UNITED STATES DISTRICT COURT

WESTERN DISTRICT OF LOUISIANA
LAFAYETTE	DIVISION
Civil Action No.
Plaintiff
VS.	Magistrate Judge	Whitehurst
BY CONSENT OF THE PARTIES
Defendant
PRETRIAL ORDER

Trial Date:
Pretrial Conference Date:
Type of Trial:	JURY	BENCH
Estimated Length of Trial:	days
Trial Attorney Attending:	Party/Claim Represented:
1.	Jurisdictional Basis:
2.	Claims and Responses:
3.	Issues of Fact and Issues of Law:
4.	Stipulations:
5.	Will Call Witnesses:
6.	May Call Witnesses:
7.	Exhibits:
8.	Objections to Witness and Exhibit Lists:
9.	Counsel Affirmations:
(Date)	(Signature of Counsel)
(Date)	(Signature of Counsel)
(Date)	(Signature of Counsel)

CERTIFICATE OF SERVICE

I hereby certify that a copy of the above an foregoing joint status report was filed electronically with the Clerk of Court using the CM/ECF system and has been served upon counsel for all parties to this proceeding via electronic filing notification, facsimile, and/or first class United States mail, properly addressed, postage prepaid, at the last known address.
Signed at	, Louisiana, on this	day of	20	.
(Signature of Counsel)