Pretrial Memo Form. This is a Connecticut form and can be use in Administrative Statewide.
Tags: Pretrial Memo, JD-ES-47, Connecticut Statewide, Administrative
PRETRIAL MEMO INSTRUCTIONS COURT USE ONLY 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. PRETMEM DOCKET NUMBER NOTICE: This memo is intended for pretrial purposes only and shall not be construed as an admission against any party. JD-ES-47 Rev. 10-07 P.B. §§ 14-3, 14-14 www.jud.ct.gov DATE PART I (To be completed by attorney/pro se party) PLAINTIFF DEFENDANT #1 DEFENDANT'S TRIAL COUNSEL PHONE NO. PLAINTIFF'S TRIAL COUNSEL PHONE NO. DEFENDANT #2 DEFENDANT'S TRIAL COUNSEL PHONE NO. INTERVENING TRIAL COUNSEL PHONE NO. DEFENDANT #3 DEFENDANT'S TRIAL COUNSEL PHONE NO. RETURN DATE DATE CERT. OF CLOSED PLEADINGS FILED HAVE YOU DISCUSSED APPROPRIATE A.D.R. WITH YOUR CLIENT? TYPE OF CLAIM YES TRIAL DATE DOES YOUR CLIENT HAVE ANY OBJECTION TO A REFERRAL TO NON-BINDING A.D.R.? 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 REASON COST AGE OF PARTY EXPLANATION 1. Doctor(s) 2. Hospital(s) SPECIALS 3. Subtotal (Add 1 & 2) 4. Future Medical LOST WAGES 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) RESET PRINT YES NO American LegalNet, Inc. www.FormsWorkflow.com CLAIMS OF LAW (Include all anticipated evidentiary and procedural problems) IS DISCOVERY COMPLETE? YES NO, IF NO, EXPLAIN: NAME OF PREPARER TELEPHONE NO. ATTORNEY FOR (Name of party represented) PART II (To be completed by judge or judge trial referee) COMP. NEGLIG. LIABILITY GOOD % FAIR POOR CHANCE OF SETTLEMENT GOOD DEMAND DEFENDANT TO REPORT TO JUDGE OR JUDGE TRIAL REFEREE BY: FAIR OFFER PLAINTIFF TO REPORT TO JUDGE OR JUDGE TRIAL REFEREE BY: POOR COURT VALUE EST. LENGTH OF TRIAL JURY SELECTION TRIAL DATE (if applicable): EVIDENCE STATUS OF PLEADINGS 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 (Page 2 of 2) RESET PRINT DATE _______________________ American LegalNet, Inc. www.FormsWorkflow.com