Conn. Civ. Jury Instr. 6.3

CV-17 0000000 S SUPERIOR COURT

PAUL PLAINTIFF JUDICIAL DISTRICT OF

v. NEW BRITAIN

DORA DEFENDANT OCTOBER 17, 2017

VERDICT

(Check one box only and fill in additional information as necessary.)

□ We the jury find in favor of the plaintiff PAUL PLAINTIFF against the defendant DORA

DEFENDANT and award damages as follows:

(a) Total economic damages:

$___________________

(b) Total noneconomic damages

$___________________

(c) Total damages awarded to plaintiff [add (a) and (b)]:

$___________________

OR

□ We the jury find in favor of the defendant DORA DEFENDANT against the plaintiff

PAUL PLAINTIFF.

_______________________________________

________________________

Jury Foreperson

Date