Interrorgatories

Interrogatories

Name:
Phone:
Email:
Comments:
Identify all names you have gone by current address, date and place of birth, driver’s license and social security numbers.
Identify (names, addresses and phone numbers) all persons who have resided with you for longer than one week since the subject incident, including your nuclear family (spouse, parents and/or children.)
For each employment during the past ten years, identify each employer (name, address, phone number), provide your position/title, and describe your duties and responsibilities as well as beginning and ending date of employment.
Have you ever been charged with, convicted of, or plead guilty to any felony or other crime of moral turpitude during the past ten years? If so, identify the crime, date and location, entity making the charge. If applicable, also identify the court and cause number, and state whether you are presently on probation.
Please explain in detail your version of the incident on which this suit is based and identify all persons known to you to have been eyewitnesses to the incident.
Provide the name, address and phone numbers of all persons who are expected to be called to testify by you at the trial of this case per Tex. R. Civ. P. 192.3(d)
State completely all written or verbal statements/admissions of Defendant (or any agents, representatives or employees of Defendant), which you may reveal to the judge or jury at trial, regarding the subject lawsuit, incident, fault, or any condition playing a part in said incident.
For each investigation and/or statement regarding the subject incident, state the date of the investigation/statement, and identify (name, address, phone number) who conducted and/or provided the investigation/statement and has custody of each statement and/or any related reports or data.
Did you consume any alcoholic beverages or drugs (prescription or nonprescription) within a twenty-four hour period prior to the incident? Please be specific with regard to time of consumption and quantity consumed. If so, state the specifically what was consumed, how much or how many?
Describe all personal injuries you sustained from the subject incident, including body parts, aggravation or prior conditions, impairment, and/or disfigurement.
Identify (name, address and phone number) all medical/health care providers (including, but not limited to, physicians, osteopaths, chiropractors, psychologists, therapists, pharmacies, hospitals and clinics) who have provided any treatment, services, advice, medication or supplies as a result of the subject incident or injuries.
Identify (name, address and phone number) all medical/health care providers (including, but not limited to, physicians, osteopaths, chiropractors, psychologists, therapists, pharmacies, hospitals and clinics) you have seen during the past ten years for any injury or condition. For each, specify the injury/condition treated.
Identify all other accidents you have been involved in, including automobile accidents, on the job accidents, industrial accidents, home accidents or any other type of accidents during the past ten years.
Identify all lawsuits and insurance claims involving personal injuries to you during the past twelve years, specifying the nature of the injury, date and county/city of filing, name of defendant/insurer, and result (settlement/judgment).
If you were covered by health insurance at the time of the incident giving rise to this lawsuit or at any subsequent time, please identify such carrier by name and policy number or group policy number.
Provide the total amount of medical expenses paid or incurred by you (or any person or entity on your behalf) to date as a result of the subject incident. Also, if applicable, state whether any future medical expenses have been projected by any of your medical/health care.
Identify all persons or entities (name, address and phone number) which have paid, incurred, received and/or reimbursed any expenses resulting from the subject incident. This is to include any governmental agency (such as Medicare or Medicaid), insurance company or health care plan.
If you are claiming any past or future loss of earnings or other income as a result of the subject incident, state the amount to date and the method of calculation. Include all dates you did not work because of injuries or medical care, you salary/wage, and state whether such losses are continuing at present.
In addition to any damages stated above, identify any other expenses or damages resulting from the subject incident. (Such as property damage, medical appliances, out-of-pocket expenses, etc.)
Pursuant to Rule 609(f), Texas Rules of Evidence, please state evidence of any conviction (by stating the offense, disposition, year of the offense, cause number, court, and county in which the offense occurred) which you intend to use at the trial of this matter regarding this Defendant or any witnesses identified as trial witnesses by this Defendant.
Identify all consulting experts whose mental impressions and opinions were provided to a testifying expert, and identify in detail the nature and substance of those mental impressions and opinions.
Please list/identify any and all exhibits you intend to introduce into evidence and/or use at the time of trial.