600.16 Verdict Form--Apportionment of Responsibility--Contribution Following Settlement We, the jury, apportion responsibility as follows: [Name of contribution plaintiff] [Name of contribution defendant #1] [Name of contribution defendant #2] TOTAL _____% _____% _____% 100% (Instruction to Jury: If you find that any person or entity was not legally responsible in a way that proximately caused the injured person's injury, then you should enter a zero as to that person or entity.) ____________________________________ ____________________________________ ____________________________________ ____________________________________ ____________________________________ ____________________________________ ____________________________________ ____________________________________ ____________________________________ ____________________________________ ____________________________________ ____________________________________ Verdict Form and Notes revised January 2010.