(Rev. 2/12/16) UNITED STATES DISTRICT COURT WESTERN DISTRICT OF LOUISIANA LAFAYETTE DIVISION Civil No. Plaintiff VS. Defendant Magistrate Judge Whitehurst BY CONSENT OF THE PARTIES PRETRIAL ORDER Trial Date: Pretrial Conference Date: Type of Trial: JURY BENCH days Party/Claim Represented: Estimated Length of Trial: Trial Attorney Attending: 1. Jurisdictional Basis: 2. Claims and Responses: 3. Issues of Fact and Issues of Law: 4. Stipulations: 5. Will Call Witnesses: American LegalNet, Inc. www.FormsWorkFlow.com 6. May Call Witnesses: 7. Exhibits: 8. Objections to Witness and Exhibit Lists: 9. Counsel Affirmations: (Date) (Date) (Date) (Signature of Counsel) (Signature of Counsel) (Signature of Counsel) CERTIFICATE OF SERVICE I hereby certify that a copy of the above and foregoing joint status report was filed electronically with the Clerk of Court using the CM/ECF system and has been served upon counsel for all parties to this proceeding via electronic filing notification, facsimile, and/or first class United States mail, properly addressed, postage prepaid, at the last known address. Signed at , Louisiana, on this day of 20 . _____________________________ (Signature of counsel) Page 2 of 2 American LegalNet, Inc. www.FormsWorkFlow.com