Court of Common Pleas of Pennsylvania.
Montgomery County
Franchesca Rodriguez DEJESUS, Plaintiff,
v.
DAKOTALAND TRANSPORTATION, and Lauri Hackett, Defendants.
No. 2016-09541.
October 18, 2017.
Verdict Sheet
- Was defendant, Lauri Hackett, negligent?
| Yes
|
………….
|
If you answered “Yes” to Question 1, proceed to Question 2.
|
|
|
||
| No
|
X
|
If you answered “No” to Question 1, do not complete the rest of this form. Simply sign the form and return to the Courtroom.
|
- Was the negligence of Lauri Hackett a factual cause of injury to plaintiff, Franchesca Rodriguez DeJesus?
| Yes
|
………….
|
If you answered “Yes” to Question 2, proceed to Question 3.
|
|
|
||
| No
|
………….
|
If you answered “No” to Question 2, do not complete the rest of this form. Simply sign the form and return to the Courtroom.
|
- Was plaintiff, Franchesca Rodriguez DeJesus, negligent?
| Yes
|
………….
|
If you answered “Yes” to Question 3, proceed to Question 4.
|
|
|
||
| No
|
………….
|
If you answered “No” to Question 3, skip to Question 6.
|
- Was the negligence of Franchesca Rodriguez DeJesus a factual cause of injury to herself?
| Yes
|
………….
|
If you answered “Yes” to Question 4, proceed to Question 5.
|
| No
|
………….
|
If you answered “No” to Question 4, skip to Question 6.
|
- Taking the combined negligence that was a factual cause of the accident as 100 percent, what percent is attributed to Lauri Hackett and what percent is attributed to Franchesca Rodriguez DeJesus?
| Lauri Hackett
|
_______________ %
|
| Franchesca Rodriguez DeJesus
|
_______________ %
|
| Total
|
100%
|
If you have determined that the plaintiff’s percentage of negligence is more than 50%, do not complete the rest of this form. Simply sign the form and return to the Courtroom.
- Enter the total amount of damages, if any, sustained by plaintiff, Franchesca Rodriguez DeJesus, that was factually caused by the accident.
$ ______________________________
AND SO SAY AT LEAST 10 OF 11 JURORS
<<signature>>
