600.14 Contribution Verdict Form--Comparative Negligence an Issue-- Verdict for Plaintiff Verdict Form A We, the jury, find for [name of plaintiff] and against the following defendant or defendants: [name of defendant 1] [name of defendant 2] We further find the following: First: Without taking into consideration the question of reduction of damages due to the [negligence] [other damage reducing defense] of [name of plaintiff], if any, we find that the total amount of damages suffered by [name of plaintiff] as a proximate result of the occurrence in question is $____________, itemized as follows: List each category of damages [e.g. The disfigurement resulting from the injury] [Insert other damages categories from IPI 30.05, 30.05.01, 30.07, 30.08, 30.09 or as applicable] PLAINTIFF'S TOTAL DAMAGES: $_____________ $_____________ $_____________ Yes _____ Yes _____ No _____ No _____ Second: As to the contribution claims brought by [third party plaintiff's name], we find: Against [name of third-party defendant 1] Against [name of third-party defendant 2] Yes _____ No _____ Yes _____ No _____ Third: Assuming that 100% represents the total combined legal responsibility of all [persons] [or] [entities] who [that] proximately caused [name of plaintiff]'s injury, we find the percentage of legal responsibility attributable to each as follows: (a) (b) (c) (d) (e) (f) [name of plaintiff] [defendant #1 name] [defendant #2 name] [3rd party defendant 1 name] [3rd party defendant 2 name] [other name1] ______% ______% ______% ______% ______% ______% (Instructions to Jury: If you find plaintiff was not [contributorily negligent] [other damage reducing defense], or if you find any other party listed on the verdict form was not legally responsible in a way that proximately caused plaintiff's injury, then you should enter a zero (0) % as to that party.) The Committee recommends that non-parties be excluded from the verdict form until the trial judge first makes the determination that sufficient evidence has been presented to support a jury finding of fault with respect to that nonparty. Assuming such is presented and if the jury will need to decide whether plaintiff was contributorily negligent, then the non-party should be listed on the verdict form based on Bofman v. Material Serv. Corp., 125 Ill.App.3d 1053 (1st Dist. 1984) and Smith v. Central Ill. Pub. Serv. Co., 176 Ill.App.3d 482 (4th Dist. 1988). For contribution cases in which plaintiff's contributory fault is not an issue, use IPI 600.14A. 1 Fourth: After reducing the plaintiff's total damages [(from paragraph First)] by the percentage of [negligence] [fault], if any, of [____________] [(from line (a) in paragraph Third)], we award ____________ recoverable damages in the amount of $___________. ____________________________________ ____________________________________ ____________________________________ ____________________________________ ____________________________________ ____________________________________ ____________________________________ ____________________________________ ____________________________________ ____________________________________ ____________________________________ ____________________________________ Verdict Form revised January 2010.