Settlement, Verdict, and Judgment Submission Form Posted on January 1, 2014 by Larry Bodine Settlement, Verdict, and Judgment Submission Form To submit your verdict or settlement for publishing, please first read our guidelines for submission. If your case qualifies for publishing, simply complete the report form below, proofread your information and click the “Send Form” button. Fields marked * are required. SUBMITTING PARTY *Name: *Association: — please select —Plaintiff Defendant Firm/Company: Address: City: State/Province: — please select —Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Guam Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Puerto Rico Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virgin Islands Virginia Washington West Virginia Wisconsin Wyoming Alberta British Columbia Manitoba Newfoundland New Brunswick Nova Scotia Northwest Territories Nunavut Ontario Prince Edward Island Quebec Saskatchewan Yukon Zip: *Telephone: *Email address: CASE INFORMATION: *Case Name: *Case Number: *Case Type: — please select —Jury Verdict Settlement Judgment Verdict For: — please select —Plaintiff Defendant Amount: Area of Law: — please select —Accidents Antitrust Automotive Bankruptcy Business Civil/Human Rights Consumer Banking Consumer Fraud Criminal Law Defective Products Discrimination Drugs/Medical DUI Elder Care Employment Environment Family Law Financial Food/Supplements Immigration Insurance Intellectual Property Internet/Technology Malpractice Maritime Law Media/Telecom Personal Injury Real Estate Securities Whistleblower Wills/Trusts/Estates Workers Compensation *Court (Venue): *Describe Plaintiff’s Complaint: Describe Actual Injury, Damage, or Loss: Describe Defendant’s Wrongdoing: PLAINTIFF ATTORNEYS Name/Firm, Address, Telephone, Fax, Email, Representing: DEFENDANT ATTORNEYS Name/Firm, Address, Telephone, Fax, Email, Representing: JUDGE, ARBITRATOR / MEDIATOR Name/Firm, Address, Telephone, Fax, Email, In Capacity As: You may preview your submission by clicking the �Review Submission� button. A new window will open which will allow you to preview or print your submission. When you have completed your review, close the new window and either edit your submission or click the �Send Form� button. For security reasons, please enter the code shown in the picture below. This is to ensure that it is entered by a person, not an automated program. Fields marked * are required. _______________________________________________________________________________________________________________ Submission Guidelines TYPES OF RESULTS WE DO NOT PUBLISH: Settlements with confidential amounts. (Although we may keep the names of the parties, caption and case number confidential, we must have a settlement amount.) Duplicative results. (Report the entire case at one time. Please do not report partial settlements or a bifurcated trial if the damages phase is still pending.) Results over four months old.
