Pre Trial Statement (Judge Joseph Gibson) Download Free Print-Only PDF OR Purchase Interactive PDF Version of this Form
Pre Trial Statement (Judge Joseph Gibson) Form. This is a Ohio form and can be use in Lake County (Court Of Common Pleas).
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Tags: Pre Trial Statement (Judge Joseph Gibson), Ohio County (Court Of Common Pleas), Lake
PRE-TRIAL STATEMENT
PRESENT TO BAILIFF FOR JUDGE JOSEPH GIBSON AT TIME OF PRE-TRIAL
CASE NO.______________________ PRE-TRIAL DATE__________________________
_________________________________VS._____________________________________
1. Description of case:
2. Description of injuries or damages:
3. Damages: (Medical expenses, lost wages, property damages, etc.)
_________________________________
_________________________________
_________________________________
TOTAL
$_____________________
$_____________________
$_____________________
$_____________________
4. Report on status of the following:
A. Depositions
B. Defense Medical Examinations
C. Exchange of Witness Reports
5. Real party in interest
__________________________
Name of carrier
_________________________
_________________________
_________________________
_______________________________________
Name of Representative
6. STIPULATIONS: Use reverse side
7. Lowest Demand___________________
Highest offer________________________
8. Waive Jury______________
Refer to Arbitration___________________
Mediation _________________
Counsel stipulate under provision of Rule 11 to the accuracy of the representations made above.
__________________________________________
Counsel for Plaintiff/Defendant (type name below)
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