Document for Emerson, Roberta vs. New England Tractor-Trailer Training of Mass, Inc. et al

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                                DOCKET NUMBER                         Trial Court of Massachusetts
                                                                                                                                                                            A
         CIVIL ACTION COVER SHEET                                     gynine/003M B                         The Superior Court
                                                                                                           [COUNTY |
Plaintiff            Roberta Emerson                 otk SUP! enor!                         Defendant:          New England Tractor-Trailer Training of Mass, Inc.
ADDRESS:             26 Kendal Pond              E                                          ADDRESS:            1600 Osgood Street, Suite 3107
                    Derry, NH 03038
                                                             pre We                                             North Andover, MA 01845


Plaintiff Attorney: — Michael O. Shea, Esq.                           ppisool JA.           Defendant:          ‘New England Tractor Trailer Training School
ADDRESS:                                             qyoMas 4                               ADDRESS:            1600 Osgood Street, Suite 3107
3 Crane Park Drive, Suite 7                                                                                     North Andover, MA 01845
‘Wilbraham, MA 01098,                                                                        Defendant:
BBO: 555474                                                                                 Address:
                                              TYPE OF ACTION AND TRACK DESIGNATION (see instructions section below)
           CODE NO.                             TYPE OF ACTION (specify)               TRACK             HAS A JURY CLAIM BEEN MADE?
     B22                           Employment Discrimination                                        FE                         &] yes          [J no
*If "Other" please describe:
                               Is there a claim under G.L. c. 9342                                             Is there a class action under Mass. R. Civ. P. 23?
                                   Dyes              no                                                           Ores             Kj no
                                                         STATEMENT OF DAMAGES PURSUANT TO GL. c. 212, § 3A

The following is a full, itemized and detailed statement of the facts on which the undersigned plaintiff or plaintiff's counsel relies to determine money damages.
For this form, disregard double or treble damage claims; indicate single damages only.
                                                                                   TORT CLAIMS
|A. Documented medical expenses to date
            4. Total hospital expenses
            2. Total doctor expenses
            3, Total chiropractic expenses
            4. Total physical therapy expenses
            5. Total other expenses (describe below)

                                                                                                             Subtotal (1-5):                              $0.00
B. Documented lost wages and compensation to date
C. Documented property damages to date
D. Reasonably anticipated future medical and hospital expenses
E. Reasonably anticipated lost wages
F. Other documented items of damages (describe below)                                                                                                             $50,000.00+
[The Plaintiff has lost wage damages, emotional distress damages, punitive damages, and attorney's fees and costs,
lal of which are in excess of $50,000.
                                                                                                             TOTAL (AF):                           $50,000.00+
G. Briefly describe plaintiff's injury, including the nature and extent of injut
[fhe Plaintiff has lost wage damages, emotional distress damages, punitive damages, and attorney's fees and costs, all of which exceed $50,000.

                                                                               CONTRACT CLAIMS
   (C1 This action includes a claim involving collection of a debt incurred pursuant to a revolving credit agreement. Mass. R. Civ. P. 8.1(a).
    Item #                                                       Detailed Description of Each Claim                                                                Amount
     4
                                                                                                                                                 Total



‘Signature of Attorney/Unrepresented Plaintiff: X                                                                                              Date:
RELATED ACTIONS: Please provide the case number, case name, and county of any related actions pending in the Superior Court.


                                                                CERTIFICATION PURSUANT TO SJC RULE 1:18

  clients with information about court-connected dispute resolution   Ss
  hereby certify that | have complied with requirements of Rule 5 of the Supreme Judicial Court Uniform Rules on Dispute Resolution (SUC Rule 1:18) requiring that | provide my
                                                                                         ip them the advantages and disadvantages of the various methods of dispute resolution.
‘Signature of Attorney/Unrepresented Plaintiff: X                                                                                     |_[ cae “agfaf
  $C0001: 1/22/2021                                                    www.mass.govicourts                                                  Date/Time Printed:02-25-2022 15:55:29