CJI-Civ. 6:1B

District Court County Court Other

County, Colorado

Court Address:

[Insert Information from the original caption here - ex. In Re the

Matter of, etc.]

COURT USE ONLY

Case Number:

Division: Courtroom:

ANSWERS TO QUESTIONS REGARDING DAMAGES

DO NOT ANSWER ANY OF THESE QUESTIONS IF YOU HAVE RETURNED A

VERDICT IN FAVOR OF (THE DEFENDANT) (ALL OF THE DEFENDANTS) AND

AGAINST THE PLAINTIFF

We, the jury, present our Answers to the Questions submitted by the Court, to

which we have all agreed:

1. What is the total amount of plaintiff’s damages for noneconomic losses or

injuries (, excluding any damages for [physical impairment] [or]

[disfigurement])? Noneconomic losses or injuries are those losses or injuries

described in numbered paragraph 1 of Instruction (insert number of the

applicable instruction on damages). You should answer “0” if you determine there

were none.

ANSWER: $_______

2. What is the total amount of plaintiff’s damages for economic losses (, excluding

any damages for [physical impairment] [or] [disfigurement])? Economic losses

are those losses described in numbered paragraph 2 of Instruction (insert number

of the applicable instruction on damages). You should answer “0” if you determine

there were none.

ANSWER: $______

3. What is the total amount of plaintiff’s damages for [physical

impairment] [or] [disfigurement]? You should answer “0” if you determine there

were none.

ANSWER: $_______)

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Foreperson

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