CO · jury_instructions
CJI-Civ. 9:26B
Special Verdict Forms — Comparative Negligence of the Plaintiff — No Counterclaim — Single Defendant — No Designated Nonparty — Forms A and B
Form A:
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:
SPECIAL VERDICT FORM A
DO NOT ANSWER THIS SPECIAL VERDICT FORM A IF YOUR
FOREPERSON HAS COMPLETED AND ALL JURORS HAVE SIGNED SPECIAL
VERDICT FORM B.
We, the jury, present our Answers to Questions submitted by the Court, to which
we have all agreed:
1. Did the plaintiff, (name), have (injuries) (damages) (losses)? (Yes or No)
ANSWER: _______
2. Was the defendant, (name), negligent? (Yes or No)
ANSWER: _______
3. Was the defendant’s negligence, if any, a cause of any of the (injuries) (damages)
(losses) claimed by the plaintiff? (Yes or No)
ANSWER: _______
We, the jury, having answered one or more of the above three questions “no,” find
the issues for the defendant, (name).
Signatures of all jurors:
______________________________ ______________________________
Foreperson
______________________________ ______________________________
______________________________ ______________________________
Form B:
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:
SPECIAL VERDICT FORM B
DO NOT ANSWER THIS SPECIAL VERDICT FORM B IF YOUR
FOREPERSON HAS COMPLETED AND ALL JURORS HAVE SIGNED SPECIAL
VERDICT FORM A.
We, the jury, present our Answers to Questions submitted by the Court, to which
we have all agreed:
1. Did the plaintiff, (name), have (injuries) (damages) (losses)? (Yes or No)
ANSWER: _______
2. Was the defendant, (name), negligent? (Yes or No)
ANSWER: _______
3. Was the defendant’s negligence, if any, a cause of any of the (injuries) (damages)
(losses) claimed by the plaintiff? (Yes or No)
ANSWER: _______
4. Was the plaintiff, (name), negligent? (Yes or No)
ANSWER: _______
5. Was the plaintiff’s negligence, if any, a cause of (insert applicable pronoun) own
claimed (injuries) (damages) (losses)? (Yes or No)
ANSWER: _______
6. State your answers to the following questions relating to the plaintiff’s damages
that were caused by the negligence of the defendant, whether the damages were also caused
by the negligence, if any, of the plaintiff (or anyone else).
a. What is the total amount of plaintiff’s damages, if any, 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: _______
b. What is the total amount of plaintiff’s damages, if any, 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 applicable Instruction on damages). You should answer “0” if you
determine there were none.
ANSWER: _______
(c. What is the total amount of plaintiff’s damages, if any, for [physical impairment]
[or] [disfigurement]? You should answer “0” if you determine there were none.)
ANSWER: _______
Answer the following question 7 only if your answer to all five questions 1, 2, 3, 4,
and 5 is “yes.”
7. Taking as 100 percent the combined negligence of the defendant and the plaintiff
that caused the plaintiff’s (injuries) (damages) (losses), what percentage of the negligence
was the defendant’s and what percentage was the plaintiff’s?
ANSWER:
Percentage charged to defendant, (name): _______%
Percentage charged to plaintiff, (name): _______%
MUST TOTAL: 100%
Signatures of all jurors:
______________________________ ______________________________
Foreperson
______________________________ ______________________________
______________________________ ______________________________
History
CJI-Civ. (2026), Colorado Supreme Court Committee on Pattern Civil Jury Instructions. Dated 2026-02-25 by the committee page's "Revised 2/25/26".
Provenance
- Source
- www.coloradojudicial.gov
- Retrieved
- 2026-09-24
- Edition
- civ-2026-02-25
- Content hash
ba203d73a02bb7fdd7d8c38b82133135e2fcbb7d41a08f26b69cf370e87add58
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