Civil Pre-Trial Memorandum {330}

IN THE CIRCUIT COURT OF THE NINTH JUDICIAL CIRCUIT COUNTY (1) ) ) (2) ) Case No. ) vs. ) ) (1) ) Initial Pre-Trial Date: ) (2) ) CIVIL PRE-TRIAL MEMORANDUM Plaintiff(s) Attorney: Date of Occurrence (Trial) Loc. Of Occurrence (Firm) (Address) Time of Occurrence (Phone) Defendant(s) Attorney: (No. 1) (No. 2) (Trial) (Trial) (Firm) (Firm) (Address) (Address) (Phone) (Phone) (Repr) (Repr) (Insurance Company) (Insurance Company) Occurrence Allegations: Plaintiff No. 1 Conduct Plaintiff No. 2 Conduct Defendant No. 1 Conduct Defendant No. 2 Conduct Plaintiff(s)/Defendant(s) Theory of Liability: American LegalNet, Inc. www.FormsWorkFlow.com A SEPARATE MEMORANDUM MUST BE PREPARED FOR EACH PLAINTIFF Damages of Plaintiff Case No. (Name) Description of Injuries MEDICAL EXPENSES: Dates: Names: Charges: Hospital (Emergency Room) on $ Hospital Confinement to $ Treating Doctor to $ Treating Doctor to $ Consulting Doctor to $ Examining Doctor to $ X-Ray Laboratory to $ Physical Therapy to $ Medical Aids (Describe) TOTAL: $ LOSS OF EARNINGS: From to employed at $ From to employed at $ TOTAL: $ PROPERTY DAMAGE: (YearMakeModel) (Repaired) (Estimated) byat cost of $ (Auto Rental) (Towing) (Deductible Collision Payment) $ TOTAL: $ OTHER CLAIM DAMAGES: Describe $ Plaintiff Demand $ Defendant No. 1 Offer $ Defendant No. 2 Offer $ Dated: Signature of Attorney For: Form 330 Civil Pre-Trial Memorandum American LegalNet, Inc. www.FormsWorkFlow.com