McCann v. Jupina et al

Filing 129

[Second Proposed] Verdict Form. Signed by Judge Jacqueline S. Corley on November 14, 2017. (jsclc1S, COURT STAFF) (Filed on 11/14/2017)

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UNITED STATES DISTRICT COURT

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NORTHERN DISTRICT OF CALIFORNIA

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WILLIAM DENIS MCCANN,
Plaintiff,

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United States District Court
Northern District of California

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Case No.16-cv-03244-JSC
[SECOND PROPOSED] VERDICT
FORM

v.
DAVID JUPINA, et al.,
Defendants.

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IT IS SO ORDERED.
Dated: November 14, 2017

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JACQUELINE SCOTT CORLEY
United States Magistrate Judge

We answer the questions submitted to us as follows:

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1.

Was David Jupina, M.D. negligent in the diagnosis or treatment of William McCann?
_________Yes

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_________No

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If your answer to question 1 is yes, then answer question 2. If you answered no, stop here,
answer no further questions, and have the presiding juror sign and date this form.

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2.

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Was David Jupina, M.D.’s negligence a substantial factor in causing harm to William
McCann?

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_________Yes

_________No

United States District Court
Northern District of California

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If your answer to question 2 is yes, then answer question 3. If you answered no, stop here,
answer no further questions, and have the presiding juror sign and date this form.

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3.

What are William McCann’s damages?
a.

Past Medical Expenses $

_____________________

b.

Other Past Economic Loss $

_____________________

c.

Past Non-Economic Loss, Including
Physical Pain/Mental Suffering $

_____________________

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Signed: __________________________

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Dated: __________________________
Presiding Juror

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After this verdict form has been signed, notify the court attendant that you are ready to
present your verdict in the courtroom.

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