VF-2701. Nonpayment of Minimum Wage (Lab. Code, § 1194)
We answer the questions submitted to us as follows:
1. Did [name of plaintiff] perform work for [name of defendant]?
______ Yes ______ No
If your answer to question 1 is yes, then answer question 2. If you answered no, stop here, answer no further questions, and have the presiding juror sign and date this form.
2. Was [name of plaintiff] paid less than the minimum wage by [name of defendant] for some or all hours worked?
______ Yes ______ No
If your answer to question 2 is yes, then answer question 3. If you answered no, stop here, answer no further questions, and have the presiding juror sign and date this form.
3. How many hours was [name of plaintiff] paid less than the minimum wage?
______ hours
4. What is the amount of wages owed? $______
| Signed: | |
| Presiding Juror | |
| Dated: |
[After it has been signed/After all verdict forms have been signed], deliver this verdict form to the [clerk/bailiff/judge].
Directions for Use
The special verdict forms in this section are intended only as models. They may need to be modified depending on the facts of the case. This verdict orm is based on CACI No. 2701, Nonpayment of Minimum Wage— Essential Factual Elements (Lab. Code, § 1194).
If there are multiple causes of action, users may wish to combine the individual forms into one form.
This form may be modified if the jury is being given the discretion under Civil Code section 3288 to award prejudgment interest on specific losses that occurred prior to judgment.
(Revised June 2005)