PRETRIAL MEMO
JD-ES-47 Rev. 10-08 P.B. §§ 14-13, 14-14 www.jud.ct.gov
INSTRUCTIONS Each party claiming damages or that party's attorney shall complete Part I below and at the commencement of the pretrial session give a copy to the judge or judge trial referee and to each other party. Attach additional sheets if necessary. NOTICE: This memo is intended for pretrial purposes only and shall not be construed as an admission against any party.
COURT USE ONLY
PRETMEM
DOCKET NUMBER DATE
PART I (To be completed by attorney/pro se party)
PLAINTIFF PLAINTIFF'S TRIAL COUNSEL INTERVENING TRIAL COUNSEL RETURN DATE PHONE NO. PHONE NO. DEFENDANT #1 DEFENDANT #2 DEFENDANT #3 TYPE OF CLAIM DOES YOUR CLIENT HAVE ANY OBJECTION TO A REFERRAL TO NON-BINDING A.D.R.? DEFENDANT'S TRIAL COUNSEL DEFENDANT'S TRIAL COUNSEL DEFENDANT'S TRIAL COUNSEL PHONE NO. PHONE NO. PHONE NO. TRIAL DATE
DATE CERT. OF CLOSED PLEADINGS FILED
HAVE YOU DISCUSSED APPROPRIATE A.D.R. WITH YOUR CLIENT?
YES
NO
YES
NO
DATE AND TIME OF ACCIDENT (if applicable)
CLAIM (e.g. Accident)
INTERVENOR'S CLAIM
NATURE OF DAMAGES OR DEMAND
DAMAGES OR DEMAND (e.g. Injuries)
IF APPLICABLE
LAST MEDICAL EXAM PERMANENCY OF INJURIES/LIFE EXPECTANCY
AGE OF PARTY
REASON 1. Doctor(s)
COST
EXPLANATION
2. Hospital(s) 3. Subtotal (Add 1 & 2) 4. Future Medical
LOST WAGES
SPECIALS
5. Wages
FUTURE CAPACITY
6. OTHER (Prop. Dam., etc.)
7. TOTAL
Copies of all medical bills and reports have been furnished to the Defendant(s)
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YES
NO
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CLAIMS OF LAW (Include all anticipated evidentiary and procedural problems)
IS DISCOVERY COMPLETE? NAME OF PREPARER
YES
NO, IF NO, EXPLAIN: TELEPHONE NO. ATTORNEY FOR (Name of party represented)
PART II (To be completed by judge or judge trial referee)
COMP. NEGLIG. LIABILITY
% DEMAND OFFER COURT VALUE
EST. LENGTH OF TRIAL
GOOD
FAIR
POOR
CHANCE OF SETTLEMENT
GOOD FAIR POOR
JURY SELECTION STATUS OF PLEADINGS EVIDENCE
PLAINTIFF TO REPORT TO JUDGE OR JUDGE TRIAL REFEREE BY: DEFENDANT TO REPORT TO JUDGE OR JUDGE TRIAL REFEREE BY: TRIAL DATE (if applicable):
PLEADINGS AND EXHIBITS
EXHIBITS STIPULATED UPON
OTHER COMMENTS - DEFENDANT'S CLAIMS OF LAW, ETC.
RESULTS OF PRETRIAL SETTLED STIPULATED JUDGMENT W/DRAWN
NONSUIT/DEFAULT PURSUANT TO P.B. 14-3
CONTINUED TO
SPECIFY DATE OR NO. OF WEEKS
OTHER:
SIGNED (Judge/Judge Trial Referee) _____________________________________
JD-ES-47 (back/page 2) Rev. 10-07
DATE _______________________
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