West Palm Beach car accident Expert Witness Intake Sheet: Automobile Accident Cases

West Palm Beach car accident Expert Witness Intake Sheet: Automobile Accident Cases

Expert Witness Intake Sheet: Automobile Accident Cases

1. Background information:
(a) name _____________________________________________

(b) address and telephone (home and business)

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_______________________________________________________

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2. Education:
(a) colleges and universities attended

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(b) curriculum/courses of study (engineering, mechanics, bioengineering, biomechanics, accident reconstruction, ergonomics, etc.)

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(c) degrees

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(d) honorary degrees

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(e) fellowships

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(f) teaching positions

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3. Licenses and certifications:
(a) license/date received, prerequisites and issuing authority

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(b) certification, date of issuance, prerequisite and issuing authority

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_______________________________________________________

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4. Employment:
(a) present position, job title and duties

_______________________________________________________

_______________________________________________________

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(b) past experience, job title, duties, and names and addresses of employers

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5. Consulting work:
(a) attorneys

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(b) government

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(c) regulatory agencies

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(d) other

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6. Publication:
(a) texts

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(b) treatises

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(c) journal articles

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(d) studies and reports

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7. Lectures and seminars:
(a) subject matter

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_______________________________________________________

_______________________________________________________

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(b) date given

_______________________________________________________

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(c) audience

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8. Professional society memberships:
(a) name of organization(s)

_______________________________________________________

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(b) nature of membership (earned, honorary or fee paid)

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(c) offices held

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(d) special duties

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9. Honors and Awards:
(a) nature of honor or award

_______________________________________________________

_______________________________________________________

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(b) issuing group, agency or authority

_______________________________________________________

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10. Prior experience (depositions, hearings and trials):
(a) depositions

_______________________________________________________

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(b) hearings

_______________________________________________________

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(c) trial testimony

_______________________________________________________

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(d) areas qualified as expert

_______________________________________________________

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(e) other administrative experience

_______________________________________________________

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11. Recognition of authority:
(a) texts

_______________________________________________________

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(b) treatises

_______________________________________________________

_______________________________________________________

(c) journals

_______________________________________________________

_______________________________________________________

(d) societies/organizations

_______________________________________________________

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(e) reports

_______________________________________________________

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(f) other experts

_______________________________________________________

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12. Fee and notice requirements:
(a) fee for evaluation (per hour, per diem, flat rate)

_______________________________________________________

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(b) fee for consultation (per hour, per diem, flat rate)

_______________________________________________________

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(c) fee for depositions

_______________________________________________________

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(d) fee for trial testimony

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(e) other compensation requirements/methods of billing

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(f) notice requirements

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13. References:
(a) attorneys

_______________________________________________________

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(b) other experts

_______________________________________________________

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(c) organizations/societies

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