Representing the Personal Injury Plaintiff in New York Forms (Downloadable)


# This form is new or has been changed since the prior edition
Please click on the links below to view a sample of the first page of the forms listed.  Sample forms are for illustrative purposes only.  The current versions of these forms are available upon purchase. 

Form NameFormat
A. Intake and Client Retention
PI001Sample Client Interview Sheet

Microsoft Word (30 pages)

PI002Statement of Client's Rights

pdf (2 pages)

PI003Statement of Client's Responsibilities

pdf (1 page)

PI004Judicial Conference Retainer Statement

Microsoft Word (2 pages)

PI039New Language for Retainer to Incorporate New Rules in Personal Injury Retainer AgreementsMicrosoft Word (4 pages)
B. Investigation and Securing of Medical and Other Records

PI005

HIPAA Compliant Unlimited Authorization for Plaintiff's Counsel to Secure Client's Records

Microsoft Word (2 pages)

PI007

Letter from Plaintiff's Counsel to Doctor's Office Explaining HIPAA, Enclosing HIPAA Compliant Authorization, and Detailing What Is Being Requested

Microsoft Word (2 pages)

PI007A

Plaintiff's Arons/Porcelli Speaking Authorization for Defendants

Microsoft Word (2 pages)

C. Automobile Negligence and Insurance Related Forms
PI008Underinsured/Uninsured Notification Letter

Microsoft Word (1 page)

PI009Sample New York No-Fault Computation Sheet

Microsoft Word (1 page)

PI010Request for Driving Abstract

Microsoft Word (1 page)

PI011Letter of Representation to Defendant Owner and Driver

Microsoft Word (1 page)

PI012Pre-Suit Demand Letter for Insurance Information Under Insurance Law 
§ 3420(f)(2)(A)

Microsoft Word (1 page)

D. Commencing the Litigation
PI035Court Summonspdf (1 page)
PI013Certificate of Merit (No Issue with Statute of Limitations) for Medical Malpractice Action

Microsoft Word (1 page)

PI014Verified Summons and Complaint in a Medical Malpractice Action Involving Wrongful Death of an Infant with Attorney Verification

Microsoft Word (6 pages)

PI015Notice of Commencement of Medical Malpractice Action

Microsoft Word (2 pages)

PI016Verified Summons and Complaint in an Automobile Negligence Case for Individual Plaintiff and Attorney Verification

Microsoft Word (5 pages)

PI040Statement of Service by Mail and Acknowledgement of Receipt by Mail of Summons and ComplaintMicrosoft Word (5 pages)

E. Discovery and Amplification of Pleadings
PI017Plaintiff's Verified Bill of Particulars in a Medical Malpractice Action Involving Wrongful Death of an Infant

Microsoft Word (17 pages)

PI018Plaintiff's Notice of Availability for Physical Examination

Microsoft Word (1 page)

PI019

Plaintiff's Notice to Admit

Microsoft Word (2 pages)

PI020Plaintiff's General Combined Demands with a Demand for a Verified Bill of Particulars on Defendant's Affirmative Defenses

Microsoft Word (5 pages)

PI021Plaintiff's Notice to Produce Documents in a Product Defect Case with Jurisdictional and Successor Liability Issues as to Certain Defendants

Microsoft Word (6 pages)

PI021APlaintiff's Combined Discovery Demands and Notice for Discovery and Inspection in Medical Malpractice Case

Microsoft Word (28 pages)

PI036Notice of Issue, Certificate of Readiness and Verification

Microsoft Word (5 pages)

PI037Certificate of Readiness and Verification

Microsoft Word (3 pages)

PI038Deposition Exhibit Log

Microsoft Word (2 pages)

F. Trial and Verdict
PI022Trial Exhibit List (Internal Use Only)

Microsoft Word (2 pages)

PI023Trial Notebook Index (Internal Use Only)

Microsoft Word (2 pages)

PI024Jury Selection Record (Internal Use Only)

Microsoft Word (2 pages)

PI025Trial Schedule

Microsoft Word (2 pages)

PI026Plaintiffs' Request to Charge in a Medical Malpractice Case

Microsoft Word (3 pages)

PI027Plaintiff's Request to Charge in a Motor Vehicle Negligence Case

Microsoft Word (3 pages)

PI028Plaintiffs' Proposed Verdict Sheet in a Medical Malpractice Case

Microsoft Word (11 pages)

G. Settlement and Closing of Case
PI029General Release

Microsoft Word (1 page)

PI030Standard Stipulation of Discontinuance

Microsoft Word (1 page)

PI031CPLR 5003-a Letter to Defendant Transmitting Settlement Documents

Microsoft Word (1 page)

PI032Judicial Conference Closing Statement

Microsoft Word (2 pages)

PI033Client Disbursement Accounting

Microsoft Word (1 page)

PI034Trial Preparation Checklist  Microsoft Word (5 pages)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

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