Pre Trial Statement (Judge Eugene A. Lucci)

COURT COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ......... .. : PRE-TRIAL STATEMENT : Plaintiff(s) : Index No. Calendar No. PRESENT TO BAILIFF FOR JUDGE EUGENE A. LUCCI AT TIME OF PRE-TRIAL CASE NO. ________________________________ PRE-TRIAL DATE _____________________________ -against: __________________________________________ vs. _____________________________________________ 1. JUDICIAL SUBPOENA : Brief description of case (e.g. pedestrian struck while jaywalking): : 2. Brief description of injuries or damages, if any: Defendant(s) : ...................................................... Itemize Damages (medical expenses, lost wages, property damage, etc.): ____________________________________________________ THE PEOPLE OF THE STATE OF NEW YORK ____________________________________________________ ____________________________________________________ TO TOTAL $ _______________________________ $ _______________________________ $ _______________________________ $ _______________________________ 3. 4. Report on status of the following: A. _____________________________________________ GREETINGS: Depositions B. Physical Examinations _____________________________________________ WE COMMAND YOU, that all business and excuses being laid aside, you and each of you attend before C. Exchange of Medical Reports _____________________________________________ the Honorable at Court D. Exchange of Expert Witness Report the _____________________________________________ , located at County of E. Contacts with opposing counsel (dates) ______________________________________________ in room , on the day of , 20 , at o'clock in the noon, and at any recessed F. Issues resolved _____________________________________________ or adjourned date, to testify and give evidence as a witness in this action on the part of the ___________________________________________________________________________________________ ___________________________________________________________________________________________ 5. 6. Your failure to comply with case law, facts): State any special problems (statutes, this subpoena is punishable as a contempt of court and will make you liable to the party on whose behalf this subpoena was issued for a maximum penalty of $50 and all damages sustained as a result of your failure to comply. Real party in interest (insurance company, common carrier, corporation, etc.): Witness, Honorable , one of the Justices of the _______________________________________ _______________________________________ Court in County, day of , 20 Name of Carrier Name of Representative STIPULATIONS: Use reverse side. (Attorney must sign above and type name below) 7. 8. 9. 10. Lowest Demand __________________________ Waive Jury ______________________________ Highest Offer __________________________________ ReferAttorney(s) for _____________________________ to Arbitration Date copy mailed to opposing counsel ____________________________________________________________ Counsel stipulate under provision of Civil Rule 11 to the accuracy of the representations made above. Office and P.O. Address _________________________________________________________________ Counsel for Plaintiff / Telephone No.: Defendant (type names below) Facsimile No.: E-Mail Address: Mobile Tel. No.: American LegalNet, Inc. www.USCourtForms.com