Merced — MSC-CV-001

Source: https://www.merced.courts.ca.gov/system/files/forms-and-filings/msc-cv-001-issue-memorandum-ada-comp.pdf

MSC-CV-001 ATTORNEY OR PARTY WITHOUT ATTORNEY (Name, state bar number, and address) : Reserved for Clerk’s File Stamp

TELEPHONE NO.: FAX NO.: E-MAIL ADDRESS: ATTORNEY FOR (Name):

SUPERIOR COURT OF CALIFORNIA, COUNTY OF MERCED

STREET ADDRESS: 627 West 21st Street MAILING ADDRESS: 627 West 21st Street NATURE OF CASE CITY AND ZIP CODE: Merced, CA 95340 Personal Injury Property Damage or Wrongful BRANCH NAME: Civil Death Involving Motor Vehicle All other Personal Injury, etc. Eminent Domain Other Civil PLAINTIFF: NOTE: Eminent domain actions must show parcel number. Submit one copy of this form for DEFENDANT: each parcel and for each case if consolidated actions

AT-ISSUE MEMORANDUM AMENDED COUNTER AT-ISSUE Case No. ___________________
CASE NOT AT-ISSUE, REQUEST TRIAL SETTING CONFERENCE Parcel No.

1. What date was the action filed? ___________________

2. What date was the first answer filed? ___________________

3 Jury Trial requested: Yes No

4. Time estimated for trial: Days ___________________ Hours ___________________

5. Case entitled to preference: Yes No Under code section ___________________

6. Is discovery complete partially completed not yet begun

7. Is any law and motion matter pending or contemplated? Yes No

8. Will such law and motion matter be heard within 90 days? Yes No

9. Is equitable relief sought? Yes No

10. Does the amount in controversy exceed $25,000 as to any Plaintiff? Yes No

11. Do you object to the matter being ordered to Arbitration? Yes No

12. Are you willing to stipulate to Arbitration regardless of the amount in controversy? Yes No

13. If Personal Injury:

    a. Nature and extent of injuries ______________________________________________________________________

    b. Total medical expenses to date: ___________________________________________________________________

    c. Future medical expenses: ________________________________________________________________________

d. Loss of earnings to date: _________________________________________________________________________

e. Future loss of earnings: __________________________________________________________________________

f. Other special or general damages: _________________________________________________________________

14. Other:

    a. Nature of damages: _____________________________________________________________________________

    b. Amount of damages: ____________________________________________________________________________

    c. Relief sought: __________________________________________________________________________________

For Optional Use AT ISSUE MEMORANDUM MSC-CV-001 [Rev. Oct. 3, 2018]

MSC-CV-001 15. Indicate below, names of party being represented and trial counsel:

Plaintiff ___________________________________________ Plaintiff ___________________________________________

Attorney:__________________________________________ Attorney:__________________________________________

Firm: ____________________________________________ Firm: ____________________________________________

Address:__________________________________________ Address:__________________________________________

_________________________________________________ _________________________________________________

Telephone _________________________________________ Telephone _________________________________________

Party: ___________________________________________ Party:___________________________________________ _

Attorney:__________________________________________ Attorney:__________________________________________

Firm: ____________________________________________ Firm: ____________________________________________

Address:__________________________________________ Address:__________________________________________

_________________________________________________ _________________________________________________

Telephone ________________________________________ Telephone ________________________________________

Party:____________________________________________ Party:____________________________________________

A tt orney:__________________________________________ Attorney:__________________________________________

Firm: ____________________________________________ Firm: ____________________________________________

Address:__________________________________________ Address:__________________________________________

_________________________________________________ _________________________________________________

Telephone ________________________________________ Telephone ________________________________________

For additional parties attach separate sheet and check here.

I hereby represent to the court that all essential parties have been served with process or have appeared herein and that this case is at

issue as to all such parties that no amended or supplemental complaint or cross-complaint or other affirmative pleading remains unanswered, that to my knowledge no other parties will be served with a summons prior to the time of trial, and I know of no further pleading to be filed.

Date: ______________________ ATTORNEY OR PARTY WITHOUT ATTORNEY

ANY PARTY NOT IN AGREEMENT WITH THE INFORMATION OR ESTIMATES GIVEN IN AT ISSUE MEMORANDUM SHALL WITHIN TEN (10) DAYS AFTER SERVICE THEREOF SERVE AND FILE A MEMORANDUM IN THEIR BEHALF

PROOF OF SERVICE BY MAIL (C.C.P. 1013a)

I served the At Issue Memorandum by depositing a copy thereof (enclosed in sealed envelope(s), postage prepared in the

United States mail addressed to each party or to their attorney as shown in such memorandum on __________ at

____________________________________ California.

At the time of service, I was at least 18 years of age, (employed/residing ___________________ in the county where the

mailing occurred, and not a party to the action. My (residence/business) _________________ address is ________________

I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct and this

declaration is executed on (date) ____________________ at (place) _____________________________________________

SIGN

Date: ____________________________ ___________________________________ (Signature of declarant)

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(Type or print name)

For Optional Use AT ISSUE MEMORANDUM MSC-CV-001 [Rev. Oct. 3, 2018]