Maryland > Federal > District Court > Pro Se
Complaint - Maryland
| Complaint Form. This is a Maryland form and can be used in Pro Se District Court Federal . |
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IN THE UNITED STATES DISTRICT COURT FOR THE DISTRICT OF MARYLAND (Full name and address of the plaintiff) v. Civil Action No. (Leave blank. To be filled in by Court.) (Full name and address of the defendant(s)) COMPLAINT Jurisdiction in this case is based on:C Diversity (none of the defendants are residents of the state where plaintiff is a resident) C Federal question (suit is based upon a federal statute or provision of the United States Constitution) C Other (explain) _______________________________________________ ____________________________________________________________ ____________________________________________________________Rev. 11/00 <<<<<<<<<********>>>>>>>>>>>>> 2 The facts of this case are: __________________________________________________________________ __________________________________________________________________ __________________________________________________________________ __________________________________________________________________ __________________________________________________________________ __________________________________________________________________ __________________________________________________________________ __________________________________________________________________ __________________________________________________________________ __________________________________________________________________ __________________________________________________________________ __________________________________________________________________ __________________________________________________________________ __________________________________________________________________ __________________________________________________________________ __________________________________________________________________Rev. 11/00 <<<<<<<<<********>>>>>>>>>>>>> 3 The relief I want the court to order is:C Damages in the amount of: _____________________________________ C An injunction ordering: ________________________________________ ____________________________________________________________ Other (explain) _______________________________________________ ____________________________________________________________ (original signature of plaintiff) (address of plaintiff) Rev. 11/00
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