Free PRETRIAL MEMO - Connecticut


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Date: October 15, 2008
File Format: PDF
State: Connecticut
Category: Court Forms - State
Author: MPiela
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http://www.jud2.ct.gov/webforms/forms/es047.pdf

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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)
(Page 1 of 2)

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 _______________________

(Page 2 of 2)

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