COURT COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ......... .. : Index No. : : Plaintiff(s) -against- Calendar No. JUDICIAL SUBPOENA : BAR NO.: : SUPERIOR COURT OF CALIFORNIA, COUNTY OF LOS ANGELES : CASE NUMBER Defendant(s) : ...................................................... STATUS CONFERENCE QUESTIONNAIRE PLAINTIFF(S), THE PEOPLE OF THE STATE OF NEW YORK VS STATUS CONFERENCE TO DATE: TIME: DEFENDANT(S). PLACE: DEPARTMENT GREETINGS: NOTICE to all counsel of record and parties in propria persona: All parties of record must complete in its entirety this Questionnaire and WE COMMAND YOU,in Room business and excuses beingprior aside, you and for the status conference. serve and file it directly that all 101 at least five court days laid to the date set each of you attend before If the Honorablethe space provided for any answer is insufficient, attach additional pages as needed. at the Court located at County of PARTY (i.e. Plaintiff/Defendant/Cross-Complainant) ANSWERING THIS in room , on the day of , 20 COUNSEL FOR SUCH PARTY: , at o'clock in the noon, and at any recessed QUESTIONNAIRE: or adjourned date, to testify and give evidence as a witness in this action on the part of the DATE ON WHICH THE COMPLAINT WAS FILED: DATE ON WHICH THE CROSS COMPLAINT WAS FILED: Your failure to comply with this subpoena is punishable as a contempt of court and will make you liable to ASSAULT AND BATTERY BAD FAITH was issued for a maximum penalty of $50 and all damages sustained as a WRONGFUL TERMINATION POLICE MISCONDUCT VEHICLE ACCIDENT MEDICAL MALPRACTICE result of your failure to comply. NATURE OF THE CASE (Check the appropriate box.) the party on whose behalf this subpoena SLIP AND FALL PREMISES LIABILITY WRONGFUL DEATH Witness, Court in LEGAL MALPRACTICE REAL PROPERTY PRODUCT Honorable LIABILITY CONSTRUCTION DEFECT LITIGATION County, day of BUSINESS LITIGATION BREACH OF CONTRACT COLLECTION , one OTHER of the Justices of the , 20 PARTIES - LIST THE NAME OF EACH PARTY IN THE FOLLOWING CATEGORIES: 1. PLAINTIFF/CROSS COMPLAINANT: (Attorney must sign above and type name below) 2. DEFENDANT/CROSS DEFENDANT WHO HAS ANSWERED OR WHOSE DEFAULT HAS BEEN ENTERED: Attorney(s) for 3. DEFENDANT/CROSS DEFENDANT WHO HAS BEEN SERVED AND HAS NOT YET FILED A RESPONSIVE PLEADING AND WHOSE DEFAULT HAS NOT BEEN ENTERED: 4. DEFENDANT/CROSS DEFENDANT WHO HAS NOT BEEN SERVED: Office and P.O. Address 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 IF YOUR ANSWER IS "YES," SET FORTH THE CASE NUMBER OF SUCH CASE(S): E 351 Pomona/R12-97(Page 1 of 2) Telephone No.: NO Facsimile No.: E-Mail Address: Mobile Tel. No.: American LegalNet, Inc. www.USCourtForms.com , COURT COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ......... .. : AT ISSUE Index No. : Calendar No. 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 FAILED TO FILE RESPONSIVE PLEADINGS? : IF YOUR ANSWER IS "NO," SET FORTH, IN DETAIL, SPECIFIC FACTS AS TO WHY CASE IS NOT AT ISSUE. Plaintiff(s) -against- YES NO JUDICIAL SUBPOENA : TRANSFER TO DISTRICT: IS IT MANDATORY UNDER LASC RULE 2.0, THAT THIS CASE BE TRANSFERRED TO ANOTHER DISTRICT OF THIS COURT? YES IF YOUR ANSWER IS "YES," WHAT IS THE PROPER DISTRICT? : NO AMENDMENT OF PLEADING/CONSOLIDATION MOTIONS Defendant(s) : DO YOU INTEND.TO.MAKE.ANY .MOTION TO ADD A PARTY.OR CAUSE.OF. ACTION TO A . . . . . . . OR CROSS COMPLAINT OR TO CONSOLIDATE THIS CASE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . COMPLAINT 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. THE PEOPLE OF THE STATE OF NEW YORK TO 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.) GREETINGS: SET FORTH THE AMOUNTS OF ANY DAMAGES EXPECTED TO BE INCURRED IN THE FUTURE, AND STATE, IN DETAIL, SPECIFIC FACTS WHICH SUPPORT SUCH WE COMMAND YOU, that all business and excuses being laid aside, you and each of you attend before DAMAGE CLAIM. , the Honorable at the Court located at County of in room , on the day of , 20 , at o'clock in the noon, and at any recessed LIMITED JURISDICTION or adjourned date, to testify and give evidence as a witness in this action on the part of the SHOULD THIS CASE BE TRANSFERRED TO LIMITED JURISDICTION? YES IF YOUR ANSWER IS "YES," SET FORTH THE PROPER JUDICIAL DISTRICT: NO IF YOUR ANSWER IS "NO," SET FORTH, IN DETAIL, SPECIFIC FACTS AS TO WHY THIS CASE SHOULD NOT BE TRANSFERRED TO LIMITED JURISDICTION. Your failure to comply with this subpoena is punishable as a contempt of court and will make you liable to the party on whose behalf this subpoena was issued for a maximum penalty of $50 and all damages sustained as a result of your failure to comply. ARBITRATION/MEDIATION HAS AN ELECTION TO ARBITRATE BEEN FILED BY PLAINTIFF? IF NO ELECTION HAS BEEN FILED, SHOULD THIS CASE BE SUBMITTED TO Witness, Honorable NO Court in SHOULD THIS CASE BE SUBMITTED TOCounty, MEDIATION , C.C.P. 1141.10 et Seq? ARBITRATION PURSUANT TOone of the Justices YES day YES of NO of the YES NO , 20 IF YOUR ANSWER IS "NO," SET FORTH, IN DETAIL, SPECIFIC FACTS AS TO WHY THIS CASE SHOULD NOT BE SUBMITTED TO ARBITRATION OR MEDIATION. (Attorney must sign above and type name below) ARE YOU WILLING TO STIPULATE TO BINDING ARBITRATION? YES NO Attorney(s) for JURY WAIVER/DEMAND - TRIAL ESTIMATE JURY TRIAL IS WAIVED DEMANDED. TRIAL TIME 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 the case. Office and P.O. Address NAME ATTORNEY FOR: Telephone No.: Facsimile No.: E-Mail Address: Mobile Tel. No.: American LegalNet, Inc. www.USCourtForms.com