West Palm Beach Car Accident Sample Expert Witness Intake Sheet Call 1-800-74-TRIAL
1. Background information:
(a) name _____________________________________________
(b) address and telephone (home and business)
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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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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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(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
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(c) journals
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(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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Call 1-800-74-TRIAL
