Schedule of loss & dependency in a fatal accident claim
Schedule of loss & dependency in a fatal accident claim

The following PI & Clinical Negligence precedent provides comprehensive and up to date legal information covering:

  • Schedule of loss & dependency in a fatal accident claim

[IN THE COUNTY COURT AT [insert]

OR

iN THE HIGH COURT OF JUSTICE]

[[Specify division]]

[[Insert location] DISTRICT REGISTRY]

Claim No:

Between

  1. AB        Claimant

    (the Widow and Executrix of the estate of A, deceased)

  1. and

  1. C Limited        Defendant

The Claimant reserves the right to alter, amend or add to this schedule at any time up to and including trial.

Background data

Deceased’s date of birth[date]
Claimant’s date of birth[date]
Claimant and deceased marry[date]
First child [name] born[date]
Second child [name] born[date]
Accident[date]
Date of deceased’s death[date]
Proceedings issued[date]
Assumed date of assessment[date]

SCHEDULE OF DAMAGES CALCULATED TO [INSERT]

Claim under the Law Reform (Miscellaneous Provisions) Act 1934 (LR(MP)A 1934)

General Damages

    1. 1

      As a result of the accident the deceased suffered [insert injuries] which caused his death.

    1. 2

      He [remained conscious OR recovered consciousness] and [insert any complaints of pain with site of pain, timing and place].

    1. 3

      [insert place and time/date of death and period of consciousness.]

    1. 4

      The estate claims damages for the pain, suffering and loss of amenity the deceased suffered in the period before his death in the sum of £[insert valuation].

    Special Damages

    1. 5

      The funeral expenses totalled £[insert amount].

    1. 6

      Travel expenses totalled £[insert amount].

    1. 7

      Total Special Damages: £[insert amount].

    Fatal Accidents Act 1976 Claim (FAA 1976)

    Bereavement

    1. 8

      Statutory bereavement award: £[insert amount].

    Pre-trial financial dependency

    1. 9

      At the time of his death the deceased was a married man with two dependent children.

    1. 10

      [Insert full details

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