Appendix A - Injuries caused by negligence on a railroad
| Updated at | March 2010 |
(Title)
A.B., the above-named plaintiff states as follows:-
On the .........day of ............19.................., the defendants were common carriers of passengers by railway between ..........and..............
On that day the plaintiff was a passenger in one of the carriages of the defendants on the said railway.
While he was such passenger, at .............[or near the station of .......................or between the stations of .........and.................... ] a collision occurred on the said railway caused by the negligence and unskilfulness of the defendants servants whereby the plaintiff was much injured [having his leg broken, his head cut, etc., and state the special damage, if any, as] and incurred expense for medical attendance and is permanently disabled from carrying on his...
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