36.25 [1995 Revision] Form of Verdict-Actions Against Health Care Providers-Lost Chance of Survival-Comparative Fault | Pdf Doc Docx | Missouri_JI

 California Jury Instructions   36 
36.25 [1995 Revision] Form of Verdict-Actions Against Health Care Providers-Lost Chance of Survival-Comparative Fault | Pdf Doc Docx | Missouri_JI

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36.25 [1995 Revision] Form of Verdict-Actions Against Health Care Providers-Lost Chance of Survival-Comparative Fault

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Instruction No 1 36.25 [1995 Revision] Form of Verdict--Actions Against Health Care Providers--Lost Chance of Survival--Comparative Fault VERDICT NOTE: Complete the following paragraph by filling in the blanks as required by your verdict. If you assess a percentage of fault to any of those listed below, write in a percentage not greater than 100%; otherwise, write in "zero" next to that name. If you assess a percentage of fault to any of those listed below, the total of such percentages must be 100%. On the claim of plaintiff (state the name of plaintiff ad litem or personal representative ) for lost chance of [survival] [recovery], we, the undersigned jurors, assess percentages of fault as follows: Defendant (state the name ) (State name of Decedent ) TOTAL % (zero to 100%) % (zero to 100%) % (zero OR 100%) NOTE: Complete the following if you assessed a percentage of fault to (one or more) defendant(s). Complete by writing in the amount, if any, for each of the following itemized categories of damages. If you do not find damages in a particular category, write "none" in that category. The total damages must equal the total of the itemized damage amounts you have determined. We, the undersigned jurors, disregarding any fault on the part of (state name of decedent ), find the total damages as follows: For past economic damages including past medical damages $ For past non-economic damages $ For future economic damages $ For future non-economic damages $ TOTAL DAMAGES $ We, the undersigned jurors, find that the chance of [recovery] [survival] (state the name of decedent ) lost was %. NOTE: The judge will compute the final award by multiplying the amount you determine as total damages by the percentage you find as the lost chance of [recovery] [survival] and making a reduction by any percentage of fault you assess to (state name of decedent ). NOTE: All jurors who agree to the above must sign below.

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