Medical Malpractice Sample Verdict Form - Damages Issues
ADVERTISEMENT
1
2Page 1 of 2
N.C.P.I.—Civil 809.199
MEDICAL MALPRACTICE SAMPLE VERDICT FORM—DAMAGES ISSUES.
GENERAL CIVIL VOLUME
REPLACEMENT JUNE 2015
------------------------------
NORTH CAROLINA
IN THE GENERAL COURT OF JUSTICE
SUPERIOR COURT DIVISION
your COUNTY
abc CVS defg
PLAINTIFF,
Plaintiff,
SAMPLE VERDICT FORM
v.
(for claims filed on or after
1 October 2011)
DEFENDANT,
Defendant.
We, the jury, by our unanimous verdict, answer the following issues:
ISSUE (For use with N.C.P.I.-Civil 809.142 et seq.)
What amount is the estate of (name deceased) entitled to recover for
wrongful death?
Economic damages:
$_________________
Non-economic damages:
$_________________
TOTAL DAMAGES:
$_________________
ISSUE (For use with N.C.P.I.-Civil 809.100 et seq.)
1
What amount is the plaintiff entitled to recover for personal injury?
Economic damages:
$_________________
Non-economic damages:
$_________________
TOTAL DAMAGES:
$_________________
ADVERTISEMENT
0 votes
Related Articles
Related forms
Related Categories
Parent category: Legal