R.I. Gen. Laws § 34-18-56

(e) A complaint in substantially the following language shall suffice for the purpose
of commencing an eviction action for noncompliance with the rental agreement pursuant
to § 34-18-36, or an eviction action for unlawfully holding over after expiration or termination
of the tenancy pursuant to § 34-18-38:

STATE OF RHODE ISLAND

_________________________________________ , Sc.

DISTRICT COURT

_________________________________________

________ DIVISION

PLAINTIFF

DEFENDANT

_________________________________________

_________________________________________

(Landlord's Name)

(Tenant's Name)

V

_________________________________________

_________________________________________

_________________________________________

_________________________________________

_________________________________________

_________________________________________

(address)

(address of rental premises)

COMPLAINT FOR EVICTION
FOR REASON OTHER THAN
NONPAYMENT OF RENT
R.I.G.L. 34-18-36
R.I.G.L. 34-18-38

1. Plaintiff Landlord(s) owns the rental premises listed above, in which the Defendant
Tenant(s) resides.

2. CHECK ONE:

__  Defendant breached the tenant’s obligations under the rental agreement or § 34-18-24 as set forth in the attached copy of the notice of noncompliance which was mailed
to the defendant. Defendant has not cured or remedied the breach. (Plaintiff must
attach copy of required notice of noncompliance.)

__  Defendant has remained in possession of the rented premises following the period
set forth in the attached notice of termination of tenancy which was mailed to defendant.
(Plaintiff must attach copy of required termination notice.)

__  Defendant breached the tenants’ obligations under § 34-18-24(8), (9) or (10).