San Francisco — Checklist for Court Judgment - Personal Injury, Property Damage

Source: https://sf.courts.ca.gov/system/files/sfciv-009-checklist-court-judgment-personal-injury_-property-damage.pdf

Superior Court of California COUNTY OF SAN FRANCISCO

400 McAllister Street, San Francisco, CA 94102 Phone: 415-551-4000 | Website: https://sfsuperiorcourt.org

CHECKLIST FOR COURT JUDGMENT – PERSONAL INJURY/PROPERTY DAMAGE

Case Number:

1. Were all named co-defendants defaulted/dismissed? ☐ Yes ☐ No

2. Principal
Requested Awarded

Principal in Prayer $ $ (-) Less Credit - $ - $

Principal Awarded = $

3. Defendant informed of amount of bill (date):

4. Prejudgment Interest
Requested Awarded

Prejudgment interest (10% if after 01-01-1986) $ $ (______% x $__________principal ÷ 365 days x ______ days from the date of the demand to the date of judgment )

Amount of Pre-Judgment Interest Awarded = $

5. Costs
Requested Awarded

Cost for filing fee $ $ Process server $ $ Process server is ☐ registered ☐ exempt Other costs $ $ (Define: ) Total Costs Awarded = $

6. Does Declaration justify higher costs? ☐ Yes ☐ No

7. Is there a Subrogation declaration from the Insurance Company? ☐ Yes ☐ No

8. Is there a 585(d) Declaration? ☐ Yes ☐ No

CHECKLIST FOR COURT JUDGMENT – PERSONAL INJURY/PROPERTY DAMAGE

SFCIV-009 Rev. Mar-13-2020

Case Number:

9. Claims
Requested Awarded
Wage loss $ $
Number of days on employer’s verification: days

(A) Total Wage Loss Awarded = $

Requested Awarded
Medical expenses $ $
Bills substantiating medical:

(B) Total Medical Expense Awarded = $

Requested Awarded
Property damage $ $
Repair bills substantiating property damage:

(C) Total Property Damage Awarded = $

Requested Awarded
Towing and other charges $ $
Towing and other charges substantiating charges:

(D) Total Towing Awarded = $

Requested Awarded
Loss of use $ $
Number of hours/days on repair bill: Days Hours

(E) Total Loss of Use Awarded = $

TOTAL CLAIMED (add A + B + C + D + E) $
TOTAL PRINCIPAL REQUESTED $
BALANCE, if any $

Date: Signature Printed Name:

FOR COURT USE ONLY

Date: Clerk: CHECKLIST FOR COURT JUDGMENT – PERSONAL INJURY/PROPERTY DAMAGE SFCIV-009 Rev. Mar-13-2020