Library of Connecticut Personal Injury Forms

Transcription

1 Brochure More information from Library of Connecticut Personal Injury Forms Description: ALL NEW 2nd EDITION! This Second Edition of the Library of Connecticut Personal Injury Forms has been updated to reflect the changes to the Practice Book that went into effect on January 1, Over 165 model documents for all types of PERSONAL INJURY cases, from intake to final disposition. Use model documents created, tested and honed by attorney-experts. The collection includes forms for: auto negligence, medical malpractice, premises liability, product Over 730+ pages of model forms created, tested and honed by attorney-experts at the prestigious and respected Bridgeport law firm of KOSKOFF, KOSKOFF & BIEDER, edited by Joshua D. Koskoff, and Sean K. McElligott. Use the Library of Connecticut Personal Injury Forms to simplify... -AUTO NEGLIGENCE -MEDICAL MALPRACTICE -PREMISES LIABILITY -PRODUCT LIABILITY -WRONGFUL DEATH and MORE Contents: CHAPTERS OF FORMS: 1 - PRE-LITIGATION 001 Case Intake Form 002 Authorization for Medical Records HIPPA Compliant 003 Authorization to Release Global Employment Info 004 Authorization for Release of Lost Wage Info For Defnite Time Period 005 Authorization for School Records 006 Retainer Agreement - Statutory Fee Structure 007 Retainer Agreement - Statutory Fee Structure - Referred Cas 008 Retainer Agreement - Waiver of Statutory Fee Structure 009 Retainer Agreement - Waiver of Statutory Fee Structure - Referred Case 010 Rejection Letter to Client 011 Rejection Letter to Referring Lawyer 012 Letter to Referring Lawyer Regarding Retainer Agreement and Fee Dist 013 Notice to Defendant Driver 014 Letter of Representation to Insurance Company 015 Letter of Request to Preserve Evidence 016 Notice of UIM Claim 017 Notice to Claims Commissioner Pursuant to Practice Book Section 4-160(b) 018 Notice to Claims Commissioner Regarding Malpractice Suit 019 Statutory Notice for Defective Highway 020 Statutory Notice to Town for Damages Caused by Firefighters 2 - COMPLAINTS 001 Complaint - Motor Vehicle - Rear End Collision 002 Complaint - Motor Vehicle - Bicycle/Parking Lot 003 Complaint - Motor Vehicle - Pedestrian 004 Complaint - Motor Vehicle - Motorcycle Lane Change 005 Complaint - Motor Vehicle - Recklessness - Wrongful Death 006 Complaint - Motor Vehicle - Recklessness - Insurance Company Negligence 007 Complaint - Motor Vehicle - UIM - Speeding - Drunk Driving 008 Complaint - Premises Liability - Fall Down 009 Complaint - Premises Liability - Electrocution - Death 010 Complaint - Premises Liability - Inadequate Security - Rape

2 011 Complaint - Product Liability - Ladder - Knee Injury 012 Complaint - Product Liability - Lighter - Brain Damage / Burns 013 Complaint - Product Liability - Toy - Eye Injury 014 Complaint - Product Liability - Wood Chipper - Amputation 015 Complaint - Medical Malpractice - Birth Injury - Asphyxia 016 Complaint - Medical Malpractice - Birth Injury - Shoulde Dystocia 017 Complaint - Medical Malpractice - Failure to Diagnose Carotid Artery Dissection 018 Complaint - Medical Malpractice - Apportionment Against Party Brought in by Defendant 019 Complaint - Lead Paint - Connecticut Unfair Trade Practice Act (CUTPA) 020 Complaint - Section State Mental Facility - Suicide 021 Complaint - Liability of College for Cheerleading Injury 3 - PENDING LITIGATION 001 Summons 002 Writ of Attachment 003 Letter Requesting Employment Records 004 Letter to Physician Requesting Medical Records 005 Letter Requesting Information Per the Conn. FOIA CGS Letter Disputing Right of Subrogation Despite Policy Language per c 007a Letter to Client Regardng Interrogatory Answers 007b Letter to Client Regarding Interrogatory Answers Letter Seeking to Resolve Objections to Interrogatories 009 Letter Requesting School Records 010 Expert Disclosue of Treating Physicians 011 Letter Requesting Curriculum Vitae of Opponents' Expert 012 Letter to Client Re: Permission to File an Offer to Compromise 013 Letter of Protection 014 Letter to Department of Administrative Services Requesting Lien Information 015 Motion for Appointment of Guardian Ad Litem 4 - INTERROGATORIES / REQUEST TO ADMIT / PJR 001 Interrogatories - Dram Shop - Service of Alcohol to a Minor 002 Interrogatories Product Liability (Flammable Clothing) Including Request for a "Meta-Data" 003 Interrogatories - Medical Malpractice Surgery Case 004 Interrogatories for Nursing Home Case 005 Interrogatories Regarding Apportionment of Fault by Defendant Healthcare Provider 006 Interrogatories Regarding Death Occurrence of Ferry - Compliance with Coast Guard Regulations 007 Interrogatories for Lead Paint Case 008 Interrogatories Defendant Regarding Surveillance of Plaintiff 009 Defendant Consortium Interrogatories 010 Certification - Notary Page - Attached to Interrogatories 011 Motion for Extension of Time to Answer Interrogatories 001 Interrogatories - Dram Shop - Service of Alcohol to a Minor 012 Motion for Permission to File non-standard Interrogatories & Request for Production Pursuant to 13-6(b) and 13-0(a) of the Practice Book 013 Affidavit Certifying Attempt at Resolving Objections to Interrogs Pursuant to Prac. Book Notice of Filing Form Interrogatories 015 Notice of Filing of Objections to Interrogatories 016 Objection to Extension of Time to Answer Interrogatories 017 Practice Book Section Motion ofr Order of Compliance Re: Answers to Interrogatories 018 Request for Production of Telephone and Records 019 Request for Production of Hospital Protocols in Medical Malpractice Case 020 Objections to Interrogatories - Medical Malpractice Case 022 Objection to Motion for Non-Suit 023 Suppolemental Interrogatories Regarding Employment Relationship Among Co-Defendants 024 Notice of Service of Filing Request to Admit Pursuant to Practice Book &13-22(b) 025 Request to Admit Pursuant to Practice Book Request to Admit Employment - Agency 027 Motion for Order to Permit Inspection 028 Application for Pre-Judgment Remedy 029 Motion for Pre-Judgment Remedy Disclosure of Property & Assets 030 Order for Hearing & Notice on Pre-Judgment Remedy 031 Order for Pre-Judgment Remedy

3 032 Sample Affidavit to Accompany Pre-Judgment Remedy 033 Motion to Determine Sufficiency of Defendant Responses to Plaintiff's Requests for Admission 5 - MOTIONS and REQUESTS 001 Motion for Default for Failure to Appear 002 Motion for Default for Failure to Plead 003 Motion to Strike Defendant's Special Defense 004 Reply to Secial Defenses (Denial) 005 Motion to Consolidate Actions Pursuant to Practice Book Section 9-5(b) 006 Motion for Order to Substitute Plaintiff 007 Motion for Order to Substitute Defendant 008 Request to Revise Defendant's Special Defenses of Contributing Negligence 009 Notice of Amended Complaint Pursuant to Practice Book Section Request for Leave to File Amended Complaint 011 Motion for Protective Order - Ltd 1ME 012 Motion for Partial Protective Order of Plaintiff Psychiatric Records 013 Motion Regarding Service of Process Outside the U.S. 014 Motion for Reassignment Pursuant to Practice Book Section 11-19(b) 015 Motion for Re-argument Pursuant to Practice book Motion for Reconsideration 017 Motion to Quash or for Protective Order Plaintiff's Prior Consel File 018 Motion for Modification of Scheduling Order (no trial date) 019 Motion to Preclude Defendant's Expert Pursuant to Practice Book Section Motion for Determination of Expert Fees for Deposition 021 Motion for Protective Order Regarding Length of Deposition Pursuant to Motion for Immediate Trial Due to Plaintiff's Health 023 Motion to Seal Record 024 Motion for Order of Compliance of Disclosure of Assets 025 Motion to Compel Defenant Deposition 026 Motion to Compel Address of Agent, Servant and/or Employee of Defendant 027 Motion to Set Aside Judgment of Dismissal Pursuant to Practice book Motion to Terminate Action 029 Motion to Preclude Expert - Insufficient Information 030 Notice of Filing Supplemental Return 031 Withdrawal of Motion for Default 6 - OBJECTION TO MOTIONS / REQUESTS 001 Objection to Request to Revise 002 Objection to Motion to Strike CUPTA Claim 003 Objection to Motion for Reargument and Reconsideraation 004 Objection to Transfer to Complex Litigation Docket 005 Memorandum of Law in Opposition to Defendant Motion to Strike - Medical Expenses Count 006 Objection to Defendant's Request for Leave to File Amended Answer & Spec'l Defenses 007 Objection to Motion for Order of Compliance to Disclose All Medical Records & Bills 008 Objection to Motion for Non-Suit for Failure to Answer Interrogatories 009 Objection to Motion to Dismiss & Memorandum of Law Regarding Good Faith Certificate 010 Objection to Motion of Non-Suit for Failure to Produce Experts for Deposition 011 Objection to Motion for Stay 012 Objection to Motion for Stay of Hearing of Damages 013 Objection to Motion to Dismiss for Failure to Comply With the Order of the Court 014 Objection to Motion for Summary Judgment - Statute of Limitations 015 Objection to Defendant's Motion for Summary Judgment 016 Notice Re: Objections to Defendant's Request to Revise Complaint 017 Partial Objecton to Motion for Extension of Time to Respond to Plaintiff's Offer of Compromise 7 - DEPOSITIONS 001 Application for Commission To Take Deposition of Non-Resident 002 Ofder to Accompany Application for Commission to to Take Deposition of Non-Resident 003 Notice of Videotaped Deposition of Expert 004 notice of Deposition of corporate President to Discover Assets of Company 005 Notice of Deposition of Expert 006 Letter to Deponent With Errata Sheet for Review of transcript 007 Objection to Notice of Deposition to Non-Party

4 008 Objection to Request for Production Attached to Notice of Deposition 009 Objection to Defendant's Motion to Compel Deposition 010 Motion to Compel Deposition of Expert 8 - TRIAL 001 Application for Admission Pro Hac Vice 002 Objection to Application for Admission Pro Hac Vice 003 Motion for Continuance - Lawyer on Trial 004 Juror Information Form 005 Motion for "Unity of Interest" Determination 006 Juror Response Form 007 Motion for Alternate Exercise of Peremptory Challenges 008 Objection to Motion for Bifurcation of Trial 009 Memo Opposition to Defense Motion to Bifurcate 010 Subpoena to Court for Trial Testimony 011 Subpoena to Court With Documents ("Duces Tecum") 012 Objection to Motion to Quash Subpoena 013 Objection to Motion for Commission to Take Trial Testimony & Motion for Protective Order 014 Objection to Motion to Preclude Duplicative Expert Witnesses 015 Motion in Limine - Collateral Source - Current Residence - Activities Prior to Incident - Expert Testimony 016 Motion Limine - Informed Consent - Prior Settlement - Malpractice Claims Against Experts 017 Plaintiff's Verdict Form 018 Defendant's Verdict Form 019 Satisfaciton of Judgment 020 Motion to Set Aside Verdict 021 Objection to Motion to Set Aside Verdict 022 Objection for Bill of Costs 023 High Low Agreement Letter 9 - SETTLEMENT / PROBATE 001 Letter Requesting Lien Documentation in Anticipation of Settlement 002 Standard Release 003 Standard Release - Wrongful Death 004 Client Release to Attorney to Accept Settlement 005 Settlement Statement 006 Hold Harmless Agreement 007 Application to Compromise 023 High Low Agreement Letter Ordering: Order Online - Order by Fax - using the form below Order by Post - print the order form below and send to Research and Markets, Guinness Centre, Taylors Lane, Dublin 8, Ireland.

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