Trial Readiness Submission

Injury Location #1*
Neck, Lower Back, Shoulder, etc.
Hours per day your client is experiencing pain on Injury #1
Past Pain PHYSICAL: Hours per day your client experienced pain?*
Pain, Scarring, Physical Impairment, Aggravation
What hourly rate would you assign to the pain above?*
Recommended $15 per hour
Past MENTAL Suffering: Hours per day your client experienced Mental Suffering?*
Mental Anguish, Inconvenience, Loss of Enjoyment of Life
What hourly rate would you assign to the pain above?*
Recommended $15 per hour
Future Pain PHYSICAL: Hours per day your client experiences pain?*
Pain, Scarring, Physical Impairment, Aggravation
What hourly rate would you assign to the pain above?*
Recommended $15 per hour
Future MENTAL Suffering: Hours per day your client experiences Mental Suffering?*
Mental Anguish, Inconvenience, Loss of Enjoyment of Life
What hourly rate would you assign to the pain above?*
Recommended $15 per hour
Total Past Physical #1
Total Past Mental #1
Total Future Physical #1
Total Future Mental #1
Total Past #1:
Total Future #1:
Total Damages #1:

Injury Location #2
Neck, Lower Back, Shoulder, etc.
Hours per day your client is experiencing pain on Injury #2
Past Pain PHYSICAL: Hours per day your client experienced pain?
Pain, Scarring, Physical Impairment, Aggravation
What hourly rate would you assign to the pain above?
Recommended $15 per hour
Past MENTAL Suffering: Hours per day your client experienced Mental Suffering?
Mental Anguish, Inconvenience, Loss of Enjoyment of Life
What hourly rate would you assign to the pain above?
Recommended $15 per hour
Future Pain PHYSICAL: Hours per day your client experiences pain?
Pain, Scarring, Physical Impairment, Aggravation
What hourly rate would you assign to the pain above?
Recommended $15 per hour
Future MENTAL Suffering: Hours per day your client experiences Mental Suffering?
Mental Anguish, Inconvenience, Loss of Enjoyment of Life
What hourly rate would you assign to the pain above?
Recommended $15 per hour
Total Past Physical #2
Total Past Mental #2
Total Future Physical #2
Total Future Mental #2
Total Past #2
Total Futures #2
Total Damages #2

Injury Location #3
Neck, Lower Back, Shoulder, etc.
Hours per day your client is experiencing pain on Injury #3
Past Pain PHYSICAL: Hours per day your client experienced pain?
Pain, Scarring, Physical Impairment, Aggravation
What hourly rate would you assign to the pain above?
Recommended $15 per hour
Past MENTAL Suffering: Hours per day your client experienced Mental Suffering?
Mental Anguish, Inconvenience, Loss of Enjoyment of Life
What hourly rate would you assign to the pain above?
Recommended $15 per hour
Future Pain PHYSICAL: Hours per day your client experiences pain?
Pain, Scarring, Physical Impairment, Aggravation
What hourly rate would you assign to the pain above?
Recommended $15 per hour
Future MENTAL Suffering: Hours per day your client experiences Mental Suffering?
Mental Anguish, Inconvenience, Loss of Enjoyment of Life
What hourly rate would you assign to the pain above?
Recommended $15 per hour
Total Past Physical #3
Total Past Mental #3
Total Future Physical #3
Total Future Mental #3
Total Past #3
Total Futures #3
Total Damages #3

Injury Location #4
Neck, Lower Back, Shoulder, etc.
Hours per day your client is experiencing pain on Injury #4
Past Pain PHYSICAL: Hours per day your client experienced pain?
Pain, Scarring, Physical Impairment, Aggravation
What hourly rate would you assign to the pain above?
Recommended $15 per hour
Past MENTAL Suffering: Hours per day your client experienced Mental Suffering?
Mental Anguish, Inconvenience, Loss of Enjoyment of Life
What hourly rate would you assign to the pain above?
Recommended $15 per hour
Future Pain PHYSICAL: Hours per day your client experiences pain?
Pain, Scarring, Physical Impairment, Aggravation
What hourly rate would you assign to the pain above?
Recommended $15 per hour
Future MENTAL Suffering: Hours per day your client experiences Mental Suffering?
Mental Anguish, Inconvenience, Loss of Enjoyment of Life
What hourly rate would you assign to the pain above?
Recommended $15 per hour
Total Past Physical #4
Total Past Mental #4
Total Future Physical #4
Total Future Mental #4
Total Past #4
Total Futures #4
Total Damages #4

Damages and Jury Ask Amount
Past Pain Physical:
Past Pain Physical: ($)
Past Pain Mental:
Past Pain Mental: ($)
Future Pain Physical:
Future Pain Physical: ($)
Future Pain Mental:
Future Pain Mental: ($)
Total Past:
Total Future:
Total Non Economic Damages:
Total Non-Economic Damages: ($)
Bills and Futures:
Bills and Futures: ($)
Calculated Jury Ask Amount:
Calculated Jury Ask Amount: ($)
Do you agree with this amount?

YesNo
My recommendation:*
Please Include the amount you are planning on asking for in Trial.
Jury Ask $$$
Please format as $xxx,xxx
Jury Ask $$$*
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Damages and Jury Calculations

Additional Information

Any additional notes or highlights that will be needed
Do you have photos of the property damage?*

YesNo
Upload Photos of Plaintiff Property Damage *

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Upload Photos of Defendant Property Damage

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Have attend Office Hours with Senior Trial Partner?*

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Who were your Office Hours with?
Recommendations from Office Hours
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