SupremeCourt 342 Pagel M-1767 Rev. l/04

APPENDTX (1)

PRESENT:SUPREME COURT COUNTY OF NASSAUIAS JUSTICE HON.

INDEX NO

Preliminary ConferenceStipulation and Order(sections 202.8 and202.12 &202.19of the Uniform Rules)

Plaintiff(s),against

Defendant(s)

(All items on the form must be completed unless inapplicable.)it is hereby STIPULATED and ORDERED that disclosure shall proceed as follows:

(1) Insurance Coverage (CPLR 3101 (0 If not already provided, shall be furnished by

on or before

Bill of Particulars:(a) Demand for a bill of particulars shall be served by on or before

on or before

(3)

(b) Bill of particulars shall be served by

Medical Report and Authorizations:Shall be served as follows:

(2)

(4)(a)

Physical Examination:Examination of shall be held

(s)

(b) A copy of the physician's report shall be furnished to plaintiff(s) within_days of

the examination.

Depositions: Choose (a) or (b) - Do not use both(a) Deponent Date and Time Place

(b) The parties shall set forth a schedule for depositions to be held no later thanand shall provide the court with the schedule.

(Attach additional sheet if necessary)

Optional:

If one deposition fails to take place as scheduled, the remaining parties' depositions shall nonetheless proceed as

scheduled, except that priorities between defendants and plaintiffs shall be preserued.

E S C

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(6) Other Disclosure

(a) All parties, on or before shall exchange names and addresses of all eyewitnesses andnotice witnesses, statements of opposing parties and photographs, or, if none, provide an affirmation to that effect.

(b) Authorizations for plaintiff(s) employment records for the period shall be furnished onor before

(c)Demandfordiscoveryandinspectionshallbeservedby-onorbefore-The items sought shall be produced to the extent not objected to, and objections, if any, shall be stated on orbefore

(d) Accident reporls prepared in the regular course of business shall be exchanged pursuant to CPLR 3 101(g)

(e) Other (interrogatories (CPLR 3130,3101 (d) Etc.)

All such disclosure, unless otherwise noted herein, shall be completed by

(f Plaintiff shall provide authorizations for the following collateral source providers (CPLR 4545) withindays

(7) The parties shall ensure that a stipulation of discontinuance shall be promptly filed if the case settles before thenext meeting with the Court. Failure to comply with any of these directions may result in the imposition of costsor sanctions or other action authorized by law.

(8) Motion: any dispositive motions(s) (CPLR 32ll and3212) shall be made on or before

(9) Impleader Motion(s) to amend the pleadings or to add parties: Shall be completed on or before

(10) End Date for all Disclosure

(11) ComplianceiCertification Conference shall be held on (To be set by clerk)

I. Affirmation of Injuries: (if applicable)

The most serious injury alleged in this action is

(12) Summary Judgment Motions:Pursuant to CPLR 3214(b), service of a notice of motion under rule 321 7,3212 or 3213 shall NOT stay disclosurepending the determination of that motion.

h.,

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(13) ALTERNATE DISPUTE RESOLUTION:

All counsel are directed to participate in a settlement conference, which will be held on

______________________, either virtually, with the assigned Justice (all parties will be sent a conference link by

chambers) or by telephone or in person. Counsel is directed to discuss with their client(s) any alternative

dispute resolution options available through the Court, which are as follows: (i) a settlement conference; (ii)

participation in a court alternative dispute resolution program, or (iii) alternative dispute resolution offered by

private entities.

At the first mediation conference, counsel must be fully familiar with the case and authorized to enter

into a settlement agreement. Counsel is urged to have his or her client present at the settlement conference. If,

however, counsel’s client is not able to appear, his or her client shall be available by telephone. It is important

to note that participation in a mediation program does not waive any provisions within the preliminary

conference order or any other time-lines pursuant to NYCRR 202.19.

(14) ORDERED, that all parties shall provide upon request of another party additional authorizations for

production of records maintained by health care providers and/or facilities.

(15) NOTE- By checking the box and typing the Attorney information represents, to the court, that the

preparer obtained permission from that Party to enter into this stipulation.

Attorney/or Plaintiff(s): _________________________ by _______________________

Email address: _________________________ Attorney/or Plaintiff(s): _________________________ by _______________________

Email address: _________________________ Attorney/or Defendant(s): _________________________ by _______________________

Email address: _________________________ Attorney/or Defendant(s): _________________________ by _______________________

Email address: _________________________ Attorney/or Defendant(s): _________________________ by _______________________

Email address: _________________________

DATED: __________________________

MINEOLA, NY

SO ORDERED:

________________________________

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ADDITIONAL DIRECTIVES

In addition to the directives as set forth on the annexed pages, it is further ORDERED as follows

a) Counsel shall contact the Court by conference call or appear for conference prior to making anymotions other than those for Summary Judgement. The failure to do so shall serve as the basis for adenial of any motion not made in accordance with this directive.

OTHER ADDITIONAL DIRECTIVES (AS NEEDED)

Dated:

SO ORDERED:

J.S.C.