UNITED STATES DISTRICT COURT

WESTERN DISTRICT OF LOUISIANA
SHREVEPORT	DIVISION
Civil Action No.
Plaintiff
VS.	Judge	Walter
Magistrate Judge
Defendant
PRETRIAL ORDER

Following pretrial proceedings in this cause pursuant to the procedure of this court, IT IS ORDERED:
A.
This is an action for: (State nature of action, including damages or other relief sought and identification of parties.)
B.
The parties and their legal relationships are as follows: (State legal relationship of all parties with reference to claims, counterclaim, third-party claims, etc. In a direct action against insurer, the insured must be identified.)
C.
Statement of jurisdiction: (State the facts and statutory basis for federal jurisdiction.)
D.
The following facts are stipulated by the parties and require no proof: (Numerical listing of uncontested material facts.) To narrow issues and to eliminate unnecessary witnesses, counsel's best efforts are expected in preparing stipulations.
E.
The contested facts are: (Each issue shall be stated as a concise narrative of each party's contention about each issue; the issue SHALL NOT be offered solely as a question.) (Example: 1. The plaintiff contends the manifold was defective at the time of manufacture. 2. The defendant contends the plaintiff modified the manifold and exhaust system.)
F.
The contested issues of law to be determined by the Court: (Each issue shall be stated as a concise narrative of each party's contention about each issue; the issue SHALL NOT be offered solely as a question.)
G.
The following depositions and answers to interrogatories will be offered in evidence: (Prior to trial, counsel shall edit from the deposition irrelevant material.)
H.
There is no objection to the exhibits on the attached lists, except as follows: (State the basis for any objections as to each exhibit separately.)
I.
This is a	jury or	non-jury case. (In a jury case, indicate whether the jury
trial is applicable to all aspects of the case or identify those issues which will be tried by the
jury.) Anticipated length of trial is	days.
J.
The issue of liability	should or	should not be tried separately from that of
quantum.
K.
The undersigned hereby certify that this Pretrial Order has been formulated after
face-to-face or	telephone conference in which trial counsel for all parties were
included. Reasonable opportunity has been afforded to counsel for corrections or additions, prior to signing. Hereafter, this Order shall control the course of the trial and may not be amended except by consent of the parties and the Court, or by the order of the Court to prevent manifest injustice.

APPROVED AS TO FORM AND CONTENT:
Signature of Attorney for Plaintiff	Signature of Attorney for Defendant
Name:	Name:
Firm:	Firm:
Address:	Address:
Telephone:	Telephone:
Attachments:	1.	Exhibit List - numbered index of each document to be offered, with
objections thereto and basis thereof.

2.	Witness List - listing all witnesses, other than those exclusively for
impeachment, separated into "may call" and "will call" lists.

ACTION BY THE COURT

THE FOREGOING Pretrial Order has been approved by the parties to this action as evidenced by the signature of their counsel hereon, and the Order is hereby entered and will govern in the trial of this case.

Shreveport, Louisiana, this ______ day of ______________________, 20___.

UNITED STATES DISTRICT JUDGE