VERDICT REPORT

Please fully complete this form to alert the Jury Verdict Reporter to a verdict in a civil jury trial, and to assist us in publishing a summary of the case. When you submit a verdict report form electronically, you will automatically be sent a confirming email, identifying what you sent to the Jury Verdict Reporter and when.

Mandatory Fields are indicated by an *


(full name of all parties)
pct. pltf. negligence.

SPECIALS:

(amount)
(time)
(occupation)


(Also note amount of policy if less than award)


FACTS OF CASE


MEDICAL WITNESSES:
(TREATING PHYSICIANS)

If the space provided is not sufficient for all of the case's medical witnesses, please input the remaining witnesses in either the "Other noteworthy features" or the "Continue on this text area" (or both) text input fields at the bottom of this form.


EXPERT WITNESSES:
(INCL. MEDL. EXPERTS, WITH ADDRESSES, PHONE NOS., SPECIALTY)

If the space provided is not sufficient for all of the case's expert witnesses, please input the remaining witnesses in either the "Other noteworthy features" or the "Continue on this text area" (or both) text input fields at the bottom of this form. Please be sure to include for each extra witness the name, specialty, address, phone and for whom they appeared.

Name
Specialty
City
State
Street
Phone

Name
Specialty
City
State
Street
Phone

Name
Specialty
City
State
Street
Phone

Name
Specialty
City
State
Street
Phone

Name
Specialty
City
State
Street
Phone

Name
Specialty
City
State
Street
Phone

If you would like colleagues to review this report, please enter their email(s) in the field labeled “email address for internal review and revision.” Next, click the “send draft report for internal review/revision” button. The recipients will receive an email link that will allow them to review and revise your completed form. The form can be sent to additional reviewers. Any changes to the form will overwrite prior information. No information has been transmitted to the Jury Verdict Reporter. Your submission will remain “pending” until someone reviewing the content clicks the button to “submit the final report to JVR."

Once your form is complete, click the “submit final report to JVR” button. You will be presented a final review copy of your case summary. Clicking submit at this point will send your final form to the Jury Verdict Reporter. You will also receive an email with a copy of your submission.

Go to Settlement Report Form

Contacts

COOK COUNTY JURY VERDICT REPORTER
ILLINOIS JURY VERDICT REPORTER
Division of Law Bulletin Media
415 North State Street
Chicago, IL 60654
Phone: (312) 644-2918
Fax: (312) 644-5990