Settlement Conference Information Sheet

SETTLEMENT CONFERENCE INFORMATION SHEET JUSTICE LARRY S. SCHACHNER, PRESIDING TITLE OF PROCEEDINGS INDEX # __________________ NOTE OF ISSUE DATE_____________ TYPE OF TORT____________________ ____________________________ vs. ____________________________ DESCRIPTION OF ACTION AND DAMAGES OCCURRENCE: DATE:__________ TIME:__________ LOCATION:______________ DESCRIBE OCCURRENCE:____________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ DESCRIBE INJURY & TREATMENT:___________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ LIENS:_______________________________________________________________________ DEMAND:__________________ OFFER: ____________________ PLAINTIFF: D.O.B. __________ PLAINTIFF: D.O.B. __________ OCCUPATION:___________________________ OCCUPATION:___________________________ 1 American LegalNet, Inc. www.FormsWorkflow.com ATTORNEYS OF RECORD & TRIAL COUNSEL COUNSEL FOR PLAINTIFF(S) COUNSEL FOR DEFENDANT(S) 1. _____________________________________________________ 1. _____________________________________________________ ATTORNEY OF RECORD FOR ___________________________ OFFICE ADDRESS AND PHONE NUMBER ________________________________________________________ ________________________________________________________ TRIAL COUNSEL FOR PLAINTIFF NO. 1 ________________________________________________________ ________________________________________________________ ATTORNEY OF RECORD FOR ___________________________ OFFICE ADDRESS AND PHONE NUMBER ________________________________________________________ ________________________________________________________ TRIAL COUNSEL FOR DEFENDANT NO. 1 ________________________________________________________ ________________________________________________________ 2. _____________________________________________________ 2. _____________________________________________________ ATTORNEY OF RECORD FOR ___________________________ OFFICE ADDRESS AND PHONE NUMBER ________________________________________________________ ________________________________________________________ TRIAL COUNSEL FOR PLAINTIFF NO. 2 ________________________________________________________ ________________________________________________________ ATTORNEY OF RECORD FOR ___________________________ OFFICE ADDRESS AND PHONE NUMBER ________________________________________________________ ________________________________________________________ TRIAL COUNSEL FOR DEFENDANT NO. 2 ________________________________________________________ ________________________________________________________ 3. _____________________________________________________ 3. _____________________________________________________ ATTORNEY OF RECORD FOR ___________________________ OFFICE ADDRESS AND PHONE NUMBER ________________________________________________________ ________________________________________________________ TRIAL COUNSEL FOR PLAINTIFF NO. 3 __________________________________________________________ _________________________________________________________ ATTORNEY OF RECORD FOR ___________________________ OFFICE ADDRESS AND PHONE NUMBER ________________________________________________________ ________________________________________________________ TRIAL COUNSEL FOR DEFENDANT NO. 3 __________________________________________________________ _________________________________________________________ 2 American LegalNet, Inc. www.FormsWorkflow.com