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Wrongful Death Compromise Settlement Proceeding Checklist

WDCS-CHK release 8/9/04 PAGE 1 This Checklist is providedfor your convenience whilecompleting the petition andthe Checklist should not bereturned to the Death Compromise Settlement Proceeding Checklist (see Surrogate s Court Form WD-2, rev. 4/98)(see 22 NYCRR Uniform Rule )Fill in All Areas On All Pages - Also Mark When Not Applicable When NecessaryStrike Any Paragraphs/Sections Which Do Not ApplyCheck All Forms To Make Sure Venue Is Correct - Appropriate County Is Listed PET #DESCRIPTIONYESNODoes this Surrogate s Court have jurisdiction over the Proceeding ?NOTE: If an action has been commenced in Supreme Court - proof of disposition of the matter must beprovided: withdrawal, discontinuance, Supreme Court order transferring action/part of action, the caption mirror the estate file name and the petitioner a proper party?

WDCS-CHK release 8/9/04 PAGE 2 Is the date, time of death and hospital stay detailed? Are all the proceeds of the action to be allocated to wrongful death? Is there an allocation for “conscious pain and suffering”? NOTE: If any of the compromise settlement is to be attributed to “conscious pain and suffering”

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