Free Proposed Jury Instructions - District Court of Colorado - Colorado

Case 1:01-cv-02089-MSK-CBS

Document 250-4

Filed 05/08/2006

Page 1 of 3

IN THE UNITED STATES DISTRICT COURT FOR THE DISTRICT OF COLORADO Civil Action No. 01-CV-2089-MSK-CBS DEAN A. BRAMLET, M.D., Plaintiff, v. ASPEN VALLEY HOSPITAL DISTRICT, Defendant. ______________________________________________________________________________ VERDICT FORM ______________________________________________________________________________ We the Jury, answer the questions submitted as follows: 1. Did Aspen Valley Hospital discriminate against Dr. Bramlet on the basis of his age? Yes _____ No _____ If "No," go to question 5. If "Yes," proceed to next question. 2. Has Defendant proven that it would nevertheless have taken the same action even if it had not considered Plaintiff's age? Yes _____ No _____ If "No," proceed to next question. If "Yes," proceed to question 5. 3. What damages do you award Plaintiff to compensate him for back pay that he would have received from Defendant if the age discrimination had not occurred? $ ______________________ 4. Did Defendant Aspen Valley Hospital willfully violate federal law by discriminating against Dr. Bramlet on the basis of his age? _______ Yes _______No

Case 1:01-cv-02089-MSK-CBS

Document 250-4

Filed 05/08/2006

Page 2 of 3

5.

Did Aspen Valley Hospital violate the Civil Rights Act of 1871, as prohibited by 42 U.S.C. §1983? _______ Yes ________No

If "Yes" proceed to next questions. If "No", proceed to question number 9. 6. What amount of compensatory damages do you award to Dr. Bramlet for Aspen Valley Hospital's violation of §1983? $________________ 7. What amount of backpay do you award to Dr. Bramlet for Aspen Valley Hospital's violation of § 1983? $ _______________ 9. Did Aspen Valley Hospital breach its contract with Dr. Bramlet? ______ Yes _________ No

If "Yes" proceed to next questions. If "No", have your foreperson sign and date this verdict form. 10. What amount of actual or nominal damages do you award to Dr. Bramlet based on Aspen Valley Hospital's breach of contract?

$__________________

_______________________________ Foreperson ________________________________ Juror ________________________________ Juror ________________________________ Juror

______________________________ Juror _______________________________ Juror _______________________________ Juror _______________________________ Juror

Case 1:01-cv-02089-MSK-CBS

Document 250-4

Filed 05/08/2006

Page 3 of 3

__________________________________ Juror __________________________________ Juror

_______________________________ Juror ________________________________ Juror

________________________________ Date