Pablo v. ServiceMaster Global Holdings, Inc. et al
Filing
361
COURT DRAFT VERDICT FORM FOR DISCUSSION (SI, COURT STAFF) (Filed on 10/27/2011)
IN THE UNITED STATES DISTRICT COURT
FOR THE NORTHERN DISTRICT OF CALIFORNIA
RUBEN PABLO, BONNIE COURSEY, and
JOHN BAHR,
No. C 08-03894 SI
VERDICT FORMS
(COURT DRAFT)
Plaintiffs,
v.
SERVICEMASTER GLOBAL HOLDINGS,
INC., et al.,
Defendants.
/
1
Instructions: Three verdict forms are below, one for each plaintiff. Please read the
questions carefully. After answering each question, read the directions directly following
the question to find out whether to proceed to the next question, or to skip to a question
later in the form.
Verdict Form for Plaintiff John Bahr
1. Did defendants prove, by a preponderance of the evidence, that plaintiff John Bahr
customarily and regularly worked more than half the working time away from the defendants’
place of business selling tangible or intangible items or obtaining orders or contracts for
products, services or use of facilities?
[ ]Yes
[ ] No
If Yes, skip to Question 14.
If No, proceed to Question 2.
Overtime Claim
2. Did plaintiff John Bahr prove, by a preponderance of the evidence, that he worked over 8
hours per day or 40 hours per week?
[ ] Yes
[ ] No
If Yes, proceed to Question 3.
If No, skip to Question 5.
3. Did defendants pay plaintiff John Bahr lower than the legal overtime compensation rate for
any overtime hours that he worked?
[ ] Yes
[ ] No
If Yes, proceed to Question 4.
If No, skip to Question
4. What is the amount of overtime wages owed to plaintiff John Bahr by defendants?
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$__________
Proceed to Question 5.
Meal and Rest Break Claim
5. Did plaintiff John Bahr prove, by a preponderance of the evidence, that defendants failed to
provide him with one or more 30 minute duty-free meal periods during any 5-hour work period?
[ ] Yes
[ ] No
If Yes, proceed to Question 6.
If No, skip to Question 7.
6. What is the number of times that plaintiff John Bahr was not provided with a meal period that
he was owed?
__________
Proceed to Question 7.
7. Did plaintiff John Bahr prove, by a preponderance of the evidence, that defendants failed to
provide him with one or more duty-free rest periods during any four-hour work period?
[ ] Yes
[ ] No
If Yes, proceed to Question 8.
If No, skip to Question 9.
8. What is the number of times that plaintiff John Bahr was not provided with a rest period that
he was owed?
__________
Proceed to Question 9.
Itemized Wage Statement Claim
9. Did plaintiff John Bahr prove, by a preponderance of the evidence, that defendants knowingly
3
and intentionally failed to furnish to him one or more accurate itemized statements in writing
showing the total hours he worked?
[ ] Yes
[ ] No
If Yes, proceed to question 10.
If No, skip to question 11.
10. How many pay periods did defendants fail to furnish plaintiff John Bahr with accurate
itemized statements in writing showing the total hours he worked?
__________
Waiting Time Penalties
11. Did plaintiff John Bahr prove, by a preponderance of the evidence, that defendants willfully
failed to pay him the amount of wages due to him at the time his employment with defendants
ended?
[ ] Yes
[ ] No
If Yes, proceed to question 12.
If No, skip to question 14.
12. For how many calender days following plaintiff John Bahr’s last day of employment did
defendants willfully fail to pay the full amount of his wages?
__________
13. What was plaintiff John Bahr’s daily wage rate at the time his employment ended?
$__________ per day.
Reimbursement for Necessary Work Expenditures Claim
14. Did plaintiff John Bahr prove, by a preponderance of the evidence, that defendants failed to
reimburse him for necessary work expenditures that he incurred?
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[ ] Yes
[ ] No
If Yes, proceed to question 15.
If No, skip to the signature line.
15. What is the amount of necessary business expenditures for which plaintiff John Bahr was
not reimbursed?
$__________
You are now finished with plaintiff John Bahr’s verdict form. Please have the presiding juror
sign on the below and proceed to the next verdict form.
Signed__________________
Presiding Juror
Dated: __________
Verdict Form for Plaintiff Ruben Pablo
1. Did defendants prove, by a preponderance of the evidence, that plaintiff Ruben Pablo
customarily and regularly worked more than half the working time away from the defendants’
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place of business selling tangible or intangible items or obtaining orders or contracts for
products, services or use of facilities?
[ ]Yes
[ ] No
If Yes, skip to Question 14.
If No, proceed to Question 2.
Overtime Claim
2. Did plaintiff Ruben Pablo prove, by a preponderance of the evidence, that he worked over 8
hours per day or 40 hours per week?
[ ] Yes
[ ] No
If Yes, proceed to Question 3.
If No, skip to Question 5.
3. Did defendants pay plaintiff Ruben Pablo lower than the legal overtime compensation rate for
any overtime hours that he worked?
[ ] Yes
[ ] No
If Yes, proceed to Question 4.
If No, skip to Question
4. What is the amount of overtime wages owed to plaintiff Ruben Pablo by defendants?
$__________
Proceed to Question 5.
Meal and Rest Break Claim
5. Did plaintiff Ruben Pablo prove, by a preponderance of the evidence, that defendants failed to
provide him with one or more 30 minute duty-free meal periods during any 5-hour work period?
6
[ ] Yes
[ ] No
If Yes, proceed to Question 6.
If No, skip to Question 7.
6. What is the number of times that plaintiff Ruben Pablo was not provided with a meal period
that he was owed?
__________
Proceed to Question 7.
7. Did plaintiff Ruben Pablo prove, by a preponderance of the evidence, that defendants failed to
provide him with one or more duty-free rest periods during any four-hour work period?
[ ] Yes
[ ] No
If Yes, proceed to Question 8.
If No, skip to Question 9.
8. What is the number of times that plaintiff Ruben Pablo was not provided with a rest period
that he was owed?
__________
Proceed to Question 9.
Itemized Wage Statement Claim
9. Did plaintiff Ruben Pablo prove, by a preponderance of the evidence, that defendants
knowingly and intentionally failed to furnish to him one or more accurate itemized statements in
writing showing the total hours he worked?
[ ] Yes
[ ] No
If Yes, proceed to question 10.
If No, skip to question 11.
10. How many pay periods did defendants fail to furnish plaintiff Ruben Pablo with accurate
itemized statements in writing showing the total hours he worked?
__________
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Waiting Time Penalties
11. Did plaintiff Ruben Pablo prove, by a preponderance of the evidence, that defendants
willfully failed to pay him the amount of wages due to him at the time his employment with
defendants ended?
[ ] Yes
[ ] No
If Yes, proceed to question 12.
If No, skip to question 14.
12. For how many calender days following plaintiff Ruben Pablo’s last day of employment did
defendants willfully fail to pay the full amount of his wages?
__________
13. What was plaintiff Ruben Pablo’s daily wage rate at the time his employment ended?
$__________ per day.
Reimbursement for Necessary Work Expenditures Claim
14. Did plaintiff Ruben Pablo prove, by a preponderance of the evidence, that defendants failed
to reimburse him for necessary work expenditures that he incurred?
[ ] Yes
[ ] No
If Yes, proceed to question 15.
If No, skip to the signature line.
15. What is the amount of necessary business expenditures for which plaintiff Ruben Pablo was
not reimbursed?
$__________
You are now finished with plaintiff Ruben Pablo’s verdict form. Please have the presiding juror
sign on the line below and proceed to the next verdict form (for plaintiff Bonnie Coursey).
Signed__________________
Presiding Juror
8
Dated: __
Verdict Form for Plaintiff Bonnie Coursey
1. Did defendants prove, by a preponderance of the evidence, that plaintiff Bonnie Coursey
customarily and regularly worked more than half the working time away from the defendants’
place of business selling tangible or intangible items or obtaining orders or contracts for
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products, services or use of facilities?
[ ]Yes
[ ] No
If Yes, skip to Question 14.
If No, proceed to Question 2.
Overtime Claim
2. Did plaintiff Bonnie Coursey prove by a preponderance of the evidence that he worked over 8
hours per day or 40 hours per week?
[ ] Yes
[ ] No
If Yes, proceed to Question 3.
If No, skip to Question 5.
3. Did defendants pay plaintiff Bonnie Coursey lower than the legal overtime compensation rate
for any overtime hours that he worked?
[ ] Yes
[ ] No
If Yes, proceed to Question 4.
If No, skip to Question
4. What is the amount of overtime wages owed to plaintiff Bonnie Coursey by defendants?
$__________
Proceed to Question 5.
Meal and Rest Break Claim
5. Did plaintiff Bonnie Coursey prove, by a preponderance of the evidence, that defendants
failed to provide him with one or more 30 minute duty-free meal periods during any 5-hour work
period?
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[ ] Yes
[ ] No
If Yes, proceed to Question 6.
If No, skip to Question 7.
6. What is the number of times that plaintiff Bonnie Coursey was not provided with a meal
period that he was owed?
__________
Proceed to Question 7.
7. Did plaintiff Bonnie Coursey prove, by a preponderance of the evidence, that defendants
failed to provide him with one or more duty-free rest periods during any four-hour work period?
[ ] Yes
[ ] No
If Yes, proceed to Question 8.
If No, skip to Question 9.
8. What is the number of times that plaintiff Bonnie Coursey was not provided with a rest period
that he was owed?
__________
Proceed to Question 9.
Itemized Wage Statement Claim
9. Did plaintiff Bonnie Coursey prove, by a preponderance of the evidence, that defendants
knowingly and intentionally failed to furnish to him one or more accurate itemized statements in
writing showing the total hours he worked?
[ ] Yes
[ ] No
If Yes, proceed to question 10.
If No, skip to question 11.
10. How many pay periods did defendants fail to furnish plaintiff Bonnie Coursey with accurate
itemized statements in writing showing the total hours he worked?
__________
11
Waiting Time Penalties
11. Did plaintiff Bonnie Coursey prove, by a preponderance of the evidence, that defendants
willfully failed to pay him the amount of wages due to him at the time his employment with
defendants ended?
[ ] Yes
[ ] No
If Yes, proceed to question 12.
If No, skip to question 14.
12. For how many calender days following plaintiff Bonnie Coursey’s last day of employment
did defendants willfully fail to pay the full amount of his wages?
__________
13. What was plaintiff Bonnie Coursey’s daily wage rate at the time his employment ended?
$__________ per day.
Reimbursement for Necessary Work Expenditures Claim
14. Did plaintiff Bonnie Coursey prove, by a preponderance of the evidence, that defendants
failed to reimburse him for necessary work expenditures that he incurred?
[ ] Yes
[ ] No
If Yes, proceed to question 15.
If No, skip to the signature line.
15. What is the amount of necessary business expenditures for which plaintiff Bonnie Coursey
was not reimbursed?
$__________
There are no more questions. Please have the presiding juror sign on the line below and let the
courtroom deputy know that you have reached a verdict.
Signed__________________
Presiding Juror
12
Dated: __
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