Freeman v. Barnhart et al

Filing 175

Court's Proposed Special Verdict Form. Signed by Judge Jeffrey S. White on December 12, 2008. (jswlc1, COURT STAFF) (Filed on 12/12/2008)

1 2 3 4 5 6 7 8 9 10 IN THE UNITED STATES DISTRICT COURT FOR THE NORTHERN DISTRICT OF CALIFORNIA KIMBERLY FREEMAN, Plaintiff, v. MICHAEL J. ASTRUE, Defendant. / PROPOSED SPECIAL VERDICT FORM No. C 06-04900 JSW

United States District Court

11
For the Northern District of California

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THE JURY MUST UNANIMOUSLY AGREE ON THE ANSWERS TO ALL OF THE QUESTIONS. THE COMPLETED SPECIAL VERDICT FORM MUST BE SIGNED AND DATED BY THE FOREPERSON.

Question 1. Did plaintiff Kimberly Freeman prove by a preponderance of the evidence that her race was a motivating factor in her termination from her employment with the Social Security Administration ?

YES

NO ____________

(If you answered "YES" to question 1, please continue to question number 2. If you answered "NO" to question 1, sign and date the form where indicated on the last page without responding to any further questions and return the form to the clerk or court security officer.)

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Question 2. Did the Plaintiff prove by a preponderance of the evidence that she suffered, or will likely suffer in the future, loss of enjoyment of life or mental, physical, or emotional pain and suffering due to her termination from her employment at the Social Security Administration?

YES

NO ____________

(If you answered "YES" to question 2, please continue to question number 3. If you answered "NO" to question 2, sign and date the form where indicated on the last page without responding to any further questions and return the form to the clerk or court security officer.)

United States District Court

11
For the Northern District of California

12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 2 Dated: December 12, 2008 JEFFREY S. WHITE UNITED STATES DISTRICT JUDGE IT IS SO ORDERED. DATE: SIGNATURE OF FOREPERSON (Please sign, date and return this the form to the clerk or court security officer.) Amount: $_____________ Question 3. How much compensation is the plaintiff entitled to receive for the types of losses described in question number 2?