicle against plaintiff who was then crossing said highway.

3. As a result plaintiff was thrown down and had plaintiff’s leg broken and was otherwise injured, was prevented from transacting plaintiff’s business, suffered great pain of body and mind, and incurred expenses for medical attention and hospitalization in the sum of one thousand dollars. Wherefore plaintiff demands judgment against C. D. or against E. F. or against both in the sum of ______________________________ dollars and costs.