Verdict/Decision/Settlement/Arbitration Submission Form

1. Docket/File No.:

2. Court/Branch (Including state):

3. Case Name:

4. Check One:
    Jury Trial
    Bench Trial
    Settlement
    Arbitration
    Other

5. Judge/Arbitrator/Mediator:

6. Date of Verdict/Judgment/Settlement/Arbitration:

7. Trial Length:

8. Jury Deliberations (Vote & Length):

9. Type of Case (e.g., Premises Liability/Inadequate Security):

10. Amount & Details of Verdict/Judgment/Settlement/Arbitration (Amount, Type of Damages/Relief, Comparative Fault, Apportionment, etc.):

11. Counsel (Name, Firm, Address, Phone & Fax Numbers, Party Represented):

1. Plaintiff:
   
2. Defense:
   
3. Other:
   

12. Parties (Include Name, Age & Occupation):

1. Plaintiff:
   
2. Defendant:
   
3. Other:
   

13. Wrongful Death Cases (Decedent's Name, Age, Occupation, Relationship to Each Plaintiff):

14. Facts/Contentions (Use additional pages as needed; include trial briefs if possible):

15. Claimed Injuries/Treatment by Each Plaintiff & Cross-Complainant:

16. Claimed Damages/Relief Sought By Each Plaintiff & Cross-Complainant:

17. Prior Settlement Discussions/Arbitration Results:

18. Insurance Carrier (Name of Company and Adjuster):

19. Experts (Name, Area of Expertise, Address, Phone & Fax Numbers, Key Testimony):
If None, Check Here:

1. Plaintiff:
   
2. Defendant:
   
3. Other:
   

20. Comments (Appeals, Post-Trial Motions, Reasons for Verdict, etc.):

21. California Civil Jury Instructions - California has recently adopted new jury instructions for civil cases - the "CACI Instructions." The Jury Instruction Committee of the California State Bar Litigation Section is interested in any suggestions you may have for improvements in, or changes to, the CACI instructions. The Committee has requested that Trials Digest assist in gathering and forwarding suggestions to the Committee for review and consideration. Please make your comments and suggestions as specific as possible:

22. Submitted by: