IN THE CIRCUIT COURT OF THE 22nd JUDICIAL CIRCUIT McHENRY COUNTY PRE-TRIAL MEMORANDUM In compliance with Local Court Rule 4.01(b), the information required in this memo should be full, complete, typewritten and in triplicate before case is called for hearing. **Not to be used in Trial of Cause. ______________________________________ Plaintiff requests $_________________________ Defendant recommends $_________________________ Court recommends $_________________________ Defendant(s) Settlement Figure $_________________________ Case Number: __________________________ Length of Trial ______________________ days Plaintiff(s) vs. ______________________________________ Plaintiff’s name: ______________________________________________________________________________ Occupation: __________________________________________________________________________________ Attorney for Plaintiff: __________________________________________________________________________ Attorney for Defendant: ________________________________________________________________________ Date, hour and place of accident: _________________________________________________________________ ____________________________________________________________________________________________ Injuries: _____________________________________________________________________________________ ____________________________________________________________________________________________ Attending Physicians Medical Fees ________________________________________________ _____________________ $_____________ ________________________________________________ _____________________ $_____________ ________________________________________________ _____________________ $_____________ ________________________________________________ _____________________ $_____________ Name of Hospital(s) Hospital Bill(s) ________________________________________________ _____________________ $_____________ ________________________________________________ _____________________ $_____________ ________________________________________________ _____________________ $_____________ Place of employment: __________________________________________________________________________ Loss of income: $_____________________________________________________________________________ Miscellaneous out-of-pocket expenses: $___________________________________________________________ Total Liquidated Damages: ____________________________________________ $________________________ CV-MEM2: Revised 12/01/06 American LegalNet, Inc. www.FormsWorkflow.com