Form JD-ES-47 "Pretrial Memo" - Connecticut

What Is Form JD-ES-47?

This is a legal form that was released by the Connecticut Superior Court - a government authority operating within Connecticut. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

  • Released on May 1, 2017;
  • The latest edition provided by the Connecticut Superior Court;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a fillable version of Form JD-ES-47 by clicking the link below or browse more documents and templates provided by the Connecticut Superior Court.

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Download Form JD-ES-47 "Pretrial Memo" - Connecticut

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PRETRIAL MEMO
COURT USE ONLY
The Judicial Branch of the State of Connecticut complies with the Americans with
JD-ES-47
Rev. 5-17
PRETMEM
Disabilities Act (ADA). If you need a reasonable accommodation in accordance with
P.B. §§ 14-13, 14-14
the ADA, contact a court clerk or an ADA contact person listed at www.jud.ct.gov/ADA.
*PRETMEM*
Instructions
Each party claiming damages or that party's attorney shall complete this form and at the beginning of the pretrial
session give a copy to the judge or judge trial referee and to each other party. Attach additional sheets if necessary.
Docket number
NOTICE: This memo is intended for pretrial purposes only and shall not be construed as an admission
against any party.
Date
(To be completed by attorney/self-represented party)
Plaintiff
First Defendant
First Defendant's trial counsel
Phone number
Plaintiff's trial counsel
Phone number
Additional Defendant
Additional Defendant's trial counsel
Phone number
Intervening trial counsel
Phone number
Additional Defendant
Additional Defendant's trial counsel
Phone number
Return date
Date certificate of closed pleadings filed
Type of claim
Trial date
Have you discussed appropriate
Does your client have any objection
These 2 questions to be
A.D.R. with your client?
Yes
No
to a referral to non-binding A.D.R.?
Yes
No
completed by attorneys only
Date and time of accident (if applicable)
Claim
(e.g. Accident)
Intervenor's
Claim
Nature of damages or demand
Damages or
Demand
(e.g. Injuries)
Last medical exam
Permanency of injuries/life expectancy
Age of party
If Applicable
Reason
Cost
Explanation
1. Treatment expenses
(for example, doctors, surgery,
lab tests, MRIs, X-Rays)
2. Recovery expenses
(for example, hospital stays,
rehabilitation centers, physical
therapy, occupational therapy)
3. Subtotal
(Add 1 & 2)
Specials
4. Future Medical
Lost wages
5. Wages
Future capacity
6. Other
(Property Damage, etc.)
Copies of all medical bills and reports
7. Total
Yes
No
have been furnished to the Defendant(s)
Amount
8. Liens
(For example Medicare,
workers' compensation, ERISA)
Print Form
Reset Form
PRETRIAL MEMO
COURT USE ONLY
The Judicial Branch of the State of Connecticut complies with the Americans with
JD-ES-47
Rev. 5-17
PRETMEM
Disabilities Act (ADA). If you need a reasonable accommodation in accordance with
P.B. §§ 14-13, 14-14
the ADA, contact a court clerk or an ADA contact person listed at www.jud.ct.gov/ADA.
*PRETMEM*
Instructions
Each party claiming damages or that party's attorney shall complete this form and at the beginning of the pretrial
session give a copy to the judge or judge trial referee and to each other party. Attach additional sheets if necessary.
Docket number
NOTICE: This memo is intended for pretrial purposes only and shall not be construed as an admission
against any party.
Date
(To be completed by attorney/self-represented party)
Plaintiff
First Defendant
First Defendant's trial counsel
Phone number
Plaintiff's trial counsel
Phone number
Additional Defendant
Additional Defendant's trial counsel
Phone number
Intervening trial counsel
Phone number
Additional Defendant
Additional Defendant's trial counsel
Phone number
Return date
Date certificate of closed pleadings filed
Type of claim
Trial date
Have you discussed appropriate
Does your client have any objection
These 2 questions to be
A.D.R. with your client?
Yes
No
to a referral to non-binding A.D.R.?
Yes
No
completed by attorneys only
Date and time of accident (if applicable)
Claim
(e.g. Accident)
Intervenor's
Claim
Nature of damages or demand
Damages or
Demand
(e.g. Injuries)
Last medical exam
Permanency of injuries/life expectancy
Age of party
If Applicable
Reason
Cost
Explanation
1. Treatment expenses
(for example, doctors, surgery,
lab tests, MRIs, X-Rays)
2. Recovery expenses
(for example, hospital stays,
rehabilitation centers, physical
therapy, occupational therapy)
3. Subtotal
(Add 1 & 2)
Specials
4. Future Medical
Lost wages
5. Wages
Future capacity
6. Other
(Property Damage, etc.)
Copies of all medical bills and reports
7. Total
Yes
No
have been furnished to the Defendant(s)
Amount
8. Liens
(For example Medicare,
workers' compensation, ERISA)
Print Form
Reset Form