To help us prepare a thorough and accurate account of your case, please complete every item
below. If you are reporting a case settled before filing, please name the parties and
type "pre-filed settlement" on court line.
Parties
Court
Docket Number
Date of Verdict/Settlement (month, day, and year)
Name of Plaintiff's Counsel
Address
City/State/ZIP Code
Phone Number
Fax
*E-mail
Case
Facts:
For each plaintiff—age, occupation, annual earnings (at
time of injury), income loss:
Plaintiff's allegations of liability:
If a products case, please describe the defect:
Damages or injuries incurred:
Defendant's counter-allegations or defenses:
Plaintiff's and defendant's primary experts
(include name, specialty, city, and state):
Result (if a structured settlement, include present value):
Special comments:
Date Submitted:
If you have documents that we may make available to AAJ
members, please send them. Documents via e-mail or on disk
are especially welcome. Your documents will assist the
Exchange Document Acquisition Project.
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Check here to be considered for a Steven J. Sharp
Public Service Award at our next convention.
This award is given to those attorneys
and their clients whose cases help tell the story of
American civil justice and educate the public and policymakers
about what is at stake when our opponents push for radical
liability limits. Submissions must be postmarked by
May 1 to be considered for the Sharp Award given at
that year's annual convention.
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You may print out this form and send it to:
Law Reporter
1050 31st Street, N.W.
Washington, DC 20007-4499
or FAX it to:
(202) 965-2284
or click to submit via e-mail
By submitting your case to
AAJ's Law Reporters, you are certifying that the information
provided is not subject to a secrecy order or a confidentiality
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