Books Authored By Mr. Rainer

Introduction:

These forms are a compilation of the basic forms, letters and pleadings which may be utilized in a Plaintiff oriented personal injury law practice during the pre-trial phase of the case. As with any "form book" the practitioner should take careful note of the pertinent laws governing the use of each form and should not rely solely upon the form itself.

These forms, in varied presentations, are presently utilized by the Law firm of Rainer & Rainer, a general practice, with a concentration in the area of Personal Injury law. Some of the forms contained here are "case specific." Therefore, caveat form user.

Books and Forms for Sale:

We provide these forms free of charge to law students and lawyers who refer us cases.

If you would like to purchase any of Attorney Rainer's books or forms including:

Massachusetts Civil Litigation, Personal Injury SeriesUS-$150.00)

Lead Poisoning Litigation Strategies (US-$175.00)

Attorney Rainer's Forms (US-$5.00 per form)

Please email: dthomas@rainerlaw.com

Choose an area:

I. Intake and Preliminary Investigation Materials
I.1) Contingent Fee Agreement
I.2) Client Fee Agreement
I.3) Motor Vehicle Accident intake Form
I.4) General Liability Intake Form
I.5) Workers Compensation Intake Form
I.6) Lead Paint Poisoning Intake Form
I.7) Affidavit Concerning Health Insurance & Power of Attorney
I.8) Authorization for Release of Documentation
I.9) Application for Personal Injury Protection Benefits
I.10) Wage & Salary Verification
I.11) Witness Statement
I.12) Affidavit of Household Insurance Coverage
I.13) Lead poisoned Child Parent's and Guardian ad Litem
Agreement
I.14) Telephone Intake Statement
I.15) Request for Medical Records
I.16) Request for Lost Wage Documentation
I.17) Request for Police Report
I.18) Request for Registry of Motor Vehicles Information
I.19) Request for a Medical Narrative

II. Client Correspondence
II.1) Letter of Representation
II.2) Reminder and Informative Letter(s) (Post letter of
Representation)
II.3) Reminder and Informative Letter(s) (Lead Poisoning Case)
II.4) Letter re: Answering Interrogatories
II.5) Letter re: Deposition
II.6) Letter re: Independent Medical Examination
II.7) Letter re: Settlement Offer
II.8) Letter re: Closing of Case (Lawyer can not proceed)
II.9) Letter re: Medical Status
II.10) Letter re: Medical Condition of Child
II.11) Letter to Client re: Filing Suit
II.12) Closing and Thank You Letter(s)

III. Motor Vehicle Accident and General Liability Claims Adjustment
III.1) Initiating P.I.P Claim
III.2) G.L.c 90 (34)M Demand for Payment
III.3) G.L.c 93A/176D Demand to P.I.P Carrier
III.4) Third Party Notice and Demand for Policy Limits
Disclosure
III.5) The Demand Letter
III.6) The Follow Up Demand Letter
III.7) G.L.c 93A/176D Demand to Third Party Carrier
III.8) Letter to Third Party Carrier re: Filing Suit
III.9) Notice of Suit Having been Filed to Third Letter Carrier
III.10) G.L.c 93A Demand in Landlord/Tenant Liability Action
III.11) G.L.c. 258 Notice (Motor Vehicle Accident)
III.12) G.L.c. 258 Notice (General Liability Claim)
III.13) Uninsured/Underinsured Notice
III.14) Personal Injury Protection Worksheet
III.15) Third Party Claim Work Sheet
III.16) G.L.c. 84 Notice (Must be sent Within 30 days of
Accident date)

IV. Workers' Compensation
Petition for Approval of Third Party Settlement under G.L.c. 152, Section 15 Settlement Demand Letter Note: The following documents may be obtained from the Department of Industrial Accidents
IV.1) Employees Claim, Form 110
IV.2) Agreement to Pay Compensation, Form 113
IV.3) Notice of Change/ Appearance of Counsel, Form 114
IV.4) Temporary Conference Memorandum Cover Sheet
IV.5) Employee Biographical Data IV.6) Fee Statement Under
Section 6
IV.7) Agreement for Redeeming Liability by Lump Sum Payment
IV.8) Lien Disclosure Form IV.9) Addendum to Lump Sum Settlement Agreement, Form
116B IV.10) Appeal of Conference Proceeding, Form 121
IV.11) Insurance Inquiry Form (How to Identify a Workers'
Compensation Carrier
IV.12) Notification of withdrawal of Claim or Complaint, Form 109
IV.13) Third Party Claim/ Notice of Lien, Form 115
IV.14) Application for Stay of Proceedings Pursuant to Rule
1.22(2)
IV.15) Appeal to Reviewing Board

V. Lead Poisoning Cases, Pre-Litigation
V.1) G.L.c.111 Notice to Landlord
V.2) Request for O.E.A. Records
V.3) Request for Medical and Educational Records
V.4) G.L.c. 93A Demand to Landlord
V.5) G.L.c. 93A/176D Demand to Insurer

VI. Pleadings & Discovery
VI.1) Complaints
VI.1.A.i) Driver/Passenger
VI.1.A.ii) Pedestrian
VI.1.A.iii) Bicycle
VI.1.A.iv) G.L.c.258 Claim
VI.1.B) General Liability Cases
VI.1.B.i) Slip and Fall, Store
VI.1.B.ii) Slip & Fall, Landlord/Tenant
VI.1.B.iii) Negligent Security
VI.1.B.iv) Dog Bite
VI.1.B.v)
VI.1.C) Lead Paint Poisoning Complaint
VI.1.D) Medical Malpractice Complaint
-with Offer of Proof
VI.1.E) Products Liability Complaint
VI.1.F) G.L.c 84 Claim
VI.1.G) Statements of Damages (District Court)
VI.1.H) Rule 28 Statement (Superior Court)
VI.2.) Interrogatories
VI.2.A) Motor Vehicle Accident
VI.2.B) Motor Vehicle Accident (Other)
VI.2.C) Slip & Fall (General)
VI.2.D) Slip & Fall (Other)
VI.2.E) Dog Bite
VI.2.F) Lead Poisoning
VI.2.G) Negligent Security
VI.2.H) G.L.c. 84 Claim
VI.2.I) Answering Interrogatories (The Right Way)
VI.3) Rule 34 Request(s)
VI.3.A) Motor Vehicle Accident
VI.3.B) Motor Vehicle Accident (Other)
VI.3.C) Slip & Fall (General)
VI.3.D) Slip & Fall (Other)
VI.3.E) Dog Bite
VI.3.F) Lead Poisoning
VI.3.G) Negligent Security
VI.3.H) G.L.c. 84 Claim
VI.4) Admissions
VI.4.A) Motor Vehicle Accident
VI.4.B) Lead Poisoning Case
VI.4.C) General Liability Case
VI.5) Deposition Notice
VI.5.A) Party Witness
VI.5.B) Rule 30(B)6
VI.5.C) Duces Tecum
VI.5.D) Audio-Visual Deposition
VI.6) Pre- Trial Memorandum(a)
VI.6.A) Superior Court
VI.6.B) Arbitration Brief
VI.7) Motions
VI.7.A) Motion to Remand
VI.7.B) Motion to Compel Production of Documents
VI.7.C) Motion to Compel Further Answers to Interrogatories
VI.7.D) Motion to Compel Deposition Testimony
VI.7.E) Motion for Summary Judgment (Car Accident)
VI.7.F) Motion for Summary Judgment (Lead Poisoning Case)
VI.7.G) Motion for Summary Judgment (General Liability
Case)
VI.7.H) Motion to Amend Complaint
VI.7.I) Motion to Appoint a Guardian ad Litem
VI.7.J) Motion for Final and Separate Judgment
VI.7.K) Motion to Assess Damages
VI.7.L) Rule 33A Application and Re-Application for Default
Judgment
VI.7.M) Motion for Sanctions (Discovery Abuse)
VI.7.N) Motion to Extend Time for Discovery Responses
VI.7.O) Motion to Vacate Dismissal
VI.7.P) Rule 55A Application
VI.7.Q) Rule 55(B) 1 Application & Affidavit re: Soldiers &
Sailors Act
VI.7.R) Motion to Compel Answers to Expert Interrogatories
VI.7.S) Motion to Inspect
VI.8) Request for a Trial Date Pursuant to Standing Order
1-88
VI.9) Certificate of Service
VI.10) G.L.C.233(79)G Statement (Medical Bills & Reports)
VI.11) Rule 9A (Compliance)
VI.12) Opposition to Defendant's Motion for Summary
Judgment (Ice & Snow Case)

VII Settlement Documentation
VII.1) Agreement for Judgment
VII.2) Stipulation of Dismissal
VII.3) Release of Claim
VII.4) Release of Claim (Minor)
VII.5) Sample Trust (Case Involving a Minor)
VII.6) Petition to Settle Pursuant to G.L.c. 231 sec.140C _
VII.7) Motion for Good Faith Settlement Pursuant to G.L
.c. 231B sec. 4(b)
VII.8) Distribution of Settlement Proceeds (Work Sheet)
VII.9) Letter Enclosing Release and Stipulation of Dismissal
VII.10) Power of Attorney