Special Appearance Intake Form
Calendar Assignment Sheets
  * required fields
*Attorney :
*Firm :
*Contact :
*Contact eMail :
*Street :
*City, Zip :
*Phone :
*Fax :
*After Hours :
   
*Case Name :
*Case Number :
*Your File Number :
*Your Client :
   
*Appearance Type :
*Date :
*Court :
*City :
*Dept :
*Time :
*Cal# :
   
Additional Information
Type of Case :
Amount in Question :
Date Complaint Filed :
If PI, Injury Type :
Meds Specials :
Lost Earnings :
Prop Damange :
Have All Parties Been Served : Yes No
If NO, Who hasn't been served and Why:
How do you plan to Serve Them, When:
Have All Def. / Cross Def. Answered : Yes No
If NO, Who hasn't Answered yet :
When do you Expect an Answer :
Status of Discovery :
Should Case be Sent to Arbitration : Yes No
If YES, Desired Arbitrator :
If NO, Why Exempt :
Should Case be Set for Trial : Yes No
Jury Trial : Yes No
  Number of Days :
Will you stipulate to a commissioner : Yes No
If Required, has CMC Questionnaire been Filed :
  Yes No
If YES, FAX A COPY TO US, IF YOU DON'T YOU MAY BE SANCTIONED.
If NO, Why Not?
If NO,SEND US A CURRENT, COMPLETED COPY AND WE WILL TRY TO FILE IT FOR YOU.
If OCS for failure to appear, what was the reason for your nonappearance :
 
FAX US A DECLARATION CONTAINING YOUR REASON FOR NONAPPEARANCE
If OCS Re:Arb, has Arb been completed? Yes No
If YES, Name of Arbitrator :
Award :
Who Filed De Novo : Pltf. Def.
If NO, When is Arbitration Set?
*What is the Desired Result of this Appearance?: