Free Redacted Document - District Court of Delaware - Delaware

Case 1:04-cv—01469-SLR Document 57 Filed 12/05/2006 Page1 of 2
IN THE UNITED STATES DISTRICT COURT p
FOR THE DISTRICT OF DELAWARE
STANFORD L. BURRIS, )
Plaintiff, 5
v. )
RICHARDS PAVING, INC., g Civ- NO` 04-1469-SLR
Defendant.
VERDICT FORM
We, the jury, unanimously find as follows:
I. Do you find that plaintiff has proven, by a
preponderance of the evidence, that defendant perceived
or regarded him as disabled?
Yes Z; No
[If you answered “no" to this question, your deliberations
are complete. Please sign the last page of this form.]
[If you answered “yes" to this question, answer question 2.]
2. Do you find that plaintiff has proven, by a
preponderance of the evidence, that he was qualified to perform
the job of driving a tru k?
Yes K No
[If you answered “no” to this question, your deliberations
are complete. Please sign the last page of this form.]
[If you answered “yes" to this question, answer question 3.]
3. Do you find that plaintiff has proven, by a
preponderance of the evidence, that his perceived disability was
the determinative factor in defendant’s decision not to hire him?
Yes >< No

Case 1:04-cv-01469-SLR Document 57 Filed 12/05/2006 Page 2 of 2
[If you answered “no” to this question, your deliberations
are complete, Please sign the last page of this form.]
[If you answered “yes” to this question, answer question 4.]
4. lf you find that plaintiff has proven, by a
preponderance of the evidence, that he was injured because of the
discrimination, state the dollar amount that will fairly
compensate him for such injury.
s [QSO, 1/}§(2,("!O
Your deliberations are complete. Each juror should sign the
verdict form to reflect that a unanimous verdict has been
reached.
Dated: December 5;/, 2006
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