Sample Jury Verdict Form - When Jury Charged On Both Branches Of Assault And Battery
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1Instruction 6.141
Revised January 2013
SAM PLE JURY VERDICT FORM
W HEN JURY CHARGED ON BOTH BRANCHES OF ASSAULT AND BATTERY
COMMONW EALTH OF MASSACHUSETTS
DISTRICT COURT DEPARTMENT OF THE TRIAL COURT
___________ Division
Com plaint No. ______
)
COMMONW EALTH
)
)
vs.
)
JURY VERDICT
)
________________
)
W e, the jury, unanim ously return the following verdict:
(Check only one of the following three choices:)
G
1. W e find the defendant NOT GUILTY of the offense of intentional or reckless assault and battery
(General Laws chapter 265, section 13A).
G
2. W e find the defendant GUILTY as charged of the offense of INTENTIONAL assault and battery
(General Laws chapter 265, section 13A).
G
3. W e find the defendant GUILTY as charged of the offense of RECKLESS assault and battery
(General Laws chapter 265, section 13A).
Date: ______________
Signature: _________________________________
Foreperson of the Jury
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