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Exhibit and Witness List. Download Form (pdf, 357.No. Description And Notes, If Applicable. Follow the instructions below to complete Exhibit cover sheet template online quickly and easily: Log in to your account. Complete the information at the top of the form. 3. Learn almost everything you need to know about court exhibits and how to introduce them into evidence at trial. The completed Records of Exhibits should be saved as a word document to a flash drive and then provided to the courtroom clerk. Complete statements of all opinions the witness will express and the basis and reasons for those opinions on that issue; Defendants to. Include a summary of the unpaid claims log. Exhibit 1 as a specific worksheet in the cost reports for hospitals, SNFs, and ESRDs and these providers are no longer required to complete Form CMS-339.