This page contains a Flash digital edition of a book.
MAJ Verdicts & Settlements Worksheet


All submissions of Verdicts & Settlements must utilize the following format. MAJ reserves the right to reject any submission. You must be a MAJ member to have a submission published.


* All items annotated must be completed TITLE: * Case Caption:


* Court (Circuit or District)/Judge: CASE DESCRIPTION:


* Facts of case, including allegations of liability, defenses and injuries and damages: EXPERT WITNESSES:


Please include area of expertise and expert’s location. *Expert Witnesses:


CASE OUTCOME: * Settlement Amount: Pre-suit: Post-suit:


* Mediation:


Name of Mediator: Amount:


* Verdict: *ADJUSTER:


*INSURANCE COMPANY: SPECIAL REMARKS:


Please comment on unique aspects of the case including discovery motions, evidentiary issues, etc. *PLAINTIFF’S COUNSEL:


*DEFENSE COUNSEL: • Please submit this form electronically, in Word format, to Karl J. Protil Jr. (kprotil@srgpe.com) and Louise A. Lock (medlawattorney@gmail.com).


Page 1  |  Page 2  |  Page 3  |  Page 4  |  Page 5  |  Page 6  |  Page 7  |  Page 8  |  Page 9  |  Page 10  |  Page 11  |  Page 12  |  Page 13  |  Page 14  |  Page 15  |  Page 16  |  Page 17  |  Page 18  |  Page 19  |  Page 20  |  Page 21  |  Page 22  |  Page 23  |  Page 24  |  Page 25  |  Page 26  |  Page 27  |  Page 28  |  Page 29  |  Page 30  |  Page 31  |  Page 32  |  Page 33  |  Page 34  |  Page 35  |  Page 36  |  Page 37  |  Page 38  |  Page 39  |  Page 40  |  Page 41  |  Page 42  |  Page 43  |  Page 44  |  Page 45  |  Page 46  |  Page 47  |  Page 48  |  Page 49  |  Page 50  |  Page 51  |  Page 52  |  Page 53  |  Page 54  |  Page 55  |  Page 56  |  Page 57  |  Page 58  |  Page 59  |  Page 60  |  Page 61  |  Page 62  |  Page 63  |  Page 64  |  Page 65  |  Page 66  |  Page 67  |  Page 68