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:
Weaknesses or risk factors, if any:
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]
Additional settlement history, if any:
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:
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]
Settlement authority details, if required:
[Describe whether the attendee has full authority or identify any limits]
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:
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]
