SPECIAL INTERROGATORIES TO THE JURY

Do you find from a preponderance of the evidence:
1. That [Plaintiff] left employment with [Defendant] to perform service in a uniformed service?
Answer Yes or No _____________
If your answer is “No,” this ends your deliberations, and your foreperson should sign and date the last page of this verdict form.

If your answer is “Yes,” go to the next question.
2. [That [Plaintiff] gave [Defendant] advance notice of the service/That it was impossible or unreasonable for [Plaintiff] to give advance notice of the service]?
Answer Yes or No _____________
If your answer is “No,” this ends your deliberations, and your foreperson should sign and date the last page of this verdict form.

If your answer is “Yes,” go to the next question.
[3. That the cumulative length of [Plaintiff]’s absences from employment with [Defendant] because of military service does not exceed five years?
Answer Yes or No _____________
If your answer is “No,” this ends your deliberations, and your foreperson should sign and date the last page of this verdict form.

If your answer is “Yes,” go to the next question.]
4. That [Plaintiff] timely returned to [Defendant] or timely applied for reemployment with [Defendant] after completing the service?
Answer Yes or No _____________
If your answer is “No,” this ends your deliberations, and your foreperson should sign and date the last page of this verdict form.

If your answer is “Yes,” go to the next question.
5. That [Plaintiff] was separated from the service under honorable conditions?
Answer Yes or No _____________
SO SAY WE ALL.
DATE:
Foreperson’s Signature