Free Verdict Sheet - District Court of Delaware - Delaware

Case 1:04-cv-01450-JJF Document 55 Filed 11/17/2006 Page1 of2
IN THE UNITED STATES DISTRICT COURT
FOR THE DISTRICT OF DELAWARE
CASSANDRA JOHNSON, :
Plaintiff, ; `
v. ; Civil Action No. 04-1450-JJF
WAL—MART STORES, INC., j
a Delaware corporation, :
Defendant. ;
VERDICT FORM
Please answer the following questions:
Equal Pay Act
I. Did Plaintiff prove by a preponderance of the
evidence that SAM’S violated the Equal Pay Act, 29 U.S.C. § 206?
q Yes _____ .
C No _____
[If you answered “Yes,” go to question 2; if you answered “No,” go
to question 3.]
2. Did Plaintiff prove by a preponderance of the
evidence that SAM’S violation of the Equal Pay Act was willful?
Yes _____
No _____
[Go to question 3.]
Gender Discrimination
3. Did Plaintiff prove by a preponderance of the
evidence that SAM'S discriminated against her on the basis of sex
in violation of 42 U.S.C. § 2000e?

Case 1:04-cv-01450-JJF Document 55 Filed 11/17/2006 Page 2 of 2
Yes
No
[If you answered “Yes,” to either question 1 or 3, go to question
4; if you answered “No,” to both questions 1 and 3, your
deliberations have ended.]
Monetary Award
4. Please state, in monetary terms, the total amount of
back pay and/or compensatory damages that you find Plaintiff
Cassandra Johnson suffered as a result of SAM'S actions.
Back Pay $
Compensatory Damages $
Jury Foreperson Juror
Juror Juror
Juror Juror
Juror
November , 2006
DATE