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ATTORNEY OR PARTY WITHOUT ATTORNEY

STATE BAR NUMBER:

MC-350EX

FOR COURT USE ONLY

STATE:

FAX NO.:

ZIP CODE:

SUPERIOR COURT OF CALIFORNIA, COUNTY OF
STREET ADDRESS:

NAME:

FIRM NAME:

STREET ADDRESS:

CITY:

TELEPHONE NO.:

EMAIL ADDRESS:

ATTORNEY FOR (Name):

MAILING ADDRESS:

CITY AND ZIP CODE:

BRANCH NAME:

CASE NAME:

PETITION FOR EXPEDITED APPROVAL OF COMPROMISE OF
CLAIM OR ACTION OR DISPOSITION OF PROCEEDS OF JUDGMENT
FOR MINOR OR PERSON WITH A DISABILITY

CASE NUMBER:

No hearing date is requested.
HEARING DATE:

DEPT.:

TIME:

NOTICE TO PETITIONER
You must use this form to request expedited court approval of a qualifying (1) compromise of a minor's disputed claim, (2) compromise
of a pending action or proceeding in which a minor or a person with a disability (including a conservatee) is a party, or (3) disposition of
the proceeds of a judgment for a minor or person with a disability. (See Code Civ. Proc., § 372; Prob. Code, §§ 3500, 3600–3613.) You
may request expedited approval only if (1) you are represented by an attorney; (2) the statements in items 3a, 3b, 3c, 3d, 3e, 3f, and
either 3g(1) or 3g(2), below, are true and accurate; and (3) the court does not otherwise order.
If your compromise or judgment qualifies and you choose to use this form, the court may consider and act on your petition without a
hearing. If your compromise or judgment qualifies for expedited consideration but you choose not to use this form or your compromise
or judgment does not qualify for expedited consideration, you must use Petition for Approval of Compromise of Claim or Action or
Disposition of Proceeds of Judgment for Minor or Person With a Disability (form MC-350), and the court will schedule a hearing.

1. Petitioner (name or pseudonym*):
is the (check all boxes that apply):
Other (specify relationship):

Parent

Guardian ad litem*

Guardian

Conservator

of the claimant identified in item 2. (*Petitioner may appear under a pseudonym only if appointed as guardian ad litem under that
pseudonym. (See Code Civ. Proc., § 372.5.))

2. Claimant (name):
a. Address:
b. Date of birth:
d.
(If the claimant is an adult with a disability who (1) has capacity to consent to the order requested and (2) does not have a
conservator of the estate, check e. and f. and ensure that the claimant personally reads and signs item 21. (Prob. Code, § 3613.))
e.
f.

Has the capacity, within the meaning of Probate Code section 812, to consent to the requested order.
Does not have a conservator of the estate.

Person with a disability

Minor or

c. Age:

3. Qualification for Expedited Approval

a. The claimant's claim or action is not for damages for the death of a person caused by the wrongful act or neglect of another.
b. No portion of the net proceeds of the judgment or settlement in favor of the claimant is to be placed in a trust.
c. There are no unresolved disputes concerning liens to be satisfied from the proceeds of the judgment or settlement.
d. Petitioner's attorney did not become involved with this matter, directly or indirectly, at the request of a party against whom the

claim is asserted or a party's insurance carrier.

e. Petitioner's attorney is not representing, employed by, or associated with a defendant in this matter or an insurance carrier.
f. All defendants that have appeared in a pending action on the claim are participating in the proposed compromise or the court

has made a final determination that all settling parties entered into the settlement in good faith.
(1)

The judgment described in item 4c (exclusive of interest and costs) or the total settlement described in items 11 and
12 payable to the claimant and all other persons named in item 12 is in the amount of $50,000 or less; or
The settlement described in item 11 represents payment of the single-person policy limits of all liability insurance
policies covering the defendants named in that item. The investigation described in Attachment 3 shows that all of
those defendants are judgment-proof outside of their insurance coverage. (Describe investigation and results in
Attachment 3.)

(2)

Form Adopted for Alternative Mandatory Use
Instead of Form MC-350
Judicial Council of California
MC-350EX [Rev. January 1, 2021]

PETITION FOR EXPEDITED APPROVAL OF COMPROMISE OF
CLAIM OR ACTION OR DISPOSITION OF PROCEEDS OF
JUDGMENT FOR MINOR OR PERSON WITH A DISABILITY

Page 1 of 7

Code of Civil Procedure, § 372;
Probate Code, §§ 3500, 3600–3613;
Cal. Rules of Court, rules 3.1384,
7.101, 7.950, 7.950.5, 7.951

CASE NAME:

CASE NUMBER:

MC-350EX

a.
b.

Name of court:
Case no.:

4. Claim The claim of the minor or adult person with a disability:

Is not the subject of a pending action or proceeding. (Complete items 5–23.)
Is the subject of a pending action or proceeding that will be compromised without a trial. (Complete items 5–23.)

Is the subject of an action or proceeding in which a judgment has been or will be entered for the claimant against the
defendants named below in the amount (exclusive of interest and costs) of (specify):

Trial date:

Defendants (names:

Additional defendants listed on Attachment 4.

The judgment was filed on (date):

(Attach a copy of the (proposed) judgment as Attachment 4c and complete items 13–23.)

Incident or accident The incident or accident occurred as follows:
a. Date:

Time:

b. Place:

c. Persons involved (names):

Additional persons listed on Attachment 5.

6. Nature of incident or accident

The facts, events, and circumstances of the incident or accident are (describe what happened):

Continued on Attachment 6.

Injuries
The following injuries were sustained by the claimant as a result of the incident or accident (describe):

Continued on Attachment 7.

8. Treatment

The claimant received the following care and treatment for the injuries described in item 7 (describe):

Continued on Attachment 8.

MC-350EX [Rev. January 1, 2021]

Page 2 of 7

PETITION FOR EXPEDITED APPROVAL OF COMPROMISE OF
CLAIM OR ACTION OR DISPOSITION OF PROCEEDS OF
JUDGMENT FOR MINOR OR PERSON WITH A DISABILITY

CASE NAME:

CASE NUMBER:

MC-350EX

9. Extent of injuries and recovery (An original or a photocopy of any doctor's report containing a diagnosis of the claimant's injuries
or a prognosis for the claimant's recovery, and a report of the claimant's current condition, must be attached to this petition as
Attachment 9. A new report is not necessary if a previous report accurately describes the claimant's current condition.)
a.

The claimant has recovered completely from the effects of the injuries described in item 7, and there are no permanent
injuries.
The claimant has not recovered completely from the effects of the injuries described in item 7, and the following injuries
from which the claimant has not recovered are temporary (describe the remaining injuries and symptoms):

Continued on Attachment 9b.

The claimant has not recovered completely from the effects of the injuries described in item 7, and the following injuries
from which the claimant has not recovered are permanent (describe the permanent injuries and symptoms):

Continued on Attachment 9c.

10.

Petitioner has made a careful and diligent inquiry and investigation into the facts and circumstances of the incident
or accident in which the claimant was injured; the responsibility for the incident or accident; and the nature, extent,
and seriousness of the claimant's injuries. Petitioner understands that if the compromise proposed in this petition is
approved by the court and consummated, the claimant will never be able to recover any more compensation from the
settling defendants named below even if the claimant's injuries turn out to be more serious than they now appear.

11. Amount and terms of settlement

To settle the claim in 4a or 4b, the defendants named below have offered to pay the following amounts to the claimant:
a. The total amount offered by all defendants named below is (specify):
b. The defendants and amounts offered by each are as follows (specify):

Defendants (names)

Amounts

$ $ $ $

Additional defendants and amounts offered are listed on Attachment 11b.

c. The terms of settlement are described on Attachment 11c. (If the settlement is to be paid in installments, both the total amount

and the present value of the settlement must be included.)

12. Settlement payments to others

No defendant named in item 11b has offered to pay money to any person or persons other than the claimant to settle
claims arising out of the same incident or accident that resulted in the claimant's injury.
One or more of the defendants named in item 11b have also offered to pay money to a person or persons other than
claimant to settle claims arising out of the same incident or accident that resulted in the claimant's injury.

(1) The total amount offered by all defendants to others is (specify): $
(2)
(3) The settlement payments are to be apportioned and distributed as follows:

Petitioner would receive money under the proposed settlement.

Other plaintiffs or claimants (names)

Amounts

(4)

(5)

Additional plaintiffs or claimants and amounts are listed on Attachment 12.
The settlement payments are apportioned between the claimant and each other plaintiff or claimant named above on
a pro rata basis, based upon the special damages claimed by each. The special damages claimed by each other
plaintiff or claimant are specified on Attachment 12.

Reasons for the apportionment of the settlement payments between the claimant and each other plaintiff or claimant
named above are specified on Attachment 12.

MC-350EX [Rev. January 1, 2021]

Page 3 of 7

PETITION FOR EXPEDITED APPROVAL OF COMPROMISE OF
CLAIM OR ACTION OR DISPOSITION OF PROCEEDS OF
JUDGMENT FOR MINOR OR PERSON WITH A DISABILITY

$ $ $ $ $ $ $ $ $

CASE NAME:

CASE NUMBER:

MC-350EX

13. Claimant's medical expenses—including expenses paid by petitioner, Medicare, Medi-Cal, and private insurers—that are to

be paid or reimbursed from the proceeds of the settlement or judgment
a. Totals

(1) Total medical expenses before any reductions:
(2) Total medical expenses paid (include payments by private insurance, Medi-Cal, or Medicare):
(3) Total of negotiated, contractual, or statutory reductions, if any:
(4) Total amount of medical expenses to be paid or reimbursed from proceeds:
(5) Total amount of statutory or contractual liens, if any:
(Identify each medical expense payer and the amount each paid, and explain any differences between items 13a(1), (4), and (5)
in Attachment 13a.)

$
($
($
$
$

)
)

(1)
(2)

None of the claimant's medical expenses have been paid by Medicare.
Medicare paid some or all of claimant's medical expenses. In full satisfaction of its lien rights,
Medicare will be reimbursed in the amount of:

(Attach a copy of the final Medicare demand letter or letter agreement as Attachment 13b(2).)

(1)
(2)

None of the claimant's medical expenses have been paid by Medi-Cal.
Medi-Cal paid some or all of claimant's medical expenses.

(a) Notice of this claim or action has been given to the Director of Health Care Services. (Welf. & Inst. Code, § 14124.73.)

(b)

A copy of the notice and proof of delivery
In full satisfaction of its lien rights, Medi-Cal has agreed to accept reimbursement
in the amount of:

is attached

was filed in this matter on (date):

(Attach a copy of the final Medi-Cal demand letter or letter agreement as Attachment 13c(2).)

The claimant's health plan is requesting reimbursement for medical expenses paid under the plan.
In full satisfaction of the plan's lien rights, it will be reimbursed in the amount of:

(Attach statements from the plan showing expense payments and requesting reimbursement.)

Petitioner has paid claimant's medical expenses to be reimbursed in the amount of:

(See instructions for item 15.)
(1)
(2)

There are no statutory or contractual liens for payment of the claimant's medical expenses.
There are one or more liens from medical service providers for payment of the claimant's medical expenses.
In full satisfaction of their lien claims, the lienholders have agreed to accept the sum of:

(Select (1) or (2) below.)
(1)
(2)

Latest statements from all medical service providers are attached as Attachment 13g.
All medical expenses have been paid by private insurance, Medicare, or Medi-Cal.

14. Claimant's attorney's fees and all other expenses (except medical expenses), including fees or expenses paid by petitioner

and claimant's attorney, to be paid or reimbursed from proceeds of settlement or judgment
a. Total amount of attorney's fees for which court approval is requested:

(If fees are requested, attach as Attachment 14a a declaration from the attorney explaining the basis for the request, including a
discussion of applicable factors listed in rule 7.955(b) of the Cal. Rules of Court. Include a copy of any written attorney fee
agreement in Attachment 14a.)

b. The following additional items of expense (other than medical expenses) have been incurred or paid, are reasonable, resulted
from the incident or accident, and should be paid or reimbursed out of claimant's share of the proceeds of the settlement or
judgment:

Items

Payees (names)

Amounts

Continued on Attachment 14b.

Total:

Costs of suit attributable to more than one settling plaintiff are not apportioned between them on a pro rata basis based
on their gross settlement amounts. The apportionment of these costs is described and explained in Attachment 14c.

MC-350EX [Rev. January 1, 2021]

Page 4 of 7

PETITION FOR EXPEDITED APPROVAL OF COMPROMISE OF
CLAIM OR ACTION OR DISPOSITION OF PROCEEDS OF
JUDGMENT FOR MINOR OR PERSON WITH A DISABILITY

$
$

$ $

$ $ $ $ $ $ $

CASE NAME:

CASE NUMBER:

MC-350EX

15. Reimbursement of fees and expenses paid by petitioner

Petitioner has paid none of the fees or expenses listed in items 13 and 14 for which reimbursement is requested.

Petitioner has paid the following total amounts of the claimant's fees and expenses for which reimbursement is requested.

(1)
(2)
(3)

Medical expenses listed in item 13:
Attorney's fees included in the total fee amount shown in item 14a:
Other expenses included in the total shown in item 14b:

(Attach proofs of the fees and expenses incurred and payments made, e.g., bills or invoices,
canceled checks, credit card statements, explanations of benefits from insurers, etc.)

Total:

16. Net balance of proceeds remaining for claimant

The balance of the proceeds of the proposed settlement or judgment remaining for the claimant
after payment or reimbursement of all requested fees and expenses is (specify):

17. Summary

a. Gross amount of proceeds of settlement or judgment for claimant:
b. Medical expenses to be paid from proceeds of settlement or judgment:
c. Attorney's fees to be paid from proceeds of settlement or judgment:
d. Expenses (other than medical) to be paid from proceeds of settlement

or judgment:

e. Total fees and expenses to be paid from proceeds of settlement or

judgment (add (b), (c), and (d)):

f. Balance of proceeds of settlement or judgment available for claimant

after payment of all fees and expenses (subtract (e) from (a)):

$
$

)

18. Information about attorney representing or assisting petitioner

a. The attorney

is not

representing or employed by another party involved in this matter.

(If you answered "is," identify the other party and explain the relationship in Attachment 18a. If the other party is a defendant,
you must use form MC-350 for your petition and are not eligible for expedited consideration by the court. See item 3e on page 1
and Cal. Rules of Court, rule 7.950.5(a)(6).)

b. The attorney attorney's fees or
other compensation in addition to that requested in this petition for services provided in connection with the claim giving rise to
this petition (if you answered ''has received or expects to receive,'' identify the person who paid or will pay the fees or other
compensation, the amounts paid or to be paid, and the dates of payment or expected payment):

has neither received nor expects to receive

has received or expects to receive

From Whom Paid or Expected (name)

Date Paid or Expected

Amount
Paid or Expected

Continued on Attachment 18b.

Total: $

MC-350EX [Rev. January 1, 2021]

Page 5 of 7

PETITION FOR EXPEDITED APPROVAL OF COMPROMISE OF
CLAIM OR ACTION OR DISPOSITION OF PROCEEDS OF
JUDGMENT FOR MINOR OR PERSON WITH A DISABILITY

CASE NAME:

CASE NUMBER:

MC-350EX

19. Disposition of balance to claimant (check either a or b, then check each option requested and enter amount(s)):

There is a guardianship of the estate of the minor or a conservatorship of the estate of the adult person with a disability
filed in (name of court):
Case no.:

Petitioner requests that of the proceeds in money or other property be paid or delivered to the
guardian of the estate of the minor or the conservator of the estate of the conservatee. The money or other property is
specified in Attachment 19a(1).

Petitioner is the guardian or conservator of the estate of the minor or the adult person with a disability. Petitioner
requests authority to deposit or invest of the money or other property to be paid or delivered
under 19a(1) in one or more insured accounts with financial institutions in this state or with a trust company, subject to
withdrawal only on authorization of the court. The money or other property and the name, branch, and address of
each financial institution or trust company are specified in Attachment 19a(2).

Petitioner proposes that all or a portion of the proceeds not become part of the guardianship or conservatorship
estate. Petitioner requests authority to deposit or transfer these proceeds as follows (check all that apply):

(a)

(b)

(c)

$
to be deposited in insured accounts in one or more financial institutions in this state,
subject to withdrawal only on authorization of the court. The name, branch, and address of each depository are
specified in Attachment 19a(3)(a).

$
to be invested in a single-premium deferred annuity, subject to withdrawal only on
authorization of the court. The terms and conditions of the annuity are specified in Attachment 19a(3)(b).

$
to be transferred to a custodian for the benefit of the minor under the California Uniform
Transfers to Minors Act. The name and address of the proposed custodian and the property to be transferred are
specified in Attachment 19a(3)(c).

There is no guardianship of the estate of the minor or conservatorship of the estate of the adult person with a disability.
Petitioner requests that the balance of the proceeds of the settlement or judgment be disbursed as follows
(check all that apply):

A guardian of the estate of the minor or a conservator of the estate of the adult person with a disability be appointed
and of money and other property be paid or delivered to the person so appointed. The money
or other property are specified in Attachment 19b(1).
$
of money be deposited in insured accounts in one or more financial institutions in this state,
subject to withdrawal only on authorization of the court. The name, branch, and address of each depository are
specified in Attachment 19b(2).
$
of money be invested in a single-premium deferred annuity, subject to withdrawal only on
authorization of the court. The terms and conditions of the annuity are specified in Attachment 19b(3).
$
be paid or delivered to a parent of the minor on the terms and under the conditions specified in
Probate Code sections 3401–3402, without bond. The name and address of the parent and the money or other
property to be delivered are specified in Attachment 19b(4). (Value of minor's entire estate, including the money or
property to be delivered, must not exceed $5,000.)
be transferred to a custodian for the benefit of the minor under the California Uniform Transfers
$
to Minors Act. The name and address of the proposed custodian and the money or other property to be transferred
are specified in Attachment 19b(5).
$
of money be held on the conditions that the court determines to be in the best interest of the
minor or adult person with a disability. The proposed conditions are specified on Attachment 19b(6). (Value must not
exceed $20,000.)
of property other than money be held on the conditions that the court determines to be in the
$
best interest of the minor or adult person with a disability. The proposed conditions and the property are specified in
Attachment 19b(7).
$
be deposited with the county treasurer of the County of
The deposit is authorized under and subject to the conditions specified in Probate Code section 3611(h).
$
be paid or transferred to the adult person with a disability. The money or other property is
specified in Attachment 19b(9).

(name):

(1)

(2)

(3)

(1)

(2)

(3)

(4)

(5)

(6)

(7)

(8)

(9)

MC-350EX [Rev. January 1, 2021]

Page 6 of 7

PETITION FOR EXPEDITED APPROVAL OF COMPROMISE OF
CLAIM OR ACTION OR DISPOSITION OF PROCEEDS OF
JUDGMENT FOR MINOR OR PERSON WITH A DISABILITY

CASE NAME:

CASE NUMBER:

MC-350EX

20.

Additional orders

Petitioner requests the following additional orders (specify and explain):

Continued on Attachment 20.

I, the claimant named in item 2, consent to the order or judgment requested in this petition.
(Required if the claimant is an adult with a disability who has the capacity, under Probate Code section 812, to consent to the
order or judgment and does not have a conservator of the estate. (See Prob. Code, § 3613.))

(TYPE OR PRINT NAME OF CLAIMANT)

(SIGNATURE OF CLAIMANT)

22. Petitioner recommends the proposed compromise, settlement, or disposition of judgment proceeds for the claimant to the court as

being fair, reasonable, and in the best interest of the claimant. Petitioner requests that the court approve this compromise,
settlement, or disposition and make any other orders that are just and reasonable.

23. Number of pages attached:

(TYPE OR PRINT NAME)

(SIGNATURE OF ATTORNEY)

I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct.

(TYPE OR PRINT NAME OF PETITIONER)

(SIGNATURE OF PETITIONER)

21.

Date:

MC-350EX [Rev. January 1, 2021]

Page 7 of 7

PETITION FOR EXPEDITED APPROVAL OF COMPROMISE OF
CLAIM OR ACTION OR DISPOSITION OF PROCEEDS OF
JUDGMENT FOR MINOR OR PERSON WITH A DISABILITY

Petition for Expedited Approval of Compromise of Claim or Action or Disposition of Proceeds of Judgment for Minor or Person With a Disability

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About This Form:

Sourced from selfhelp.courts.ca.gov (2023-03)
Page(s): 7
Fields(s): 254
Average fields per page: 36
Reading Level: Grade 10
LIST Grouping(s): CO-07-00-00-00, CO-00-00-00-00.

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Identified Data Fields:

We have done our best to automaticly identify and name form fields according to our naming conventions. When possible, we've used names tied to our question library. See e.g., user1_name. If we think we've found a match to a question in our library, it is highlighted in green. Novel names are auto generated. So, you will probably need to edit some of them if you're trying to stick to the convention.

Here are the fields we could identify.

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c_e_page_list_claimant_name was MC-350EX[0].Page1[0].List2[0].ClaimantName[0] (0.38 conf)
c_e_page_list_l_hearing_date__1 was MC-350EX[0].Page1[0].List2[0].LI1[0].HearingDate_ff[0] (0.44 conf)
c_e_x_page_list_l_clm_b was MC-350EX[0].Page1[0].List2[0].LI2[0].ClmDOB[0] (0.43 conf)
c_e_page_list_l_fill_text__2 was MC-350EX[0].Page1[0].List2[0].LI3[0].FillText23[0] (0.40 conf)
c_e_page_list_l_check_box__1 was MC-350EX[0].Page1[0].List2[0].LI4[0].CheckBox4[0] (0.35 conf)
c_e_list_l_area_check_box__6 was MC-350EX[0].Page1[0].List2[0].LI4[0].#area[0].CheckBox5[0] (0.35 conf)
c_e_page_list_l_check_box__2 was MC-350EX[0].Page1[0].List2[0].LI5[0].CheckBox4[0] (0.35 conf)
c_e_page_list_l_check_box__3 was MC-350EX[0].Page1[0].List2[0].LI6[0].CheckBox4[0] (0.35 conf)
c_e_x_page_list_l_choice__1 was MC-350EX[0].Page1[0].List3[0].LI7[0].List1[0].LI2[0].CBChoice1_cb[0] (0.37 conf)
c_e_page_list_l_area_choice was MC-350EX[0].Page1[0].List3[0].LI7[0].List1[0].LI1[0].#area[0].CBChoice1_cb[0] (0.37 conf)
c_e_x_page_sf_number_ft__1 was MC-350EX[0].Page2[0].PxCaption_sf[0].CaseNumber[0].CaseNumber_ft[0] (0.33 conf)
c_page_caption_title_party_name__1 was MC-350EX[0].Page2[0].PxCaption_sf[0].TitlePartyName[0].CaseName_ft[0] (0.36 conf)
c_e_x_page_list_l_subj_claim_cb was MC-350EX[0].Page2[0].List4[0].LI1[0].NotSubjOfClaim_cb[0] (0.42 conf)
c_e_x_page_list_l_subj_laim_sb was MC-350EX[0].Page2[0].List4[0].LI2[0].SubjOfCLaim_sb[0] (0.39 conf)
c_e_x_page_list_l_amount__1 was MC-350EX[0].Page2[0].List4[0].LI2[0].SettlAmount[0] (0.35 conf)
c_e_page_list_l_pending_case was MC-350EX[0].Page2[0].List4[0].LI2[0].PendingCaseNo[0] (0.33 conf)
c_e_list_l_pending_case_date was MC-350EX[0].Page2[0].List4[0].LI2[0].PendingCaseDate[0] (0.33 conf)
c_e_x_page_list_l_choice__2 was MC-350EX[0].Page2[0].List4[0].LI3[0].CBChoice1_cb[0] (0.37 conf)
c_e_x_page_list_l_amount__2 was MC-350EX[0].Page2[0].List4[0].LI3[0].SettlAmount[0] (0.35 conf)
c_e_x_page_list_l_text__1 was MC-350EX[0].Page2[0].List4[0].LI3[0].Text2[0] (0.35 conf)
c_e_x_page_list_l_text__2 was MC-350EX[0].Page2[0].List4[0].LI3[0].Text3[0] (0.35 conf)
c_e_x_page_list_l_text__3 was MC-350EX[0].Page2[0].List4[0].LI3[0].Text4[0] (0.35 conf)
c_e_x_page_list_l_text__4 was MC-350EX[0].Page2[0].List4[0].LI3[0].Text5[0] (0.35 conf)
c_e_x_page_list_l_text__5 was MC-350EX[0].Page2[0].List4[0].LI3[0].Text6[0] (0.35 conf)
c_e_x_list_l_def_f was MC-350EX[0].Page2[0].List4[0].LI3[0].AddlDef_OF__cb[0] (0.35 conf)
c_e_x_page_list_l_disb_f_cb__1 was MC-350EX[0].Page2[0].List4[0].LI3[0].Disb_OF__cb[0] (0.32 conf)
c_e_page_list_l_judgment_date was MC-350EX[0].Page2[0].List4[0].LI3[0].JudgmentDate[0] (0.31 conf)
c_e_page_list_l_hearing_date__2 was MC-350EX[0].Page2[0].List5[0].LI1[0].HearingDate_ff[0] (0.44 conf)
c_e_page_list_l_hearing_time was MC-350EX[0].Page2[0].List5[0].LI1[0].HearingTime_ff[0] (0.42 conf)
c_e_x_page_list_l_incident_place was MC-350EX[0].Page2[0].List5[0].LI2[0].IncidentPlace[0] (0.40 conf)
c_e_x_page_list_l_text__6 was MC-350EX[0].Page2[0].List5[0].LI3[0].Text3[0] (0.35 conf)
c_e_x_page_list_l_text__7 was MC-350EX[0].Page2[0].List5[0].LI3[0].Text4[0] (0.35 conf)
c_e_x_page_list_l_text__8 was MC-350EX[0].Page2[0].List5[0].LI3[0].Text5[0] (0.35 conf)
c_e_x_page_list_l_text__9 was MC-350EX[0].Page2[0].List5[0].LI3[0].Text6[0] (0.35 conf)
c_e_x_page_list_l_text__10 was MC-350EX[0].Page2[0].List5[0].LI3[0].Text7[0] (0.35 conf)
c_e_x_page_list_l_incident_f_cb was MC-350EX[0].Page2[0].List5[0].LI3[0].Incident_OF__cb[0] (0.33 conf)
c_e_page_list_l_fill_text__3 was MC-350EX[0].Page2[0].List6[0].LI1[0].FillText43[0] (0.40 conf)
c_e_x_list_l_desc_f was MC-350EX[0].Page2[0].List6[0].LI1[0].InciDesc_OF__cb[0] (0.35 conf)
c_e_page_list_l_fill_text__4 was MC-350EX[0].Page2[0].List7[0].LI1[0].FillText43[0] (0.40 conf)
c_e_x_page_list_l_f__1 was MC-350EX[0].Page2[0].List7[0].LI1[0].Injuries_OF__cb[0] (0.32 conf)
c_e_page_list_l_fill_text__5 was MC-350EX[0].Page2[0].List8[0].LI1[0].FillText43[0] (0.40 conf)
c_e_x_page_list_l_f__2 was MC-350EX[0].Page2[0].List8[0].LI1[0].Treatment_OF__cb[0] (0.34 conf)
c_e_x_page_sf_number_ft__2 was MC-350EX[0].Page3[0].Page3[0].PxCaption_sf[0].CaseNumber[0].CaseNumber_ft[0] (0.34 conf)
c_page_caption_title_party_name__2 was MC-350EX[0].Page3[0].Page3[0].PxCaption_sf[0].TitlePartyName[0].CaseName_ft[0] (0.33 conf)
c_e_x_page_list_l_cb__1 was MC-350EX[0].Page3[0].Page3[0].List9[0].LI1[0].Recovery_cb[0] (0.35 conf)
c_e_x_page_list_l_cb__2 was MC-350EX[0].Page3[0].Page3[0].List9[0].LI2[0].Recovery_cb[0] (0.35 conf)
c_e_page_list_l_text_field__1 was MC-350EX[0].Page3[0].Page3[0].List9[0].LI2[0].TextField6[0] (0.31 conf)
c_e_x_page_list_l_disb_f_cb__2 was MC-350EX[0].Page3[0].Page3[0].List9[0].LI2[0].Disb_OF__cb[0] (0.30 conf)
c_e_x_page_list_l_choice__3 was MC-350EX[0].Page3[0].Page3[0].List9[0].LI3[0].CBChoice1_cb[0] (0.38 conf)
c_e_page_list_l_text_field__2 was MC-350EX[0].Page3[0].Page3[0].List9[0].LI3[0].TextField6[0] (0.31 conf)
c_e_x_page_list_l_disb_f_cb__3 was MC-350EX[0].Page3[0].Page3[0].List9[0].LI3[0].Disb_OF__cb[0] (0.30 conf)
c_e_x_page_list_l_amount__3 was MC-350EX[0].Page3[0].List11[0].LI1[0].SettlAmount[0] (0.35 conf)
c_e_x_page_list_l_text__11 was MC-350EX[0].Page3[0].List11[0].LI2[0].Text4[0] (0.35 conf)
c_e_x_page_list_l_amount__4 was MC-350EX[0].Page3[0].List11[0].LI2[0].SettlAmount[0] (0.35 conf)
c_e_x_page_list_l_text__12 was MC-350EX[0].Page3[0].List11[0].LI2[0].Text6[0] (0.35 conf)
c_e_x_page_list_l_amount__5 was MC-350EX[0].Page3[0].List11[0].LI2[0].SettlAmount1[0] (0.35 conf)
c_e_x_page_list_l_text__13 was MC-350EX[0].Page3[0].List11[0].LI2[0].Text7[0] (0.35 conf)
c_e_x_page_list_l_amount__6 was MC-350EX[0].Page3[0].List11[0].LI2[0].SettlAmount2[0] (0.35 conf)
c_e_x_page_list_l_text__14 was MC-350EX[0].Page3[0].List11[0].LI2[0].Text8[0] (0.35 conf)
c_e_x_page_list_l_amount__7 was MC-350EX[0].Page3[0].List11[0].LI2[0].SettlAmount3[0] (0.35 conf)
c_e_x_page_list_l_disb_f_cb__4 was MC-350EX[0].Page3[0].List11[0].LI2[0].Disb_OF__cb[0] (0.32 conf)
c_e_fix_l_pay_others__1 was MC-350EX[0].Page3[0].xxx_fix[0].xxx_fix[0].LI1[0].SettlementPayToOthers_cb[0] (0.40 conf)
c_e_fix_l_pay_others__2 was MC-350EX[0].Page3[0].xxx_fix[0].xxx_fix[0].LI2[0].SettlementPayToOthers_cb[0] (0.40 conf)
c_e_page_fix_l_list_amount__1 was MC-350EX[0].Page3[0].xxx_fix[0].xxx_fix[0].LI2[0].List1[0].LI1[0].SettlAmount[0] (0.34 conf)
c_e_page_fix_l_list_def__1 was MC-350EX[0].Page3[0].xxx_fix[0].xxx_fix[0].LI2[0].List1[0].LI2[0].SettlementDef_cb[0] (0.36 conf)
c_e_page_xxx_fix_l_list__1 was MC-350EX[0].Page3[0].xxx_fix[0].xxx_fix[0].LI2[0].List1[0].LI3[0].Text[0] (0.34 conf)
c_e_page_fix_l_list_amount__2 was MC-350EX[0].Page3[0].xxx_fix[0].xxx_fix[0].LI2[0].List1[0].LI3[0].SettlAmount[0] (0.34 conf)
c_e_page_xxx_fix_l_list__2 was MC-350EX[0].Page3[0].xxx_fix[0].xxx_fix[0].LI2[0].List1[0].LI3[0].Text5[0] (0.34 conf)
c_e_page_fix_l_list_amount__3 was MC-350EX[0].Page3[0].xxx_fix[0].xxx_fix[0].LI2[0].List1[0].LI3[0].SettlAmount1[0] (0.34 conf)
c_e_page_xxx_fix_l_list__3 was MC-350EX[0].Page3[0].xxx_fix[0].xxx_fix[0].LI2[0].List1[0].LI3[0].Text6[0] (0.34 conf)
c_e_page_fix_l_list_amount__4 was MC-350EX[0].Page3[0].xxx_fix[0].xxx_fix[0].LI2[0].List1[0].LI3[0].SettlAmount2[0] (0.34 conf)
c_e_page_xxx_fix_l_list__4 was MC-350EX[0].Page3[0].xxx_fix[0].xxx_fix[0].LI2[0].List1[0].LI3[0].Text8[0] (0.34 conf)
c_e_page_fix_l_list_amount__5 was MC-350EX[0].Page3[0].xxx_fix[0].xxx_fix[0].LI2[0].List1[0].LI3[0].SettlAmount3[0] (0.34 conf)
c_e_xxx_fix_l_list_f was MC-350EX[0].Page3[0].xxx_fix[0].xxx_fix[0].LI2[0].List1[0].LI3[0].Disb_OF__cb[0] (0.32 conf)
c_e_page_fix_l_list_def__2 was MC-350EX[0].Page3[0].xxx_fix[0].xxx_fix[0].LI2[0].List1[0].LI4[0].SettlementDef_cb[0] (0.36 conf)
c_e_page_fix_l_list_def__3 was MC-350EX[0].Page3[0].xxx_fix[0].xxx_fix[0].LI2[0].List1[0].LI5[0].SettlementDef_cb[0] (0.36 conf)
c_e_xxx_fix_list_l_f was MC-350EX[0].Page3[0].xxx_fix[1].List10[0].LI1[0].Disb_OF__cb[0] (0.32 conf)
c_e_x_page_case_number_ft was MC-350EX[0].Page4[0].Page4[0].CaseNumber[0].CaseNumber_ft[0] (0.35 conf)
c_e_page_title_party_name_ft was MC-350EX[0].Page4[0].Page4[0].TitlePartyName[0].CaseName_ft[0] (0.36 conf)
c_e_x_page_list_l_amount__8 was MC-350EX[0].Page4[0].Page4[0].List13[0].LI1[0].List1[0].LI1[0].SettlAmount[0] (0.36 conf)
c_e_x_page_list_l_amount__9 was MC-350EX[0].Page4[0].Page4[0].List13[0].LI1[0].List1[0].LI2[0].SettlAmount[0] (0.36 conf)
c_e_x_page_list_l_amount__10 was MC-350EX[0].Page4[0].Page4[0].List13[0].LI1[0].List1[0].LI3[0].SettlAmount[0] (0.36 conf)
c_e_x_page_list_l_amount__11 was MC-350EX[0].Page4[0].Page4[0].List13[0].LI1[0].List1[0].LI4[0].SettlAmount[0] (0.36 conf)
c_e_x_page_list_l_amount__12 was MC-350EX[0].Page4[0].Page4[0].List13[0].LI1[0].List1[0].LI5[0].SettlAmount[0] (0.36 conf)
c_e_x_page_list_l_cb__3 was MC-350EX[0].Page4[0].Page4[0].List13[0].LI2[0].List1[0].LI1[0].Medicare_cb[0] (0.40 conf)
c_e_x_page_list_l_cb__4 was MC-350EX[0].Page4[0].Page4[0].List13[0].LI2[0].List1[0].LI2[0].Medicare_cb[0] (0.40 conf)
c_e_x_page_list_l_amount__13 was MC-350EX[0].Page4[0].Page4[0].List13[0].LI2[0].List1[0].LI2[0].SettlAmount[0] (0.36 conf)
c_e_x_list_l_medi_cal__1 was MC-350EX[0].Page4[0].Page4[0].List13[0].LI3[0].List1[0].LI1[0].Medi-Cal_cb[0] (0.34 conf)
c_e_x_list_l_medi_cal__2 was MC-350EX[0].Page4[0].Page4[0].List13[0].LI3[0].List1[0].LI2[0].Medi-Cal_cb[0] (0.34 conf)
c_e_x_page_list_l_area was MC-350EX[0].Page4[0].Page4[0].List13[0].LI3[0].List1[0].LI2[0].List1[0].LI1[0].#area[0].Checkbox[0] (0.36 conf)
c_e_list_l_area_check_box__7 was MC-350EX[0].Page4[0].Page4[0].List13[0].LI3[0].List1[0].LI2[0].List1[0].LI1[0].#area[1].CheckBox61[0] (0.36 conf)
c_e_page_list_l_area_date__1 was MC-350EX[0].Page4[0].Page4[0].List13[0].LI3[0].List1[0].LI2[0].List1[0].LI1[0].#area[1].DateField1[0] (0.36 conf)
c_e_x_page_list_l_amount__14 was MC-350EX[0].Page4[0].Page4[0].List13[0].LI3[0].List1[0].LI2[0].List1[0].LI2[0].SettlAmount[0] (0.36 conf)
c_e_page_list_l_health_plan__1 was MC-350EX[0].Page4[0].Page4[0].List13[0].LI4[0].HealthPlan_cb[0] (0.37 conf)
c_e_x_page_list_l_amount__15 was MC-350EX[0].Page4[0].Page4[0].List13[0].LI4[0].SettlAmount[0] (0.35 conf)
c_e_page_list_l_health_plan__2 was MC-350EX[0].Page4[0].Page4[0].List13[0].LI5[0].HealthPlan_cb[0] (0.37 conf)
c_e_x_page_list_l_amount__16 was MC-350EX[0].Page4[0].Page4[0].List13[0].LI5[0].SettlAmount[0] (0.35 conf)
c_e_page_list_l_health_plan__3 was MC-350EX[0].Page4[0].Page4[0].List13[0].LI6[0].List1[0].LI1[0].HealthPlan_cb[0] (0.41 conf)
c_e_page_list_l_health_plan__4 was MC-350EX[0].Page4[0].Page4[0].List13[0].LI6[0].List1[0].LI2[0].HealthPlan_cb[0] (0.41 conf)
c_e_x_page_list_l_amount__17 was MC-350EX[0].Page4[0].Page4[0].List13[0].LI6[0].List1[0].LI2[0].SettlAmount[0] (0.36 conf)
c_e_x_list_l_medi_cal__3 was MC-350EX[0].Page4[0].Page4[0].List13[0].LI7[0].List1[0].LI1[0].Medi-Cal_cb[0] (0.34 conf)
c_e_x_list_l_medi_cal__4 was MC-350EX[0].Page4[0].Page4[0].List13[0].LI7[0].List1[0].LI2[0].Medi-Cal_cb[0] (0.34 conf)
c_e_x_page_list_l_amount__18 was MC-350EX[0].Page4[0].Page4[0].List14[0].LI1[0].SettlAmount[0] (0.35 conf)
c_e_x_page_list_l_oth_exp_items__1 was MC-350EX[0].Page4[0].Page4[0].List14[0].LI2[0].OthExpItems[0] (0.38 conf)
c_e_x_page_list_l_exp_payee__1 was MC-350EX[0].Page4[0].Page4[0].List14[0].LI2[0].OtherExpPayee[0] (0.40 conf)
c_e_x_page_list_l_oth_exp_amount__1 was MC-350EX[0].Page4[0].Page4[0].List14[0].LI2[0].OthExpAmount[0] (0.38 conf)
c_e_x_page_list_l_oth_exp_items__2 was MC-350EX[0].Page4[0].Page4[0].List14[0].LI2[0].OthExpItems1[0] (0.38 conf)
c_e_x_page_list_l_exp_payee__2 was MC-350EX[0].Page4[0].Page4[0].List14[0].LI2[0].OtherExpPayee1[0] (0.40 conf)
c_e_x_page_list_l_oth_exp_amount__2 was MC-350EX[0].Page4[0].Page4[0].List14[0].LI2[0].OthExpAmount1[0] (0.38 conf)
c_e_x_page_list_l_oth_exp_items__3 was MC-350EX[0].Page4[0].Page4[0].List14[0].LI2[0].OthExpItems2[0] (0.38 conf)
c_e_x_page_list_l_exp_payee__3 was MC-350EX[0].Page4[0].Page4[0].List14[0].LI2[0].OtherExpPayee2[0] (0.40 conf)
c_e_x_page_list_l_oth_exp_amount__3 was MC-350EX[0].Page4[0].Page4[0].List14[0].LI2[0].OthExpAmount2[0] (0.38 conf)
c_e_x_page_list_l_oth_exp_items__4 was MC-350EX[0].Page4[0].Page4[0].List14[0].LI2[0].OthExpItems3[0] (0.38 conf)
c_e_x_page_list_l_exp_payee__4 was MC-350EX[0].Page4[0].Page4[0].List14[0].LI2[0].OtherExpPayee3[0] (0.40 conf)
c_e_x_page_list_l_oth_exp_amount__4 was MC-350EX[0].Page4[0].Page4[0].List14[0].LI2[0].OthExpAmount3[0] (0.38 conf)
c_e_x_page_list_l_oth_exp_items__5 was MC-350EX[0].Page4[0].Page4[0].List14[0].LI2[0].OthExpItems4[0] (0.38 conf)
c_e_x_page_list_l_exp_payee__5 was MC-350EX[0].Page4[0].Page4[0].List14[0].LI2[0].OtherExpPayee4[0] (0.40 conf)
c_e_x_page_list_l_oth_exp_amount__5 was MC-350EX[0].Page4[0].Page4[0].List14[0].LI2[0].OthExpAmount4[0] (0.38 conf)
c_e_x_page_list_l_oth_exp_items__6 was MC-350EX[0].Page4[0].Page4[0].List14[0].LI2[0].OthExpItems5[0] (0.38 conf)
c_e_x_page_list_l_exp_payee__6 was MC-350EX[0].Page4[0].Page4[0].List14[0].LI2[0].OtherExpPayee5[0] (0.40 conf)
c_e_x_page_list_l_oth_exp_amount__6 was MC-350EX[0].Page4[0].Page4[0].List14[0].LI2[0].OthExpAmount5[0] (0.38 conf)
c_e_x_page_list_l_oth_exp_items__7 was MC-350EX[0].Page4[0].Page4[0].List14[0].LI2[0].OthExpItems6[0] (0.38 conf)
c_e_x_page_list_l_exp_payee__7 was MC-350EX[0].Page4[0].Page4[0].List14[0].LI2[0].OtherExpPayee6[0] (0.40 conf)
c_e_x_page_list_l_oth_exp_amount__7 was MC-350EX[0].Page4[0].Page4[0].List14[0].LI2[0].OthExpAmount6[0] (0.38 conf)
c_e_x_page_list_l_oth_exp_items__8 was MC-350EX[0].Page4[0].Page4[0].List14[0].LI2[0].OthExpItems7[0] (0.38 conf)
c_e_x_page_list_l_exp_payee__8 was MC-350EX[0].Page4[0].Page4[0].List14[0].LI2[0].OtherExpPayee7[0] (0.40 conf)
c_e_x_page_list_l_oth_exp_amount__8 was MC-350EX[0].Page4[0].Page4[0].List14[0].LI2[0].OthExpAmount7[0] (0.38 conf)
c_e_x_page_list_l_oth_exp_total__1 was MC-350EX[0].Page4[0].Page4[0].List14[0].LI2[0].OthExpTotal[0] (0.38 conf)
c_e_x_page_list_l_def__1 was MC-350EX[0].Page4[0].Page4[0].List14[0].LI2[0].SettlementDef_cb[0] (0.34 conf)
c_e_page_list_l_health_plan__5 was MC-350EX[0].Page4[0].Page4[0].List14[0].LI3[0].HealthPlan_cb[0] (0.37 conf)
c_e_x_page_sf_number_ft__3 was MC-350EX[0].Page5[0].PxCaption_sf[0].CaseNumber[0].CaseNumber_ft[0] (0.33 conf)
c_page_caption_title_party_name__3 was MC-350EX[0].Page5[0].PxCaption_sf[0].TitlePartyName[0].CaseName_ft[0] (0.36 conf)
c_e_page_list_l_health_plan__6 was MC-350EX[0].Page5[0].List15[0].LI1[0].HealthPlan_cb[0] (0.38 conf)
c_e_page_list_l_health_plan__7 was MC-350EX[0].Page5[0].List15[0].LI2[0].HealthPlan_cb[0] (0.38 conf)
c_e_x_page_list_l_def__2 was MC-350EX[0].Page5[0].List15[0].LI2[0].List1[0].LI1[0].SettlementDef_cb[0] (0.39 conf)
c_e_x_page_list_l_amount__19 was MC-350EX[0].Page5[0].List15[0].LI2[0].List1[0].LI1[0].SettlAmount[0] (0.35 conf)
c_e_x_page_list_l_def__3 was MC-350EX[0].Page5[0].List15[0].LI2[0].List1[0].LI2[0].SettlementDef_cb[0] (0.39 conf)
c_e_x_page_list_l_amount__20 was MC-350EX[0].Page5[0].List15[0].LI2[0].List1[0].LI2[0].SettlAmount[0] (0.35 conf)
c_e_x_page_list_l_def__4 was MC-350EX[0].Page5[0].List15[0].LI2[0].List1[0].LI3[0].SettlementDef_cb[0] (0.39 conf)
c_e_x_page_list_l_amount__21 was MC-350EX[0].Page5[0].List15[0].LI2[0].List1[0].LI3[0].SettlAmount[0] (0.35 conf)
c_e_x_page_list_l_oth_exp_total__2 was MC-350EX[0].Page5[0].List15[0].LI2[0].List1[0].LI3[0].OthExpTotal[0] (0.37 conf)
c_e_x_page_list_l_amount__22 was MC-350EX[0].Page5[0].List16[0].LI1[0].SettlAmount[0] (0.35 conf)
c_e_x_page_list_l_amount__23 was MC-350EX[0].Page5[0].List17[0].LI1[0].SettlAmount[0] (0.35 conf)
c_e_x_page_list_l_amount__24 was MC-350EX[0].Page5[0].List17[0].LI2[0].SettlAmount[0] (0.35 conf)
c_e_x_page_list_l_amount__25 was MC-350EX[0].Page5[0].List17[0].LI3[0].SettlAmount[0] (0.35 conf)
c_e_x_page_list_l_amount__26 was MC-350EX[0].Page5[0].List17[0].LI4[0].SettlAmount[0] (0.35 conf)
c_e_x_page_list_l_amount__27 was MC-350EX[0].Page5[0].List17[0].LI5[0].SettlAmount[0] (0.35 conf)
c_e_x_page_list_l_amount__28 was MC-350EX[0].Page5[0].List17[0].LI6[0].SettlAmount[0] (0.35 conf)
c_e_x_page_list_l_atty_rep_cb__1 was MC-350EX[0].Page5[0].List18[0].LI1[0].AttyRepOther_cb[0] (0.43 conf)
c_e_x_page_list_l_atty_rep_cb__2 was MC-350EX[0].Page5[0].List18[0].LI1[0].AttyRepOther_cb[1] (0.43 conf)
c_e_x_page_list_l_atty_exp_fees_cb__1 was MC-350EX[0].Page5[0].List18[0].LI2[0].AttyExpFees_cb[0] (0.43 conf)
c_e_x_page_list_l_atty_exp_fees_cb__2 was MC-350EX[0].Page5[0].List18[0].LI2[0].AttyExpFees_cb[1] (0.43 conf)
c_e_x_page_list_l_atty_fee_payee__1 was MC-350EX[0].Page5[0].List18[0].LI2[0].AttyFeePayee[0] (0.39 conf)
c_e_page_list_l_fee_date__1 was MC-350EX[0].Page5[0].List18[0].LI2[0].AttyFeeDate[0] (0.39 conf)
c_e_page_list_l_fee_amount__1 was MC-350EX[0].Page5[0].List18[0].LI2[0].AttyFeeAmount[0] (0.39 conf)
c_e_x_page_list_l_atty_fee_payee__2 was MC-350EX[0].Page5[0].List18[0].LI2[0].AttyFeePayee1[0] (0.39 conf)
c_e_page_list_l_fee_date__2 was MC-350EX[0].Page5[0].List18[0].LI2[0].AttyFeeDate1[0] (0.39 conf)
c_e_page_list_l_fee_amount__2 was MC-350EX[0].Page5[0].List18[0].LI2[0].AttyFeeAmount1[0] (0.39 conf)
c_e_x_page_list_l_atty_fee_payee__3 was MC-350EX[0].Page5[0].List18[0].LI2[0].AttyFeePayee2[0] (0.39 conf)
c_e_page_list_l_fee_date__3 was MC-350EX[0].Page5[0].List18[0].LI2[0].AttyFeeDate2[0] (0.39 conf)
c_e_page_list_l_fee_amount__3 was MC-350EX[0].Page5[0].List18[0].LI2[0].AttyFeeAmount2[0] (0.39 conf)
c_e_x_page_list_l_atty_fee_payee__4 was MC-350EX[0].Page5[0].List18[0].LI2[0].AttyFeePayee3[0] (0.39 conf)
c_e_page_list_l_fee_date__4 was MC-350EX[0].Page5[0].List18[0].LI2[0].AttyFeeDate3[0] (0.39 conf)
c_e_page_list_l_fee_amount__4 was MC-350EX[0].Page5[0].List18[0].LI2[0].AttyFeeAmount3[0] (0.39 conf)
c_e_x_page_list_l_atty_fee_payee__5 was MC-350EX[0].Page5[0].List18[0].LI2[0].AttyFeePayee4[0] (0.39 conf)
c_e_page_list_l_fee_date__5 was MC-350EX[0].Page5[0].List18[0].LI2[0].AttyFeeDate4[0] (0.39 conf)
c_e_page_list_l_fee_amount__5 was MC-350EX[0].Page5[0].List18[0].LI2[0].AttyFeeAmount4[0] (0.39 conf)
c_e_x_page_list_l_atty_fee_payee__6 was MC-350EX[0].Page5[0].List18[0].LI2[0].AttyFeePayee5[0] (0.39 conf)
c_e_page_list_l_fee_date__6 was MC-350EX[0].Page5[0].List18[0].LI2[0].AttyFeeDate5[0] (0.39 conf)
c_e_page_list_l_fee_amount__6 was MC-350EX[0].Page5[0].List18[0].LI2[0].AttyFeeAmount5[0] (0.39 conf)
c_e_x_page_list_l_atty_fee_payee__7 was MC-350EX[0].Page5[0].List18[0].LI2[0].AttyFeePayee6[0] (0.39 conf)
c_e_page_list_l_fee_date__7 was MC-350EX[0].Page5[0].List18[0].LI2[0].AttyFeeDate6[0] (0.39 conf)
c_e_page_list_l_fee_amount__7 was MC-350EX[0].Page5[0].List18[0].LI2[0].AttyFeeAmount6[0] (0.39 conf)
c_e_page_list_l_area_def was MC-350EX[0].Page5[0].List18[0].LI2[0].#area[0].SettlementDef_cb[0] (0.37 conf)
c_e_page_list_l_fee_total was MC-350EX[0].Page5[0].List18[0].LI2[0].AttyFeeTotal[0] (0.39 conf)
c_e_x_page_sf_number_ft__4 was MC-350EX[0].Page6[0].PxCaption_sf[0].CaseNumber[0].CaseNumber_ft[0] (0.33 conf)
c_page_caption_title_party_name__4 was MC-350EX[0].Page6[0].PxCaption_sf[0].TitlePartyName[0].CaseName_ft[0] (0.36 conf)
c_e_x_page_list_l_cb__5 was MC-350EX[0].Page6[0].List19[0].LI1[0].Grdnshp_cb[0] (0.35 conf)
c_e_x_page_list_l_crt was MC-350EX[0].Page6[0].List19[0].LI1[0].GrdnshpCrt[0] (0.35 conf)
c_e_x_page_list_l_case was MC-350EX[0].Page6[0].List19[0].LI1[0].GrdnshpCaseNo[0] (0.35 conf)
c_e_x_page_list_l_proceeds was MC-350EX[0].Page6[0].List19[0].LI1[0].List1[0].LI1[0].ProceedsToGrdn_cb[0] (0.38 conf)
c_e_x_page_list_l_amount__29 was MC-350EX[0].Page6[0].List19[0].LI1[0].List1[0].LI1[0].SettlAmount[0] (0.35 conf)
c_e_page_list_l_pet_dep was MC-350EX[0].Page6[0].List19[0].LI1[0].List1[0].LI2[0].ProceedToPetDep_cb[0] (0.39 conf)
c_e_x_page_list_l_amount__30 was MC-350EX[0].Page6[0].List19[0].LI1[0].List1[0].LI2[0].SettlAmount[0] (0.35 conf)
c_e_x_page_list_l_cb__6 was MC-350EX[0].Page6[0].List19[0].LI1[0].List1[0].LI3[0].ProceednotGrdn_cb[0] (0.35 conf)
c_e_page_list_l_dep_cb was MC-350EX[0].Page6[0].List19[0].LI1[0].List1[0].LI3[0].List1[0].LI1[0].NotEstateDep_cb[0] (0.37 conf)
c_e_page_list_l_dep_amount was MC-350EX[0].Page6[0].List19[0].LI1[0].List1[0].LI3[0].List1[0].LI1[0].DepActsAmount[0] (0.36 conf)
c_e_page_list_l_estate_cb was MC-350EX[0].Page6[0].List19[0].LI1[0].List1[0].LI3[0].List1[0].LI2[0].NotEstateInv_cb[0] (0.38 conf)
c_e_x_page_list_l_amount__31 was MC-350EX[0].Page6[0].List19[0].LI1[0].List1[0].LI3[0].List1[0].LI2[0].InvAmount[0] (0.37 conf)
c_e_x_page_list_l_estate_tfr_cb was MC-350EX[0].Page6[0].List19[0].LI1[0].List1[0].LI3[0].List1[0].LI3[0].NotEstateTfr_cb[0] (0.36 conf)
c_e_x_page_list_l_tfr_amount was MC-350EX[0].Page6[0].List19[0].LI1[0].List1[0].LI3[0].List1[0].LI3[0].TfrAmount[0] (0.33 conf)
c_e_x_page_list_l_cb__7 was MC-350EX[0].Page6[0].List19[0].LI2[0].NoGrdnshp_cb[0] (0.36 conf)
c_e_x_list_l_dispo_cb__1 was MC-350EX[0].Page6[0].List19[0].LI2[0].List1[0].LI1[0].NoGrdnshpDispo_cb[0] (0.35 conf)
c_e_x_page_list_l_amount__32 was MC-350EX[0].Page6[0].List19[0].LI2[0].List1[0].LI1[0].Amount[0] (0.35 conf)
c_e_x_list_l_dispo_cb__2 was MC-350EX[0].Page6[0].List19[0].LI2[0].List1[0].LI2[0].NoGrdnshpDispo_cb[0] (0.35 conf)
c_e_x_page_list_l_amount__33 was MC-350EX[0].Page6[0].List19[0].LI2[0].List1[0].LI2[0].Amount[0] (0.35 conf)
c_e_x_list_l_dispo_cb__3 was MC-350EX[0].Page6[0].List19[0].LI2[0].List1[0].LI3[0].NoGrdnshpDispo_cb[0] (0.35 conf)
c_e_x_page_list_l_amount__34 was MC-350EX[0].Page6[0].List19[0].LI2[0].List1[0].LI3[0].Amount[0] (0.35 conf)
c_e_x_list_l_dispo_cb__4 was MC-350EX[0].Page6[0].List19[0].LI2[0].List1[0].LI4[0].NoGrdnshpDispo_cb[0] (0.35 conf)
c_e_x_page_list_l_amount__35 was MC-350EX[0].Page6[0].List19[0].LI2[0].List1[0].LI4[0].Amount[0] (0.35 conf)
c_e_x_list_l_dispo_cb__5 was MC-350EX[0].Page6[0].List19[0].LI2[0].List1[0].LI5[0].NoGrdnshpDispo_cb[0] (0.35 conf)
c_e_x_page_list_l_amount__36 was MC-350EX[0].Page6[0].List19[0].LI2[0].List1[0].LI5[0].Amount[0] (0.35 conf)
c_e_x_list_l_dispo_cb__6 was MC-350EX[0].Page6[0].List19[0].LI2[0].List1[0].LI6[0].NoGrdnshpDispo_cb[0] (0.35 conf)
c_e_x_page_list_l_amount__37 was MC-350EX[0].Page6[0].List19[0].LI2[0].List1[0].LI6[0].Amount[0] (0.35 conf)
c_e_x_list_l_dispo_cb__7 was MC-350EX[0].Page6[0].List19[0].LI2[0].List1[0].LI7[0].NoGrdnshpDispo_cb[0] (0.35 conf)
c_e_x_page_list_l_amount__38 was MC-350EX[0].Page6[0].List19[0].LI2[0].List1[0].LI7[0].Amount[0] (0.35 conf)
c_e_x_list_l_dispo_cb__8 was MC-350EX[0].Page6[0].List19[0].LI2[0].List1[0].LI8[0].NoGrdnshpDispo_cb[0] (0.35 conf)
c_e_x_page_list_l_amount__39 was MC-350EX[0].Page6[0].List19[0].LI2[0].List1[0].LI8[0].Amount[0] (0.35 conf)
c_e_x_page_list_l_name was MC-350EX[0].Page6[0].List19[0].LI2[0].List1[0].LI8[0].CtyName[0] (0.33 conf)
c_e_x_list_l_dispo_cb__9 was MC-350EX[0].Page6[0].List19[0].LI2[0].List1[0].LI9[0].NoGrdnshpDispo_cb[0] (0.35 conf)
c_e_x_page_list_l_amount__40 was MC-350EX[0].Page6[0].List19[0].LI2[0].List1[0].LI9[0].Amount[0] (0.35 conf)
c_e_x_page_sf_number_ft__5 was MC-350EX[0].Page7[0].PxCaption_sf[0].CaseNumber[0].CaseNumber_ft[0] (0.33 conf)
c_page_caption_title_party_name__5 was MC-350EX[0].Page7[0].PxCaption_sf[0].TitlePartyName[0].CaseName_ft[0] (0.36 conf)
c_e_page_list_l_orders_cb was MC-350EX[0].Page7[0].List20[0].LI1[0].AddlOrders_cb[0] (0.34 conf)
c_e_x_page_list_l_orders was MC-350EX[0].Page7[0].List20[0].LI1[0].AddlOrders[0] (0.35 conf)
c_e_list_l_area_order_f was MC-350EX[0].Page7[0].List20[0].LI1[0].#area[0].AddlOrder_OF_cb[0] (0.34 conf)
c_e_list_l_area_check_box__8 was MC-350EX[0].Page7[0].List21[0].LI1[0].#area[0].CheckBox11[0] (0.35 conf)
c_e_page_list_l_area_date__2 was MC-350EX[0].Page7[0].List21[0].LI1[0].#area[1].Date[0] (0.35 conf)
c_e_page_list_l_print_name was MC-350EX[0].Page7[0].List21[0].LI1[0].#area[1].PrintName[0] (0.37 conf)
c_e_x_page_list_l_pp_att was MC-350EX[0].Page7[0].List23[0].LI1[0].PPAtt[0] (0.34 conf)
c_e_x_sign_sub_area_date__1 was MC-350EX[0].Page7[0].SignSub[0].#area[0].Date[0] (0.41 conf)
c_page_sign_sub_area_print_name__1 was MC-350EX[0].Page7[0].SignSub[0].#area[0].PrintName[0] (0.39 conf)
c_e_x_sign_sub_area_date__2 was MC-350EX[0].Page7[0].SignSub[0].#area[1].Date1[0] (0.41 conf)
c_page_sign_sub_area_print_name__2 was MC-350EX[0].Page7[0].SignSub[0].#area[1].PrintName1[0] (0.39 conf)

We've done our best to group similar variables togther to avoid overwhelming the user.

Suggested Screen 0:

c_e_x_page_p_stamp_info__1
c_e_x_page_p_stamp_name
c_e_x_page_p_stamp_info__2
c_x_page_p_stamp_street
c_e_x_page_p_stamp_city
c_e_x_page_p_stamp_info__3
c_e_x_page_p_stamp_info__4
c_e_x_page_p_stamp_phone
c_e_x_page_p_stamp_info__5
c_e_x_page_p_stamp_email
c_e_x_page_p_stamp_info__6
c_e_x_page_p_sf_number
c_e_x_page_p_sf_county
c_e_page_p_sf_street_ft
c_e_page_p_sf_info
c_e_x_page_p_info_ft
c_e_x_page_p_info_branch
c_e_page_p_title_party_name
c_x_page_p_req_area
c_page_p_caption_sf_info
c_e_page_p_info_time
c_e_x_page_p_info_dept
c_e_x_page_p_info_time
c_e_page_list_l_fill_text__1
c_e_list_l_area_check_box__1
c_e_list_l_area_check_box__2
c_e_list_l_area_check_box__3
c_e_list_l_area_check_box__4
c_e_list_l_area_check_box__5
c_e_page_list_l_area_fill
c_e_page_list_claimant_name
c_e_page_list_l_hearing_date__1
c_e_x_page_list_l_clm_b
c_e_page_list_l_fill_text__2
c_e_page_list_l_check_box__1
c_e_list_l_area_check_box__6
c_e_page_list_l_check_box__2
c_e_page_list_l_check_box__3
c_e_x_page_list_l_choice__1
c_e_page_list_l_area_choice
c_e_x_page_sf_number_ft__1
c_page_caption_title_party_name__1
c_e_x_page_list_l_subj_claim_cb
c_e_x_page_list_l_subj_laim_sb
c_e_x_page_list_l_amount__1
c_e_page_list_l_pending_case
c_e_list_l_pending_case_date
c_e_x_page_list_l_choice__2
c_e_x_page_list_l_amount__2
c_e_x_page_list_l_text__1
c_e_x_page_list_l_text__2
c_e_x_page_list_l_text__3
c_e_x_page_list_l_text__4
c_e_x_page_list_l_text__5
c_e_x_list_l_def_f
c_e_x_page_list_l_disb_f_cb__1
c_e_page_list_l_judgment_date
c_e_page_list_l_hearing_date__2
c_e_page_list_l_hearing_time
c_e_x_page_list_l_incident_place
c_e_x_page_list_l_text__6
c_e_x_page_list_l_text__7
c_e_x_page_list_l_text__8
c_e_x_page_list_l_text__9
c_e_x_page_list_l_text__10
c_e_x_page_list_l_incident_f_cb
c_e_page_list_l_fill_text__3
c_e_x_list_l_desc_f
c_e_page_list_l_fill_text__4
c_e_x_page_list_l_f__1
c_e_page_list_l_fill_text__5
c_e_x_page_list_l_f__2
c_e_x_page_sf_number_ft__2
c_page_caption_title_party_name__2
c_e_x_page_list_l_cb__1
c_e_x_page_list_l_cb__2
c_e_page_list_l_text_field__1
c_e_x_page_list_l_disb_f_cb__2
c_e_x_page_list_l_choice__3
c_e_page_list_l_text_field__2
c_e_x_page_list_l_disb_f_cb__3
c_e_x_page_list_l_amount__3
c_e_x_page_list_l_text__11
c_e_x_page_list_l_amount__4
c_e_x_page_list_l_text__12
c_e_x_page_list_l_amount__5
c_e_x_page_list_l_text__13
c_e_x_page_list_l_amount__6
c_e_x_page_list_l_text__14
c_e_x_page_list_l_amount__7
c_e_x_page_list_l_disb_f_cb__4
c_e_fix_l_pay_others__1
c_e_fix_l_pay_others__2
c_e_page_fix_l_list_amount__1
c_e_page_fix_l_list_def__1
c_e_page_xxx_fix_l_list__1
c_e_page_fix_l_list_amount__2
c_e_page_xxx_fix_l_list__2
c_e_page_fix_l_list_amount__3
c_e_page_xxx_fix_l_list__3
c_e_page_fix_l_list_amount__4
c_e_page_xxx_fix_l_list__4
c_e_page_fix_l_list_amount__5
c_e_xxx_fix_l_list_f
c_e_page_fix_l_list_def__2
c_e_page_fix_l_list_def__3
c_e_xxx_fix_list_l_f
c_e_x_page_case_number_ft
c_e_page_title_party_name_ft
c_e_x_page_list_l_amount__8
c_e_x_page_list_l_amount__9
c_e_x_page_list_l_amount__10
c_e_x_page_list_l_amount__11
c_e_x_page_list_l_amount__12
c_e_x_page_list_l_cb__3
c_e_x_page_list_l_cb__4
c_e_x_page_list_l_amount__13
c_e_x_list_l_medi_cal__1
c_e_x_list_l_medi_cal__2
c_e_x_page_list_l_area
c_e_list_l_area_check_box__7
c_e_page_list_l_area_date__1
c_e_x_page_list_l_amount__14
c_e_page_list_l_health_plan__1
c_e_x_page_list_l_amount__15
c_e_page_list_l_health_plan__2
c_e_x_page_list_l_amount__16
c_e_page_list_l_health_plan__3
c_e_page_list_l_health_plan__4
c_e_x_page_list_l_amount__17
c_e_x_list_l_medi_cal__3
c_e_x_list_l_medi_cal__4
c_e_x_page_list_l_amount__18
c_e_x_page_list_l_oth_exp_items__1
c_e_x_page_list_l_exp_payee__1
c_e_x_page_list_l_oth_exp_amount__1
c_e_x_page_list_l_oth_exp_items__2
c_e_x_page_list_l_exp_payee__2
c_e_x_page_list_l_oth_exp_amount__2
c_e_x_page_list_l_oth_exp_items__3
c_e_x_page_list_l_exp_payee__3
c_e_x_page_list_l_oth_exp_amount__3
c_e_x_page_list_l_oth_exp_items__4
c_e_x_page_list_l_exp_payee__4
c_e_x_page_list_l_oth_exp_amount__4
c_e_x_page_list_l_oth_exp_items__5
c_e_x_page_list_l_exp_payee__5
c_e_x_page_list_l_oth_exp_amount__5
c_e_x_page_list_l_oth_exp_items__6
c_e_x_page_list_l_exp_payee__6
c_e_x_page_list_l_oth_exp_amount__6
c_e_x_page_list_l_oth_exp_items__7
c_e_x_page_list_l_exp_payee__7
c_e_x_page_list_l_oth_exp_amount__7
c_e_x_page_list_l_oth_exp_items__8
c_e_x_page_list_l_exp_payee__8
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c_e_page_list_l_area_def
c_e_page_list_l_fee_total
c_e_x_page_sf_number_ft__4
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c_e_x_page_list_l_cb__5
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c_e_x_page_list_l_cb__6
c_e_page_list_l_dep_cb
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c_e_page_list_l_estate_cb
c_e_x_page_list_l_amount__31
c_e_x_page_list_l_estate_tfr_cb
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c_e_x_page_list_l_cb__7
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c_e_x_page_list_l_amount__34
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c_e_x_page_list_l_amount__35
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c_e_x_page_list_l_amount__36
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c_e_x_page_list_l_amount__39
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c_e_x_page_list_l_amount__40
c_e_x_page_sf_number_ft__5
c_page_caption_title_party_name__5
c_e_page_list_l_orders_cb
c_e_x_page_list_l_orders
c_e_list_l_area_order_f
c_e_list_l_area_check_box__8
c_e_page_list_l_area_date__2
c_e_page_list_l_print_name
c_e_x_page_list_l_pp_att
c_e_x_sign_sub_area_date__1
c_page_sign_sub_area_print_name__1
c_e_x_sign_sub_area_date__2
c_page_sign_sub_area_print_name__2

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