________________________________,
Plaintiff
v.
________________________________,
Defendant
1. Type of case: __________________________
Non-Jury: _____ Jury: 6_____ 12______
2. Judge to whom assigned: _________________________
3. Judges disqualified: _____________________________
4. Hearings presently set and dates of settings:
_________________________________________________
5. Specific matters to be heard:
_________________________________________________
6. Readiness date for hearing:
__________________________________________________
7. Proposed time required for hearing all parties and
witnesses: _________________________
8. Concurrence of counsel as to need for hearing:
Yes: ____ No:____ (specify why not) _____________
___________________________________________________
9. Names, addresses and telephone numbers of all counsel
or parties pro se entitled to notice:
_______________________ _______________________
_______________________ _______________________
_______________________ _______________________
10. Setting requested by: ______________________________
NOTE: THE COURT RESERVES THE RIGHT TO NOT SCHEDULE
REQUESTED HEARINGS ON PROPOSED DATES.
[Approved, effective July 1, 2000.]