Settlement Conference Statement Template

[Attorney Name or Party Name]
[Law Firm Name, if applicable]
[Address]
[City, State, ZIP Code]
[Phone Number]
[Email Address]
[Bar Number, if applicable]

IN THE [NAME OF COURT]
FOR [COUNTY / DISTRICT / JURISDICTION]

[Plaintiff / Petitioner Name],
Plaintiff / Petitioner,

v.
[Defendant / Respondent Name],
Defendant / Respondent.

Case No.: [Case Number]

1. Title of Statement

SETTLEMENT CONFERENCE STATEMENT

[Name of Party] submits this Settlement Conference Statement for the settlement conference scheduled on [Date] before [Judge / Magistrate Judge / Settlement Officer Name].

This statement is submitted:

☐ confidentially to the settlement judge or officer
☐ for filing if required by court rule or order
☐ as otherwise directed by the court: [Describe]

2. Party Submitting Statement

Submitting Party: [Plaintiff / Defendant / Petitioner / Respondent / Other]

Counsel for Submitting Party, if applicable:

[Attorney Name]
[Law Firm Name]
[Address]
[Phone Number]
[Email Address]

3. Nature of Case

This case involves the following dispute:

[Brief description of the case]

Claims asserted:

[Describe claims]

Defenses asserted:

[Describe defenses]

4. Factual Background

Brief summary of relevant facts:

[Insert factual background]

Important disputed facts, if any:

[Insert details]

5. Procedural Status

The current status of the case is as follows:

[Describe pleadings, motions, discovery status, deadlines, and trial date if any]

Key upcoming dates:

[Insert dates]

6. Liability Position

The submitting party’s position on liability is as follows:

[Explain why the party believes it is likely to prevail or why the opposing party faces risk]

Strengths of this party’s position:

[Insert details]

Weaknesses or risk factors, if any:

[Insert details]

7. Damages or Exposure

The submitting party’s position regarding damages, exposure, or other relief is as follows:

[Describe damages claimed, defenses to damages, offsets, or limits]

Categories may include:

[economic damages]
[noneconomic damages]
[contract damages]
[attorney fees or costs, if applicable]
[injunctive or declaratory relief]
[other relief]

Estimated range, if appropriate:

[Insert amount or range]

8. Settlement History

Prior settlement discussions have included the following:

Date: [Date]
Offer / Demand: [Amount or terms]
Response: [Amount or terms]

Date: [Date]
Offer / Demand: [Amount or terms]
Response: [Amount or terms]

Additional settlement history, if any:

[Insert details]

9. Current Settlement Position

The submitting party’s current settlement position is:

[State demand, offer, or general settlement terms]

The submitting party is willing to consider the following types of resolution:

☐ lump sum payment
☐ structured payment
☐ injunctive relief
☐ dismissal with terms
☐ confidentiality provision
☐ non-monetary business terms
☐ other: [Describe]

10. Obstacles to Settlement

The following issues may affect settlement:

☐ liability dispute
☐ damages valuation dispute
☐ insurance coverage issues
☐ need for additional information
☐ lien or reimbursement claims
☐ business or reputational concerns
☐ approval authority issues
☐ other: [Describe]

Additional explanation:

[Insert details]

11. Insurance or Indemnity Information

If applicable, insurance or indemnity information relevant to settlement is as follows:

[Carrier name, policy status, reservation of rights, limits, adjuster information, or other relevant facts]

If none, write:

[None]

12. Persons Attending and Authority

The following persons will attend the settlement conference:

Name: [Full Name]
Role: [Party / Counsel / Adjuster / Representative / Other]

Name: [Full Name]
Role: [Party / Counsel / Adjuster / Representative / Other]

Settlement authority details, if required:

[Describe whether the attendee has full authority or identify any limits]

13. Confidential Information for Settlement Officer

The following confidential information may assist the settlement judge or officer and is not intended for disclosure to the opposing party except as authorized:

[Insert confidential negotiation concerns, litigation risk assessment, internal limits, witness concerns, evidentiary concerns, or practical settlement considerations]

14. Requested Assistance from Court

The submitting party requests that the settlement judge or officer assist with:

[damages evaluation]
[liability discussion]
[insurance participation]
[structured negotiation]
[non-monetary terms]
[other issues]

Additional request, if any:

[Insert details]

15. Conclusion

The submitting party submits this statement in good faith and is prepared to participate meaningfully in the settlement conference.

Dated: [Date]

Signature: __________________________
Name: [Attorney Name or Party Name]
Title: [Attorney for Party / Self-Represented Party / Other]
Bar Number: [Bar Number, if applicable]