Settlement Verdict, and Judgment Submission Form Posted on January 20, 2014 by Larry Bodine Settlement Verdict, and Judgment Submission Form 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 —PlaintiffDefendant Firm/Company: Address: City: State/Province: — please select —AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirgin IslandsVirginiaWashingtonWest VirginiaWisconsinWyomingAlbertaBritish ColumbiaManitobaNewfoundlandNew BrunswickNova ScotiaNorthwest TerritoriesNunavutOntarioPrince Edward IslandQuebecSaskatchewanYukon Zip: *Telephone: *Email address: CASE INFORMATION: *Case Name: *Case Number: *Case Type: — please select —Jury VerdictSettlementJudgment Verdict For: — please select —PlaintiffDefendant Amount: Area of Law: — please select —AccidentsAntitrustAutomotiveBankruptcyBusinessCivil/Human RightsConsumer BankingConsumer FraudCriminal LawDefective ProductsDiscriminationDrugs/MedicalDUIElder CareEmploymentEnvironmentFamily LawFinancialFood/SupplementsImmigrationInsuranceIntellectual PropertyInternet/TechnologyMalpracticeMaritime LawMedia/TelecomPersonal InjuryReal EstateSecuritiesWhistleblowerWills/Trusts/EstatesWorkers 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.