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UNITED STATES DISTRICT COURT
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CENTRAL DISTRICT OF CALIFORNIA
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10 [PLAINTIFF], ET AL., Case No. EDCV XX-XXXX-KK (XXx)
11 Plaintiff(s),
12 v. CIVIL TRIAL SCHEDULING ORDER
13 [DEFENDANT], ET AL., Last Day to Stipulate or File Motion to Amend
Pleadings or Add New Parties:
14 Defendant(s).
Fact Discovery Cut-Off (including hearing of
15 discovery motions):
16 Last Day to Serve Initial Expert Reports:
17 Last Day to Serve Rebuttal Expert Reports:
18 Expert Discovery Cut-Off (including hearing of
discovery motions):
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Motion Hearing Cut-Off:
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Last Day to Conduct Settlement Proceedings:
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Final Pretrial Conference: [DATE] at 10:30 a.m.
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[Jury/Bench] Trial: [DATE] at [8:30 a.m./9:00
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This case is set for trial before the Honorable Kenly Kiya Kato, 3470 12th
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Street, 3rd Floor, Courtroom 3, Riverside, CA 92501.
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1 I. MOTIONS
2 Judge Kato hears motions in civil cases on Thursdays at 9:30 a.m. The cut-off
3 date for hearing motions is the last day on which motions will be heard, i.e., the
4 motion must be filed at least twenty-eight (28) days before the deadline in
5 accordance with the requirements of Local Rule 6-1. Furthermore, pursuant to Local
6 Rule 6-1, the Court will not accept oral motions; all motions shall be presented by
7 written notice in compliance with the Local Rules. The motion hearing cut-off date
8 applies to all non-discovery motions except: (1) motions for class certification, which
9 shall be filed in accordance with the deadline set forth in the Court’s Civil Standing
10 Order, 1 and (2) motions directly related to the conduct of trial, e.g., motions in limine
11 and motions to sever parties or bifurcate issues for trial, which shall be properly
12 noticed for hearing no later than the date of the Final Pretrial Conference.
13 All parties and counsel must comply with Local Rule 7-16, which provides:
14 Any moving party who intends to withdraw the motion before the
15 hearing date shall file and serve a withdrawal of the motion, not later
16 than seven (7) days preceding the hearing. Any opposing party who no
17 longer intends to oppose the motion, shall file and serve a withdrawal of
18 the opposition, not later than seven (7) days preceding the hearing.
19 Failure to comply with this notification requirement may result in the imposition of
20 sanctions on the offending counsel or party.
21 II. DISCOVERY
22 Counsel shall initiate all discovery other than depositions at least forty-five
23 (45) days before the cut-off date. The Court will not approve stipulations between
24 counsel which permit responses to be served after the cut-off date except in unusual
25 circumstances and for good cause shown.
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28 1 The Court’s Civil Standing Order is available on Judge Kato’s Schedule and
Procedures webpage at http://www.cacd.uscourts.gov/honorable-kenly-kiya-kato.
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1 Counsel are expected to resolve discovery problems without the assistance of
2 the Court. The discovery cut-off is the last date to complete discovery. It is also the
3 last day for hearing any discovery motion. In addition, any motion challenging the
4 adequacy of responses to discovery must be served and calendared sufficiently in
5 advance of the discovery cut-off date to permit the responses to be obtained before
6 that date, if the motion is granted.
7 III. SETTLEMENT PROCEDURES
8 The parties must complete settlement proceedings under the Court-Directed
9 Alternative Dispute Resolution (“ADR”) Program (Local Rule 16-15.4) no later than
10 the date set by the Court above. The parties shall schedule their ADR proceeding as
11 soon as reasonable, but (1) no later than ninety (90) days prior to the ADR
12 deadline, if the Court has ordered the parties to participate in ADR Procedure No. 1,
13 and (2) no later than sixty (60) days after the entry of this Order, if the Court has
14 ordered the parties to participate in ADR Procedure Nos. 2 or 3. Within seven (7)
15 days of scheduling the ADR proceeding, Plaintiff shall file a Joint Statement
16 confirming that the parties have done so and the date of the proceeding. If the parties
17 desire to participate in an ADR procedure other than that selected in the Rule 26(f)
18 Joint Report and ordered by the Court, they shall file a stipulation with the Court.
19 This request will not necessarily be granted.
20 Plaintiff shall file a Joint Report regarding the outcome of settlement
21 discussions, the likelihood of possible further discussions, and any help the Court may
22 provide with regard to settlement negotiations no later than seven (7) days after the
23 settlement conference. No case will proceed to trial unless all parties, including the
24 principals of all corporate parties, have appeared personally at a settlement conference
25 and complied with Local Rule 16-15.5.
26 If a settlement is reached, it shall be reported immediately to this Court as
27 required by Local Rule 16-15.7. In all cases set for jury trial, the parties must
28 notify the Court, no later than the Wednesday preceding the Monday trial date,
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1 of any settlement, so that the necessary arrangements can be made to bring in
2 a different case for trial or notify the members of the public who would
3 otherwise be reporting for jury duty that their services are no longer needed.
4 Failure to comply with this notification requirement may result in the
5 imposition of sanctions on counsel for one or more parties, or their clients, or
6 both.
7 Upon receipt of oral or written notice that a case has settled, the Court
8 will administratively close the case and if no agreed final order or judgment is
9 thereafter submitted within thirty (30) days, or if no party files a motion to
10 reopen within such time, the case shall, without further order, stand dismissed
11 with prejudice.
12 IV. FINAL PRETRIAL CONFERENCE
13 The Court will conduct a Final Pretrial Conference pursuant to Federal Rule of
14 Civil Procedure 16 and Local Rule 16-1 on the date and time listed above. Each party
15 appearing in this action shall be represented at the Final Pretrial Conference and at all
16 pretrial meetings by the lead trial counsel. In rare cases where the Final Pretrial
17 Conference is waived by the Court, counsel must follow Local Rule 16-11. This
18 Court does not exempt pro se parties from the requirements of Local Rule 16.
19 1. Matters to be Discussed at the Final Pretrial Conference
20 Counsel shall be prepared to discuss the following matters with the Court at
21 the Final Pretrial Conference:
22 ● streamlining the trial, including presentation of testimony by deposition
23 excerpts, time limits, stipulations as to undisputed facts, and qualification of
24 experts by admitted resumes;
25 ● the witnesses all parties intend to call during their respective cases, and the
26 amount of time necessary for direct and cross examination of each witness;
27 ● any anticipated issues in scheduling witnesses;
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1 ● any evidentiary issues, including anticipated objections under Rule 403, and
2 objections to exhibits;
3 ● jury selection procedures;
4 ● any pending pretrial motions;
5 ● any disputed jury instructions, and the form of the instructions which will
6 be given to the jury at the outset of the case, i.e., before opening statements
7 and presentation of evidence;
8 ● whether any counsel intends to use any evidence or demonstrative aid in
9 opening statement; and
10 ● who will be seated at counsel table. No attorney shall be permitted to sit at
11 counsel table who does not actively participate in trial. The Court strongly
12 encourages lead counsel to permit newer attorneys to present argument
13 and/or examine witnesses at trial.
14 If counsel for any party need to arrange for the installation of their own
15 equipment, such as video monitors, notebooks, or overhead projectors, counsel shall
16 notify the Courtroom Deputy Clerk (“CRD”) no later than 4:00 p.m. seven (7)
17 days before trial so that the necessary arrangements can be made.
18 2. Pretrial Filings
19 Counsel shall submit carefully prepared Memoranda of Contentions of Fact
20 and Law (which may also serve as the trial briefs) and a proposed Final Pretrial
21 Conference Order in accordance with the provisions of Local Rules 16-4 through 16-
22 7. The form of the proposed Final Pretrial Conference Order shall be in conformity
23 with the form set forth in Appendix A to the Local Rules. The filing schedule for
24 pretrial documents is as follows:
25 At least 28 days before final pretrial conference
26 • Motions in limine. Oppositions are due no later than seven days
27 after motions are filed. No replies shall be permitted.
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1 • Motions to bifurcate or sever. The briefing schedule for any such
2 motion shall comply with Local Rules.
3 At least 21 days before final pretrial conference
4 • Memorandum of contentions of fact and law
5 • Joint witness list with time estimates for each witness
6 • Joint exhibit list
7 At least 14 days before final pretrial conference
8 • Proposed final pretrial conference order
9 • Stipulation of facts
10 • Joint exhibit stipulation
11 • Proposed jury instructions, and any objections
12 • Proposed verdict form(s)
13 • Joint statement of the case
14 • Proposed voir dire questions
15 At least 7 days before trial
16 • Exhibit binders
17 • Deposition designations
18 • Trial briefs, if desired
19 A. Motions in Limine
20 Each side is limited to five (5) motions in limine. Memoranda of Points
21 and Authorities in support of or in opposition to motions in limine shall not exceed
22 ten (10) pages. Replies will not be accepted. Motions in limine shall not be
23 compound, i.e., each motion shall address only one item of evidence or witness. If
24 common grounds for exclusion or admission apply to multiple items of evidence or
25 witnesses, each motion shall address only one category of evidence or witnesses.
26 Motions in limine should not be disguised motions for summary adjudication of
27 issues.
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1 B. Witness List
2 At least twenty-one (21) days before the Final Pretrial Conference , counsel
3 shall file their joint witness list, which shall include a phonetic spelling of each
4 witness’s name, a brief description of each witness’s anticipated testimony, and time
5 estimates for direct examination and cross examination of each witness:
6 Witness Name Party Time: Time: Description of
Calling Direct Exam. Cross Exam. Testimony
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John Doe (J-on D-oh) P 1.0 hr 0.5 hr
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On the first day of trial, counsel shall provide three copies of witness lists, in
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the order in which the witnesses may be called to testify to the CRD, in the following
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form:
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Witness Name Date Called to Testify
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1. John Doe
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2. Jane Roe
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C. Exhibit List, Joint Exhibit Stipulation, and Exhibit Binders
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At least twenty-one (21) days before the Final Pretrial Conference , counsel
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shall file their Joint Exhibit List in the following form:
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Exhibit No. Description Date Identified Date Admitted
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3 1/30/2020 Letter from Doe to Roe
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At least fourteen (14) days before the Final Pretrial Conference , counsel
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shall file their Joint Exhibit Stipulation, which shall include objections to exhibits, the
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basis of the objection, and the offering party’s response. Each objection must include
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the grounds for the objection (e.g., a Federal Rule of Evidence) and an explanation of
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why the disputed exhibit is not admissible. Any blanket or boilerplate objections to
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the opposing party’s exhibits will be disregarded and overruled. A party who fails to
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set forth objections in accordance with this order will be deemed to have waived any
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such objections.
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The parties shall stipulate to the authenticity and foundation of exhibits
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whenever possible, and the Joint Exhibit Stipulation shall identify any exhibits to
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1 which authenticity or foundation have not been stipulated and the specific reasons for
2 the parties’ failure to stipulate. The Joint Exhibit Stipulation shall be in the following
3 form:
4 Exhibit Exhibit Description Objection / Response Stipulation to
No. Authenticity and
5 Foundation
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7 At least seven (7) days before Trial, counsel shall submit their exhibits in
8 both hard copy and electronic (e.g., USB) format. All exhibits are to be numbered in
9 accordance with Local Rule 26-3. The hard copy exhibits shall be placed in 3-ring
10 binders that are tabbed down the right side with exhibit numbers. Counsel shall
11 prepare three exhibit binders: (1) an original for the CRD, which shall be tagged with
12 the appropriate exhibit tags in the upper right hand corner of the first page of each
13 exhibit, (2) one copy for the Court, and (3) one copy for the witness. The spine
14 portion of the binder shall indicate the volume number of the binder. Each binder
15 shall contain an index of the exhibits included in the volume.
16 The original copy of the exhibits shall be labeled with the Court’s exhibit tags.
17 The parties shall use yellow tags for plaintiff and blue tags for defendant, which shall
18 be stapled to the front of the exhibit on the upper right corner with the case number,
19 case name, and exhibit number placed on each tag. Each exhibit must be designated
20 by a separate tab and shall be as precise as possible. For example, if a party seeks to
21 introduce a five-minute excerpt of a longer video or audio recording, the exhibit
22 should be of the five-minute version. Similarly, if a party seeks to introduce ten pages
23 of a forty-page document, the exhibit should consist of only the ten pages to be
24 introduced. On the other hand, if the entire recording or entire document will be
25 admitted, the exhibit need not be broken up into separate sections. The Joint Exhibit
26 List provided to the Court shall be consistent with this directives. In other words, if
27 the Exhibit is labeled 101-1, the Joint Exhibit List shall list the Exhibit as 101-1.
28 Failure to comply with these orders results in unnecessary work for Court staff and
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1 confusion as to what exhibits have been admitted. Counsel can obtain exhibit tags at
2 the Clerk’s Office, Room 134, 1st Floor, 3470 Twelfth Street, Riverside.
3 The three exhibit binders and device(s) containing electronic copies of the
4 exhibits shall be delivered to Judge Kato’s “Mandatory Chambers Copies” box. If
5 they do not fit in the “Mandatory Chambers Copies” box, the courier shall buzz
6 chambers and will be met at the courtroom doors to complete the delivery.
7 On the first day of Trial, counsel shall provide three copies of the exhibit list
8 to the CRD.
9 D. Final Pretrial Conference Order and Stipulation of Facts
10 At least fourteen (14) days before the Final Pretrial Conference , counsel
11 shall file a proposed Final Pretrial Conference Order. In drafting the proposed Final
12 Pretrial Conference Order, counsel shall make a good faith effort to agree on and set
13 forth as many uncontested facts as possible. Counsel shall file a separate Stipulation
14 of Facts identifying the uncontested facts. The Court may read the uncontested facts
15 to the jury at the start of the trial. The Stipulation of Facts shall be included as an
16 exhibit in the parties’ Joint Exhibit Stipulation, Joint Exhibit List, and exhibit binders.
17 In drafting the factual issues in dispute for the proposed Final Pretrial
18 Conference Order, the issues of fact should track the elements of a claim or defense
19 upon which the jury would be required to make findings. Counsel should attempt to
20 state issues in ultimate fact form, not in the form of evidentiary fact issues (i.e., “was
21 the defendant negligent?”; “was such negligence the proximate cause of injury to the
22 plaintiff?”; “was the plaintiff negligent?”; not, “was the plaintiff standing on the
23 corner of 5th and Spring at 10:00 a.m. on May 3?”). Counsel may list sub-issues
24 under the headings of ultimate fact issues, but shall not use this as a device to list
25 disputes over evidentiary matters.
26 Issues of law should state legal issues upon which the Court will be required to
27 rule after the Final Pretrial Conference, including during the trial, and should not list
28 ultimate fact issues to be submitted to the trier of fact.
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1 E. Jury Instructions and Verdict Form(s)
2 At least fourteen (14) days before the Rule 16-2 Meeting of Counsel,
3 counsel shall exchange proposed jury instructions and verdict form(s). Seven (7)
4 days before the Rule 16-2 meeting , counsel shall exchange any objections to the
5 instructions and verdict form(s). Prior to or at the time of the Rule 16-2 meeting,
6 counsel shall meet and confer with the goal of reaching agreement as to one set of
7 joint, undisputed jury instructions and one joint, undisputed verdict form or set of
8 verdict forms.
9 At least fourteen (14) days before the Final Pretrial Conference , the parties
10 shall file proposed jury instructions and proposed verdict form(s). In addition to
11 filing the agreed-upon and disputed jury instructions and proposed verdict form(s),
12 the parties must submit electronic versions (Word format) of both the agreed-upon
13 and disputed jury instructions and the proposed verdict form(s) to the Court at the
14 following e-mail address:
[email protected].
15 As noted above, the parties must act jointly to submit proposed jury
16 instructions. The parties must submit one set of agreed-upon jury instructions. The
17 parties must also submit a disputed set of jury instructions containing the instructions
18 upon which the parties disagree. If applicable, the disputed jury instructions shall
19 include redlined edits of the language over which the parties disagree. The party
20 opposing the instruction must attach a short (i.e., one to two paragraphs) statement
21 supporting the objection, and the party submitting the instruction must attach a short
22 statement supporting the instruction. Each statement should be on a separate page
23 and should follow directly after the disputed instruction.
24 Accordingly, the parties ultimately will submit one document of jury
25 instructions or, if the parties disagree over any proposed jury instructions, two
26 documents. If the parties submit two documents, those documents should consist of:
27 (1) a set of agreed-upon jury instructions, and (2) a set of disputed, redlined jury
28 instructions along with reasons supporting and opposing each disputed instruction.
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1 Where the Manual of Model Civil Jury Instructions for the Ninth Circuit
2 (2017 edition) provides a version of a requested instruction, the parties should
3 submit the Model instruction. Where California law applies, the Court prefers
4 counsel to use the Judicial Council of California, Civil Instructions (“CACI”). If
5 neither of the above sources has an instruction on the subject, counsel are directed to
6 consult the current edition of O’Malley, et al., Federal Jury Practice and
7 Instructions . Each requested instruction shall (a) cite the authority or source of the
8 instruction, (b) be set forth in full, (c) be on a separate page, (d) be numbered, (e)
9 cover only one subject or principle of law, and (f) not repeat principles of law
10 contained in any other requested instruction.
11 An index page shall accompany all jury instructions submitted. The index page
12 shall indicate the following:
13 • The number of the instruction;
14 • A brief title of the instruction;
15 • The source of the instruction and any relevant case citations; and
16 • The page number of the instruction.
17 Example:
18 Number Title Source Page
19 1 Burden of Proof 9th Cir. 12.02 7
20 In addition to the jury instructions, the parties shall submit their proposed
21 verdict form(s). If the parties cannot agree on a proposed verdict form or set of
22 verdict forms, the parties must jointly submit their proposed verdict form(s) with
23 redlines noting any disputed language.
24 F. Joint Statement of the Case and Voir Dire
25 At least fourteen (14) days before the Final Pretrial Conference , each
26 counsel must file any proposed voir dire questions to be asked of prospective jurors.
27 Counsel shall also prepare a Joint Statement of the Case which will be read by the
28 Court to the prospective panel of jurors prior to the commencement of voir dire.
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1 The statement should not be longer than two or three paragraphs and shall not exceed
2 one page. The parties must submit an electronic version (Word format) to the Court
3 at the following e-mail address:
[email protected]. For all cases, the
4 Court utilizes a general juror questionnaire, which is provided to all prospective jurors.
5 See Attachment A. The Court will ask case-specific questions during voir dire.
6 G. Deposition Designations
7 At least seven (7) days before trial, counsel shall lodge any deposition(s) that
8 they intend to use at trial in both hard copy and electronic (e.g., USB) format.
9 Counsel shall identify on the deposition transcript(s) the testimony the party intends
10 to offer and whether the testimony will be offered for impeachment or in lieu of live
11 testimony. In addition, for testimony that will be offered in lieu of live testimony,
12 counsel shall meet and confer to identify any objections to the proffered evidence in
13 the margins of the deposition by briefly providing the ground for the objection and
14 the response to the objection. The hard copy depositions and device(s) containing
15 electronic copies of the depositions shall be delivered to Judge Kato’s “Mandatory
16 Chambers Copies” box. If they do not fit in the “Mandatory Chambers Copies” box,
17 the courier shall buzz chambers and will be met at the courtroom doors to complete
18 the delivery.
19 H. Court Reporter
20 At least seven (7) days before trial, counsel for the parties shall provide the
21 court reporter with a list of unusual words, phrases, and spellings that may come up
22 during trial. This information should be emailed to the CRD at
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[email protected].
24 V. TRIAL
25 The Court sets firm trial dates. Counsel shall arrive at the courtroom not later
26 than half an hour before the start of trial each day of trial. The Court reserves that
27 time to handle legal and administrative matters outside the presence of the jury.
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1 Counsel shall anticipate matters that may need discussion or hearing outside the
2 presence of the jury and raise them during this period.
3 Trials are generally conducted Monday through Friday. The Court will adopt a
4 particular time schedule on a case-by-case basis. In general, the schedule will be: (i)
5 from 8:30 a.m. to 2:30 p.m. with two or three 20-minute breaks; or (ii) from 9:00 a.m.
6 to 4:30 p.m., with a 15-minute break in both the morning and the afternoon, and a
7 one-hour lunch break. In most cases, jury selection is completed on the first morning
8 of trial, and counsel should be prepared to give opening statements and begin
9 presentation of evidence immediately thereafter.
10 All counsel are asked to observe the following practices during trial:
11 1. All counsel, defendants, and parties shall rise when the jury enters and
12 leaves the courtroom.
13 2. Counsel shall stand when addressing the Court, including when
14 objecting to opposing counsel’s questions.
15 3. When objecting, counsel shall stand and should state only “objection,”
16 and the legal ground for the objection (e.g., hearsay, irrelevant, etc.).
17 Counsel should refrain from arguing the legal basis for the objection
18 unless permission is granted to do so.
19 4. Counsel must seek leave to approach the CRD or the witness, and
20 should question witnesses while standing at the lectern.
21 5. Counsel should not address or refer to witnesses or parties by first
22 names alone, with the exception of witnesses under 14 years old.
23 6. The Court will establish time limits for opening statements and closing
24 arguments and the presentation of each party’s case. The Court strictly
25 enforces the set time limits.
26 7. Counsel shall not discuss the law or argue the case in opening
27 statements.
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1 8. Counsel shall address all remarks to the Court and should not directly
2 address the CRD, the Court Reporter, opposing counsel, or the jury
3 (except in opening statement and closing argument). Counsel must ask
4 the Court for permission to speak off the record in order to speak with
5 opposing counsel.
6 9. Counsel shall not make an offer of stipulation unless Counsel has
7 conferred with opposing counsel and believes that the stipulation will be
8 accepted. Any stipulation of fact will require the opposing party’s
9 concurrence and shall be submitted to the Court in writing for approval.
10 10. While Court is in session, counsel may not leave the counsel table to
11 confer with witnesses, colleagues, or assistants in the back of the
12 courtroom unless the Court grants permission to do so in advance.
13 11. Where a party has more than one lawyer, only one may conduct the
14 direct or cross-examination of a particular witness, or make objections as
15 to that witness.
16 12. If a witness was on the stand before a recess or adjournment, counsel
17 shall have the witness back on the stand and ready to proceed when
18 Court resumes.
19 13. If there is more than a brief delay between witnesses, the Court may
20 deem that the party has rested.
21 14. The Court attempts to cooperate with witnesses and will, except in
22 extraordinary circumstances, accommodate them by permitting them to
23 be examined out of sequence. Counsel should discuss any scheduling
24 issues with opposing counsel. If there is an objection, counsel shall
25 confer with the Court in advance.
26 15. Counsel shall not make facial expressions, nod, or shake their heads, or
27 comment or otherwise exhibit in any way any agreement, disagreement,
28 or other opinion or belief concerning the testimony of a witness.
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1 Counsel shall admonish their clients and witnesses not to engage in such
2 conduct.
3 16. Counsel should not talk to jurors at all, and should not talk to co-
4 counsel, opposing counsel, witnesses, or clients where the conversation
5 may be overheard by jurors. Each counsel should admonish counsel’s
6 own clients and witnesses to avoid such conduct. Counsel should not
7 speak with courthouse personnel regarding the trial, jury deliberations, or
8 where the jury stands. Each counsel should admonish counsel’s clients,
9 witnesses, and agents not to engage in such conduct. If any team should
10 inadvertently become aware of jury information, including where the jury
11 stands during deliberations, such information shall not be repeated to
12 anyone without permission of the Court. The parties should
13 immediately notify the Court of such disclosure.
14 17. Counsel must notify the CRD in advance if any witness should be
15 accommodated based on the Americans with Disabilities Act or for
16 other reasons.
17 VI. WEBSITE
18 Counsel are encouraged to review the Central District’s website for additional
19 information: http://www.cacd.uscourts.gov.
20 The CRD is ordered to serve a copy of the Order personally, electronically, or
21 by mail on counsel for all parties to this action.
22 IT IS SO ORDERED.
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24 Dated: June 11, 2026
25 HONORABLE KENLY KIYA KATO
United States District Judge
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Attachment A
IN THE UNITED STATES DISTRICT COURT
FOR THE CENTRAL DISTRICT OF CALIFORNIA
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IT IS VERY IMPORTANT THAT YOU FILL OUT AND RETURN THIS
QUESTIONNAIRE.
*************
JUROR QUESTIONNAIRE
Instructions
Please complete the following questionnaire to assist the Court and counsel in selecting a jury to
serve in a certain civil case. The purpose of these questions is not to ask unnecessarily about
personal matters. It is simply to determine whether a prospective juror can decide the case fairly and
impartially.
Please do not discuss the questionnaire or your answers with anyone. It is very important that the
answers be yours and yours alone. Remember that there are no “right” or “wrong” answers; only
truthful answers. You are sworn to give true and complete answers to all questions.
Please write your name in the upper right-hand corner of the second page of the questionnaire.
Question One
What is your full name? ___________________________________________________________
Question Two
What is your occupation? _________________________________________________________
Question Three
What is your educational background? _______________________________________________
Question Four
In which city do you live (not your full address)? ________________________________________
Your Name:
Question Five
What is your marital status? ________________________________________________________
If married, divorced, separated, or widowed, what is the occupation of your spouse?
h
______________________________________________________________________________
Question Six
How many children do you have? ___________________________________________________
How many adult children do you have? _______________________________________________
Please write down the ages and occupations of all adult children: ___________________________
______________________________________________________________________________
Question Seven
How many adults live in your household? _____________________________________________
Please write down the occupations of all other adults living in your household:
______________________________________________________________________________
Question Eight
Do you have any experience serving on a jury trial or grand jury, that is, having been a sworn
_member of a jury panel? __________________________________________________________
I declare under penalty of perjury that all answers are true to the best of my knowledge and belief.
Sign Here: _____________________________________________
Today’s Date: ___________________________
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