Academy of Truck Accident Attorneys (ATAA)
APPLICATION FORM B: QUALIFYING EXPERIENCE
Applicant Name: __________________________________
In the past 7 years, how many of the following can you verify
Number
Lead counsel at trial of CMV case (Document your answer by providing the details for each case below)
(If settlement was confidential, designate with the word “confidential”)
Title of Case
Case Number
Court/Judge
Defense Attorneys
Multiplier
x5=
Max
Points
Total
40
Outcome
(verdict/settlement/amount)
______________________________________________________________________________________________________________________
1.
______________________________________________________________________________________________________________________
2.
______________________________________________________________________________________________________________________
3.
______________________________________________________________________________________________________________________
4.
______________________________________________________________________________________________________________________
5.
______________________________________________________________________________________________________________________
6.
______________________________________________________________________________________________________________________
7.
______________________________________________________________________________________________________________________
8.
In the past 7 years, how many of the following can you verify
Number
Counsel of record (not lead) at trial of CMV case (e.g., second chair) (Document your answer by providing
the details for each case below) (If settlement was confidential, designate with the word “confidential”)
Title of Case
Case Number
Court/Judge
Lead
Plaintiff Attorney
Multiplier
x3=
Defense Attorneys
Total
Max
Points
30
Outcome
(verdict/settlement/amount)
______________________________________________________________________________________________________________________
1.
______________________________________________________________________________________________________________________
2.
______________________________________________________________________________________________________________________
3.
______________________________________________________________________________________________________________________
4.
______________________________________________________________________________________________________________________
5.
______________________________________________________________________________________________________________________
6.
______________________________________________________________________________________________________________________
7.
______________________________________________________________________________________________________________________
8.
______________________________________________________________________________________________________________________
9.
_____________________________________________________________________________________________________________________
10.
In the past 7 years, how many of the following can you verify
Number
Primarily responsible for settlement of CMV case (under $3 million) (Document your answer by providing
Multiplier
x1=
Total
Max
Points
20
the details for each case below) (If settlement was confidential, designate with the word “confidential”)
Title of Case
Case Number
Court/Judge
Defense Attorneys
Amount of
Settlement
______________________________________________________________________________________________________________________
1.
______________________________________________________________________________________________________________________
2.
______________________________________________________________________________________________________________________
3.
______________________________________________________________________________________________________________________
4.
______________________________________________________________________________________________________________________
5.
______________________________________________________________________________________________________________________
6.
______________________________________________________________________________________________________________________
7.
______________________________________________________________________________________________________________________
8.
______________________________________________________________________________________________________________________
9.
_____________________________________________________________________________________________________________________
10.
_____________________________________________________________________________________________________________________
11.
_____________________________________________________________________________________________________________________
12.
_____________________________________________________________________________________________________________________
13.
Primarily responsible for settlement of CMV case - under $3 million (continued)
Title of Case
Case Number
Court/Judge
Defense Attorneys
Amount of
Settlement
_____________________________________________________________________________________________________________________
14.
_____________________________________________________________________________________________________________________
15.
_____________________________________________________________________________________________________________________
16.
_____________________________________________________________________________________________________________________
17.
_____________________________________________________________________________________________________________________
18.
_____________________________________________________________________________________________________________________
19.
_____________________________________________________________________________________________________________________
20.
In the past 7 years, how many of the following can you verify
Number
Primarily responsible for settlement of CMV case ($3 million or more) (Document your answer by
providing the details for each case below) (If settlement was confidential, designate with the word “confidential”)
Title of Case
Case Number
Court/Judge
Multiplier
x2=
Defense Attorneys
Total
Max
Points
20
Amount of
Settlement
______________________________________________________________________________________________________________________
1.
______________________________________________________________________________________________________________________
2.
______________________________________________________________________________________________________________________
3.
______________________________________________________________________________________________________________________
4.
Primarily responsible for settlement of CMV case - $3 million or more (continued)
Title of Case
Case Number
Court/Judge
Defense Attorneys
Amount of
Settlement
______________________________________________________________________________________________________________________
5.
______________________________________________________________________________________________________________________
6.
______________________________________________________________________________________________________________________
7.
______________________________________________________________________________________________________________________
8.
______________________________________________________________________________________________________________________
9.
_____________________________________________________________________________________________________________________
10.
In the past 7 years, how many of the following can you verify
Primarily responsible for initial investigation of CMV case
(Document your answer by providing the details for each case below)
Title of Case & Status
(pre-suit, litigation, trial)
Case Number
Number
Multiplier
x1=
Court/Judge
Total
Max
Points
5
Defense Attorneys
______________________________________________________________________________________________________________________
1.
______________________________________________________________________________________________________________________
2.
______________________________________________________________________________________________________________________
3.
______________________________________________________________________________________________________________________
4.
______________________________________________________________________________________________________________________
5.
In the past 7 years, how many of the following can you verify
Draft Complaint/Petition for CMV case (Document your answer by providing the details for each case below)
Include one complaint/petition on a flash drive or CD and submit with application packet
Title of Case & Status
(pre-suit, litigation, trial)
Case Number
Court/Judge
Number
Multiplier
x1=
Total
Max
Points
5
Defense Attorneys
______________________________________________________________________________________________________________________
1.
______________________________________________________________________________________________________________________
2.
______________________________________________________________________________________________________________________
3.
______________________________________________________________________________________________________________________
4.
______________________________________________________________________________________________________________________
5.
Draft initial discovery for CMV case (Document your answer by providing the details for each case below)
Include one discovery draft on a flash drive or CD and submit with application packet
Title of Case & Status
(pre-suit, litigation, trial)
Case Number
Court/Judge
x1=
5
Defense Attorneys
______________________________________________________________________________________________________________________
1.
______________________________________________________________________________________________________________________
2.
______________________________________________________________________________________________________________________
3.
______________________________________________________________________________________________________________________
4.
______________________________________________________________________________________________________________________
5.
In the past 7 years, how many of the following can you verify
In CMV case, take deposition of truck driver (Document your answer by providing the details for each case below)
Include one deposition transcript on a flash drive or CD and submit with application packet
Title of Case & Status
(pre-suit, litigation, trial)
Case Number
Court/Judge
Number
Multiplier
x1=
Total
Max
Points
10
Defense Attorneys
______________________________________________________________________________________________________________________
1.
______________________________________________________________________________________________________________________
2.
______________________________________________________________________________________________________________________
3.
______________________________________________________________________________________________________________________
4.
______________________________________________________________________________________________________________________
5.
______________________________________________________________________________________________________________________
6.
______________________________________________________________________________________________________________________
7.
______________________________________________________________________________________________________________________
8.
______________________________________________________________________________________________________________________
9.
_____________________________________________________________________________________________________________________
10.
In the past 7 years, how many of the following can you verify
In CMV case, take deposition of corporate safety director/manager
(Document your answer by providing the details for each case below)
Include one deposition transcript on a flash drive or CD and submit with application packet
Title of Case & Status
(pre-suit, litigation, trial)
Case Number
Court/Judge
Number
Multiplier
x1=
Total
Max
Points
10
Defense Attorneys
______________________________________________________________________________________________________________________
1.
______________________________________________________________________________________________________________________
2.
______________________________________________________________________________________________________________________
3.
______________________________________________________________________________________________________________________
4.
______________________________________________________________________________________________________________________
5.
______________________________________________________________________________________________________________________
6.
______________________________________________________________________________________________________________________
7.
______________________________________________________________________________________________________________________
8.
______________________________________________________________________________________________________________________
9.
_____________________________________________________________________________________________________________________
10.
In the past 7 years, how many of the following can you verify
In CMV case, take deposition of 30(b)(6) designee
(Document your answer by providing the details for each case below)
Include one deposition transcript on a flash drive or CD and submit with application packet
Title of Case & Status
(pre-suit, litigation, trial)
Case Number
Court/Judge
Number
Multiplier
x1=
Total
Max
Points
10
Defense Attorneys
______________________________________________________________________________________________________________________
1.
______________________________________________________________________________________________________________________
2.
______________________________________________________________________________________________________________________
3.
______________________________________________________________________________________________________________________
4.
______________________________________________________________________________________________________________________
5.
______________________________________________________________________________________________________________________
6.
______________________________________________________________________________________________________________________
7.
______________________________________________________________________________________________________________________
8.
______________________________________________________________________________________________________________________
9.
_____________________________________________________________________________________________________________________
10.
In the past 7 years, how many of the following can you verify
In CMV case, take deposition of defense standard of care expert
(Document your answer by providing the details for each case below)
Include one deposition transcript on a flash drive or CD and submit with application packet
Title of Case & Status
(pre-suit, litigation, trial)
Case Number
Court/Judge
Number
Multiplier
x1=
Total
Max
Points
10
Defense Attorneys
______________________________________________________________________________________________________________________
1.
______________________________________________________________________________________________________________________
2.
______________________________________________________________________________________________________________________
3.
______________________________________________________________________________________________________________________
4.
______________________________________________________________________________________________________________________
5.
______________________________________________________________________________________________________________________
6.
______________________________________________________________________________________________________________________
7.
______________________________________________________________________________________________________________________
8.
______________________________________________________________________________________________________________________
9.
_____________________________________________________________________________________________________________________
10.
In the past 7 years, how many of the following can you verify
In CMV case, take deposition of defense accident reconstruction expert or police accident
reconstructionist (Document your answer by providing the details for each case below)
Include one deposition transcript on a flash drive or CD and submit with application packet
Title of Case & Status
(pre-suit, litigation, trial)
Case Number
Court/Judge
Number
Multiplier
x1=
Total
Max
Points
10
Defense Attorneys
______________________________________________________________________________________________________________________
1.
______________________________________________________________________________________________________________________
2.
______________________________________________________________________________________________________________________
3.
______________________________________________________________________________________________________________________
4.
______________________________________________________________________________________________________________________
5.
______________________________________________________________________________________________________________________
6.
______________________________________________________________________________________________________________________
7.
______________________________________________________________________________________________________________________
8.
______________________________________________________________________________________________________________________
9.
_____________________________________________________________________________________________________________________
10.
In the past 7 years, how many of the following can you verify
In CMV case, take deposition of defense human factors/conspicuity expert
(Document your answer by providing the details for each case below)
Include one deposition transcript on a flash drive or CD and submit with application packet
Title of Case & Status
(pre-suit, litigation, trial)
Case Number
Court/Judge
Number
Multiplier
x1=
Total
Max
Points
5
Defense Attorneys
______________________________________________________________________________________________________________________
1.
______________________________________________________________________________________________________________________
2.
______________________________________________________________________________________________________________________
3.
______________________________________________________________________________________________________________________
4.
______________________________________________________________________________________________________________________
5.
In CMV case, personally attend inspection of CMV
(Document your answer by providing the details for each case below)
Title of Case & Status
(pre-suit, litigation, trial)
Case Number
x1=
Court/Judge
5
Defense Attorneys
______________________________________________________________________________________________________________________
1.
______________________________________________________________________________________________________________________
2.
______________________________________________________________________________________________________________________
3.
______________________________________________________________________________________________________________________
4.
______________________________________________________________________________________________________________________
5.
In the past 7 years, how many of the following can you verify
In CMV case, defend Daubert challenge to a plaintiff liability expert (Document your answer by
providing the details for each case below) Include documentation of one challenge defended
on a flash drive or CD and submit with application packet
Title of Case & Status
(pre-suit, litigation, trial)
Case Number
Court/Judge
Number
Multiplier
x1=
Total
Max
Points
5
Defense Attorneys
______________________________________________________________________________________________________________________
1.
______________________________________________________________________________________________________________________
2.
______________________________________________________________________________________________________________________
3.
______________________________________________________________________________________________________________________
4.
______________________________________________________________________________________________________________________
5.
In CMV case, draft and pursue Daubert challenge of a defense liability expert
(Document your answer by providing the details for each case below)
Include one draft on a flash drive or CD and submit with application packet
Title of Case & Status
(pre-suit, litigation, trial)
Case Number
Court/Judge
x1=
5
Defense Attorneys
______________________________________________________________________________________________________________________
1.
______________________________________________________________________________________________________________________
2.
______________________________________________________________________________________________________________________
3.
______________________________________________________________________________________________________________________
4.
______________________________________________________________________________________________________________________
5.
In the past 7 years, how many of the following can you verify
In CMV case, author a brief on discovery issue(s)
(Document your answer by providing the details for each case below)
Include brief from one case on a flash drive or CD and submit with application packet
Title of Case & Status
(pre-suit, litigation, trial)
Case Number
Court/Judge
Number
Multiplier
x1=
Total
Max
Points
5
Defense Attorneys
______________________________________________________________________________________________________________________
1.
______________________________________________________________________________________________________________________
2.
______________________________________________________________________________________________________________________
3.
______________________________________________________________________________________________________________________
4.
______________________________________________________________________________________________________________________
5.
In CMV case, argue a discovery issue to a judge
(Document your answer by providing the details for each case below)
Title of Case & Status
(pre-suit, litigation, trial)
Case Number
x1=
Court/Judge
5
Defense Attorneys
______________________________________________________________________________________________________________________
1.
______________________________________________________________________________________________________________________
2.
______________________________________________________________________________________________________________________
3.
______________________________________________________________________________________________________________________
4.
______________________________________________________________________________________________________________________
5.
In the past 7 years, how many of the following can you verify
In CMV case, author brief regarding trucking specific legal issue (e.g., application of FMCSR, broker
liability, shipper liability, preemption, self-critical analysis, etc.)
(Document your answer by providing the details for each case below)
Include brief from one case on a flash drive or CD and submit with application packet
Title of Case & Status
(pre-suit, litigation, trial)
Case Number
Court/Judge
Number
Multiplier
x2=
Total
Max
Points
10
Defense Attorneys
______________________________________________________________________________________________________________________
1.
______________________________________________________________________________________________________________________
2.
______________________________________________________________________________________________________________________
3.
______________________________________________________________________________________________________________________
4.
______________________________________________________________________________________________________________________
5.
In CMV case, prepare a Rule 26 Expert Report for your liability expert
(Document your answer by providing the details for each case below)
Include one report on a flash drive or CD and submit with application packet
Title of Case & Status
(pre-suit, litigation, trial)
Case Number
Court/Judge
x1=
5
Defense Attorneys
______________________________________________________________________________________________________________________
1.
______________________________________________________________________________________________________________________
2.
______________________________________________________________________________________________________________________
3.
______________________________________________________________________________________________________________________
4.
______________________________________________________________________________________________________________________
5.
In the past 7 years, how many of the following can you verify
In CMV case, prepare and/or argue any other CMV related substantive brief for court
(Document your answer by providing the details for each case below)
Include brief from one case on a flash drive or CD and submit with application packet
Title of Case & Status
(pre-suit, litigation, trial)
Case Number
Court/Judge
Number
Multiplier
x1=
Total
Max
Points
5
Defense Attorneys
______________________________________________________________________________________________________________________
1.
______________________________________________________________________________________________________________________
2.
______________________________________________________________________________________________________________________
3.
______________________________________________________________________________________________________________________
4.
______________________________________________________________________________________________________________________
5.
Member in Good Standing of AAJ TLG (1 point for each year up to 3 years) (last 7 years only)
x1
3
Leadership position in AAJ TLG or other approved CMV specific organization (List each position and
organization below)
Title/Position
Organization
x1
10
______________________________________________________________________________________________________________________
1.
______________________________________________________________________________________________________________________
2.
______________________________________________________________________________________________________________________
3.
______________________________________________________________________________________________________________________
4.
Leadership position in AAJ TLG or other approved CMV specific organization (continued)
Title/Position
Organization
______________________________________________________________________________________________________________________
5.
______________________________________________________________________________________________________________________
6.
______________________________________________________________________________________________________________________
7.
______________________________________________________________________________________________________________________
8.
______________________________________________________________________________________________________________________
9.
_____________________________________________________________________________________________________________________
10.
In the past 7 years, how many of the following can you verify
Attend approved CMV Specific CLE Program(s) (up to 10 programs)
(List all program information below)
Title of Program or Course
Program Dates
Number
Multiplier
x1
Sponsor (no abbreviations)
Total
Max
Points
10
Hours of Attendance
______________________________________________________________________________________________________________________
1.
______________________________________________________________________________________________________________________
2.
______________________________________________________________________________________________________________________
3.
______________________________________________________________________________________________________________________
4.
______________________________________________________________________________________________________________________
5.
______________________________________________________________________________________________________________________
6.
Attend approved CMV Specific CLE Program(s) - up to 10 programs (continued)
Title of Program or Course
Program Dates
Sponsor (no abbreviations)
Hours of Attendance
______________________________________________________________________________________________________________________
7.
______________________________________________________________________________________________________________________
8.
______________________________________________________________________________________________________________________
9.
_____________________________________________________________________________________________________________________
10.
In the past 7 years, how many of the following can you verify
Number
Speaker at CLE program on CMV specific subject (up to 10 programs and topics)
(List all program information below)
Title of Program or Course
Program Dates
Sponsor (no abbreviations)
Multiplier
x2
Total
Max
Points
20
Length of Presentation
______________________________________________________________________________________________________________________
1.
______________________________________________________________________________________________________________________
2.
______________________________________________________________________________________________________________________
3.
______________________________________________________________________________________________________________________
4.
______________________________________________________________________________________________________________________
5.
______________________________________________________________________________________________________________________
6.
______________________________________________________________________________________________________________________
7.
______________________________________________________________________________________________________________________
8.
Speaker at CLE program on CMV specific subject - up to 10 programs and topics (continued)
Title of Program or Course
Program Dates
Sponsor (no abbreviations)
Length of Presentation
______________________________________________________________________________________________________________________
9.
_____________________________________________________________________________________________________________________
10.
In the past 7 years, how many of the following can you verify
Primary author of book on CMV/trucking (Provide information below)
Title of Book
Number
Multiplier
x 10
Publisher
Total
Max
Points
20
Date Published
______________________________________________________________________________________________________________________
1.
______________________________________________________________________________________________________________________
2.
Author book chapter on CMV/trucking topic (do not include book for which credit given above as
primary author) (Provide information below)
Title of Book
Chapter Title
Publisher
x3
12
Organization
(if part of a publication for a specific organization)
______________________________________________________________________________________________________________________
1.
______________________________________________________________________________________________________________________
2.
______________________________________________________________________________________________________________________
3.
______________________________________________________________________________________________________________________
4.
In the past 7 years, how many of the following can you verify
Author article on CMV/trucking topic in peer reviewed journal (e.g. State TLA, AAJ Trial Magazine,
AAJ TLG Journal, etc.) (Provide information below)
Name of Journal
Article Title
Number
Multiplier
x2
Issue/Date of Publication
Total
Max
Points
10
Organization
______________________________________________________________________________________________________________________
1.
______________________________________________________________________________________________________________________
2.
______________________________________________________________________________________________________________________
3.
______________________________________________________________________________________________________________________
4.
______________________________________________________________________________________________________________________
5.
Hired as a paid consultant by other attorneys handling CMV cases (this is not intended to include
cases that are referred to you to handle as lead counsel, but rather cases where you are paid to
handle specific CMV aspects of a case or to consult on the approach to a CMV case)
(Document your answer by providing the details for each case below)
Title of Case & Status
(pre-suit, litigation, trial)
Case Number
Court/Judge
x2
Hiring Attorney
10
Outcome
(verdict/settlement/amount)
______________________________________________________________________________________________________________________
1.
______________________________________________________________________________________________________________________
2.
______________________________________________________________________________________________________________________
3.
______________________________________________________________________________________________________________________
4.
______________________________________________________________________________________________________________________
5.
In the past 7 years, how many of the following can you verify
For how many of the past 7 years can you certify that you spent at least 30% of your time practicing
law handling cases involving CMVs?
Number
Multiplier
x1
Total
Max
Points
7
For how many of the past 7 years can you certify that you spent at least 50% of your time practicing
law handling cases involving CMVs?
x1
7
For how many of the past 7 years can you certify that you spent at least 75% of your time practicing
law handling cases involving CMVs?
x2
14
xxxxxxxxx
10
Are you presently actively involved as lead counsel or counsel of record in 10 or more CMV cases? If
yes, insert 10 points in total box to right.
xxxxxxx
Total Points:
_____
Notes:
“CMV Cases” include all cases where a defendant was operating a vehicle that qualifies under the FMCSRs and/or applicable state trucking
regulations as a “Commercial Motor Vehicle.”
“Lead counsel” shall mean the lead lawyer primarily responsible for the handling of the case. All other lawyers involved in the case would be
considered “counsel of record.”
Verification
I, ______________________________ being duly sworn, certify my answers and the information provided herein is true.
I fully understand failure to make a truthful disclosure of any fact or item of information required may result in the denial
of my application, revocation of my Board Certification if granted, or disciplinary action.
STATE OF _____________________)
________________________________
Signature of Applicant
COUNTY OF ____________________)
The undersigned, a Notary Public in and for the County of
certifies that
, in the State of
appeared in person, and before me SUBSCRIBED and SWORE to the
above Application Agreement, under penalties for perjury, this
20
,
day of
, and to which witness my hand and seal.
Notary Public
Stamp or Seal
Printed Name
My commission expires
, 20
.
,