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Acknowledgment Form (Settlement Conference-Judge Gorenstein) - New York
| Acknowledgment Form (Settlement Conference-Judge Gorenstein) Form. This is a New York form and can be used in Southern District District Court Federal . |
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ACKNOWLEDGMENT FORM Complete this form (please print or type) or its equivalent, sign it, and send it (for receipt no later than 12:00 noon three business days prior to the conference) (1) to all other attorneys who will be attending the conference and (2) to Judge Gorenstein (if sent by fax, the fax number is (212) 805-4268). Please read the certifications below carefully as your signature indicates your compliance with them. Name of Case: Docket Number: ________________________________ ______ Civ. ______ (_______) (GWG) I acknowledge that my client and I must attend a settlement conference on _____________ , 20_____ at ___:___ ___.m. in Courtroom 17-A, United States Courthouse, 500 Pearl Street, New York, NY. 1. I am attorney for _________________________________________________________ [state name of party/also state whether party is plaintiff or defendant]. (For corporate or other non-individual clients): The name of the representative of my client who will attend the conference is:_____________________________________________. The title of this representative is:___________________________________________________. 2. CHECK ONE LINE BELOW: a. b. ____ The above-named individual will attend in person. ____ The above-named individual will attend by telephone because I certify that (1) such individual lives and works more than 100 miles from New York City (or, if my client is not an individual, the client's decision-maker lives and works more than 100 miles from New York City), and (2) it would be a great hardship for this individual to attend a settlement conference on this or any other date. This individual understands that he or she must participate by telephone without interruption for the duration of the conference. 3. I certify that the person attending the conference (in person or by telephone) is the person with ultimate responsibility for determining the settlement amount: that is, the person responsible for giving settlement authority, not someone who has received authority from another person. In addition, if there is an insurance carrier with authority over settlement, a representative from such carrier with complete responsibility over settlement will be present in person or by telephone. I certify that I will promptly supply a copy of opposing counsel's settlement letter to all persons attending the conference (by telephone or in person), and I will confirm prior to the conference that each person has read opposing counsel's letter. I certify that I have read both the Court's Order scheduling this conference as well as the "Standing Order Applicable to Settlement Conferences Before Judge Gorenstein." 4. 5. _________________________________ [signature of attorney] __________________________________ [print attorney's name] American LegalNet, Inc. www.FormsWorkFlow.com
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