CACI VF-1301 Battery—Self-Defense/Defense of Others at Issue

VF-1301 Battery—Self-Defense/Defense of Others at Issue

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We answer the questions submitted to us as follows:

1.Did [name of defendant] [touch [name of plaintiff]] [or] [cause [name of plaintiff] to be touched] with the intent to harm or offend [him/her/nonbinary pronoun]?

 Yes   No

If your answer to question 1 is yes, then answer question 2. If you answered no, stop here, answer no further questions, and have the presiding juror sign and date this form.

2.Did [name of plaintiff] consent to be touched?

 Yes   No

If your answer to question 2 is no, then answer question 3. If you answered yes, stop here, answer no further questions, and have the presiding juror sign and date this form.

3.Was [name of plaintiff] harmed [or offended] by [name of defendant]’s conduct?

 Yes   No

If your answer to question 3 is yes, then answer question 4. If you answered no, stop here, answer no further questions, and have the presiding juror sign and date this form.

[4.Would a reasonable person in [name of plaintiff]’s situation have been offended by the touching?

 Yes   No

If your answer to question 4 is yes, then answer question 5. If you answered no, stop here, answer no further questions, and have the presiding juror sign and date this form.]

5.Did [name of defendant] reasonably believe that [name of plaintiff] was going to harm [him/her/nonbinary pronoun/[insert identification of other person]]?

 Yes   No

If your answer to question 5 is yes, then answer question 6. If you answered no, skip question 6 and answer question 7.

6.Did [name of defendant] use only the amount of force that was reasonably necessary to protect [himself/herself/nonbinary pronoun/[insert identification of other person]]?

 Yes   No

If your answer to question 6 is no, then answer question 7. If you answered yes, stop here, answer no further questions, and have the presiding juror sign and date this form.

7.What are [name of plaintiff]’s damages?

[a.Past economic loss

[lost earnings $]

[lost profits $]

[medical expenses $]

[other past economic loss $]

Total Past Economic Damages: $]

[b.Future economic loss

[lost earnings $]

[lost profits $]

[medical expenses $]

[other future economic loss$]

Total Future Economic Damages: $]

[c.Past noneconomic loss, including [physical
pain/mental suffering:] $]

[d.Future noneconomic loss, including [physical
pain/mental suffering:] $]

TOTAL $

After [this verdict form has/all verdict forms have] been signed, notify the [clerk/bailiff/court attendant] that you are ready to present your verdict in the courtroom.

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