§ Form 14 Complaint for damages under the merchant marine act

Form 14. Complaint for Damages Under the Merchant Marine Act

(Caption--See Form 1.)

    1. (Statement of Jurisdiction--See Form 7.)

    2. At the times below, the defendant owned and operated the vessel name and used it to transport cargo for hire by water in interstate and foreign commerce.

    3. On date, at place, the defendant hired the plaintiff under seamen's articles of customary form for a voyage from __________ to __________ and return at a wage of $_______ a month and found, which is equal to a shore worker's wage of $_______ a month.

    4. On date, the vessel was at sea on the return voyage. (Describe the weather and the condition of the vessel.)

    5. (Describe as in Form 11 the defendant's negligent conduct.)

    6. As a result of the defendant's negligent conduct and the unseaworthiness of the vessel, the plaintiff was physically injured, has been incapable of any gainful activity, suffered mental and physical pain, and has incurred medical expenses of $_______.

    Therefore, the plaintiff demands judgment against the defendant for $_______, plus costs.

(Date and sign--See Form 2.)