Some of the following forms are available in PDF and Word. Some of the PDF forms can be easily filled out and printed.Adjudication – Forms. An example of a without prejudice save as to costs settlement offer letter from a claimant (with drafting notes), also known as a claimant's Calderbank offer. A case that is dismissed "without prejudice" is only dismissed temporarily. This temporary dismissal means that the plaintiff is allowed to re-file charges. This Class Action Settlement Agreement and Release ("Settlement Agreement") is entered. You must also file your charge of employment discrimination with UALD within 180 days of when you learned of the last alleged discriminatory act. Most state courts in the United States allow plaintiffs to dismiss a lawsuit for the first time voluntarily. You have to give the notice of dismissal before:.