UNITED STATES DISTRICT COURT

DISTRICT OF NEW HAMPSHIR E

Shawn Cheever ,

Plaintif f

V .

Sergeant Michael Edmark

and Corporal Kevin Valenti ,

Defendants

VERDICT FORM

I . Liabilitv

A . Defendant Michael Edmark

U .~, i y,'.i i COURT TRICT GF fUEVVHA M PSHIRF

SLP 1 E 2009

FILED

Civil. No . 06-cv-351-JM

Question 1 : Do you find by a preponderance of the

evidence that Michael Edmark violated Shawn Cheever's

rights under the Eighth Amendment ?

Yes No

Question 2 : Do you find by a preponderance of the

evidence that Michael Edmark committed an assault

against Shawn Cheever ?

Yes No

Question 3 : Do you find by a preponderance of the

evidence that Michael Edmark committed a battery against

Shawn Cheever ?

Yes No

Case 1:06-cv-00351-JM Document 47 Filed 09/18/2009 Page 1 of 5
Defendant Kevin Valent i

Question 4 : Do you find by a preponderance of the evidence

that Kevin Valenti violated Shawn Cheever's rights under

the Eighth Amendment ?

Yes VNo

Question 5 : Do you find by a preponderance of the

evidence that Kevin Valenti committed an assault

against Shawn Cheever ?

Yes No

Question 6 : Do you find by a preponderance of the

evidence that Kevin Valenti committed a battery against

Shawn Cheever ?

Yes No

If you answered "Yes" to any question above, please

proceed to Section II pertaining to Damages .

If you answered "No" to all of the questions above, your

deliberations are complete . Please have the Jury Foreperson

turn to the end of this form, sign and date it, and notify

the Court Security Officer that you have reached a verdict .

2

Case 1:06-cv-00351-JM Document 47 Filed 09/18/2009 Page 2 of 5
II . Damage s

If you answered "Yes" to any or all of the questions

above, please respond to the following questions on

damages .

Question 7 : What compensatory damages do you award to

Shawn Cheever against Michael Edmark ?

(Please enterVthe amount in words, not

numbers, as if you were writing a check . )

Question 8 : What compensatory damages do you award to

Shawn Cheever against Kevin Valenti ?

(Please ente`r the amount in words, not

numbers, as if you were writing a check . )

Question 9 : If you did not award any compensatory

damages to Shawn Cheever but found that either Michael

Edmark or Kevin Valenti or both violated his Eighth

Amendment rights, then you must award Shawn Cheever

nominal damages on that claim . What amount of nominal

damages do you award to Shawn Cheever ?

c*ku- 06 -~~

(Please enter the amount in words, not numbers .

Remember the amount cannot exceed one dollar . )

Question 10 : If you answered "Yes" to either Question

1, that Michael Edmark violated Shawn Cheever's Eighth

Amendment rights, or to Question 4, that Kevin Valenti

violated Shawn Cheever's Eighth Amendment rights, you mus t

3

Case 1:06-cv-00351-JM Document 47 Filed 09/18/2009 Page 3 of 5
now consider whether he is entitled to an award of punitive

damages for that violation .

a . Michael Edmark - do you find by a preponderance

of the evidence that Shawn Cheever is entitled to

an award of punitive damages against Michael Ecdmark ?

Yes No

b . If you answered "Yes" to Question 10 .a ., what

amount of punitive damages do you award against

Michael Edmark?

G ,%~~~L''tc,a.

.a~r•sf~. . /~t.E~~,a,c o

(P :lease state the amount

in words, not numbers . )

c . Kevin valenti - do you find by a preponderance

of the evidence that Shawn Cheever is entitled to

an award of punitive damages against Kevin Valenti ?

Yes No

d . If you answered "Yes" to Question 10 .c ., what

amount of punitive damages do you award against

Kevin Valenti?

.~.s-~.~,~ ..-.,,,_.rr/

(Plea e state the amount

in words, not numbers . )

4

Case 1:06-cv-00351-JM Document 47 Filed 09/18/2009 Page 4 of 5
Date : September f S, 200 9

Foreperson

5

Case 1:06-cv-00351-JM Document 47 Filed 09/18/2009 Page 5 of 5