Verdicts and Settlements Report Form

Use this form to report your cases to the Wal-Mart Litigation Project so that it may be shared with others. Parts of it may also provide information to consumers that seek information from this site. You may use your browser's print function to print this file.

Basic Information
  1. Include name of court, e.g., circuit, superior, U.S. District, city and county













FACTS - Case Description
















Attach Supporting Files








Tell Us The Outcome
Settlement
Verdict
Defense Verdict









Submitted by ______________________________ Phone ( ____ ) __________________

Return this form to: Lewis Laska, Project Director
Wal-Mart Litigation Project
901 Church Street
Nashville, TN 37203
(615) 255-6288
Fax: (615) 255-6289