NOTE OF ISSUE NOTE OF ISSUE New York State Court of Claims,________________________ District Claim No. _______________ Notice for trial Filed by attorney for _____________ Date claim filed _____________ Date claim served _____________ Date issue joined _____________ -against- Nature of action Tort: Highway or motor vehicle negligence _______ Medical malpractice _______ Other tort (specify) _______________________ Appropriation claim _______ Small claim pursuant to article 6 EDPL _______ Public construction contract claim _______ Other contract _______ Other type of action (specify) _______ _______________________________________ Amount demanded $____________________ Other relief _____________________________ Attorney(s) for Claimant(s) Office and P.O. Address: Phone No. Attorney(s) for Defendant(s) Office and P.O. Address: Phone No. Insurance carrier(s): NOTE: Clerk will not accept this note of issue unless accompanied by a certificate of readiness and an affidavit of service on opposing counsel. Page 1 2002 © American LegalNet, Inc. NOTE OF ISSUE CERTIFICATE OF READINESS FOR TRIAL (Items 1-6 must be checked) Complete 1. All pleadings served and filed. 2. Bill of Particulars served and filed. 3. Physical examinations completed. 4. Medical reports filed and exchanged. 5. Expert reports filed and exchanged. 6. Discovery proceedings now known to be necessary completed. 7. There are no outstanding requests for discovery. 8. There has been a reasonable opportunity to complete the foregoing proceedings. 9. There has been compliance with any order issued pursuant to section 206.10 of this part. 10. The action is ready for trial. Waived Not Required ......... ......... ......... ......... ......... ......... ......... ......... ......... ......... ......... ......... ......... ......... ......... ......... ......... ......... Dated: ___________________________________ (Signature)________________________________ Attorney(s) for:_____________________________ Office and P.O. address:_____________________ Page 2 2002 © American LegalNet, Inc.