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UNITED STATES DISTRICT COURT
WESTERN DISTRICT OF NEW YORK l.:".:.: r 7 ':r:i*
PAMELA S. SMALL,
Plaintiff,
V. VERDICT FORM
12-CV-1236S
THE STATE NEWYORK, et al.,
Defendants.
We, the Jury, retu:rn the following verdict in Pamela S. Small v.....The State of New
Having been instructed on the law applicable to this case, you are now required to
return a unani,mgus verdict. Follow the directions on this form ca,refully. Your answers to
the questions must be unanimous. Any findings you make must be based on a
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Case L:L2-cv-0I236-WMS-MJR Document 1-93 Filed 091271L8 Page 2 o'f 17
First Glaim
Hosti le Work Envi ronmenUSexua,l Haras-smeq!
Liabilitv
Yes I INo
X
lf you answered "Yes," proceed to Question 2 on the next page.
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Case 1,:L2-cv-0I236-WMS-MJR Document 193 Filed 09127118 Page 3 of L7
First Glaim
Hostile Work EnvironmenUSexual Harasslnent
Affirmative Defense
I lYes No
il,
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Case I:\2-cv-01236-WMS-MJR Document 193 Filed 0912711.8 Page 4 ol L7
Seco Glaim
Retaliation
Liabilitv
ffv"" I INo
4
Case L:I2-cv-OL236-WMS-MJR Document 193 Filed 09127fl'8 Page 5 oI L7
Dama,geq
Questio:n 4, What amount of compe:nsatory d:a:t:nag:es, i,f a:ny, d.o yOu fin:d that
Plaintiff :Pamela srna,ll should be awa,rded for Defendant New york
state Departrnent of corrections and commu,n,ity surpervision's
(DOCCS) violation o:f her Title Vl,l r:ights?
(&!er lf you find that Plaintiff Famela Srnall has not proven
sfl! compensatory damog,ts$n you must enter "$1.00 -
Nom,inal" on the line,below.)
$ L 00 000
5
Case I:L2-cv-01236-WMS-MJR Document 193 Filed 09l27lLB Page 6 of L7
Third Claim
42 U.S.C. S 1983
Hostile Work Environment
Defendant Carl Guer
Liabilitv
6
Case L:L2-cv-O1236-WMS-MJR Document 193 Filed 091271L8 Page 7 ol L7
Affilmative Defense
[ ]Yes
I No
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Case 1-:t2-cv-Ot236-WMS-MJR Document 193 Filed 091271t8 Page I oI 17
Damaqes
(Note: lf you find that Plaintiff Pamela Small has not proven
any compensatory damages, you must enter "$1.00
Nominal" on the line below.)
grt
$
Question 8. what amount of punitive damages, if any, do you find that plaintiff
Pamela small should be awarded for Defendant carl cuer's
deprivation of her federally protected right to be free from a hostile
work environment?
(Note: You must complete the line below. lf you find that
Plaintiff Pamela Small is not entitled to punitive damages,
enter "none". lf you find that she is entifled to punitive
damages, enter the dollar figure.)
$ 0
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Case L:12-cv-01236-WMS-MJR Document 193 Filed O9l27lI8 Page 9 of 17
Third Glaim
42 U.S.C. S 1e83
Hostile Work Environment
Defendant Sandra Dolce
Liabilitv
ffv"" llNo
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Case L:L2-cv-O1236-WMS-MJR Document 193 Filed 09l27lLB Page IO of 17
Affirmative Defense
[ ]Yes W"
lf you answered "Yes," proceed to Question 13 on page 12. Do not
answer Questions 11 and 12.
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Case I:L2-cv-0I236-WMS-MJR Document l-93 Filed O9l27lLB Page LL of L7
Damaqes
Question 11. what amount of compensatory damages, if any, do you find that
Plaintiff Pamela small should be awarded for Defendant sandra
Dolce's deprivation of her federally protected right to be free from a
hostile work environment?
Note:. lf you find that Plaintiff Pamela Small has not proven
any compensatory damages, you must enter '$1.00
Nominal" on the line below.)
Question 12. what amount of punitive damages, if any, do you find that plaintiff
Pamela small should be awarded for Defendant sandra Dolce's
deprivation of her federally protected right to be free from a hostile
work environment?
(Note: You must complete the line below. lf you find that
Plaintiff Pamela Small is not entiiled to punitive damages,
enter "none". lf you find that she is entifled to punitive
damages, enter the dollar figure.)
$ NO E
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Case 1,:L2-cv-0I236-WMS-MJR Document L93 Filed O9l27lLB Page 12 ol L7
Third Claim
42 U.S.C. S 1983
Hostile Work Environment
Defendant James Gonway
Liabilitv
IINo
frv"'
lf you answered "Yes," proceed to Question 14 on the next page.
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Case L:I2-cv-O\236-WMS-MJR Document 193 Filed 09l27lIB Page t3 of L7
Affi Defense
[ ]Yes X*"
lf you answered "Yes," proceed to Question 17 on page 15. Do not
answer Questions 15 and 16
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Case L:L2-cv-O!236-WMS-MJR Document 193 Filed O9l27lI8 Page t4 of 17
Damages
Question 15. What amount of compensatory damages, if any, do you find that
Plaintiff Pamela small should be awarded for Defendant James
conway's deprivation of her federally protected right to be free from
a hostile work environment?
Note:. tf you find that Plaintiff Pamela Small has not proven
any compensatory damages, you must enter ,,$1.00
Nominal" on the line below.)
$ zqo,chb
Question 16. what amount of punitive damages, if any, do you find that plaintiff
Pamela small should be awarded for Defendant James conway's
deprivation of her federally protected right to be free from a hostile
work environment?
(Note: You must complete the line below. lf you find that
Plaintiff Pamela Small is not entitled to punitive damages,
enter "none", lf you find that she is entifled to punitive
damages, enter the dollar figure.)
$ NoNE
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Case L:12-cv-0L236-WMS-MJR Document 193 Filed O9l27lLB Page L5 ol L7
Fou,rth Glaim
New York H,uman Righb Law g 296 (6)
4;din,g and Abetti:ng U:nlawfu,l D'iscrimination and Hostile Work,Env,ironment
Defenda,nt Garl Cuer
tiabi,litv
1t'""" I INo
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Case 1-:I2-cv-OL236-WMS-MJR Document l-93 Filed O9l27lt9 Page t6 of L7
Damages
Question 18. what amount of compensatory damages, if any, do you find that
Plaintiff Pamela small should be awarded for Defendant carl cuer's
aiding and abetting unlawful discrimination and hostile work
environment, in violation of the New york Human Rights Law 2g6
$
(6)?
(Note: lf you find that Plaintiff Pamela small has not proven
any compensatory damages, you must enter ,'$1.00
Nominal" on the line below.)
$ CCD
Question 19. what amount of lost pay, if any, do you find that plaintiff pamela
small should be awarded for Defendant carl cuer,s aiding and
abetting unlaMul discrimination and hostile work environment, in
violation of the New York Human Rights Law g 296 (6)?
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Case L:L2-cv-O1236-WMS-MJR Document 193 FiledO9l2TlLB Page L7 of t7
Stop, This is the end of the verdict form. The foreperson must sign below and notify
the Court, in writing, that the jury tras reached a verdict.
U OREPERSON
tprrnsr nrNIFMsER TH
Now that you have completed' the verdict sheet, place it in the envelope provided and
seal the envelope. lnform the Court by a written note that you have reached a verdict.
Do not disclose the verdict to the Court or anyone else until you are asked to do so by
the Judge in open Court.
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