Source: s3://data.kl3m.ai/documents/govinfo/USCOURTS/USCOURTS-cand-5_14-cv-00877/USCOURTS-cand-5_14-cv-00877-15/pdf.json

Nature of Suit Code: 440
Nature of Suit: Other Civil Rights
Cause of Action: 42:1983 Civil Rights Act

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Case No. 14-cv-00877-PSG

VERDICT FORM

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United States District Court

Northern District of California

UNITED STATES DISTRICT COURT

NORTHERN DISTRICT OF CALIFORNIA

HUNG LAM,

Plaintiff,

v.

CITY OF SAN JOSE, et al.,

Defendants.

Case No. 14-cv-00877-PSG

VERDICT FORM

Case 5:14-cv-00877-PSG Document 133 Filed 12/09/15 Page 1 of 4
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Case No. 14-cv-00877-PSG

VERDICT FORM

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United States District Court

Northern District of California

VERDICT FORM

When answering the following questions and filling out this verdict form, please follow the 

directions provided throughout the form. Your answer to each question must be unanimous. 

Some of the questions contain legal terms that are defined and explained in detail in the jury 

instructions. Please refer to the jury instructions if you are unsure about the meaning or usage of 

any legal term that appears in the questions below.

We, the jury, unanimously agree to the answers to the following questions and return them 

under the instructions of this Court as our verdict in this case.

1. Do you find by a preponderance of the evidence that Defendant Officer Dondi West 

used unreasonable force against Plaintiff Hung Lam?

Yes _____ No _____

If you answered “Yes,” then answer the next question. If you answered “No,” then 

proceed to Question 3.

2. Do you find by a preponderance of the evidence that Officer West substantially caused 

Mr. Lam to suffer any injury caused by Officer West’s unreasonable force in Question 

1 above?

Yes _____ No _____

Proceed to the next question.

3. Do you find by a preponderance of the evidence that Officer West battered Mr. Lam?

Yes _____ No _____

Proceed to the next question.

4. Do you find by a preponderance of the evidence that Officer West interfered or 

attempted to interfere by threat, intimidation or coercion with the exercise or 

enjoyment by Mr. Lam of rights secured by the Constitution, the laws of the United 

States or the laws of California, causing harm to Mr. Lam?

Yes _____ No _____

Proceed to the next question.

5. Do you find by a preponderance of the evidence that Officer West was negligent in her 

conduct, thereby causing the shooting of Mr. Lam?

Yes _____ No _____

If you answered “Yes,” then answer the next question. If you answered “No,” stop 

here, answer no further questions and proceed to page 4.

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Case No. 14-cv-00877-PSG

VERDICT FORM

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United States District Court

Northern District of California

6. Do you find by a preponderance of the evidence that Officer West’s negligence was a 

substantial factor in causing harm to Mr. Lam?

Yes _____ No _____

If you answered “Yes,” then answer the next question. If you answered “No,” stop 

here, answer no further questions and proceed to page 4.

7. Do you find by a preponderance of the evidence that Mr. Lam was negligent?

Yes _____ No _____

If you answered “Yes,” then answer the next question. If you answered “No,” stop 

here, answer no further questions and proceed to page 4.

8. Do you find by a preponderance of the evidence that Mr. Lam’s negligence was a 

substantial factor in causing his harm?

Yes _____ No _____

If you answered “Yes,” then answer the next question. If you answered “No,” stop 

here, answer no further questions and proceed to page 4.

9. What percentage of responsibility for Mr. Lam’s harm do you assign to the following:

Officer West _____________ %

Mr. Lam _____________ %

TOTAL 100 %

Proceed to the next page.

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Case No. 14-cv-00877-PSG

VERDICT FORM

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United States District Court

Northern District of California

Have the presiding juror sign and date this form. 

Signed: 

Presiding Juror

Dated:

After this verdict form has been signed and dated, notify the courtroom deputy that you are ready 

to present your verdict in the courtroom.

SO ORDERED.

Dated: December 9, 2015

_________________________________

PAUL S. GREWAL

United States Magistrate Judge

Case 5:14-cv-00877-PSG Document 133 Filed 12/09/15 Page 4 of 4