Written Discovery Questions in Litigation Case

Instructions: Please fill these out to the best of your ability. This is the first stage of litigation, where the defense asks general questions to obtain more information about you. If you have not already, please review the video we created explaining written discovery.

Full Name:

Address

Name of Spouse and date of marriage, if applicable:

Maiden Name or other names used, if applicable:

Age/DOB:

Present Address:

Any other addresses at which you have lived during the past five (5) years:

Your present employer's name, address and position of employment:

Previous employers' names and addresses for the past five (5) years and the dates of your employment there:

At the time of your injury, were you working on the job?
a. If yes, what were you doing?

Do you recall any statements from the other party, either at the time or since the incident? For instance, in a car wreck case, the other driver may have made statements at the scene or, if this is a slip and fall case, an employee may have said something immediately following your fall:

Do you have any photographs, videotapes or movies of the incident of the incident which you have not already sent us? If so, please describe and immediately send into the office via email or text.

Are there any witnesses you recall which you have not already discussed with us?

Have you ever plead guilty or been convicted of a felony or misdemeanor (state or federal)? We are not referring to minor traffic incidents such as speeding. If yes:
a. Date of plea/conviction:

On the day of the incident, where were you going and where were you coming from?

Within a ten (10) hour period before the incident, had you consumed ANY alcoholic beverages, medication (including prescription) or drugs?
a. If yes, please list ALL such items:

Broadly speaking, what body parts did you injure (such as head, neck, back, etc.):
a. Of the body parts mentioned in the previous question, are you still having any continuing complaints with any of those?

Who is your family/primary care physician?

Please list any hospitals/urgent care facilities where you have received medical treatment (not limited to just in this case – this question asks about any visits for any reason):

Have you ever filed another lawsuit for personal injuries or work accidents?
a. If yes, when?

Have you ever applied for disability?
a. If yes, when?

Do you have any of the following:
MedicareMedicaidSocial Security Disability Insurance

Have you ever applied for bankruptcy or are you currently in the process of filing for a bankruptcy?
YesNo

Your Email