Use the multi-page form below to schedule your JuryEvaluator. "*" indicates required fields Step 1 of 6 16% Your InfoFirst Name*Last Name*Email* PhoneYour Account Representative*I don't have one/ I don't knowPeter HechtBobette MessickBrendan HuethCandace WinklerChris DenneyChristine SierotowiczDaniel PolettiDeb CurranDenise SpencerDenise SustaitaDominique StratiDonna CarotenutoDustin EisenErika MaladyFranco AlcantaraGail KalnajsGregory KnightHunter LippincottJake CashmerJeff SkeensJenna CarterJennifer ChamblessJessica GimbelJoan JacksonJoseph GlennJulie ZanarasKevin GrodnickKevin JohnsonKristen Craig-ReedKyle KingKyle NearyLarry WolfLee DiamondsteinLena EganLeonardo RodriguezMarjorie TinneyMatthew RichterMeredith CherryNick ShermanNicole PalmNinette CanedaNoelle NocitiPeter SilvermanRoss SuterRyan RosenbergSarah CurrenSean MauroSean TillerySoren GenotStephan McCreeTom Zanaras Corporate/Claim Contact InformationCompany NameCompany AddressCompany ContactContact TitleContact Email Contact PhoneBilling Contact? Yes No Bill delivery preference Electronic Delivery Standard Mail Delivery Attorney Contact InformationIf applicable.Company NameCompany AddressAttorney ContactAttorney TitleAttorney Email Attorney PhoneBilling Contact? Yes No Bill delivery preference Electronic Delivery Standard Mail Delivery Research InformationCase NameUpcoming Trial or Mediation DatePlease list any relevant dates belowMatter/Claim #City, County, StateJudicial DistrictJudge NameCourthouse Name & Location Final Eligibility ScreenerThe following information is needed to create final eligibility screenerBrief Case SynopsisPlaintiff Attorney InformationPlaintiff Attorneys Names & Firm:Plaintiff Parties (witnesses, companies, experts, etc.)Defense Attorney InformationDefense Attorneys Names & Firm:Defense Parties (witnesses, companies, experts, etc.)Additional Names (people and companies)List all occupations, professions and industries that you might remove for cause JuryEvaluator Order OptionsBrief Case Synopsis – Plaintiff argumentPlaintiff DemandBrief Case Synopsis – Defense argumentDefense CounterJuror Profile Analysis Yes Please check this box if you’d like to receive correlational data analysis to determine whether any juror characteristics reliably predict pro-plaintiff versus pro-defense verdict orientation. There is an additional cost for this service. Please contact your Magna representative for more information. Pricing based on populations over 400,000. Reporting in 15 business days calculated from date of project launch. Rush reporting upon request.Please upload any additional documents, filings, briefs, summaries etc Drop files here or Select files Max. file size: 128 MB. CAPTCHA Δ