Source: s3://data.kl3m.ai/documents/govinfo/USCOURTS/USCOURTS-cand-3_04-cv-05107/USCOURTS-cand-3_04-cv-05107-21/pdf.json

Nature of Suit Code: 442
Nature of Suit: Civil Rights Employment
Cause of Action: 28:1331 Fed. Question: Employment Discrimination

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United States District Court

For the Northern District of California

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UNITED STATES DISTRICT COURT

NORTHERN DISTRICT OF CALIFORNIA

KIRAN PANDE,

Plaintiff(s),

v.

CHEVRON,

Defendant(s).

___________________________________/

Case No. C-04-05107 JCS

FINAL VERDICT FORM

DATED: October 22, 2007

___________________________

Hon. Joseph C. Spero

UNITED STATES MAGISTRATE JUDGE

Case 3:04-cv-05107-JCS Document 175 Filed 10/22/07 Page 1 of 3
United States District Court

For the Northern District of California

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JURY VERDICT

We, the jury, unanimously find as follows:

1. Did Chevron interfere with or deny Ms. Pande her right to medical leave under the

FMLA and the CFRA?

Yes __________ No________

Go to Question Number 2.

2. Did Chevron retaliate against Ms. Pande for her complaints about discrimination?

Yes __________ No _______

Go to Question Number 3.

3. Did Chevron discharge Ms. Pande from employment for reasons that violate a public

policy?

Yes __________ No _______

If you answered “YES” to Question Number One, Two, or Three, go to Question Number 4.

If you answered “NO” to all three questions do NOT answer Questions Number Four, Five

and Six. The foreperson of the jury should sign and date this form.

4. What damage, if any, to Ms. Pande was caused by Chevron?

Past Economic Loss $_______________________

Future Economic Loss $________________________

Go to Question Number 5.

Case 3:04-cv-05107-JCS Document 175 Filed 10/22/07 Page 2 of 3
United States District Court

For the Northern District of California

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5. Was Chevron’s conduct malicious, oppressive or fraudulent?

Yes __________ No _______

If you answered “YES” to Question Number Five, go to Question Number 6.

If you answered “NO” to Question Number Five, do NOT answer Question Number Six. The

foreperson of the jury should sign and date this form.

6. What amount of Punitive Damages do you award Ms. Pande?

$____________________________

Signed:____________________________________________________________

Foreperson of the Jury:_______________________________________________

Dated:__________________

After this verdict form has been signed and dated, please submit a Jury Note to the Court

Security Officer notifying the Court that the Jury has reached a verdict. Please return the verdict

form to the Courtroom Deputy.

Case 3:04-cv-05107-JCS Document 175 Filed 10/22/07 Page 3 of 3