Orange — Settlement Conference Statement

Source: https://www.occourts.org/system/files/civil/l52.pdf

ATTORNEY OR PARTY WITHOUT ATTORNEY (Name & Address): FOR COURT USE ONLY

Telephone No.: Fax No. (Optional): E-Mail Address (Optional): ATTORNEY FOR (Name): Bar No: CONFIDENTIAL SUPERIOR COURT OF CALIFORNIA, COUNTY OF ORANGE Central Justice Center, 700 Civic Center Dr. West, Santa Ana, CA 92701-4045 NOT TO BE FILE STAMPED Civil Complex Center, 751 W. Santa Ana Blvd., Santa Ana, CA 92701-4512 North Justice Center, 1275 North Berkeley Ave., Fullerton, CA 92832-1258 West Justice Center, 8141 13th Street, Westminster, CA 92683-4593 PLAINTIFF / PETITIONER: CASE NUMBER:

DEFENDANT / RESPONDENT: SETTLEMENT CONFERENCE STATEMENT CaseJudge:assigned to: UNLIMITED CIVIL Department: Date complaint filed: Hearing date:

1. Describe the nature of the case:

2. Describe any equitable relief being sought:

   a. The probability of plaintiff receiving a favorable judgment regardless of amount: % The probability of cross-complainant receiving a favorable judgment regardless of amount: %

   b. The minimum and maximum potential judgment according to your evaluation. Minimum $ Maximum $

3. If the case involves a defense(s) of comparative negligence, your assessment of negligence attributable to the parties: Plaintiff % Defendant % Defendant % Defendant % Cross-Complainant % Cross-Defendant % Cross-Defendant %

   SETTLEMENT CONFERENCE STATEMENT

Approved for Optional Use Superior Court of Orange County, rule 316 L-0052 (Rev. June 3, 2024) www.occourts.org

SHORT TITLE: CASE NUMBER:

a. Describe the conduct of plaintiff/cross-complainant that will bar or diminish any recovery:

b. Describe the factual basis of any legal defenses that will bar or diminish any recovery by
plaintiff/cross-complaint.

4. If this is a personal injury or wrongful death action, each plaintiff/cross-complainant shall complete the following:

a. Nature and extent of injuries:

b. Permanent injuries being claimed:

c. Nature of any surgical procedures recommended or scheduled:

d. Total medical expenses to date:

e. Future medical expenses:

f. Loss of earnings to date:

g. Future loss of earnings:

h. Other special damages:

SETTLEMENT CONFERENCE STATEMENT

Approved for Optional Use L-0052 (Rev. June 3, 2024) Page 2 of 3

SHORT TITLE: CASE NUMBER:

i. General damages:

j. Punitive damages:

5. If this is not a personal injury case, each plaintiff shall state the following with respect to each alleged item of damage:

a. Identify each item of damage supported by documentary evidence (type and amount):

b. Identify each item of damage not supported by documentary evidence (type and amount):

6. If you are a plaintiff/cross-complainant in this action, state your demand in order to settle this matter:

7. If you are a defendant/cross-defendant in this action, state the terms of your demand in order to settle this matter:

8. Describe the status of any previous settlement negotiations:

   SUBMIT THIS DOCUMENT NO LATER THAN FIVE (5) COURT DAYS PRIOR TO THE MANDATORY SETTLEMENT CONFERENCE HEARING.

Date: SIGN (SIGNATURE OF PARTY OR ATTORNEY)

Attorney for:

SETTLEMENT CONFERENCE STATEMENT

Approved for Optional Use L-0052 (Rev. June 3, 2024) For your protection and privacy, please press the Clear This Print This Form Page 3 of 3 Form button after you are done printhing the form. Clear This Form