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*
required fields |
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| *Attorney
: |
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| *Firm
: |
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| *Contact
: |
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| *Contact
eMail : |
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| *Street
: |
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| *City,
Zip : |
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| *Phone
: |
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| *Fax
: |
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| *After
Hours : |
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| *Case
Name : |
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| *Case
Number : |
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| *Your
File Number : |
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| *Your
Client : |
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| |
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| *Appearance
Type : |
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| *Date
: |
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| *Court
: |
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| *City
: |
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| *Dept
: |
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| *Time
: |
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| *Cal#
: |
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| Additional Information |
| Type of Case : |
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| Amount in Question
: |
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| Date Complaint Filed
: |
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| If PI, Injury Type
: |
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| Meds Specials : |
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| Lost Earnings : |
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| Prop Damange : |
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| Have All Parties Been
Served : |
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Yes |
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No |
| If
NO, Who hasn't been served and Why: |
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| How do
you plan to Serve Them, When: |
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| Have All Def. / Cross
Def. Answered : |
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Yes |
|
No |
| If NO, Who hasn't Answered
yet : |
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| When do you Expect
an Answer : |
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| Status
of Discovery : |
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| Should Case be Sent
to Arbitration : |
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Yes |
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No |
| If YES, Desired Arbitrator
: |
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| If NO, Why Exampt :
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| Should Case be Set
for Trial : |
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Yes |
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No |
| Jury Trial : |
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Yes |
|
No |
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Number
of Days : |
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| Will you stipulate
to a commissioner : |
|
Yes |
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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? |
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| 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
: |
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| Award : |
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| Who Filed DeVono :
|
|
Pltf. |
|
Def. |
| If NO, When is Arbitration
Set? |
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| *What
is the Desired Result of this Appearance?: |
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