Free 3.201(8) - Kansas

F 3.201(8) IN THE DISTRICT COURT OF SHAWNEE COUNTY, KANSAS ) JOHN D. DOE, ) ) Plaintiff, ) ) vs. ) ) THOMAS M. SMITH, ) ) Defendant. ) ______________________________)

Case No.

PRETRIAL QUESTIONNAIRE (Instructions: This questionnaire must be completed by each attorney of record and copies mailed to the Clerk and all other counsel at least one week prior to pretrial conference. All questions must either be answered or indicated as not applicable. All answers must be typed. If the space provided is not sufficient for your answers, you may type your own questionnaire and answers in accordance with is format.) 1. Present date: 2. The name of the party you represent: 3. Your name: 4. Requests for amendments to pleadings: 5. Theory of your claim, if any (including grounds of negligence, if applicable):

6. Theory of your defense, if any (including grounds of contributory negligence, if applicable):

7. Total amount of damages claimed:

8. Itemization of damages:

9. Other questions of fact:

10. Other questions of law:

11. Discovery a) List discovery you have completed:

b) Please specify further discovery contemplated (If discovery is complete, state "none"):

c) If further discovery contemplated, state when same will be completed:

12. Motions a) List motions you have pending:

b) List motions you intend to file prior to trial:

13. State any procedural problems which you have:

14. List all witnesses you intend to call at trial (Note: you must list all witnesses known to you at the present time):

15. List all exhibits you intend to offer at trial:

16. Trial assignment a) Should case receive priority setting, and if so, why? (If due to out-of-town witnesses, please specify). b) Are you requesting court or jury trial? c) If jury trial, would you stipulate to six-member jury? d) What is estimated time for trial?

___________________________ Signature I hereby certify that a true and correct copy of the above and foregoing Pretrial Questionnaire was served upon opposing counsel by depositing a copy of the same in the United States mail, postage prepaid, on the ______ day of __________________, 20____, addressed to:

___________________________ Signature

Revised: 5-19-99