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The Legal Innovation & Technology Lab's Form Explorer Beta
@ Suffolk Law School Last updated 2023-04-02

Statement of Damages (Personal Injury or Wrongful Death)

This info page is part of the LIT Lab's Form Explorer project. It is not associated with the California state courts. To learn more about the project, check out our about page.

Downloads: You can download both the original form (last checked 2023-03) and the machine-processed form with normalized data fields.


About This Form:

  • Sourced from selfhelp.courts.ca.gov (2023-03)
  • Page(s): 2
  • Fields(s): 91
  • Average fields per page: 45
  • Reading Level: Grade 8
  • LIST Grouping(s): Unknown

Use our Rate My PDF tool to learn more. Go beyond the above insights and learn more about this or any pdf form at RateMyPDF.com, includes: counts of difficult words used, passive voice decetion, and suggestions for how to make the form more usable.


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.

  • v_page_std_p_header_number_ft was CIV-050[0].Page1[0].StdP1Header_sf[0].CaseNumber[0].CaseNumber_ft[0] (0.60 conf)
  • page_std_p_header_party_text was CIV-050[0].Page1[0].StdP1Header_sf[0].AttyPartyInfo[0].TextField1[0] (0.42 conf)
  • page_std_p_party_info_phone was CIV-050[0].Page1[0].StdP1Header_sf[0].AttyPartyInfo[0].Phone[0] (0.40 conf)
  • v_page_std_p_party_info was CIV-050[0].Page1[0].StdP1Header_sf[0].AttyPartyInfo[0].Attorney[0] (0.40 conf)
  • v_page_std_p_county_ft was CIV-050[0].Page1[0].StdP1Header_sf[0].CourtInfo[0].CrtCounty_ft[0] (0.36 conf)
  • v_page_std_p_street_ft was CIV-050[0].Page1[0].StdP1Header_sf[0].CourtInfo[0].Street_ft[0] (0.39 conf)
  • page_std_p_header_court_info was CIV-050[0].Page1[0].StdP1Header_sf[0].CourtInfo[0].MailingAdd_ft[0] (0.41 conf)
  • v_page_std_p_header_info_city was CIV-050[0].Page1[0].StdP1Header_sf[0].CourtInfo[0].CityZip_ft[0] (0.34 conf)
  • v_page_std_p_info_branch was CIV-050[0].Page1[0].StdP1Header_sf[0].CourtInfo[0].Branch_ft[0] (0.38 conf)
  • page_std_p_title_party_name__1 was CIV-050[0].Page1[0].StdP1Header_sf[0].TitlePartyName[0].Party1_ft[0] (0.37 conf)
  • page_std_p_title_party_name__2 was CIV-050[0].Page1[0].StdP1Header_sf[0].TitlePartyName[0].Party2_ft[0] (0.37 conf)
  • ci_v_page_info_fill_text__1 was CIV-050[0].Page1[0].Info[0].FillText1[0] (0.40 conf)
  • ci_v_page_info_fill_text__2 was CIV-050[0].Page1[0].Info[0].FillText2[0] (0.40 conf)
  • ci_v_page_list_lia_check_box__1 was CIV-050[0].Page1[0].List1[0].Lia[0].CheckBox1[0] (0.36 conf)
  • ci_v_page_list_lia_fill_text__1 was CIV-050[0].Page1[0].List1[0].Lia[0].FillText4[0] (0.41 conf)
  • ci_v_page_list_lib_check_box__1 was CIV-050[0].Page1[0].List1[0].Lib[0].CheckBox2[0] (0.36 conf)
  • ci_v_page_list_lib_fill_text__1 was CIV-050[0].Page1[0].List1[0].Lib[0].FillText5[0] (0.41 conf)
  • ci_v_page_list_lic_check_box__1 was CIV-050[0].Page1[0].List1[0].Lic[0].CheckBox3[0] (0.36 conf)
  • ci_v_page_list_lic_fill_text__1 was CIV-050[0].Page1[0].List1[0].Lic[0].FillText6[0] (0.41 conf)
  • ci_v_page_list_lid_check_box__1 was CIV-050[0].Page1[0].List1[0].Lid[0].CheckBox4[0] (0.36 conf)
  • ci_v_page_list_lid_fill_text__1 was CIV-050[0].Page1[0].List1[0].Lid[0].FillText7[0] (0.41 conf)
  • ci_v_page_list_lie_check_box__1 was CIV-050[0].Page1[0].List1[0].Lie[0].CheckBox5[0] (0.36 conf)
  • ci_v_page_list_lie_fill_text__1 was CIV-050[0].Page1[0].List1[0].Lie[0].FillText3[0] (0.41 conf)
  • ci_v_page_list_lie_fill_text__2 was CIV-050[0].Page1[0].List1[0].Lie[0].FillText70[0] (0.41 conf)
  • ci_v_page_list_lif_check_box__1 was CIV-050[0].Page1[0].List1[0].Lif[0].CheckBox6[0] (0.36 conf)
  • ci_v_page_list_lif_fill_text__1 was CIV-050[0].Page1[0].List1[0].Lif[0].FillText4[0] (0.41 conf)
  • ci_v_page_list_lif_fill_text__2 was CIV-050[0].Page1[0].List1[0].Lif[0].FillText69[0] (0.41 conf)
  • ci_v_page_list_lig_check_box__1 was CIV-050[0].Page1[0].List1[0].Lig[0].CheckBox7[0] (0.36 conf)
  • ci_v_page_list_lia was CIV-050[0].Page1[0].List2[0].Lia[0].T156[0] (0.36 conf)
  • ci_v_page_list_lia_fill_text__2 was CIV-050[0].Page1[0].List2[0].Lia[0].FillText68[0] (0.41 conf)
  • ci_v_page_list_lib_check_box__2 was CIV-050[0].Page1[0].List2[0].Lib[0].CheckBox9[0] (0.36 conf)
  • ci_v_page_list_lib_fill_text__2 was CIV-050[0].Page1[0].List2[0].Lib[0].FillText67[0] (0.41 conf)
  • ci_v_page_list_lic_check_box__2 was CIV-050[0].Page1[0].List2[0].Lic[0].CheckBox10[0] (0.36 conf)
  • ci_v_page_list_lic_fill_text__2 was CIV-050[0].Page1[0].List2[0].Lic[0].FillText66[0] (0.41 conf)
  • ci_v_page_list_lid_check_box__2 was CIV-050[0].Page1[0].List2[0].Lid[0].CheckBox11[0] (0.36 conf)
  • ci_v_page_list_lid_fill_text__2 was CIV-050[0].Page1[0].List2[0].Lid[0].FillText65[0] (0.41 conf)
  • ci_v_page_list_lie_check_box__2 was CIV-050[0].Page1[0].List2[0].Lie[0].CheckBox12[0] (0.36 conf)
  • ci_v_page_list_lie_fill_text__3 was CIV-050[0].Page1[0].List2[0].Lie[0].FillText64[0] (0.41 conf)
  • ci_v_page_list_lif_check_box__2 was CIV-050[0].Page1[0].List2[0].Lif[0].CheckBox13[0] (0.36 conf)
  • ci_v_page_list_lif_fill_text__3 was CIV-050[0].Page1[0].List2[0].Lif[0].FillText63[0] (0.41 conf)
  • ci_v_page_list_lig_check_box__2 was CIV-050[0].Page1[0].List2[0].Lig[0].CheckBox14[0] (0.36 conf)
  • ci_v_page_list_lig_fill_text was CIV-050[0].Page1[0].List2[0].Lig[0].FillText62[0] (0.41 conf)
  • ci_v_page_list_lih_check_box was CIV-050[0].Page1[0].List2[0].Lih[0].CheckBox15[0] (0.36 conf)
  • ci_v_page_list_lih_fill_text was CIV-050[0].Page1[0].List2[0].Lih[0].FillText61[0] (0.41 conf)
  • ci_v_page_list_lii_check_box was CIV-050[0].Page1[0].List2[0].Lii[0].CheckBox16[0] (0.36 conf)
  • ci_v_page_list_lii_fill_text__1 was CIV-050[0].Page1[0].List2[0].Lii[0].FillText5[0] (0.41 conf)
  • ci_v_page_list_lii_fill_text__2 was CIV-050[0].Page1[0].List2[0].Lii[0].FillText60[0] (0.41 conf)
  • ci_v_page_list_lij_check_box was CIV-050[0].Page1[0].List2[0].Lij[0].CheckBox17[0] (0.36 conf)
  • ci_v_page_list_lij_fill_text__1 was CIV-050[0].Page1[0].List2[0].Lij[0].FillText6[0] (0.41 conf)
  • ci_v_page_list_lij_fill_text__2 was CIV-050[0].Page1[0].List2[0].Lij[0].FillText59[0] (0.41 conf)
  • ci_v_page_list_lik_check_box was CIV-050[0].Page1[0].List2[0].Lik[0].CheckBox18[0] (0.36 conf)
  • v_page_list_item_check_box was CIV-050[0].Page1[0].List3[0].item3[0].CheckBox19[0] (0.34 conf)
  • v_page_list_item_fill_text__1 was CIV-050[0].Page1[0].List3[0].item3[0].FillText58[0] (0.40 conf)
  • ci_v_page_sign_fill_text__1 was CIV-050[0].Page1[0].Sign[0].FillText57[0] (0.40 conf)
  • ci_v_page_sign_fill_text__2 was CIV-050[0].Page1[0].Sign[0].FillText56[0] (0.40 conf)
  • v_page_title_party_name_ft__1 was CIV-050[0].Page2[0].Header[0].TitlePartyName[0].Party1_ft[0] (0.34 conf)
  • v_page_title_party_name_ft__2 was CIV-050[0].Page2[0].Header[0].TitlePartyName[0].Party2_ft[0] (0.34 conf)
  • ci_v_page_header_case_number_ft was CIV-050[0].Page2[0].Header[0].CaseNumber[0].CaseNumber_ft[0] (0.38 conf)
  • ci_v_page_list_lia_check_box__2 was CIV-050[0].Page2[0].List1[0].Lia[0].CheckBox25[0] (0.36 conf)
  • ci_v_page_list_lia_check_box__3 was CIV-050[0].Page2[0].List1[0].Lia[0].CheckBox20[0] (0.36 conf)
  • ci_v_page_list_lia_fill_text__3 was CIV-050[0].Page2[0].List1[0].Lia[0].FillText109[0] (0.41 conf)
  • ci_v_page_list_lib_fill_text__3 was CIV-050[0].Page2[0].List1[0].Lib[0].FillText30[0] (0.41 conf)
  • ci_v_page_list_lic_check_box__3 was CIV-050[0].Page2[0].List1[0].Lic[0].CheckBox24[0] (0.36 conf)
  • ci_v_page_list_lic_check_box__4 was CIV-050[0].Page2[0].List1[0].Lic[0].CheckBox21[0] (0.36 conf)
  • ci_v_page_list_lic_fill_text__3 was CIV-050[0].Page2[0].List1[0].Lic[0].FillText31[0] (0.41 conf)
  • ci_v_page_list_lid_check_box__3 was CIV-050[0].Page2[0].List1[0].Lid[0].CheckBox26[0] (0.36 conf)
  • ci_v_page_list_lid_check_box__4 was CIV-050[0].Page2[0].List1[0].Lid[0].CheckBox230[0] (0.36 conf)
  • ci_v_page_list_lid_check_box__5 was CIV-050[0].Page2[0].List1[0].Lid[0].CheckBox230[1] (0.36 conf)
  • ci_v_page_list_lid_sub_li_fill_text__1 was CIV-050[0].Page2[0].List1[0].Lid[0].SubLid[0].Li1[0].FillText107[0] (0.37 conf)
  • ci_v_page_list_lid_sub_li_fill_text__2 was CIV-050[0].Page2[0].List1[0].Lid[0].SubLid[0].Li2[0].FillText106[0] (0.37 conf)
  • ci_v_page_list_lid_sub_li_fill_text__3 was CIV-050[0].Page2[0].List1[0].Lid[0].SubLid[0].Li3[0].FillText105[0] (0.37 conf)
  • ci_v_page_list_lie_check_box__3 was CIV-050[0].Page2[0].List1[0].Lie[0].CheckBox27[0] (0.36 conf)
  • ci_v_page_list_lie_sub_li_fill_text__1 was CIV-050[0].Page2[0].List1[0].Lie[0].SubLie[0].Li1[0].FillText104[0] (0.37 conf)
  • ci_v_page_list_lie_sub_li_fill_text__2 was CIV-050[0].Page2[0].List1[0].Lie[0].SubLie[0].Li2[0].FillText103[0] (0.37 conf)
  • ci_v_page_list_lia_check_box__4 was CIV-050[0].Page2[0].List2[0].Lia[0].CheckBox40[0] (0.36 conf)
  • ci_v_page_list_lib_check_box__3 was CIV-050[0].Page2[0].List2[0].Lib[0].CheckBox40[0] (0.36 conf)
  • ci_v_page_list_lic_check_box__5 was CIV-050[0].Page2[0].List2[0].Lic[0].CheckBox40[0] (0.36 conf)
  • ci_v_page_list_lid_check_box__6 was CIV-050[0].Page2[0].List2[0].Lid[0].CheckBox40[0] (0.36 conf)
  • ci_v_page_list_lie_check_box__4 was CIV-050[0].Page2[0].List2[0].Lie[0].CheckBox40[0] (0.36 conf)
  • ci_v_page_list_lif_check_box__3 was CIV-050[0].Page2[0].List2[0].Lif[0].CheckBox40[0] (0.36 conf)
  • ci_v_page_list_lif_fill_text__4 was CIV-050[0].Page2[0].List2[0].Lif[0].FillText13[0] (0.41 conf)
  • ci_v_page_list_lif_check_box__4 was CIV-050[0].Page2[0].List2[0].Lif[0].CheckBox34[0] (0.36 conf)
  • v_page_list_item_fill_text__2 was CIV-050[0].Page2[0].List4[0].item4[0].FillText102[0] (0.40 conf)
  • ci_v_page_list_lia_check_box__5 was CIV-050[0].Page2[0].List5[0].Lia[0].CheckBox35[0] (0.36 conf)
  • ci_v_page_list_lib_check_box__4 was CIV-050[0].Page2[0].List5[0].Lib[0].CheckBox36[0] (0.36 conf)
  • ci_v_page_list_lic_check_box__6 was CIV-050[0].Page2[0].List5[0].Lic[0].CheckBox37[0] (0.36 conf)
  • ci_v_page_list_lid_check_box__7 was CIV-050[0].Page2[0].List5[0].Lid[0].CheckBox38[0] (0.36 conf)
  • ci_v_page_list_lie_check_box__5 was CIV-050[0].Page2[0].List5[0].Lie[0].CheckBox39[0] (0.36 conf)
  • ci_v_page_list_lif_fill_text__5 was CIV-050[0].Page2[0].List5[0].Lif[0].FillText101[0] (0.41 conf)
  • ci_v_page_sign_fill_text__3 was CIV-050[0].Page2[0].Sign1[0].FillText1140[0] (0.40 conf)
  • ci_v_page_sign_fill_text__4 was CIV-050[0].Page2[0].Sign2[0].FillText113[0] (0.40 conf)

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