District Court Act 1973 District Court Rules 1973 amendment to Forms (1990-594) [GG No 111 of 7.9.1990] (NSW)
1990 - No. 594
DISTRICT COURT ACT 1973 - FORMS
NEW SOUTH WALES
[Published in Gazette No. 111 of 7 September 1990] In pursuance of Part 47 rule 2 (2) of the District Court Rules 1973 I have amended the Forms approved for use in the Court by inserting after Form 27:
Form 27A - Plantiff's pre-trial conference advice (personal
injuries)
Form 27B - Defendant's/Third Party's pre-trial conference
advice (personal injuries)
Form 27C - Joint memorandum of issues (MVA - personal
injuries)
Form 27D - Joint memorandum of issues (industrial accident)
as annexed hereto.
Dated the 30th day of August 1990.
J. H. STAUNTON
Chief Judge.
1990 - No. 594
FORM 27A
PLAINTIFF’S PRE-TRIAL CONFERENCE ADVICE
(PERSONAL INJURIES)
- v -
No. of 19
1. Plaintiffs date of birth / / 2. Pecuniary loss claimed (to date of pre-trial conference):
Out-of- pockets :Nil/$ Past lost income :Nil/$ Future expenses :Nil/$ Future lost income :Nil/$ 3. Full particulars and supporting documentation re the above claims have
been served YES/NO 4. The following medical reports will be relied on:
5. Outstanding medical examinations/reports NIL/AS BELOW 6. The following expert’s reports/income reports will be relied on:
1990 - No. 594
7. Outstanding experts' reports/income reports ....... NIL/AS BELOW
8. Estimated hearing time ...................... hours/days.
9. Number of lay witnesses (including plaintiff)
10. Interstate witnesses ......... YES/NO 11. Interpreter ............YES/NO
Counsel/Solicitor for the Plaintiff
Name: Ph. No:
Counsel briefed is: Ph. No:
FORM 27B DEFENDANT'S/THIRD PARTY’S PRE-TRIAL CONFERENCE ADVICE
(PERSONAL INJURIES)
- v -
No. of 19
1. Liability/Breach of duty of care admitted ......................... YES/NO2. Clarification of Part 12 Particulars sought ............................... YES/NO
If yes, give details:
3. The following medical reports will be relied upon:
4. Outstanding medical reports/examinations ..................... NIL/AS BELOW
1990 - No. 594
5. The following expert’s reports/income reports will be relied upon:
6. Outstanding experts’ reports/income reports ................... NIL/AS BELOW 7. Estimated hearing time ...................... hours/days. 8. Number of lay witnesses (including defendant/third party) ........................
9. Interstate witnesses ..........YES/NO 10. Interpreter ............ YES/NOCounsel/Solicitor for the Defendant/Third Party
Name: Ph. No:
Counsel briefed is: Ph. No:
FORM 27C JOINT MEMORANDUM OF ISSUES
(MVA - PERSONAL INJURIES)
- v -
No. of 19
LIABILITY IN DISPUTE .................................................................. YES/NO BREACH OF DUTY OF CARE IN DISPUTE ................................... YES/NO CONTRIBUTORY NEGLIGENCE ALLEGED ................................ YES/NO SPECIFIC MATTERS IN DISPUTE (a) Driver ........................ YES/NO (b) Owner .................... YES/NO
(c) Public Street .............. YES/NO (d) Date of accident ..... YES/NO(e) Insurance ................... YES/NO (f) Due search and
enquiry .............. YES/NO/N.A
1990 - No. 594
(g) Registered number of: (i) Plaintiffs vehicle ................................................. YES/NO/N.A
(ii) Defendant’s vehicle ............................................ YES/NO/N.A
(iii) Other .................................................................... YES/NO/N.A.
(h) Facts of accident as pleaded .......................................... YES/NO (i) Wearing seat belt .......................................................... YES/NO/N.A.
(j) All matters in dispute ................................................... YES/NO
(k) Failure to comply with statutory notices....................... YES/NO/N.A A.
DAMAGES IN DISPUTE
In juries: Nature .... YES/NO; Extent .... YES/NO; Duration .... YES/NO
Continuing disabilities: Nature .......... YES/NO; Extent ......... YES/NO;
Duration ..................... YES/NOCausation ................... YES/NO
Economic loss ............ YES/NO/N.A
| (i) Past economic loss calculation agreed ....................................... YES/NO |
| (ii) If agreed, total amount .............................................................. $ Out-of-pockets ................................................................................. YES/NO/N.A (i) Out-of-pocket calculation agreed .............................................. YES/NO (ii) If agreed, total amount ............................................................. $ |
| Diminution in earning capacity ....................................................... YES/NO/N.A. |
OTHER MATTERS IN DISPUTE
QUESTIONS OF LAW
Dated Counsel/Solicitor for the Defendant I agree that this memorandum sets out the real issues in dispute between the parties.
Dated: Counsel/Solicitor for the Plaintiff
1990 - No. 594
FORM 27D JOINT MEMORANDUM OF ISSUES (INDUSTRIAL ACCIDENT)
- v -
No. of 19 LIABILITY IN DISPUTE .................................................................... YES/NO
BREACH OF DUTY OF CARE IN DISPUTE ................................ YES/NO
CONTRIBUTORY NEGLIGENCE ALLEGED ... ............................. YES/NO
SPECIFIC MATTERS IN DISPUTE
(a) Date of Accident ........................................................................... YES/NO (b) Place of Accident....................................................................... YES/NO
(c) Factory/Shop ................................................................................. YES/NO (d) Employment .................................................................................. YES/NO (e) Facts of accident as pleaded ......................................................... YES/NO (f) All matters in dispute ................................................................... YES/NO DAMAGES IN DISPUTE (a) Injuries: Nature .... YES/NO Extent ....YES/NO Duration ....YES/NO (b)
Continuing disabilities: Nature.... YES/NO Extent ........ YES/NO; Duration ........................ YES/NO
(c) Causation ....................... YES/NO (d) Economic loss ............... YES/NO/N.A (i) Past economic loss calculation agreed ................................... YES/NO
(ii) If agreed, total amount ............................................................. $
(e) Out-of-pockets ............................................................................... YES/NO/N.A A
(i) Out-of-pocket calculation agreed ........................................... YES/NO(ii) If agreed, total amount ............................................................ $
(f) Diminution in earning capacity ......................................................YES/NO/N.A
OTHER MATTERS IN DISPUTE
QUESTIONS OF LAW
Dated: Counsel/Solicitor for the Defendant I agree that this memorandum sets out the real issues in dispute between the parties.
Dated Counsel/Solicitor for the Plaintiff
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