Rule 1.301, Form No. 20 IN THE SUPREME COURT OF THE STATE OF OKLAHOMA ) ) ) ) ) ) ) ) ) , Plaintiff/Appell_____, vs. , Defendant/Appell_____. No. SETTLEMENT CONFERENCE STATEMENT (This statement shall not exceed five pages. Include any information specified in the Order for Settlement Conference and not itemized on this form. Provide this statement to the settlement conference judge and each other party no later than five (5) days before the scheduled settlement conference.). 1. This statement is submitted by ___________________________,______________________________________. (Appellant or Appellee) (Name) 2. Date of judgement or final order. (Appellant to enclose copy.). 3. Lower court, county, case number and judge. 4. Date petition in error was filed. 5. Related cases pending or closed in this Court; and outcome of each case decided (including previous appeals in same case). 6. Brief statement of facts. 7. Approximate dollar amount in controversy; if other than or in addition to money damages, the type(s) of relief sought from the lower court. 8. Lower court disposition being appealed. 9. As to each issue on appeal or cross-appeal, state your basis for relief or affirmation; and identify the applicable standard of review. 10. If the appeal will turn on an interpretation or application of a particular case or statute, cite the case or statute number. 11. Describe any previous settlement efforts; and current prospects for settlement. 12. Identify all persons who will attend the scheduled settlement conference on behalf of this party: American LegalNet, Inc. www.FormsWorkFlow.com a. NAMED PARTY (INDIVIDUAL) Name: _____________________________________________________ Address: [include email address if applicable] _________________________________________________________ Telephone (Home and Work):__________________________________ Fax: ______________________________________________________ b. NAMED PARTY (CORPORATION OR PARTNERSHIP) Company Name: _____________________________________________ Address: ___________________________________________________ Telephone and Fax: __________________________________________ Representative - Name: _______________________________________ Title: _____________________________________________________ Address: [include email address if applicable] __________________________________________________________ Telephone (Home and Work):__________________________________ Fax: ______________________________________________________ c. ATTORNEY Name: ____________________________________________________ Address: [include email address if applicable] __________________________________________________________ Telephone and Fax: __________________________________________ d. INTERESTED NON-PARTY/INSURANCE COMPANY(IES) Company Name: _____________________________________________ Address: ___________________________________________________ Telephone and Fax: __________________________________________ Representative - Name: ______________________________________ Title: _____________________________________________________ Address: [include email address if applicable] _________________________________________________________ Telephone (Home and Work):_________________________________ Fax: ______________________________________________________ e. OTHERS Name: _____________________________________________________ Role at Settlement Conference: ________________________________ Address: [include email address if applicable] __________________________________________________________ Telephone (Home and Work) and Fax: __________________________ American LegalNet, Inc. www.FormsWorkFlow.com 13. Identify persons with full authority to settle on behalf of named party at the settlement conference. Name: _____________________________________________________________ Named-Party Affiliation: _____________________________________________ Title: _____________________________________________________________ Address: [include email address if applicable] ________________________________________________________________ Telephone (Home and Work):__________________________________________ Fax: ______________________________________________________________ DATE: _______________ For Appell_____. _______________________________ Name of Party By: ________________________________ Attorney Name OBA No.__________________________ Address__________________________ _________________________________ [include email address if applicable] Telephone________________________ Fax _____________________________ (Certificate of Mailing) American LegalNet, Inc. www.FormsWorkFlow.com