Daily Journal Verdict Submission Form
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Send to Daily Journal Corporation
Fax to (213) 229-5403 or mail to Daily Journal Verdicts, PO Box 54026, Los Angeles CA 90054-0026
Verdicts & Settlements
SUBMITTING PARTY
Your Name
Association
Firm/Company
Address
City/State
Zip
Telephone
Fax
Email
How did you hear about submitting to Verdicts & Settlements?
 • required field
CASE INFORMATION
Case Name
Case Number
Case Type
Verdict For
Amount
Topic
Court
Department
Filing Date
Result Date
Trial Length
Deliberation
 • required field
Result / Trial Notes


Poll(s) / Issue(s)


Expert Testimony


Arbitration/Mediation
Notes


Settlement Conference
Notes


Post Trial Motions



 
 
 
PLAINTIFF ATTORNEYS
Name/Firm, Address, Tel., Fax, Email, Representing


DEFENDANT ATTORNEYS
Name/Firm, Address, Tel., Fax, Email, Representing


JUDGE, ARBITRATOR / MEDIATOR
Name/Firm, Address, Tel., Fax, Email, In Capacity As


EXPERTS
Name/Firm, Address, Tel., Fax, Email, Representing, Expertise


CASE FACTS
Case Facts  required


Plaintiff Contentions


Defendant Contentions


FINANCIAL INFORMATION
Comparative
Liability
 Party :   $ Amt. Paid :
Award
Amounts:
 Gross $   Net $ 
Economic:
Non-Economic:
Punitive:
Total Award:
Total to Plaintiff:
Specials
In Evidence:
MED Current: MED Future:
LOE Current:
Settlement
Discussions


Injuries
Damages


Result


Other
Information




Send to Daily Journal Corporation

Fax to (213) 229-5403 or mail to Daily Journal Verdicts, PO Box 54026, Los Angeles CA 90054-0026