IN THE COURT OF COMMON PLEAS OF
vs. Plantiff(s), :
__________________________________________, :
Defendant(s). :
Counsel for each party or the parties representing themselves, if not represented, must complete this Pretrial Statement Addendum. If the information is unknown, so state.
Name of party you represent (or
are): ____________________________ Plaintiff ____
Defendant
_____
NATURE OF CASE: (i.e. auto, contract, slip and fall, or
otherwise)___________________________________
__________________________________________________________________________________________
SPECIAL/ECONOMIC DAMAGES (please
specify as medical, wages, property, or otherwise)_____________
__________________________________________________________________________________________
GENERAL/NON-ECONOMIC DAMAGES
EXPECTED IF LIABILITY IS FOUND:____________________
__________________________________________________________________________________________
LIENS: (Holder and amount)__________________________________________________________________
__________________________________________________________________________________________
HAVE THERE BEEN ANY NEGOTIATIONS
WITH THE LIEN HOLDER(S)?_________________________
__________________________________________________________________________________________
EXPECTED ALLOCATION OF COMPARATIVE
FAULT, IF APPLICABLE:__________________________
__________________________________________________________________________________________
OTHER FACTORS AFFECTING THE
DISPOSITION OF THIS CASE:_______________________________
__________________________________________________________________________________________
WHAT IS IMPEDING SETTLEMENT:__________________________________________________________
__________________________________________________________________________________________
STATUS OF NEGOTIATIONS:________________________________________________________________
__________________________________________________________________________________________
IS INSURANCE COVERAGE AVAILABLE TO
YOUR CLIENT?_________________________________
________________________________________________________________________________________
IF SO, WHAT IS THE AMOUNT OF INSURANCE COVERAGE AVAILABLE?_____________________
________________________________________________________________________________________
HOW CAN THE COURT HELP FACILITATE
SETTLEMENT?___________________________________
________________________________________________________________________________________
________________________________________________________________________________________