At-Issue Memorandum (Civil)

ATTORNEY OR PARTY WITHOUT ATTORNEY (Name, state bar number, and address) : Reserved for Clerk's File Stamp TELEPHONE NO.: E-MAIL ADDRESS: ATTORNEY FOR (Name): FAX NO.: SUPERIOR COURT OF CALIFORNIA, COUNTY OF MERCED STREET ADDRESS: MAILING ADDRESS: CITY AND ZIP CODE: BRANCH NAME: PLAINTIFF: 2260 N Street 627 West 21st Street MERCED, CALIFORNIA 95340 Civil Unlimited NATURE OF CASE Personal Injury Property Damage or Wrongful Death Involving Motor Vehicle All other Personal Injury, etc. Eminent Domain Other Civil NOTE: Eminent domain actions must show parcel number. Submit one copy of this form for each parcel and for each case if consolidated actions DEFENDANT: AT-ISSUE MEMORANDUM AMENDED COUNTER AT-ISSUE Case No. ___________________ Parcel No. CASE NOT AT-ISSUE, REQUEST TRIAL SETTING CONFERENCE 1. 2. 3 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. What date was the action filed? ___________________ What date was the first answer filed? ___________________ Jury Trial requested: Time estimated for trial: Case entitled to preference: Is discovery Yes No Days ___________________ Hours ___________________ Yes No Under code section ___________________ not yet begun Yes Yes Yes No No No Yes Yes No No Yes No complete partially completed Is any law and motion matter pending or contemplated? Will such law and motion matter be heard within 90 days? Is equitable relief sought? Does the amount in controversy exceed $25,000 as to any Plaintiff? Do you object to the matter being ordered to Arbitration? Are you willing to stipulate to Arbitration regardless of the amount in controversy? If Personal Injury: a. b. c. d. e. f. Nature and extent of injuries ______________________________________________________________________ Total medical expenses to date: ___________________________________________________________________ Future medical expenses: ________________________________________________________________________ Loss of earnings to date: _________________________________________________________________________ Future loss of earnings: __________________________________________________________________________ Other special or general damages: _________________________________________________________________ 14. Other: a. b. c. Nature of damages: _____________________________________________________________________________ Amount of damages: ____________________________________________________________________________ Relief sought: __________________________________________________________________________________ Rev 12/14/11 cjh CONTINUED ON REVERSE AT ISSUE MEMORANDUM American LegalNet, Inc. www.FormsWorkFlow.com 15. Indicate below, names of party being represented and trial counsel: Plaintiff ___________________________________________ Attorney:__________________________________________ Firm: ____________________________________________ Address:__________________________________________ _________________________________________________ Telephone _________________________________________ Plaintiff ___________________________________________ Attorney:__________________________________________ Firm: ____________________________________________ Address:__________________________________________ _________________________________________________ Telephone _________________________________________ Party:____________________________________________ Attorney:__________________________________________ Firm: ____________________________________________ Address:__________________________________________ _________________________________________________ Telephone ________________________________________ Party:____________________________________________ Attorney:__________________________________________ Firm: ____________________________________________ Address:__________________________________________ _________________________________________________ Telephone ________________________________________ Party:____________________________________________ Attorney:__________________________________________ Firm: ____________________________________________ Address:__________________________________________ _________________________________________________ Telephone ________________________________________ Party:____________________________________________ Attorney:__________________________________________ Firm: ____________________________________________ Address:__________________________________________ _________________________________________________ Telephone ________________________________________ For additional parties attach separate sheet and check here. I hereby represent to the court that all essential parties have been served with process or have appeared herein and that this case is at issue as to all such parties that no amended or supplemental complaint or cross-complaint or other affirmative pleading remains unanswered, that to my knowledge no other parties will be served with a summons prior to the time of trial, and I know of no further pleading to be filed. Date: ______________________ ATTORNEY OR PARTY WITHOUT ATTORNEY ANY PARTY NOT IN AGREEMENT WITH THE INFORMATION OR ESTIMATES GIVEN IN AT ISSUE MEMORANDUM SHALL WITHIN TEN (10) DAYS AFTER SERVICE THEREOF SERVE AND FILE A MEMORANDUM IN THEIR BEHALF PROOF OF SERVICE BY MAIL (C.C.P. 1013a) I served the At Issue Memorandum by depositing a copy thereof (enclosed in sealed envelope(s), postage prepared in the United States mail addressed to each party or to their attorney as shown in such memorandum on __________ at ____________________________________ California. At the time of service, I was at least 18 years of age, (employed/residing ___________________ in the county where the mailing occurred, and not a party to the action. My (residence/business) _________________ address is ________________ I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct and this declaration is executed on (date) ____________________ at (place) _____________________________________________ Date: ____________________________ ___________________________________ (Signature of declarant) ___________________________________ (Type or print name) American LegalNet, Inc. www.FormsWorkFlow.com