MA · jury_instructions
Instruction 5.501, Criminal Model Jury Instructions for Use in the District Court
Sample jury verdict slip - OUI causing serious injury
COMMONWEALTH OF MASSACHUSETTS
DISTRICT COURT DEPARTMENT OF THE TRIAL COURT
____________________ Division
Complaint No. ______________
COMMONWEALTH )
)
vs. ) JURY VERDICT
)
____________________ )
We, the jury, unanimously return the following verdict:
(Check only one of the following four choices:)
___ 1. We find the defendant NOT GUILTY of the offense charged and any lesser included
offense.
___ 2. We find the defendant GUILTY as charged of the offense of operating a motor
vehicle [recklessly] [negligently] while under the influence of [tailor to complaint] , causing
serious bodily injury to a person. General Laws c. 90, s. 24L (1).
___ 3. We find the defendant GUILTY only of the lesser included offense of operating a
motor vehicle [while under the influence of _______________] [with a blood alcohol level of .08
percent or greater], causing serious bodily injury to a person. General Laws c. 90, s. 24L (2).
___ 4. We find the defendant GUILTY only of the lesser included offense of operating a
motor vehicle on a way, or in a place to which the public has a right of access, or on a way or in
a place to which members of the public have access as invitees or licensees, while under the
influence of [tailor to complaint]: [while under the influence of _______________] [with a blood
alcohol level of .08 percent or greater]. General Laws c. 90, s. 24(1).
Date: _________ Signature:
________________________________
Foreperson of the Jury
History
Instruction 5.501, Criminal Model Jury Instructions for Use in the District Court (Revised October 2024). Published by the Administrative Office of the District Court, District Court Department of the Trial Court, Commonwealth of Massachusetts, on www.mass.gov. © 1988-2009 Administrative Office of the District Court; reproduced under its title-page permission ("You may freely reproduce or copy this work if you identify its source and any changes made to the original work"). Source: https://www.mass.gov/doc/5501-sample-jury-verdict-slip-oui-causing-serious-injury/download. Changes made: the text is extracted from the published PDF (verified by three extraction engines); the running headers, page numbers and line layout are removed, and a closing NOTES section, where printed, is carried as the note.
Provenance
- Source
- mass.gov
- Retrieved
- 2026-09-25
- Edition
- 2026-09-25
- Content hash
b29c3f393cf018cdc5f4e452f6a6c363bf65a772c4bde821606e6e400314c4dd
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