LR3-Form 7.12

SETTLEMENT CONFERENCE INFORMATION SHEET

Settlement Facilitator: ______________________________________

Name of Case: ________________________________________________

Cause No.: _____________________________

Assigned Judge: _______________________________

Attorney:

    Name: ________________________________________________

    Telephone No.: _______________________________________

    Address: ______________________________________________

    Party represented:

        Name: _____________________________________________

        Party designation: [ ] Plaintiff(s) [ ] Defendant(s)
                        [ ]    Other (state designation)
                            _____________________________

Information to Be Provided to Settlement Facilitator


    On or before the date set forth in the order of referral to settlement facilitation, the following information should be provided to the assigned settlement facilitator:

    1.    Short description of the case.
        ________________________________________________________

    2.    Description of the relief that you are seeking.
        ________________________________________________________

    3.    Statement of the factual issues that need to be resolved.
        ________________________________________________________

    4.    List of any pending motions.
        ________________________________________________________

    5.    Statement as to whether discovery has been completed or not and, if not, what discovery remains to be completed.
        ________________________________________________________

    6.    An estimate of costs and attorney's fees through trial.
        ________________________________________________________


    7.    Last offer that has been made to opposing counsel.
        ________________________________________________________

    8.    Any other suggestion or information which you feel would be helpful to the settlement facilitator.
        ________________________________________________________

    The judges of the Third Judicial District Court have directed that the following persons shall attend and be present in person during the entire settlement conference:

    1.    Each party of record and each attorney of record who will be trying the case.

    2.    For each party, the person or persons who have actual or realistic authority to compromise and settle the issues (these shall include, but are not limited to insurance company representatives and guardians ad litem).

[ EXPLANATORY NOTE -- NOT FOR PUBLICATION]

    This form does not appear to have been amended.