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ATTORNEY OR PARTY WITHOUT ATTORNEY

STATE BAR NUMBER:

FOR COURT USE ONLY

MC-350

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:

CASE NUMBER:

HEARING DATE:

DEPT.:

TIME:

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

NOTICE TO PETITIONER  

Except as noted below, you must use this form to request court approval of (1) the compromise of a minor's disputed claim, 
(2) the compromise or settlement of a pending action or proceeding to which a minor or a person with a disability (including a 
conservatee) is a party, or (3) the disposition of the proceeds of a judgment awarded to a minor or a person with a disability. (See 
Code Civ. Proc., § 372; Prob. Code, §§ 3500, 3600–3613.)  
Both you and the minor or person with a disability must attend the hearing on this petition unless the court dispenses with a personal 
appearance. The court may require the presence and testimony of witnesses, including the attending or examining physician, and the 
presentation of other evidence relating to the claim and the nature and extent of the injury, care, treatment, and hospitalization.  
The court has authority to consider a request for expedited approval without a hearing of the compromise of certain claims or actions 
or the disposition of the proceeds of certain judgments. To determine whether your claim, action, or judgment qualifies, see Cal. Rules 
of Court, rule 7.950.5. If you want to request expedited consideration, you must use form MC-350EX. 

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 or judgment.
Does not have a conservator of the estate.

Person with a disability

Minor       or

c.   Age:

3. Claim  The claim of the minor or adult person with a disability (check one):

Is not the subject of a pending action or proceeding. (Complete items 4–23.)
Is the subject of a pending action or proceeding that will be compromised or settled without a trial. (Complete items 4–23.)

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 (excluding interest and costs) of (specify total):                                                       .

$

Trial date:

a.
b.

c.

Name of court:
Case no.:

Defendants (names:

Additional defendants listed on Attachment 3.
The judgment was filed on (date):

(Attach a copy of the (proposed) judgment as Attachment 3c and complete items 12–23.)

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

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

Page 1 of 10

Code of Civil Procedure, § 372; 
Probate Code, §§ 3500, 3600–3613; 
Cal. Rules of Court, rules 3.1384, 
7.101, 7.950–7.952 

CASE NAME:

CASE NUMBER:

MC-350

4.

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

Time:

b. Place:

c. Persons involved (names):

Continued on Attachment 4.

5. Nature of incident or accident

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

Continued on Attachment 5.

6.

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

Continued on Attachment 6.

7. Treatment

The claimant received the following care and treatment for the injuries described in item 6 (describe):

Continued on Attachment 7.

8. 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 8. 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 6, and there are no permanent 
injuries.
The claimant has not recovered completely from the effects of the injuries described in item 6, and the following injuries 
from which the claimant has not recovered are temporary (describe the remaining injuries and symptoms):

b.

Continued on Attachment 8b.

c.

The claimant has not recovered completely from the effects of the injuries described in item 6, and the following injuries 
from which the claimant has not recovered are permanent (describe the permanent injuries and symptoms):

Continued on Attachment 8c.

MC-350 [Rev. January 1, 2021]

Page 2 of 10

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

$ $ $ $

$ $ $ $

CASE NUMBER:

MC-350

CASE NAME:

9.

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.

10. Amount and terms of settlement 

To settle the claim in 3a or 3b, 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

Defendants and amounts offered continued on Attachment 10b.

c. The terms of settlement are as follows. (If the settlement is to be paid in installments, both the total amount and the present 

value of the settlement must be included.)

Continued on Attachment 10c.

11. Settlement payments to others

a.

b.

No defendant named in item 10b 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.

To settle claims arising out of the same incident or accident that resulted in the claimant's injury, one or more defendants 
named in item 10b have also offered to pay money to a person or persons other than claimant.

(1) The total amount offered by all defendants to others is (specify):                                                            $

(2) Petitioner                                                                  a claim against the recovery of the claimant (other than for 

does not have

has

reimbursement of fees or expenses paid by petitioner and listed under item 14). 
(If you answered "has," explain in Attachment 11b(2) the circumstances and the effect your claim has on the proposed 
compromise of the claim described in this petition.)

(3)  Petitioner                                                 a plaintiff in the same action with the claimant.

is not

is

(If you answered "is," explain in Attachment 11b(3) the circumstances and the effect your claim and its disposition has on 
the proposed compromise of the claim or action described in this petition.)

(4)

Petitioner would receive money under the proposed settlement.  

(5) The settlement payments are to be apportioned and distributed as follows:

Other plaintiffs or claimants (names)

Amounts

Additional plaintiffs or claimants and amounts are listed on Attachment 11b(5).

(6) Reasons for the apportionment of the settlement payments between the claimant and each other plaintiff or claimant named 

above are specified in Attachment 11b(6).

MC-350 [Rev. January 1, 2021]

Page 3 of 10

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

MC-350

)
)

CASE NAME:

CASE NUMBER:

12. The claimant's medical expenses—including medical expenses paid by petitioner, Medicare, Medi-Cal, and private 

insurers—to be paid or reimbursed from proceeds of 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 medical expenses to be paid or reimbursed from the proceeds: 
(5) Total amount of statutory or contractual liens, if any:

b. Medical expenses were paid and are to be reimbursed from the proceeds as follows:

Paid by petitioner in the amount of:

(1)

(2)

Paid by private health insurance or a self-funded plan under:

An Employee Retirement Income Security Act (ERISA) insured plan.
An ERISA self-funded plan.
A Non-ERISA insured plan. 
A Non-ERISA self-funded plan. 

(a)
(b)
(c)
(d)
(e) Amount paid by plan:
(f) Amount of reimbursement to the plan from the proceeds of the settlement or judgment: 

$

(i) 
(ii)  

No reimbursement is requested by the plan.
Reimbursement is to be made to the plan, and:

(A)
(B)
(C)  
for a total reimbursement to the plan, in full satisfaction of its lien rights, in the amount of:

There is a contractual reduction of:
There is a negotiated reduction of:
No reduction has been agreed to,

($
($

),
),

(3)

Paid by Medicare in the amount of: 
less the statutory reduction in the amount of:
for a total reimbursement to Medicare in the amount of:

)

(Attach a copy of the final Medicare demand letter or letter agreement as Attachment 12b(3).) 

(4)

Paid by Medi-Cal in the amount of:

$
($

$

(a)

(b)

(c)

(d)

Notice of this claim or action has been given to the Director of Health Care Services. (Welf. & Inst. Code, 
§ 14124.73.) A copy of the notice and proof of delivery:

is attached

was filed in this case on (date):

.

Notice of this claim or action has not been given to the Director of Health Care Services. (Explain why notice has 
not been given in Attachment 12b(4)(b).)
In full satisfaction of its lien rights, Medi-Cal has agreed to accept reimbursement in the amount of:

(Attach a copy of the final Medi-Cal demand letter or letter agreement as Attachment 12b(4)(c).)

Petitioner is entitled to a reduction of the Medi-Cal lien under Welfare and Institutions Code section 14124.76 and 
(check one):

(i)
(ii)
The amount of the lien in dispute is: $

Is filing a motion seeking a reduction of the lien concurrently with this petition.
Requests that the court reserve jurisdiction over this issue.

(5)

(a)

(i)

There are no statutory or contractual liens for payment of claimant's medical expenses.

(ii)

There are one or more statutory or contractual liens of medical service providers for payment of claimant's 
The total amount claimed under these liens is: $
medical expenses.                                                                                                                                                 
In full satisfaction of their lien claims, the lienholders have agreed to accept the sum of:

$

(Provide requested information for each lienholder and other specified medical service providers on next page.)

MC-350 [Rev. January 1, 2021]

Page 4 of 10

PETITION FOR 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-350

12. Claimant's medical expenses (continued)

b.

(5)

(b) The name of each medical service provider that furnished care and treatment to claimant and (1) has a lien for all or 
any part of the charges or (2) was paid (or will be paid from the proceeds) by petitioner, for which payment petitioner 
requests reimbursement; the amounts charged and paid; the amount of negotiated reductions of charges, if any; and 
the amount to be paid from the proceeds of the settlement or judgment to each provider are as follows: 

)
)

)
)

)
)

$
($
($
$

$
($
($
$

$
($
($
$

$ $ $ $ $ $ $ $ $

(i)

(A)   Provider (name): 
(B)   Address:

(C) Amount charged: 
(D) Amount paid (whether or not by insurance): 
(E) Negotiated reduction, if any: 
(F) Amount to be paid from proceeds of settlement or judgment: 

(ii) (A)   Provider (name): 

(B)   Address:

(C) Amount charged: 
(D) Amount paid (whether or not by insurance): 
(E) Negotiated reduction, if any: 
(F) Amount to be paid from proceeds of settlement or judgment: 

(iii) (A)   Provider (name): 

(B)   Address:

(C) Amount charged: 
(D) Amount paid (whether or not by insurance): 
(E) Negotiated reduction, if any: 
(F) Amount to be paid from proceeds of settlement or judgment: 

Continued on Attachment 12b(5). (Provide information about additional providers in the above format, including 
providers paid or to be paid by petitioner, for which payment reimbursement is requested in item 12b(1), above. 
You may use form MC-350(A-12b(5)) for this purpose.)

13. Claimant's attorney's fees and all other expenses (except for medical expenses), including expenses advanced by  
claimant's attorney or paid or incurred by petitioner, to be 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 13a 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. Respond to item 17a(2) on page 7 and attach a 
copy of any written attorney fee agreement as Attachment 17a.)

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 out of claimant's share of the proceeds of the settlement or judgment:

Items

Payees (names)

Amounts

Continued on Attachment 13b.

Total:

MC-350 [Rev. January 1, 2021]

Page 5 of 10

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

$
$

$ $

$

$

($

$

Total:

CASE NAME:

CASE NUMBER:

MC-350

14. Reimbursement of fees and expenses paid by petitioner

a.

b.

Petitioner has paid none of the fees or expenses listed in items 12 and 13 for which reimbursement is requested.

Petitioner has paid (or become obligated to pay) the following total amounts of the claimant's fees and expenses for which 
reimbursement is requested.

(1)
(2)
(3)

Medical expenses listed in item 12:  
Attorney's fees included in the total fee amount shown in item 13a:
Other expenses included in the total shown in item 13b:                   

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

15. Net balance of proceeds for the claimant 

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

16. Summary

a. Gross amount of proceeds of settlement or judgment:
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)):

$
$

$

)

MC-350 [Rev. January 1, 2021]

Page 6 of 10

PETITION FOR 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-350

17. Information about attorney representing or assisting petitioner

a.   (1)

(2)

Petitioner has not been represented or assisted by an attorney in preparing this petition or in any other way with 
respect to the claim asserted. (Skip the rest of item 17 and go to item 18.)

Petitioner has been represented or assisted by an attorney in preparing this petition or with respect to the claim 
asserted. Petitioner and the attorney                                                   have an agreement for services provided in 
do not 
connection with the claim giving rise to this petition. 
(If you answered ''do,'' attach a copy of the agreement as Attachment 17a, and complete items 17b–17f.)

do

b.   

The attorney who has represented or assisted petitioner is (name):

(1) State Bar number: 
(2) Law firm:
(3) Address:

(4)   Telephone number:

(5)   Email:

c.    The attorney                                                      received 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,'' identify the 
person who paid the fees or other compensation, the amounts paid, and the dates of payment):

has not

has

From whom (names)

Amounts

Dates

Continued on Attachment 17c.

d.   

The attorney                                                    become concerned with this matter, directly or indirectly, at the instance of a party 
against whom the claim is asserted or a party's insurance carrier. (If you answered ''did," explain the circumstances in 
Attachment 17d.)

did not

did

e.   

The attorney                                                representing or employed by any other party or any insurance carrier involved in the 
matter. (If you answered "is," identify the party or carrier and explain the relationship in Attachment 17e.)

is not

is

f. The attorney                                                          expect to receive attorney's fees or other compensation in addition to that 

does not

does

requested in this petition for services provided in connection with the claim giving rise to this petition. (If you answered ''does,''  
identify the person who will pay the fees or other compensation, the amounts to be paid, and the expected dates of payment):

From whom (names)

Amounts

Expected dates

$ $ $ $ $

$ $ $ $ $

Continued on Attachment 17f.

MC-350 [Rev. January 1, 2021]

Page 7 of 10

PETITION FOR 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-350

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

a.

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 or the conservator of the estate. The money or other property is specified in Attachment 18a(1).

$

(1)

(2)

(3)

(1)

(2)

(3)

(5)

(6)

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 18a(1) in insured accounts in one or more 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 18a(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)

(d)  

(e)  

$
                                    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 18a(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 18a(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 18a(3)(c).

to be transferred to the trustee of a trust that is either created by or approved in the order 

$ 
approving the settlement or judgment for the minor. This trust is revocable when the minor reaches 18 years of 
age and contains all other terms and conditions determined to be necessary by the court to protect the minor's 
interests. The terms of the proposed trust and the property to be transferred are specified in Attachment 18a(3)
(d).

A copy of the (proposed) judgment is attached as Attachment 3c. 

$ 
for the benefit of the minor or the adult person with a disability. The terms of the proposed special needs trust 
and the property to be transferred are specified in Attachment 18a(3)(e).

to be transferred to the trustee of a special needs trust under Probate Code section 3604 

b.

There is no guardianship or conservatorship of the estate of the claimant. Petitioner requests that the court order the 
disposition of the balance of the proceeds of the settlement or judgment as follows (check each option requested):

$

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 or other property be paid or delivered to the person so appointed. The money or 
other property are specified in Attachment 18b(1).
                                    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 18b(2).
$
                                    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 18b(3).

(4)   

$
section 3604 for the benefit of the minor or the adult person with a disability. The terms of the proposed special needs 
trust and the money or other property to be paid or transferred are specified in Attachment 18b(4). 

be paid or transferred to the trustee of a special needs trust established under Probate Code 

$
                                    be paid or delivered to a parent of the minor, without bond, on the terms and under the 
conditions specified in Probate Code sections 3401–3402. The name and address of the parent and the money or 
other property to be delivered are specified in Attachment 18b(5). (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 18b(6).

MC-350 [Rev. January 1, 2021]

Page 8 of 10

PETITION FOR 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-350

18. Disposition of balance of proceeds of settlement or judgment (continued)

b.

There is no guardianship or conservatorship of the estate of the claimant. Petitioner requests that the court order the 
disposition of the balance of the proceeds of the settlement or judgment as follows (check each option requested):

(7)  

(8)

(9)

(10)

(11)

be transferred to the trustee of a trust that is either created by or approved in the order 

$
approving the settlement or judgment for the minor. This trust is revocable when the minor reaches 18 years of age, 
and contains all other terms and conditions determined to be necessary by the court to protect the minor's interests. 
The terms of the proposed trust and the money or other property to be transferred are specified in Attachment 18b(7). 

A copy of the (proposed) judgment is attached as Attachment 3c.

$
                                    of money be held on any conditions the court determines are in the best interest of the minor 
or the adult person with a disability. The proposed conditions are specified on Attachment 18b(8). (Amount 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 18b(9).
$
                                    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 delivered to the adult person with a disability. The money or other property is 
specified in Attachment 18b(11).

(name):

19.

Statutory liens for special needs trust
Petitioner requests an order for payment of funds to a special needs trust (explain how statutory liens under Probate Code 
section 3604, if any, will be satisfied):

Continued on Attachment 19.

20.

Additional orders

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

Continued on Attachment 20.

MC-350 [Rev. January 1, 2021]

Page 9 of 10

PETITION FOR 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-350

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 approval of the proposed compromise, settlement, or disposition of judgment proceeds to the court as 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 OF ATTORNEY)

(SIGNATURE OF ATTORNEY)

I declare under penalty of perjury under the laws of the State of California that the foregoing information on this form and all 
attachments is true and correct.

(TYPE OR PRINT NAME OF PETITIONER)

(SIGNATURE OF PETITIONER)

21.

Date:

Date:

Date:

MC-350 [Rev. January 1, 2021]

Page 10 of 10

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

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

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Sourced from selfhelp.courts.ca.gov (2023-03)
Page(s): 10
Fields(s): 326
Average fields per page: 32
Reading Level: Grade 10
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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_page_p_caption_info_street__1 was MC-350[0].Page1[0].P1Caption_sf[0].CourtInfo[0].Street_ft[0] (0.34 conf)
c_page_p_caption_info_add was MC-350[0].Page1[0].P1Caption_sf[0].CourtInfo[0].MailingAdd_ft[0] (0.38 conf)
c_page_p_sf_info_city was MC-350[0].Page1[0].P1Caption_sf[0].CourtInfo[0].CityZip_ft[0] (0.36 conf)
c_page_p_court_info_branch was MC-350[0].Page1[0].P1Caption_sf[0].CourtInfo[0].Branch_ft[0] (0.34 conf)
c_page_p_title_party_name was MC-350[0].Page1[0].P1Caption_sf[0].TitlePartyName[0].CaseName_ft[0] (0.35 conf)
c_page_p_req_date_time was MC-350[0].Page1[0].P1Caption_sf[0].NoHearingReq_sf[0].HearingDateTime_ft[0] (0.39 conf)
c_page_p_caption_info_dept was MC-350[0].Page1[0].P1Caption_sf[0].HearingInfo_sf[0].HearingDept_ft[0] (0.36 conf)
c_page_p_caption_info_time was MC-350[0].Page1[0].P1Caption_sf[0].HearingInfo_sf[0].HearingTime_ft[0] (0.34 conf)
c_page_p_caption_sf_info__1 was MC-350[0].Page1[0].P1Caption_sf[0].AttyInfo[0].AttyState_ft[0] (0.41 conf)
c_page_p_caption_sf_info_ft__1 was MC-350[0].Page1[0].P1Caption_sf[0].AttyInfo[0].AttyZip_ft[0] (0.34 conf)
c_page_p_caption_info_city was MC-350[0].Page1[0].P1Caption_sf[0].AttyInfo[0].AttyCity_ft[0] (0.35 conf)
c_page_p_caption_info_street__2 was MC-350[0].Page1[0].P1Caption_sf[0].AttyInfo[0].AttyStreet_ft[0] (0.37 conf)
c_page_p_caption_sf_info__2 was MC-350[0].Page1[0].P1Caption_sf[0].AttyInfo[0].AttyFirm_ft[0] (0.39 conf)
c_page_p_caption_info_name was MC-350[0].Page1[0].P1Caption_sf[0].AttyInfo[0].AttyName_ft[0] (0.36 conf)
c_page_p_caption_info_bar_dc was MC-350[0].Page1[0].P1Caption_sf[0].AttyInfo[0].AttyBarNo_dc[0] (0.35 conf)
c_page_p_sf_info_phone was MC-350[0].Page1[0].P1Caption_sf[0].AttyInfo[0].Phone_ft[0] (0.37 conf)
c_page_p_caption_sf_info_ft__2 was MC-350[0].Page1[0].P1Caption_sf[0].AttyInfo[0].Fax_ft[0] (0.42 conf)
c_page_p_caption_info_email was MC-350[0].Page1[0].P1Caption_sf[0].AttyInfo[0].Email_ft[0] (0.38 conf)
c_page_p_caption_sf_info_ft__3 was MC-350[0].Page1[0].P1Caption_sf[0].AttyInfo[0].AttyFor_ft[0] (0.36 conf)
c_page_list_l_fill_text__1 was MC-350[0].Page1[0].List1[0].LI1[0].FillText19[0] (0.39 conf)
c_page_list_l_area_check_box__1 was MC-350[0].Page1[0].List1[0].LI1[0].#area[0].CheckBox6[0] (0.34 conf)
c_page_list_l_area_check_box__2 was MC-350[0].Page1[0].List1[0].LI1[0].#area[1].CheckBox7[0] (0.34 conf)
c_page_list_l_area_check_box__3 was MC-350[0].Page1[0].List1[0].LI1[0].#area[2].CheckBox8[0] (0.34 conf)
c_page_list_l_area_check_box__4 was MC-350[0].Page1[0].List1[0].LI1[0].#area[3].CheckBox9[0] (0.34 conf)
c_page_list_l_area_check_box__5 was MC-350[0].Page1[0].List1[0].LI1[0].#area[4].CheckBox12[0] (0.34 conf)
c_page_list_l_area_fill_text was MC-350[0].Page1[0].List1[0].LI1[0].#area[4].FillText25[0] (0.39 conf)
c_page_list_claimant_name was MC-350[0].Page1[0].List2[0].ClaimantName[0] (0.35 conf)
c_page_list_l_hearing_date__1 was MC-350[0].Page1[0].List2[0].LI1[0].HearingDate_ff[0] (0.41 conf)
c_page_list_l_clm_b was MC-350[0].Page1[0].List2[0].LI2[0].ClmDOB[0] (0.36 conf)
c_page_list_l_fill_text__2 was MC-350[0].Page1[0].List2[0].LI3[0].FillText23[0] (0.39 conf)
c_page_list_l_check_box__1 was MC-350[0].Page1[0].List2[0].LI4[0].CheckBox4[0] (0.34 conf)
c_page_list_l_area_check_box__6 was MC-350[0].Page1[0].List2[0].LI4[0].#area[0].CheckBox5[0] (0.34 conf)
c_page_list_l_check_box__2 was MC-350[0].Page1[0].List2[0].LI5[0].CheckBox4[0] (0.34 conf)
c_page_list_l_check_box__3 was MC-350[0].Page1[0].List2[0].LI6[0].CheckBox4[0] (0.34 conf)
c_page_list_l_subj_claim_cb was MC-350[0].Page1[0].List3[0].LI1[0].NotSubjOfClaim_cb[0] (0.43 conf)
c_page_list_l_subj_laim_sb was MC-350[0].Page1[0].List3[0].LI2[0].SubjOfCLaim_sb[0] (0.41 conf)
c_page_list_l_settl_amount__1 was MC-350[0].Page1[0].List3[0].LI2[0].SettlAmount[0] (0.33 conf)
c_page_list_l_pending_case was MC-350[0].Page1[0].List3[0].LI2[0].PendingCaseNo[0] (0.36 conf)
page_list_l_pending_case_date was MC-350[0].Page1[0].List3[0].LI2[0].PendingCaseDate[0] (0.36 conf)
c_page_list_l_cb_choice__1 was MC-350[0].Page1[0].List3[0].LI3[0].CBChoice1_cb[0] (0.35 conf)
c_page_list_l_settl_amount__2 was MC-350[0].Page1[0].List3[0].LI3[0].SettlAmount[0] (0.33 conf)
c_page_list_l_text__1 was MC-350[0].Page1[0].List3[0].LI3[0].Text2[0] (0.33 conf)
c_page_list_l_def_f_cb was MC-350[0].Page1[0].List3[0].LI3[0].AddlDef_OF__cb[0] (0.34 conf)
c_page_list_l_disb_f_cb__1 was MC-350[0].Page1[0].List3[0].LI3[0].Disb_OF__cb[0] (0.35 conf)
c_page_list_l_judgment_date was MC-350[0].Page1[0].List3[0].LI3[0].JudgmentDate[0] (0.36 conf)
c_page_caption_sf_case_number__1 was MC-350[0].Page2[0].PxCaption_sf[0].CaseNumber[0].CaseNumber_ft[0] (0.36 conf)
c_page_caption_title_party_name__1 was MC-350[0].Page2[0].PxCaption_sf[0].TitlePartyName[0].CaseName_ft[0] (0.33 conf)
c_page_list_l_hearing_date__2 was MC-350[0].Page2[0].List5[0].LI1[0].HearingDate_ff[0] (0.41 conf)
c_page_list_l_hearing_time was MC-350[0].Page2[0].List5[0].LI1[0].HearingTime_ff[0] (0.39 conf)
c_page_list_l_incident_place was MC-350[0].Page2[0].List5[0].LI2[0].IncidentPlace[0] (0.35 conf)
c_page_list_l_text__2 was MC-350[0].Page2[0].List5[0].LI3[0].Text3[0] (0.33 conf)
c_page_list_l_incident_f_cb was MC-350[0].Page2[0].List5[0].LI3[0].Incident_OF__cb[0] (0.36 conf)
c_page_list_l_fill_text__3 was MC-350[0].Page2[0].List6[0].LI1[0].FillText43[0] (0.39 conf)
c_page_list_l_desc_f_cb was MC-350[0].Page2[0].List6[0].LI1[0].InciDesc_OF__cb[0] (0.35 conf)
c_page_list_l_fill_text__4 was MC-350[0].Page2[0].List7[0].LI1[0].FillText43[0] (0.39 conf)
c_page_list_l_injuries_f_cb was MC-350[0].Page2[0].List7[0].LI1[0].Injuries_OF__cb[0] (0.35 conf)
c_page_list_l_fill_text__5 was MC-350[0].Page2[0].List8[0].LI1[0].FillText43[0] (0.39 conf)
c_page_list_l_treatment_f_cb was MC-350[0].Page2[0].List8[0].LI1[0].Treatment_OF__cb[0] (0.34 conf)
c_page_list_l_recovery_cb__1 was MC-350[0].Page2[0].List9[0].LI1[0].Recovery_cb[0] (0.35 conf)
c_page_list_l_recovery_cb__2 was MC-350[0].Page2[0].List9[0].LI2[0].Recovery_cb[0] (0.35 conf)
c_page_list_l_text_field__1 was MC-350[0].Page2[0].List9[0].LI2[0].TextField6[0] (0.36 conf)
c_page_list_l_disb_f_cb__2 was MC-350[0].Page2[0].List9[0].LI2[0].Disb_OF__cb[0] (0.35 conf)
c_page_list_l_cb_choice__2 was MC-350[0].Page2[0].List9[0].LI3[0].CBChoice1_cb[0] (0.35 conf)
c_page_list_l_text_field__2 was MC-350[0].Page2[0].List9[0].LI3[0].TextField6[0] (0.36 conf)
c_page_list_l_disb_f_cb__3 was MC-350[0].Page2[0].List9[0].LI3[0].Disb_OF__cb[0] (0.35 conf)
c_page_caption_sf_case_number__2 was MC-350[0].Page3[0].PxCaption_sf[0].CaseNumber[0].CaseNumber_ft[0] (0.36 conf)
c_page_caption_title_party_name__2 was MC-350[0].Page3[0].PxCaption_sf[0].TitlePartyName[0].CaseName_ft[0] (0.33 conf)
c_page_list_l_disb_f_cb__4 was MC-350[0].Page3[0].List10[0].LI1[0].Disb_OF__cb[0] (0.35 conf)
c_page_xx_x_fix_settl_amount__1 was MC-350[0].Page3[0].XXX_fix[0].SettlAmount[0] (0.36 conf)
c_page_xx_x_fix_text__1 was MC-350[0].Page3[0].XXX_fix[0].Text4[0] (0.36 conf)
c_page_xx_x_fix_settl_amount__2 was MC-350[0].Page3[0].XXX_fix[0].SettlAmount[1] (0.36 conf)
c_page_xx_x_fix_text__2 was MC-350[0].Page3[0].XXX_fix[0].Text6[0] (0.36 conf)
c_page_xx_x_fix_settl_amount__3 was MC-350[0].Page3[0].XXX_fix[0].SettlAmount1[0] (0.36 conf)
c_page_xx_x_fix_text__3 was MC-350[0].Page3[0].XXX_fix[0].Text7[0] (0.36 conf)
c_page_xx_x_fix_settl_amount__4 was MC-350[0].Page3[0].XXX_fix[0].SettlAmount2[0] (0.36 conf)
c_page_xx_x_fix_text__4 was MC-350[0].Page3[0].XXX_fix[0].Text8[0] (0.36 conf)
c_page_xx_x_fix_settl_amount__5 was MC-350[0].Page3[0].XXX_fix[0].SettlAmount3[0] (0.36 conf)
c_page_xx_x_fix_f_cb was MC-350[0].Page3[0].XXX_fix[0].Disb_OF__cb[0] (0.35 conf)
c_list_fix_l_pay_others__1 was MC-350[0].Page3[0].List12_xxx_fix[0].LI1[0].SettlementPayToOthers_cb[0] (0.39 conf)
c_list_fix_l_pay_others__2 was MC-350[0].Page3[0].List12_xxx_fix[0].LI2[0].SettlementPayToOthers_cb[0] (0.39 conf)
c_page_list_xxx_fix_amount__1 was MC-350[0].Page3[0].List12_xxx_fix[0].LI2[0].List1[0].LI1[0].SettlAmount[0] (0.37 conf)
c_page_list_fix_l_check_box__1 was MC-350[0].Page3[0].List12_xxx_fix[0].LI2[0].List1[0].Li2[0].CheckBox39[0] (0.37 conf)
c_page_list_fix_l_check_box__2 was MC-350[0].Page3[0].List12_xxx_fix[0].LI2[0].List1[0].Li2[0].CheckBox39[1] (0.37 conf)
c_page_list_fix_l_check_box__3 was MC-350[0].Page3[0].List12_xxx_fix[0].LI2[0].List1[0].Li3[0].CheckBox40[0] (0.37 conf)
c_page_list_fix_l_check_box__4 was MC-350[0].Page3[0].List12_xxx_fix[0].LI2[0].List1[0].Li3[0].CheckBox39[0] (0.37 conf)
c_page_list_fix_l_def was MC-350[0].Page3[0].List12_xxx_fix[0].LI2[0].List1[0].LI2[0].SettlementDef_cb[0] (0.40 conf)
c_page_list_xxx_fix_l_text__1 was MC-350[0].Page3[0].List12_xxx_fix[0].LI2[0].List1[0].LI3[0].Text[0] (0.37 conf)
c_page_list_xxx_fix_amount__2 was MC-350[0].Page3[0].List12_xxx_fix[0].LI2[0].List1[0].LI3[0].SettlAmount[0] (0.37 conf)
c_page_list_xxx_fix_l_text__2 was MC-350[0].Page3[0].List12_xxx_fix[0].LI2[0].List1[0].LI3[0].Text5[0] (0.37 conf)
c_page_list_xxx_fix_amount__3 was MC-350[0].Page3[0].List12_xxx_fix[0].LI2[0].List1[0].LI3[0].SettlAmount1[0] (0.37 conf)
c_page_list_xxx_fix_l_text__3 was MC-350[0].Page3[0].List12_xxx_fix[0].LI2[0].List1[0].LI3[0].Text6[0] (0.37 conf)
c_page_list_xxx_fix_amount__4 was MC-350[0].Page3[0].List12_xxx_fix[0].LI2[0].List1[0].LI3[0].SettlAmount2[0] (0.37 conf)
c_page_list_xxx_fix_l_text__4 was MC-350[0].Page3[0].List12_xxx_fix[0].LI2[0].List1[0].LI3[0].Text8[0] (0.37 conf)
c_page_list_xxx_fix_amount__5 was MC-350[0].Page3[0].List12_xxx_fix[0].LI2[0].List1[0].LI3[0].SettlAmount3[0] (0.37 conf)
c_page_list_xxx_fix_l_f was MC-350[0].Page3[0].List12_xxx_fix[0].LI2[0].List1[0].LI3[0].Disb_OF__cb[0] (0.35 conf)
c_page_list_xxx_fix_f_cb was MC-350[0].Page3[0].List12_xxx_fix[0].Disb_OF__cb[0] (0.32 conf)
c_page_list_fix_text_field was MC-350[0].Page3[0].List12_xxx_fix[0].TextField6[0] (0.39 conf)
c_page_case_number_ft was MC-350[0].Page4[0].Page4[0].CaseNumber[0].CaseNumber_ft[0] (0.36 conf)
c_page_title_party_name_case was MC-350[0].Page4[0].Page4[0].TitlePartyName[0].CaseName_ft[0] (0.37 conf)
c_page_list_l_settl_amount__3 was MC-350[0].Page4[0].Page4[0].List12[0].LI1[0].List1[0].LI1[0].SettlAmount[0] (0.34 conf)
c_page_list_l_settl_amount__4 was MC-350[0].Page4[0].Page4[0].List12[0].LI1[0].List1[0].LI2[0].SettlAmount[0] (0.34 conf)
c_page_list_l_settl_amount__5 was MC-350[0].Page4[0].Page4[0].List12[0].LI1[0].List1[0].LI3[0].SettlAmount[0] (0.34 conf)
c_page_list_l_settl_amount__6 was MC-350[0].Page4[0].Page4[0].List12[0].LI1[0].List1[0].LI4[0].SettlAmount[0] (0.34 conf)
c_page_list_l_settl_amount__7 was MC-350[0].Page4[0].Page4[0].List12[0].LI1[0].List1[0].LI5[0].SettlAmount[0] (0.34 conf)
c_page_list_l_check_box__4 was MC-350[0].Page4[0].Page4[0].List12[0].LI2[0].List1[0].LI1[0].CheckBox43[0] (0.37 conf)
c_page_list_l_fill_text__6 was MC-350[0].Page4[0].Page4[0].List12[0].LI2[0].List1[0].LI1[0].FillText69[0] (0.38 conf)
c_page_list_l_check_box__5 was MC-350[0].Page4[0].Page4[0].List12[0].LI2[0].List2[0].CheckBox44[0] (0.38 conf)
c_page_list_l_check_box__6 was MC-350[0].Page4[0].Page4[0].List12[0].LI2[0].List2[0].LI1[0].CheckBox45[0] (0.37 conf)
c_page_list_l_check_box__7 was MC-350[0].Page4[0].Page4[0].List12[0].LI2[0].List2[0].LI2[0].CheckBox46[0] (0.37 conf)
c_page_list_l_check_box__8 was MC-350[0].Page4[0].Page4[0].List12[0].LI2[0].List2[0].LI3[0].CheckBox47[0] (0.37 conf)
c_page_list_l_check_box__9 was MC-350[0].Page4[0].Page4[0].List12[0].LI2[0].List2[0].LI4[0].CheckBox48[0] (0.37 conf)
c_page_list_l_fill_text__7 was MC-350[0].Page4[0].Page4[0].List12[0].LI2[0].List2[0].LI5[0].FillText70[0] (0.38 conf)
c_page_list_l_check_box__10 was MC-350[0].Page4[0].Page4[0].List12[0].LI2[0].List2[0].LI6[0].List2[0].LI1[0].CheckBox49[0] (0.38 conf)
c_page_list_l_check_bo was MC-350[0].Page4[0].Page4[0].List12[0].LI2[0].List2[0].LI6[0].List2[0].LI2[0].CheckBo49[0] (0.38 conf)
c_page_list_l_check_box__11 was MC-350[0].Page4[0].Page4[0].List12[0].LI2[0].List2[0].LI6[0].List2[0].LI2[0].List3[0].LI1[0].CheckBox50[0] (0.39 conf)
c_page_list_l_fill_text__8 was MC-350[0].Page4[0].Page4[0].List12[0].LI2[0].List2[0].LI6[0].List2[0].LI2[0].List3[0].LI1[0].FillText71[0] (0.40 conf)
c_page_list_l_check_box__12 was MC-350[0].Page4[0].Page4[0].List12[0].LI2[0].List2[0].LI6[0].List2[0].LI2[0].List3[0].LI2[0].CheckBox51[0] (0.39 conf)
c_page_list_l_fill_text__9 was MC-350[0].Page4[0].Page4[0].List12[0].LI2[0].List2[0].LI6[0].List2[0].LI2[0].List3[0].LI2[0].FillText71[0] (0.40 conf)
c_page_list_l_check_box__13 was MC-350[0].Page4[0].Page4[0].List12[0].LI2[0].List2[0].LI6[0].List2[0].LI2[0].List3[0].LI3[0].CheckBox52[0] (0.39 conf)
c_page_list_l_fill_text__10 was MC-350[0].Page4[0].Page4[0].List12[0].LI2[0].List2[0].LI6[0].List2[0].LI2[0].List3[0].LI3[0].FillText73[0] (0.40 conf)
c_page_list_l_check_box__14 was MC-350[0].Page4[0].Page4[0].List12[0].LI2[0].List3[0].LI1[0].CheckBox123[0] (0.37 conf)
c_page_list_l_fill_text__11 was MC-350[0].Page4[0].Page4[0].List12[0].LI2[0].List3[0].LI1[0].FillText76[0] (0.38 conf)
c_page_list_l_fill_text__12 was MC-350[0].Page4[0].Page4[0].List12[0].LI2[0].List3[0].LI1[0].FillText88[0] (0.38 conf)
c_page_list_l_fill_text__13 was MC-350[0].Page4[0].Page4[0].List12[0].LI2[0].List3[0].LI1[0].FillText78[0] (0.38 conf)
c_page_list_l_check_box__15 was MC-350[0].Page4[0].Page4[0].List12[0].LI2[0].List4[0].CheckBox54[0] (0.38 conf)
c_page_list_l_fill_text__14 was MC-350[0].Page4[0].Page4[0].List12[0].LI2[0].List4[0].FillText76[0] (0.42 conf)
c_page_list_l_check_box__16 was MC-350[0].Page4[0].Page4[0].List12[0].LI2[0].List4[0].LI1[0].CheckBox55[0] (0.37 conf)
c_page_list_l_area_check_box__7 was MC-350[0].Page4[0].Page4[0].List12[0].LI2[0].List4[0].LI1[0].#area[0].CheckBox53[0] (0.37 conf)
c_page_list_l_area_check_box__8 was MC-350[0].Page4[0].Page4[0].List12[0].LI2[0].List4[0].LI1[0].#area[1].CheckBox120[0] (0.37 conf)
c_page_list_l_clm_filed was MC-350[0].Page4[0].Page4[0].List12[0].LI2[0].List4[0].LI1[0].NotClmFiledT157[0] (0.37 conf)
c_page_list_l_check_box__17 was MC-350[0].Page4[0].Page4[0].List12[0].LI2[0].List4[0].LI2[0].CheckBox55[0] (0.37 conf)
c_page_list_l_check_box__18 was MC-350[0].Page4[0].Page4[0].List12[0].LI2[0].List4[0].LI3[0].CheckBox121[0] (0.37 conf)
c_page_list_l_fill_text__15 was MC-350[0].Page4[0].Page4[0].List12[0].LI2[0].List4[0].LI3[0].FillText80[0] (0.38 conf)
c_page_list_l_check_box__19 was MC-350[0].Page4[0].Page4[0].List12[0].LI2[0].List4[0].LI4[0].CheckBox122[0] (0.37 conf)
c_page_list_l_check_box__20 was MC-350[0].Page4[0].Page4[0].List12[0].LI2[0].List4[0].LI4[0].List1[0].LI1[0].CheckBox56[0] (0.38 conf)
c_page_list_l_check_box__21 was MC-350[0].Page4[0].Page4[0].List12[0].LI2[0].List4[0].LI4[0].List1[0].LI2[0].CheckBox57[0] (0.38 conf)
c_page_list_l_fill_text__16 was MC-350[0].Page4[0].Page4[0].List12[0].LI2[0].List4[0].LI4[0].List1[0].LI2[0].FillText81[0] (0.38 conf)
c_page_list_l_check_box__22 was MC-350[0].Page4[0].Page4[0].List12[0].LI2[0].List5[0].LI1[0].CheckBox56[0] (0.37 conf)
c_page_list_l_check_box__23 was MC-350[0].Page4[0].Page4[0].List12[0].LI2[0].List5[0].LI2[0].CheckBox58[0] (0.37 conf)
c_page_list_l_fill_text__17 was MC-350[0].Page4[0].Page4[0].List12[0].LI2[0].List5[0].LI2[0].FillText82[0] (0.38 conf)
c_page_list_l_fill_text__18 was MC-350[0].Page4[0].Page4[0].List12[0].LI2[0].List5[0].LI2[0].FillText83[0] (0.38 conf)
c_page_list_l_fill_text__19 was MC-350[0].Page5[0].List12[0].LI1[0].List1[0].LI1[0].FillText84[0] (0.37 conf)
c_page_list_l_fill_text__20 was MC-350[0].Page5[0].List12[0].LI1[0].List1[0].LI2[0].FillText85[0] (0.37 conf)
c_page_list_l_fill_text__21 was MC-350[0].Page5[0].List12[0].LI1[0].List1[0].LI3[0].FillText87[0] (0.37 conf)
c_page_list_l_fill_text__22 was MC-350[0].Page5[0].List12[0].LI1[0].List1[0].LI4[0].FillText88[0] (0.37 conf)
c_page_list_l_fill_text__23 was MC-350[0].Page5[0].List12[0].LI1[0].List1[0].LI5[0].FillText89[0] (0.37 conf)
c_page_list_l_fill_text__24 was MC-350[0].Page5[0].List12[0].LI1[0].List1[0].LI6[0].FillText90[0] (0.37 conf)
c_page_list_l_fill_text__25 was MC-350[0].Page5[0].List12[0].LI1[0].List2[0].LI1[0].FillText91[0] (0.37 conf)
c_page_list_l_fill_text__26 was MC-350[0].Page5[0].List12[0].LI1[0].List2[0].LI2[0].FillText92[0] (0.37 conf)
c_page_list_l_fill_text__27 was MC-350[0].Page5[0].List12[0].LI1[0].List2[0].LI3[0].FillText94[0] (0.37 conf)
c_page_list_l_fill_text__28 was MC-350[0].Page5[0].List12[0].LI1[0].List2[0].LI4[0].FillText95[0] (0.37 conf)
c_page_list_l_fill_text__29 was MC-350[0].Page5[0].List12[0].LI1[0].List2[0].LI5[0].FillText96[0] (0.37 conf)
c_page_list_l_fill_text__30 was MC-350[0].Page5[0].List12[0].LI1[0].List2[0].LI6[0].FillText97[0] (0.37 conf)
c_page_list_l_fill_text__31 was MC-350[0].Page5[0].List12[0].LI1[0].List3[0].LI1[0].FillText91[0] (0.37 conf)
c_page_list_l_fill_text__32 was MC-350[0].Page5[0].List12[0].LI1[0].List3[0].LI2[0].FillText92[0] (0.37 conf)
c_page_list_l_fill_text__33 was MC-350[0].Page5[0].List12[0].LI1[0].List3[0].LI3[0].FillText94[0] (0.37 conf)
c_page_list_l_fill_text__34 was MC-350[0].Page5[0].List12[0].LI1[0].List3[0].LI4[0].FillText95[0] (0.37 conf)
c_page_list_l_fill_text__35 was MC-350[0].Page5[0].List12[0].LI1[0].List3[0].LI5[0].FillText96[0] (0.37 conf)
c_page_list_l_fill_text__36 was MC-350[0].Page5[0].List12[0].LI1[0].List3[0].LI6[0].FillText97[0] (0.37 conf)
c_page_list_l_check_box__24 was MC-350[0].Page5[0].List12[0].LI1[0].CheckBox59[0] (0.34 conf)
c_page_list_l_settl_amount__8 was MC-350[0].Page5[0].List14[0].LI1[0].SettlAmount[0] (0.33 conf)
c_page_list_l_oth_exp_items__1 was MC-350[0].Page5[0].List14[0].LI2[0].OthExpItems[0] (0.35 conf)
c_page_list_l_exp_payee__1 was MC-350[0].Page5[0].List14[0].LI2[0].OtherExpPayee[0] (0.38 conf)
c_page_list_l_oth_exp_amount__1 was MC-350[0].Page5[0].List14[0].LI2[0].OthExpAmount[0] (0.35 conf)
c_page_list_l_oth_exp_items__2 was MC-350[0].Page5[0].List14[0].LI2[0].OthExpItems1[0] (0.35 conf)
c_page_list_l_exp_payee__2 was MC-350[0].Page5[0].List14[0].LI2[0].OtherExpPayee1[0] (0.38 conf)
c_page_list_l_oth_exp_amount__2 was MC-350[0].Page5[0].List14[0].LI2[0].OthExpAmount1[0] (0.35 conf)
c_page_list_l_oth_exp_items__3 was MC-350[0].Page5[0].List14[0].LI2[0].OthExpItems2[0] (0.35 conf)
c_page_list_l_exp_payee__3 was MC-350[0].Page5[0].List14[0].LI2[0].OtherExpPayee2[0] (0.38 conf)
c_page_list_l_oth_exp_amount__3 was MC-350[0].Page5[0].List14[0].LI2[0].OthExpAmount2[0] (0.35 conf)
c_page_list_l_oth_exp_items__4 was MC-350[0].Page5[0].List14[0].LI2[0].OthExpItems3[0] (0.35 conf)
c_page_list_l_exp_payee__4 was MC-350[0].Page5[0].List14[0].LI2[0].OtherExpPayee3[0] (0.38 conf)
c_page_list_l_oth_exp_amount__4 was MC-350[0].Page5[0].List14[0].LI2[0].OthExpAmount3[0] (0.35 conf)
c_page_list_l_oth_exp_items__5 was MC-350[0].Page5[0].List14[0].LI2[0].OthExpItems4[0] (0.35 conf)
c_page_list_l_exp_payee__5 was MC-350[0].Page5[0].List14[0].LI2[0].OtherExpPayee4[0] (0.38 conf)
c_page_list_l_oth_exp_amount__5 was MC-350[0].Page5[0].List14[0].LI2[0].OthExpAmount4[0] (0.35 conf)
c_page_list_l_oth_exp_items__6 was MC-350[0].Page5[0].List14[0].LI2[0].OthExpItems5[0] (0.35 conf)
c_page_list_l_exp_payee__6 was MC-350[0].Page5[0].List14[0].LI2[0].OtherExpPayee5[0] (0.38 conf)
c_page_list_l_oth_exp_amount__6 was MC-350[0].Page5[0].List14[0].LI2[0].OthExpAmount5[0] (0.35 conf)
c_page_list_l_oth_exp_items__7 was MC-350[0].Page5[0].List14[0].LI2[0].OthExpItems6[0] (0.35 conf)
c_page_list_l_exp_payee__7 was MC-350[0].Page5[0].List14[0].LI2[0].OtherExpPayee6[0] (0.38 conf)
c_page_list_l_oth_exp_amount__7 was MC-350[0].Page5[0].List14[0].LI2[0].OthExpAmount6[0] (0.35 conf)
c_page_list_l_oth_exp_items__8 was MC-350[0].Page5[0].List14[0].LI2[0].OthExpItems7[0] (0.35 conf)
c_page_list_l_exp_payee__8 was MC-350[0].Page5[0].List14[0].LI2[0].OtherExpPayee7[0] (0.38 conf)
c_page_list_l_oth_exp_amount__8 was MC-350[0].Page5[0].List14[0].LI2[0].OthExpAmount7[0] (0.35 conf)
c_page_list_l_oth_exp_total was MC-350[0].Page5[0].List14[0].LI2[0].OthExpTotal[0] (0.35 conf)
c_page_list_l_settlement_def was MC-350[0].Page5[0].List14[0].LI2[0].SettlementDef_cb[0] (0.40 conf)
c_page_caption_sf_case_number__3 was MC-350[0].Page5[0].PxCaption_sf[0].CaseNumber[0].CaseNumber_ft[0] (0.36 conf)
c_page_caption_title_party_name__3 was MC-350[0].Page5[0].PxCaption_sf[0].TitlePartyName[0].CaseName_ft[0] (0.33 conf)
c_p_px_caption_sf_number_ft__1 was MC-350[0].P7[0].PxCaption_sf[0].CaseNumber[0].CaseNumber_ft[0] (0.36 conf)
c_p_caption_title_party_name__1 was MC-350[0].P7[0].PxCaption_sf[0].TitlePartyName[0].CaseName_ft[0] (0.33 conf)
c_p_list_l_health_plan_cb__1 was MC-350[0].P7[0].List15[0].LI1[0].HealthPlan_cb[0] (0.37 conf)
c_p_list_l_health_plan_cb__2 was MC-350[0].P7[0].List15[0].LI2[0].HealthPlan_cb[0] (0.37 conf)
c_p_list_l_settlement_def_cb__1 was MC-350[0].P7[0].List15[0].LI2[0].List1[0].LI1[0].SettlementDef_cb3[0] (0.39 conf)
c_p_list_l_settl_amount__1 was MC-350[0].P7[0].List15[0].LI2[0].List1[0].LI1[0].SettlAmount[0] (0.34 conf)
c_p_list_l_settlement_def_cb__2 was MC-350[0].P7[0].List15[0].LI2[0].List1[0].LI2[0].SettlementDef_cb2[0] (0.39 conf)
c_p_list_l_settl_amount__2 was MC-350[0].P7[0].List15[0].LI2[0].List1[0].LI2[0].SettlAmount[0] (0.34 conf)
c_p_list_l_settlement_def_cb__3 was MC-350[0].P7[0].List15[0].LI2[0].List1[0].LI3[0].SettlementDef_cb[0] (0.39 conf)
c_p_list_l_settl_amount__3 was MC-350[0].P7[0].List15[0].LI2[0].List1[0].LI3[0].SettlAmount[0] (0.34 conf)
c_p_list_l_oth_exp_total was MC-350[0].P7[0].List15[0].LI2[0].List1[0].LI3[0].OthExpTotal[0] (0.32 conf)
c_p_list_l_settl_amount__4 was MC-350[0].P7[0].List16[0].LI1[0].SettlAmount[0] (0.33 conf)
c_p_list_l_settl_amount__5 was MC-350[0].P7[0].List17[0].LI1[0].SettlAmount[0] (0.33 conf)
c_p_list_l_settl_amount__6 was MC-350[0].P7[0].List17[0].LI2[0].SettlAmount[0] (0.33 conf)
c_p_list_l_settl_amount__7 was MC-350[0].P7[0].List17[0].LI3[0].SettlAmount[0] (0.33 conf)
c_p_list_l_settl_amount__8 was MC-350[0].P7[0].List17[0].LI4[0].SettlAmount[0] (0.33 conf)
c_p_list_l_settl_amount__9 was MC-350[0].P7[0].List17[0].LI5[0].SettlAmount[0] (0.33 conf)
c_p_list_l_settl_amount__10 was MC-350[0].P7[0].List17[0].LI6[0].SettlAmount[0] (0.33 conf)
c_page_caption_sf_case_number__4 was MC-350[0].Page7[0].Page7[0].PxCaption_sf[0].CaseNumber[0].CaseNumber_ft[0] (0.37 conf)
c_page_caption_title_party_name__4 was MC-350[0].Page7[0].Page7[0].PxCaption_sf[0].TitlePartyName[0].CaseName_ft[0] (0.34 conf)
c_page_list_l_check_box__25 was MC-350[0].Page7[0].Page7[0].List17[0].LI1[0].List1[0].LI1[0].CheckBox65[0] (0.37 conf)
c_page_list_l_check_box__26 was MC-350[0].Page7[0].Page7[0].List17[0].LI1[0].List2[0].LL1[0].CheckBox65[0] (0.37 conf)
c_page_list_l_area_check_bo__1 was MC-350[0].Page7[0].Page7[0].List17[0].LI1[0].List2[0].LL1[0].#area[0].CheckBo66[0] (0.37 conf)
c_page_list_l_area_check_bo__2 was MC-350[0].Page7[0].Page7[0].List17[0].LI1[0].List2[0].LL1[0].#area[1].CheckBo66[1] (0.37 conf)
c_page_list_l_fill_text__37 was MC-350[0].Page7[0].Page7[0].List17[0].LI2[0].FillText148[0] (0.40 conf)
c_page_list_l_fill_text__38 was MC-350[0].Page7[0].Page7[0].List17[0].LI2[0].List1[0].LI1[0].FillText149[0] (0.38 conf)
c_page_list_l_fill_text__39 was MC-350[0].Page7[0].Page7[0].List17[0].LI2[0].List1[0].LI2[0].FillText150[0] (0.38 conf)
c_page_list_l_fill_text__40 was MC-350[0].Page7[0].Page7[0].List17[0].LI2[0].List1[0].LI3[0].FillText151[0] (0.38 conf)
c_page_list_l_fill_text__41 was MC-350[0].Page7[0].Page7[0].List17[0].LI2[0].List1[0].LI4[0].FillText152[0] (0.38 conf)
c_page_list_l_fill_text__42 was MC-350[0].Page7[0].Page7[0].List17[0].LI2[0].List1[0].LI5[0].FillText152[0] (0.38 conf)
c_page_list_l_area_check_bo__3 was MC-350[0].Page7[0].Page7[0].List17[0].LI3[0].#area[0].CheckBo67[0] (0.37 conf)
c_page_list_l_area_check_bo__4 was MC-350[0].Page7[0].Page7[0].List17[0].LI3[0].#area[1].CheckBo67[1] (0.37 conf)
c_page_list_l_fill_text__43 was MC-350[0].Page7[0].Page7[0].List17[0].LI3[0].FillText153[0] (0.40 conf)
c_page_list_l_fill_text__44 was MC-350[0].Page7[0].Page7[0].List17[0].LI3[0].FillText154[0] (0.40 conf)
c_page_list_l_fill_text__45 was MC-350[0].Page7[0].Page7[0].List17[0].LI3[0].FillText155[0] (0.40 conf)
c_page_list_l_fill_text__46 was MC-350[0].Page7[0].Page7[0].List17[0].LI3[0].FillText156[0] (0.40 conf)
c_page_list_l_fill_text__47 was MC-350[0].Page7[0].Page7[0].List17[0].LI3[0].FillText157[0] (0.40 conf)
c_page_list_l_fill_text__48 was MC-350[0].Page7[0].Page7[0].List17[0].LI3[0].FillText158[0] (0.40 conf)
c_page_list_l_fill_text__49 was MC-350[0].Page7[0].Page7[0].List17[0].LI3[0].FillText159[0] (0.40 conf)
c_page_list_l_fill_text__50 was MC-350[0].Page7[0].Page7[0].List17[0].LI3[0].FillText160[0] (0.40 conf)
c_page_list_l_fill_text__51 was MC-350[0].Page7[0].Page7[0].List17[0].LI3[0].FillText161[0] (0.40 conf)
c_page_list_l_fill_text__52 was MC-350[0].Page7[0].Page7[0].List17[0].LI3[0].FillText162[0] (0.40 conf)
c_page_list_l_fill_text__53 was MC-350[0].Page7[0].Page7[0].List17[0].LI3[0].FillText163[0] (0.40 conf)
c_page_list_l_fill_text__54 was MC-350[0].Page7[0].Page7[0].List17[0].LI3[0].FillText164[0] (0.40 conf)
c_page_list_l_fill_text__55 was MC-350[0].Page7[0].Page7[0].List17[0].LI3[0].FillText165[0] (0.40 conf)
c_page_list_l_fill_text__56 was MC-350[0].Page7[0].Page7[0].List17[0].LI3[0].FillText166[0] (0.40 conf)
c_page_list_l_fill_text__57 was MC-350[0].Page7[0].Page7[0].List17[0].LI3[0].FillText167[0] (0.40 conf)
c_page_list_l_check_box__27 was MC-350[0].Page7[0].Page7[0].List17[0].LI3[0].CheckBox68[0] (0.37 conf)
c_page_list_l_area_check_bx__1 was MC-350[0].Page7[0].Page7[0].List17[0].LI4[0].#area[0].CheckBx69[0] (0.37 conf)
c_page_list_l_area_check_bx__2 was MC-350[0].Page7[0].Page7[0].List17[0].LI4[0].#area[1].CheckBx69[1] (0.37 conf)
c_page_list_l_area_check_box__9 was MC-350[0].Page7[0].Page7[0].List17[0].LI5[0].#area[0].CheckBox70[0] (0.37 conf)
c_page_list_l_area_check_box__10 was MC-350[0].Page7[0].Page7[0].List17[0].LI5[0].#area[1].CheckBox70[1] (0.37 conf)
c_page_list_l_area_check_bx__3 was MC-350[0].Page7[0].Page7[0].List17[0].LI6[0].#area[0].CheckBx71[0] (0.37 conf)
c_page_list_l_area_check_bx__4 was MC-350[0].Page7[0].Page7[0].List17[0].LI6[0].#area[1].CheckBx71[1] (0.37 conf)
c_page_list_l_fill_text__58 was MC-350[0].Page7[0].Page7[0].List17[0].LI6[0].FillText168[0] (0.40 conf)
c_page_list_l_fill_text__59 was MC-350[0].Page7[0].Page7[0].List17[0].LI6[0].FillText169[0] (0.40 conf)
c_page_list_l_fill_text__60 was MC-350[0].Page7[0].Page7[0].List17[0].LI6[0].FillText170[0] (0.40 conf)
c_page_list_l_fill_text__61 was MC-350[0].Page7[0].Page7[0].List17[0].LI6[0].FillText171[0] (0.40 conf)
c_page_list_l_fill_text__62 was MC-350[0].Page7[0].Page7[0].List17[0].LI6[0].FillText172[0] (0.40 conf)
c_page_list_l_fill_text__63 was MC-350[0].Page7[0].Page7[0].List17[0].LI6[0].FillText173[0] (0.40 conf)
c_page_list_l_fill_text__64 was MC-350[0].Page7[0].Page7[0].List17[0].LI6[0].FillText174[0] (0.40 conf)
c_page_list_l_fill_text__65 was MC-350[0].Page7[0].Page7[0].List17[0].LI6[0].FillText175[0] (0.40 conf)
c_page_list_l_fill_text__66 was MC-350[0].Page7[0].Page7[0].List17[0].LI6[0].FillText176[0] (0.40 conf)
c_page_list_l_fill_text__67 was MC-350[0].Page7[0].Page7[0].List17[0].LI6[0].FillText177[0] (0.40 conf)
c_page_list_l_fill_text__68 was MC-350[0].Page7[0].Page7[0].List17[0].LI6[0].FillText178[0] (0.40 conf)
c_page_list_l_fill_text__69 was MC-350[0].Page7[0].Page7[0].List17[0].LI6[0].FillText179[0] (0.40 conf)
c_page_list_l_fill_text__70 was MC-350[0].Page7[0].Page7[0].List17[0].LI6[0].FillText180[0] (0.40 conf)
c_page_list_l_fill_text__71 was MC-350[0].Page7[0].Page7[0].List17[0].LI6[0].FillText181[0] (0.40 conf)
c_page_list_l_fill_text__72 was MC-350[0].Page7[0].Page7[0].List17[0].LI6[0].FillText182[0] (0.40 conf)
c_page_list_l_check_box__28 was MC-350[0].Page7[0].Page7[0].List17[0].LI6[0].CheckBox72[0] (0.37 conf)
c_p_list_l_grdnshp_cb__1 was MC-350[0].P8[0].List19[0].LI1[0].Grdnshp_cb[0] (0.33 conf)
c_p_list_l_grdnshp_crt was MC-350[0].P8[0].List19[0].LI1[0].GrdnshpCrt[0] (0.33 conf)
c_p_list_l_grdnshp_case was MC-350[0].P8[0].List19[0].LI1[0].GrdnshpCaseNo[0] (0.35 conf)
c_p_list_l_proceeds_grdn_cb was MC-350[0].P8[0].List19[0].LI1[0].List1[0].LI1[0].ProceedsToGrdn_cb[0] (0.35 conf)
c_p_list_l_settl_amount__11 was MC-350[0].P8[0].List19[0].LI1[0].List1[0].LI1[0].SettlAmount[0] (0.34 conf)
c_p_list_l_pet_dep_cb was MC-350[0].P8[0].List19[0].LI1[0].List1[0].LI2[0].ProceedToPetDep_cb[0] (0.38 conf)
c_p_list_l_settl_amount__12 was MC-350[0].P8[0].List19[0].LI1[0].List1[0].LI2[0].SettlAmount[0] (0.34 conf)
c_p_list_l_proceednot_grdn_cb was MC-350[0].P8[0].List19[0].LI1[0].List1[0].LI3[0].ProceednotGrdn_cb[0] (0.34 conf)
c_p_list_l_estate_dep_cb was MC-350[0].P8[0].List19[0].LI1[0].List1[0].LI3[0].List1[0].LI1[0].NotEstateDep_cb[0] (0.36 conf)
c_p_list_l_dep_acts_amount was MC-350[0].P8[0].List19[0].LI1[0].List1[0].LI3[0].List1[0].LI1[0].DepActsAmount[0] (0.38 conf)
c_p_list_l_estate_inv_cb was MC-350[0].P8[0].List19[0].LI1[0].List1[0].LI3[0].List1[0].LI2[0].NotEstateInv_cb[0] (0.38 conf)
c_p_list_l_inv_amount was MC-350[0].P8[0].List19[0].LI1[0].List1[0].LI3[0].List1[0].LI2[0].InvAmount[0] (0.40 conf)
c_p_list_l_estate_tfr_cb was MC-350[0].P8[0].List19[0].LI1[0].List1[0].LI3[0].List1[0].LI3[0].NotEstateTfr_cb[0] (0.38 conf)
c_p_list_l_tfr_amount was MC-350[0].P8[0].List19[0].LI1[0].List1[0].LI3[0].List1[0].LI3[0].TfrAmount[0] (0.36 conf)
c_p_list_l_check_box__1 was MC-350[0].P8[0].List19[0].LI1[0].List1[0].LI3[0].List1[0].LI4[0].CheckBox80[0] (0.38 conf)
c_p_list_l_fill_text__1 was MC-350[0].P8[0].List19[0].LI1[0].List1[0].LI3[0].List1[0].LI4[0].FillText192[0] (0.39 conf)
c_p_list_l_area_check_box was MC-350[0].P8[0].List19[0].LI1[0].List1[0].LI3[0].List1[0].LI4[0].#area[0].CheckBox81[0] (0.38 conf)
c_p_list_l_check_box__2 was MC-350[0].P8[0].List19[0].LI1[0].List1[0].LI3[0].List1[0].LI5[0].CheckBox82[0] (0.38 conf)
c_p_list_l_fill_text__2 was MC-350[0].P8[0].List19[0].LI1[0].List1[0].LI3[0].List1[0].LI5[0].FillText193[0] (0.39 conf)
c_p_list_l_grdnshp_cb__2 was MC-350[0].P8[0].List19[0].LI2[0].NoGrdnshp_cb[0] (0.35 conf)
c_p_list_l_grdnshp_dispo_cb__1 was MC-350[0].P8[0].List19[0].LI2[0].List1[0].LI1[0].NoGrdnshpDispo_cb[0] (0.35 conf)
c_p_list_l_amount__1 was MC-350[0].P8[0].List19[0].LI2[0].List1[0].LI1[0].Amount[0] (0.34 conf)
c_p_list_l_grdnshp_dispo_cb__2 was MC-350[0].P8[0].List19[0].LI2[0].List1[0].LI2[0].NoGrdnshpDispo_cb[0] (0.35 conf)
c_p_list_l_amount__2 was MC-350[0].P8[0].List19[0].LI2[0].List1[0].LI2[0].Amount[0] (0.34 conf)
c_p_list_l_grdnshp_dispo_cb__3 was MC-350[0].P8[0].List19[0].LI2[0].List1[0].LI3[0].NoGrdnshpDispo_cb[0] (0.35 conf)
c_p_list_l_amount__3 was MC-350[0].P8[0].List19[0].LI2[0].List1[0].LI3[0].Amount[0] (0.34 conf)
c_p_list_l_li_check_box was MC-350[0].P8[0].List19[0].LI2[0].List1[0].Li4[0].CheckBox87[0] (0.38 conf)
c_p_list_l_li_fill_text was MC-350[0].P8[0].List19[0].LI2[0].List1[0].Li4[0].FillText197[0] (0.42 conf)
c_p_list_l_grdnshp_dispo_cb__4 was MC-350[0].P8[0].List19[0].LI2[0].List1[0].LI4[0].NoGrdnshpDispo_cb[0] (0.35 conf)
c_p_list_l_amount__4 was MC-350[0].P8[0].List19[0].LI2[0].List1[0].LI4[0].Amount[0] (0.34 conf)
c_p_list_l_grdnshp_dispo_cb__5 was MC-350[0].P8[0].List19[0].LI2[0].List1[0].LI5[0].NoGrdnshpDispo_cb[0] (0.35 conf)
c_p_list_l_amount__5 was MC-350[0].P8[0].List19[0].LI2[0].List1[0].LI5[0].Amount[0] (0.34 conf)
c_p_px_caption_sf_number_ft__2 was MC-350[0].P8[0].PxCaption_sf[0].CaseNumber[0].CaseNumber_ft[0] (0.36 conf)
c_p_caption_title_party_name__2 was MC-350[0].P8[0].PxCaption_sf[0].TitlePartyName[0].CaseName_ft[0] (0.33 conf)
c_page_caption_sf_case_number__5 was MC-350[0].Page9[0].PxCaption_sf[0].CaseNumber[0].CaseNumber_ft[0] (0.36 conf)
c_page_caption_title_party_name__5 was MC-350[0].Page9[0].PxCaption_sf[0].TitlePartyName[0].CaseName_ft[0] (0.33 conf)
c_page_list_l_check_box__29 was MC-350[0].Page9[0].List18[0].LI1[0].CheckBox83[0] (0.34 conf)
c_page_list_l_check_box__30 was MC-350[0].Page9[0].List18[0].LI1[0].List1[0].LI1[0].CheckBox90[0] (0.36 conf)
c_page_list_l_fill_text__73 was MC-350[0].Page9[0].List18[0].LI1[0].List1[0].LI1[0].FillText197[0] (0.37 conf)
c_page_list_l_area_check_box__11 was MC-350[0].Page9[0].List18[0].LI1[0].List1[0].LI1[0].#area[0].CheckBox91[0] (0.36 conf)
c_page_list_l_dispo_cb__1 was MC-350[0].Page9[0].List18[0].LI1[0].List1[0].LI6[0].NoGrdnshpDispo_cb[0] (0.35 conf)
c_page_list_l_amount__1 was MC-350[0].Page9[0].List18[0].LI1[0].List1[0].LI6[0].Amount[0] (0.34 conf)
c_page_list_l_dispo_cb__2 was MC-350[0].Page9[0].List18[0].LI1[0].List1[0].LI7[0].NoGrdnshpDispo_cb[0] (0.35 conf)
c_page_list_l_amount__2 was MC-350[0].Page9[0].List18[0].LI1[0].List1[0].LI7[0].Amount[0] (0.34 conf)
c_page_list_l_dispo_cb__3 was MC-350[0].Page9[0].List18[0].LI1[0].List1[0].LI8[0].NoGrdnshpDispo_cb[0] (0.35 conf)
c_page_list_l_amount__3 was MC-350[0].Page9[0].List18[0].LI1[0].List1[0].LI8[0].Amount[0] (0.34 conf)
c_page_list_l_cty_name was MC-350[0].Page9[0].List18[0].LI1[0].List1[0].LI8[0].CtyName[0] (0.39 conf)
c_page_list_l_dispo_cb__4 was MC-350[0].Page9[0].List18[0].LI1[0].List1[0].LI9[0].NoGrdnshpDispo_cb[0] (0.35 conf)
c_page_list_l_amount__4 was MC-350[0].Page9[0].List18[0].LI1[0].List1[0].LI9[0].Amount[0] (0.34 conf)
c_page_list_l_check_box__31 was MC-350[0].Page9[0].List19[0].LI1[0].CheckBox97[0] (0.34 conf)
c_page_list_l_fill_text__74 was MC-350[0].Page9[0].List19[0].LI1[0].FillText210[0] (0.39 conf)
c_page_list_l_area_check_box__12 was MC-350[0].Page9[0].List19[0].LI1[0].#area[0].CheckBox98[0] (0.34 conf)
c_page_list_l_addl_orders_cb was MC-350[0].Page9[0].List20[0].LI1[0].AddlOrders_cb[0] (0.38 conf)
c_page_list_l_addl_orders was MC-350[0].Page9[0].List20[0].LI1[0].AddlOrders[0] (0.33 conf)
c_page_list_l_area_order_f was MC-350[0].Page9[0].List20[0].LI1[0].#area[0].AddlOrder_OF_cb[0] (0.35 conf)
c_page_list_l_area_check_box__13 was MC-350[0].Page10[0].List21[0].LI1[0].#area[0].CheckBox11[0] (0.34 conf)
c_page_list_l_area_date was MC-350[0].Page10[0].List21[0].LI1[0].#area[1].Date[0] (0.33 conf)
c_page_list_area_print_name was MC-350[0].Page10[0].List21[0].LI1[0].#area[1].PrintName[0] (0.34 conf)
c_page_list_l_pp_att was MC-350[0].Page10[0].List23[0].LI1[0].PPAtt[0] (0.36 conf)
c_page_sign_sub_area_date__1 was MC-350[0].Page10[0].SignSub[0].#area[0].Date[0] (0.37 conf)
c_page_sign_area_print_name__1 was MC-350[0].Page10[0].SignSub[0].#area[0].PrintName[0] (0.40 conf)
c_page_sign_sub_area_date__2 was MC-350[0].Page10[0].SignSub[0].#area[1].Date1[0] (0.37 conf)
c_page_sign_area_print_name__2 was MC-350[0].Page10[0].SignSub[0].#area[1].PrintName1[0] (0.40 conf)
c_page_caption_sf_case_number__6 was MC-350[0].Page10[0].PxCaption_sf[0].CaseNumber[0].CaseNumber_ft[0] (0.36 conf)
c_page_caption_title_party_name__6 was MC-350[0].Page10[0].PxCaption_sf[0].TitlePartyName[0].CaseName_ft[0] (0.33 conf)

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

Suggested Screen 0:

c_page_p_sf_case_number
c_page_p_sf_info_county
c_page_p_caption_info_street__1
c_page_p_caption_info_add
c_page_p_sf_info_city
c_page_p_court_info_branch
c_page_p_title_party_name
c_page_p_req_date_time
c_page_p_caption_info_dept
c_page_p_caption_info_time
c_page_p_caption_sf_info__1
c_page_p_caption_sf_info_ft__1
c_page_p_caption_info_city
c_page_p_caption_info_street__2
c_page_p_caption_sf_info__2
c_page_p_caption_info_name
c_page_p_caption_info_bar_dc
c_page_p_sf_info_phone
c_page_p_caption_sf_info_ft__2
c_page_p_caption_info_email
c_page_p_caption_sf_info_ft__3
c_page_list_l_fill_text__1
c_page_list_l_area_check_box__1
c_page_list_l_area_check_box__2
c_page_list_l_area_check_box__3
c_page_list_l_area_check_box__4
c_page_list_l_area_check_box__5
c_page_list_l_area_fill_text
c_page_list_claimant_name
c_page_list_l_hearing_date__1
c_page_list_l_clm_b
c_page_list_l_fill_text__2
c_page_list_l_check_box__1
c_page_list_l_area_check_box__6
c_page_list_l_check_box__2
c_page_list_l_check_box__3
c_page_list_l_subj_claim_cb
c_page_list_l_subj_laim_sb
c_page_list_l_settl_amount__1
c_page_list_l_pending_case
page_list_l_pending_case_date
c_page_list_l_cb_choice__1
c_page_list_l_settl_amount__2
c_page_list_l_text__1
c_page_list_l_def_f_cb
c_page_list_l_disb_f_cb__1
c_page_list_l_judgment_date
c_page_caption_sf_case_number__1
c_page_caption_title_party_name__1
c_page_list_l_hearing_date__2
c_page_list_l_hearing_time
c_page_list_l_incident_place
c_page_list_l_text__2
c_page_list_l_incident_f_cb
c_page_list_l_fill_text__3
c_page_list_l_desc_f_cb
c_page_list_l_fill_text__4
c_page_list_l_injuries_f_cb
c_page_list_l_fill_text__5
c_page_list_l_treatment_f_cb
c_page_list_l_recovery_cb__1
c_page_list_l_recovery_cb__2
c_page_list_l_text_field__1
c_page_list_l_disb_f_cb__2
c_page_list_l_cb_choice__2
c_page_list_l_text_field__2
c_page_list_l_disb_f_cb__3
c_page_caption_sf_case_number__2
c_page_caption_title_party_name__2
c_page_list_l_disb_f_cb__4
c_page_xx_x_fix_settl_amount__1
c_page_xx_x_fix_text__1
c_page_xx_x_fix_settl_amount__2
c_page_xx_x_fix_text__2
c_page_xx_x_fix_settl_amount__3
c_page_xx_x_fix_text__3
c_page_xx_x_fix_settl_amount__4
c_page_xx_x_fix_text__4
c_page_xx_x_fix_settl_amount__5
c_page_xx_x_fix_f_cb
c_list_fix_l_pay_others__1
c_list_fix_l_pay_others__2
c_page_list_xxx_fix_amount__1
c_page_list_fix_l_check_box__1
c_page_list_fix_l_check_box__2
c_page_list_fix_l_check_box__3
c_page_list_fix_l_check_box__4
c_page_list_fix_l_def
c_page_list_xxx_fix_l_text__1
c_page_list_xxx_fix_amount__2
c_page_list_xxx_fix_l_text__2
c_page_list_xxx_fix_amount__3
c_page_list_xxx_fix_l_text__3
c_page_list_xxx_fix_amount__4
c_page_list_xxx_fix_l_text__4
c_page_list_xxx_fix_amount__5
c_page_list_xxx_fix_l_f
c_page_list_xxx_fix_f_cb
c_page_list_fix_text_field
c_page_case_number_ft
c_page_title_party_name_case
c_page_list_l_settl_amount__3
c_page_list_l_settl_amount__4
c_page_list_l_settl_amount__5
c_page_list_l_settl_amount__6
c_page_list_l_settl_amount__7
c_page_list_l_check_box__4
c_page_list_l_fill_text__6
c_page_list_l_check_box__5
c_page_list_l_check_box__6
c_page_list_l_check_box__7
c_page_list_l_check_box__8
c_page_list_l_check_box__9
c_page_list_l_fill_text__7
c_page_list_l_check_box__10
c_page_list_l_check_bo
c_page_list_l_check_box__11
c_page_list_l_fill_text__8
c_page_list_l_check_box__12
c_page_list_l_fill_text__9
c_page_list_l_check_box__13
c_page_list_l_fill_text__10
c_page_list_l_check_box__14
c_page_list_l_fill_text__11
c_page_list_l_fill_text__12
c_page_list_l_fill_text__13
c_page_list_l_check_box__15
c_page_list_l_fill_text__14
c_page_list_l_check_box__16
c_page_list_l_area_check_box__7
c_page_list_l_area_check_box__8
c_page_list_l_clm_filed
c_page_list_l_check_box__17
c_page_list_l_check_box__18
c_page_list_l_fill_text__15
c_page_list_l_check_box__19
c_page_list_l_check_box__20
c_page_list_l_check_box__21
c_page_list_l_fill_text__16
c_page_list_l_check_box__22
c_page_list_l_check_box__23
c_page_list_l_fill_text__17
c_page_list_l_fill_text__18
c_page_list_l_fill_text__19
c_page_list_l_fill_text__20
c_page_list_l_fill_text__21
c_page_list_l_fill_text__22
c_page_list_l_fill_text__23
c_page_list_l_fill_text__24
c_page_list_l_fill_text__25
c_page_list_l_fill_text__26
c_page_list_l_fill_text__27
c_page_list_l_fill_text__28
c_page_list_l_fill_text__29
c_page_list_l_fill_text__30
c_page_list_l_fill_text__31
c_page_list_l_fill_text__32
c_page_list_l_fill_text__33
c_page_list_l_fill_text__34
c_page_list_l_fill_text__35
c_page_list_l_fill_text__36
c_page_list_l_check_box__24
c_page_list_l_settl_amount__8
c_page_list_l_oth_exp_items__1
c_page_list_l_exp_payee__1
c_page_list_l_oth_exp_amount__1
c_page_list_l_oth_exp_items__2
c_page_list_l_exp_payee__2
c_page_list_l_oth_exp_amount__2
c_page_list_l_oth_exp_items__3
c_page_list_l_exp_payee__3
c_page_list_l_oth_exp_amount__3
c_page_list_l_oth_exp_items__4
c_page_list_l_exp_payee__4
c_page_list_l_oth_exp_amount__4
c_page_list_l_oth_exp_items__5
c_page_list_l_exp_payee__5
c_page_list_l_oth_exp_amount__5
c_page_list_l_oth_exp_items__6
c_page_list_l_exp_payee__6
c_page_list_l_oth_exp_amount__6
c_page_list_l_oth_exp_items__7
c_page_list_l_exp_payee__7
c_page_list_l_oth_exp_amount__7
c_page_list_l_oth_exp_items__8
c_page_list_l_exp_payee__8
c_page_list_l_oth_exp_amount__8
c_page_list_l_oth_exp_total
c_page_list_l_settlement_def
c_page_caption_sf_case_number__3
c_page_caption_title_party_name__3
c_p_px_caption_sf_number_ft__1
c_p_caption_title_party_name__1
c_p_list_l_health_plan_cb__1
c_p_list_l_health_plan_cb__2
c_p_list_l_settlement_def_cb__1
c_p_list_l_settl_amount__1
c_p_list_l_settlement_def_cb__2
c_p_list_l_settl_amount__2
c_p_list_l_settlement_def_cb__3
c_p_list_l_settl_amount__3
c_p_list_l_oth_exp_total
c_p_list_l_settl_amount__4
c_p_list_l_settl_amount__5
c_p_list_l_settl_amount__6
c_p_list_l_settl_amount__7
c_p_list_l_settl_amount__8
c_p_list_l_settl_amount__9
c_p_list_l_settl_amount__10
c_page_caption_sf_case_number__4
c_page_caption_title_party_name__4
c_page_list_l_check_box__25
c_page_list_l_check_box__26
c_page_list_l_area_check_bo__1
c_page_list_l_area_check_bo__2
c_page_list_l_fill_text__37
c_page_list_l_fill_text__38
c_page_list_l_fill_text__39
c_page_list_l_fill_text__40
c_page_list_l_fill_text__41
c_page_list_l_fill_text__42
c_page_list_l_area_check_bo__3
c_page_list_l_area_check_bo__4
c_page_list_l_fill_text__43
c_page_list_l_fill_text__44
c_page_list_l_fill_text__45
c_page_list_l_fill_text__46
c_page_list_l_fill_text__47
c_page_list_l_fill_text__48
c_page_list_l_fill_text__49
c_page_list_l_fill_text__50
c_page_list_l_fill_text__51
c_page_list_l_fill_text__52
c_page_list_l_fill_text__53
c_page_list_l_fill_text__54
c_page_list_l_fill_text__55
c_page_list_l_fill_text__56
c_page_list_l_fill_text__57
c_page_list_l_check_box__27
c_page_list_l_area_check_bx__1
c_page_list_l_area_check_bx__2
c_page_list_l_area_check_box__9
c_page_list_l_area_check_box__10
c_page_list_l_area_check_bx__3
c_page_list_l_area_check_bx__4
c_page_list_l_fill_text__58
c_page_list_l_fill_text__59
c_page_list_l_fill_text__60
c_page_list_l_fill_text__61
c_page_list_l_fill_text__62
c_page_list_l_fill_text__63
c_page_list_l_fill_text__64
c_page_list_l_fill_text__65
c_page_list_l_fill_text__66
c_page_list_l_fill_text__67
c_page_list_l_fill_text__68
c_page_list_l_fill_text__69
c_page_list_l_fill_text__70
c_page_list_l_fill_text__71
c_page_list_l_fill_text__72
c_page_list_l_check_box__28
c_p_list_l_grdnshp_cb__1
c_p_list_l_grdnshp_crt
c_p_list_l_grdnshp_case
c_p_list_l_proceeds_grdn_cb
c_p_list_l_settl_amount__11
c_p_list_l_pet_dep_cb
c_p_list_l_settl_amount__12
c_p_list_l_proceednot_grdn_cb
c_p_list_l_estate_dep_cb
c_p_list_l_dep_acts_amount
c_p_list_l_estate_inv_cb
c_p_list_l_inv_amount
c_p_list_l_estate_tfr_cb
c_p_list_l_tfr_amount
c_p_list_l_check_box__1
c_p_list_l_fill_text__1
c_p_list_l_area_check_box
c_p_list_l_check_box__2
c_p_list_l_fill_text__2
c_p_list_l_grdnshp_cb__2
c_p_list_l_grdnshp_dispo_cb__1
c_p_list_l_amount__1
c_p_list_l_grdnshp_dispo_cb__2
c_p_list_l_amount__2
c_p_list_l_grdnshp_dispo_cb__3
c_p_list_l_amount__3
c_p_list_l_li_check_box
c_p_list_l_li_fill_text
c_p_list_l_grdnshp_dispo_cb__4
c_p_list_l_amount__4
c_p_list_l_grdnshp_dispo_cb__5
c_p_list_l_amount__5
c_p_px_caption_sf_number_ft__2
c_p_caption_title_party_name__2
c_page_caption_sf_case_number__5
c_page_caption_title_party_name__5
c_page_list_l_check_box__29
c_page_list_l_check_box__30
c_page_list_l_fill_text__73
c_page_list_l_area_check_box__11
c_page_list_l_dispo_cb__1
c_page_list_l_amount__1
c_page_list_l_dispo_cb__2
c_page_list_l_amount__2
c_page_list_l_dispo_cb__3
c_page_list_l_amount__3
c_page_list_l_cty_name
c_page_list_l_dispo_cb__4
c_page_list_l_amount__4
c_page_list_l_check_box__31
c_page_list_l_fill_text__74
c_page_list_l_area_check_box__12
c_page_list_l_addl_orders_cb
c_page_list_l_addl_orders
c_page_list_l_area_order_f
c_page_list_l_area_check_box__13
c_page_list_l_area_date
c_page_list_area_print_name
c_page_list_l_pp_att
c_page_sign_sub_area_date__1
c_page_sign_area_print_name__1
c_page_sign_sub_area_date__2
c_page_sign_area_print_name__2
c_page_caption_sf_case_number__6
c_page_caption_title_party_name__6

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