}

SCR 218 Intake/Order CCM N703 A-15M-3/03/05 ( )

IN THE CIRCUIT COURT OF COOK COUNTY, ILLINOIS

Line # __________________________________________________________

v. No. _______________________________

__________________________________________________

INTAKE AND SCR 218 CASE MANAGEMENT ORDER

This matter having come on to be heard pursuant to notice to the parties that this matter is now assigned fromRoom 1501 Assignment Call to Room __________ for Intake and Management Conference in accordance with SupremeCourt Rule 218 as well as firm trial setting, the Court having considered the following specific matters orders as follows:

a.m.� 1) TRIAL DATE: This matter is set for trial at __________ p.m. on ______________________, _________.

All witnesses shall be available for trial that day unless otherwise ordered. a.m.

� 2) ADDITIONAL SETTING: This matter is also set on __________________, ________ at __________ p.m.

for hearing on ____________________________________________________________________________.

� 3) The Plaintiff ____________________________________ claims that MEDICAL CARE, TREATMENT,AND SERVICES RECEIVED are itemized as follows:

PROVIDER $ PAID $ UNPAID

_______________________________________________________________________________________________________________________________________________________________________________________________________________

These shall be admitted into evidence as to the paid portions pursuant to the rules governing the admissionof paid bills. Unpaid amounts shall be admitted only after proper foundational testimony has been reviewedin this conference.

� 4) The Plaintiff _____________________________________ is making a claim for FUTURE MEDICAL AND

FUTURE PAIN AND SUFFERING and will be calling ______________________________ as their opinion

witness on these issues. Said opinions to be produced in writing within ______ days or the claim is barred.

� 5) The Plaintiff _____________________________________ claims LOST TIME AND/OR LOST WAGES

in the amount of $ _______________ to this date, and pursuant to the Defendant's request for tax returns,accompanying schedules, and W-2 Forms, Plaintiff shall produce same for the year of the occurrence as wellas the year prior and year subsequent thereto within _______ days or the claim is barred.

� 6) The Plaintiff ____________________________________ claims ADDITIONAL ITEMS OF DAMAGES,

reviewed pursuant to this order and to be presented at trial, itemized as follows:

_____________________________________________________________________________________

_____________________________________________________________________________________PAGE 1 OF 2

DOROTHY BROWN, CLERK OF THE CIRCUIT COURT OF COOK COUNTY, ILLINOISORIGINAL - COURT FILE

SCR 218 Intake/Order CCM N703 B-15M-3/03/05 ( )

PAGE 2 OF 2CASE NO. _________________________

� 7) The Plaintiff ____________________________________________'s claim for PROPERTY DAMAGE

totals $ _______________ and [the paid bill(s) shall be admitted pursuant to the rules.] or [the property

not having been repaired or replaced, the Plaintiff has _____ days to advise Defendant of the expert witnessPlaintiff intends to call along with their opinion as to the value of the loss, or same is barred.].

� 8) The Plaintiff(s) and Defendant(s) shall issue SCR 213 INTERROGATORIES simultaneously within

_____ days and shall each answer same within _____ days.

The identified OPINION WITNESSES to be called at trial are:

Plaintiff: ________________________________________________________________________________________________________________________________________________________Defendant: ________________________________________________________________________________________________________________________________________________________

The ADDITIONAL IDENTIFIED WITNESSES to be called at trial are:

Plaintiff: ________________________________________________________________________________________________________________________________________________________Defendant: ___________________________________________________________________________________________________________________________________________________

� 9) The following EVIDENCE DEPOSITIONS shall be completed within _______ days: ________________

_________________________________________________________________________________

� 10) The following RULING ON MOTIONS IN LIMINE shall apply at trial:� no mention of liability insurance.� no mention of traffic tickets issued.� no lay witness medical testimony or opinions.

� 11) OTHER COURT ACTION: (Pleadings, Jury Instructions)

_____________________________________________________________________________

______________________________________________________________________________

Atty. No.: _________________

Name: ________________________________________ ENTERED:

Attorney for: ___________________________________Address: ______________________________________ Dated: _____________________________, _________City/State/Zip: _________________________________Telephone: ____________________________________ ________________________________________

Judge Judge's No.

DOROTHY BROWN, CLERK OF THE CIRCUIT COURT OF COOK COUNTY, ILLINOIS

ORIGINAL - COURT FILE