Fill and Sign the Settlement Conference Form

Rule 1.301, Form No. 20 IN THE SUPREME COURT OF THE STATE OF OKLAHOMA ________________________________ ) ________________________________, ) ) Plaintiff/Appell_____, ) vs. ) No. ____________ ________________________________ ) ________________________________, ) ) Defendant/Appell_____. ) SETTLEMENT CONFERENCE STATEMENT (This statement shall not exceed five pages. Include any information specified in the Order for Settlement Conference and not itemized on this form. Provide this statement to the settlement conference judge and each other party no later than five (5) days before the scheduled settlement conference.). l. This statement is submitted by ___________________________,_________________________________ _____. (Appellant or Appellee) (Name) 2. Date of judgement or final order. (Appellant to enclose copy.). 3. Lower court, county, case number and judge. 4. Date petition in error was filed. 5. Related cases pending or closed in this Court; and outcome of each case decided (including previous appeals in same case). 6. Brief statement of facts. 7. Approximate dollar amount in controversy; if other than or in addition to money damages, the type(s) of relief sought from the lower court. 8. Lower court disposition being appealed. 9. As to each issue on appeal or cross-appeal, state your basis for relief or affirmation; and identify the applicable standard of review. 10. If the appeal will turn on an interpretation or application of a particular case or statute, cite the case or statute number. 11. Describe any previous settlement efforts; and current prospects for settlement. 12. Identify all persons who will attend the scheduled settlement conference on behalf of this party: a. NAMED PARTY (INDIVIDUAL) Name:_______________________________________________ Address:________________________________________________ __ Telephone (Home and Work):________________________________ Fax: _____________________________________________________ b. NAMED PARTY (CORPORATION OR PARTNERSHIP) Company Name:____________________________________________ Address:________________________________________________ __ Telephone and Fax:________________________________________ Representative - Name: ___________________________________ Title:___________________________________________________ _ Address: _________________________________________________ Telephone (Home and Work):________________________________ Fax:______________________________________________________ c. ATTORNEY Name: ____________________________________________________ Address: _________________________________________________ Telephone and Fax:________________________________________ d. INTERESTED NON-PARTY/INSURANCE COMPANY(IES) Company Name:_____________________________________________ Address:________________________________________________ __ Telephone and Fax:________________________________________ Representative - Name: ___________________________________ Title: ___________________________________________________ Address: _________________________________________________ Telephone (Home and Work):________________________________ Fax:____________________________________________________ __ e. OTHERS Name:__________________________________________________ ___ Role at Settlement Conference: ___________________________ Address:________________________________________________ __ Telephone (Home and Work) and Fax:________________________ 13. Identify persons with full authority to settle on behalf of named party at the settlement conference. Name:_____________________________________________________________ _____ Named-Party Affiliation: _________________________________________________ Title: _________________________________________________________________ Address: ________________________________________________________________ Telephone (Home and Work):________________________________________________ Fax:_______________________________________________________________ _____ DATE: _______________ For Appell_____. _______________________________ Name of Party By: ________________________________ Attorney Name OBA No.__________________________ Address__________________________ _________________________________ Telephone________________________ Fax _____________________________ (Certificate of Mailing)