Opinion
CIV. NO. 3:10CV813(HBF)
06-11-2012
VERDICT FORM
We, the jury, unanimously award the following to compensate plaintiff for damages she has proven by a preponderance of the evidence were proximately caused by defendant's negligence:
Economic Damages: $ _________________________
Noneconomic Damages: $ _________________________
TOTAL $ _________________________
If you make no award as to either of the above items, you will insert the word "NONE" as to that item.
When you have finished answering the appropriate questions on this form, you may report your verdict.
The form should be signed and dated by the foreperson.
_________________________
Foreperson
_________________________
Date