SUPERIOR COURT OF CALIFORNIA, COUNTY OF LOS ANGELES CASE NUMBER PLAINTIFF(S), VS STATUS CONFERENCE QUESTIONNAIRE STATUS CONFERENCE DATE: TIME: PLACE: DEPARTMENT DEFENDANT(S) NOTICE to all counsel of record and parties in propria persona: All parties of record must completein its entirety this Questionnaire and serve and file it directly in Department at least five court days prior to the date set for the status conference. If the space provided for any answer is insufficient, attach additional pages as needed. PARTY (i.e. Plaintiff/Defendant/Cross-Complainant) ANSWERING THIS QUESTIONNAIRE: COUNSEL FOR SUCH PARTY: DATE ON WHICH THE COMPLAINT WAS FILED: DATE ON WHICH THE CROSS COMPLAINT WAS FILED: ! ! ! ! NATURE OF THE CASE (Check the appropriate box.) BAD FAITH VEHICLE ACCIDENT MEDICAL MALPRACTICE WRONGFUL TERMINATION SLIP AND FALL LEGAL MALPRACTICE BUSINESS LITIGATION PREMISES LIABILITY REAL PROPERTY BREACH OF CONTRACT WRONGFUL DEATH PRODUCT LIABILITY COLLECTION CONSTRUCTION DEFECT LITIGATION PARTIES - LIST THE NAME OF EACH PARTY IN THE FOLLOWING CATEGORIES 1. PLAINTIFF/CROSS COMPLAINANT: ! ! ! ! ! ! ! ! ! ! ! ASSAULT AND BATTERY ! POLICE MISCONDUCT ! OTHER 2. DEFENDANT/CROSS DEFENDANT WHO HAS ANSWERED OR WHOSE DEFAULT HAS BEEN ENTERED: 3. DEFENDANT/CROSS DEFENDANT WHO HAS BEEN SERVED AND HAS NOT YET FILED A RESPONSIVE PLEADING AND WHOSE DEFAULT HAS NOT BEEN ENTERED: DEFENDANT/CROSS DEFENDANT WHO HAS NOT BEEN SERVED: 4. RELATED CASES - SEE LOCAL RULE 7.3 LIST ALL CASES THAT HAVE BEEN DESIGNATED AS "RELATED CASES" BY THE COURT: ARE THERE ANY OTHER CASES THAT MAY BE RELATED CASES? ! YES ! NO IF YOUR ANSWER IS "YES" SET FORTH THE CASE NUMBER OF SUCH CASE(S): E 351/R02-01 STATUS CONFERENCE QUESTIONNAIRE Page One of Two Pages 2001 © American LegalNet, Inc. ! AT ISSUE IS THIS CASE AT ISSUE-THAT IS, HAVE ALL DEFENDANTS ANSWERED THE COMPLAINT AND HAVE ALL CROSS DEFENDANTS ANSWERED ANY CROSS COMPLAINT AND HAVE DEFAULTS BEEN ENTERED ON ALL SERVED PARTIES WHO FALIED TO FILE RESPONSIVE PLEADINGS? YES NO IF YOUR ANSWER IS "NO", SET FORTH, IN DETAIL, SPECIFIC FACTS AS TO WHY THE CASE IS NOT AT ISSUE. ! TRANSFER TO DISTRICT IS IT MANDATORY UNDER LASC RULE 2.0, THAT THIS CASE BE IF YOUR ANSWER IS "YES", WHAT IS THE PROPER TRANSFERRED TO ANOTHER DISTRICT OF THIS COURT? YES NO DISTRICT? AMENDMENT OF PLEADING/CONSOLIDATION MOTIONS DO YOU INTEND TO MAKE ANY MOTION TO ADD A PARTY OR CAUSE OF ACTION TO A COMPLAINT OR CROSS COMPLAINT OR TO CONSOLIDATE THIS CASE WITH ANY OTHER CASE? YES NO IF YOUR ANSWER IS "YES", SET FORTH IN DETAIL, SPECIFIC FACTS AS TO WHY SUCH A MOTION IS NECESSARY, INCLUDING THE NAME ! ! ! ! AND CASE NUMBER OF ANY CASE TO BE CONSOLIDATED. DAMAGES SET FORTH, IN DETAIL, THE SPECIFIC DOLLAR AMOUNTS OF DAMAGES YOU CONTEND HAVE BEEN INCURRED TO DATE, FOR WHICH THERE IS EVIDENTIARY SUPPORT (e.g. medical expenses, loss of earnings, balance owing on contract, etc.) SET FORTH THE AMOUNTS OF ANY DAMAGES EXPECTED TO BE INCURRED IN THE FUTURE, AND STATE, IN DETAIL, SPECIFIC FACTS WHICH SUPPORT SUCH DAMAGE CLAIM. ! LIMITED JURISDICTION SHOULD THIS CASE BE RECLASSIFIED AS LIMITED CIVIL? IF YOUR ANSWER IS "YES", SET FORTH THE PROPER COURT LOCATION: YES NO IF YOUR ANSWER IS "NO", SET FORTH, IN DETAIL, SPECIFIC FACTS AS TO WHY THIS CASE SHOULD NOT BE RECLASSIFIED AS A LIMITED CIVIL CASE. ! ARBITRATION/MEDIATION ! HAS AN ELECTION TO ARBITRATE BEEN FILED BY PLAINTIFF? IF NO ELECTION HAS BEEN FILED SHOULD THIS CASE BE SUBMITTED TO YES NO ARBITRATION PURSUANT TO C.C.P. 1141.10 et Seq.? YES NO SHOULD THIS CASE BE SUBMITTED TO MEDIATION YES NO IF YOUR ANSWER IS "NO", SET FORTH, IN DETAIL, SPECIFIC FACTS AS TO WHY THIS CASE SHOULD NOT BE SUBMITTED TO ARBITRATION OR MEDIATION. ! ! ! ! ! ARE YOU WILLING TO STIPULATE TO BINDING ARBITRATION? JURY TRIAL IS ! WAIVED ! YES NO JURY WAIVER/DEMAND - TRIAL ESTIMATE DEMANDED TRIAL ESTIMATE IS ! ! DAYS. The information contained in this questionnaire is complete and accurate and has been prepared by an attorney/party in propria persona familiar with this case. (NAME) ATTORNEY FOR: E 351/R02-01 STATUS CONFERENCE QUESTIONNAIRE Page Two of Two Pages 2001 © American LegalNet, Inc.