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r <br /> SUPERIOR COURT OF CALIFORNIA, COUNTY OF SAN JOAQUIN <br /> Plaintiff, STATUS CONFERENCE QUESTIONNAIRE <br /> VS. <br /> Case No. C V 1 6 6 5 4 <br /> Defendant(s). Hearing Date: <br /> Complete the following form,serve a copy on opposing sides and return it to the Superior Court Clerk,222 E.Weber Ave., <br /> Room 303, Stockton,CA 95202,no later than five(5)court days prior to the status conference. Failure to comply and timely return <br /> com.12leted Questionnaire can result in a waiver of objection to any order the court may make at the status conference and/or sanctions <br /> 1. Number of sides: 2. Parties not served: <br /> 3. Describe nature of case: <br /> 4. Is case suitable for arbitration? If "No",why?: <br /> a. Do you object to the court referring to arbitration? <br /> (i.e.,without limit) <br /> Do you request a delayed referral to arbitration? <br /> b. If all sides do not object to the court referring the matter to arbitration,no appearance is required by phone or in person by any <br /> party.The case will be ordered to judicial arbitration and all parties will be notified by mail by the arbitration clerk. <br /> c. Do you waive your appearance? <br /> 5. Telephonic court appearances are provided through CourtCall to the court. To make arrangements to appear at the status <br /> conference by telephone,please call the Program Administrator,CourtCall,at(310) 572-4670 or(888)882-6878 at least five(5) <br /> court days prior to the hearing. <br /> 6. Describe injuries or damages: <br /> a. Total medical expense to date: Future medical expenses: <br /> b. Loss of earnings to date: Future loss of earnings: <br /> C. Special damages: General Damages: <br /> 7. What discovery has been done to date? <br /> 8. What discovery has yet to be completed? <br /> Date: <br /> (Signature of Trial Attorney) <br /> (Type or Print Name) <br /> Attorney For <br /> Sup.Ct.187(3/98) <br />