CACI No. 3063

(Civ. Code, § 51.7)

[Name of plaintiff] claims that [name of defendant] committed an act of

violence against [him/her/ nonbinary pronoun] because of

[his/her/nonbinary pronoun] [race/color/religion/ancestry/national origin/

political affiliation/sex/sexual

orientation/age/disability/citizenship/primary language/immigration

status/position in a labor dispute/[insert other actionable characteristic]].

To establish this claim, [name of plaintiff] must prove all of the following:

1. That [name of defendant] committed a violent act against [name of

plaintiff] [or [his/her/ nonbinary pronoun] property];

2. That a substantial motivating reason for [name of defendant]’s

conduct was [[his/her/ nonbinary pronoun] perception of] [name of

plaintiff]’s [race/color/religion/ancestry/national origin/political

affiliation/sex/sexual orientation/age/disability/citizenship/primary

language/immigration status/position in a labor dispute/[insert

other actionable characteristic]];

3. That [name of plaintiff] was harmed; and

4. That [name of defendant]’s conduct was a substantial factor in

causing [name of plaintiff]’s harm.

Derived from former CACI No. 3023 December 2009; Renumbered from CACI No.

3023A December 2012; Revised June 2013, December 2016