FORM INTERROGATORIES - EMPLOYMENT

Instructions

1. Answer each interrogatory separately and fully in writing under oath.
2. If you object, state the grounds and answer the non-objectionable portion.
3. Identify documents supporting each response.

Interrogatories

1. Identify your employment positions, dates, and supervisors.
2. Describe the adverse actions alleged and the dates they occurred.
3. Identify all complaints or reports you made about discrimination, harassment, or retaliation.
4. Identify all witnesses to the events alleged.
5. Describe all damages claimed, including lost wages and emotional distress.
6. Identify all efforts to mitigate damages, including job search activities.
7. Identify any prior complaints or lawsuits involving employment matters.
8. Identify all policies or procedures you contend were violated.
9. Identify all medical providers for any claimed emotional distress or physical injury.
10. Identify any communications with agencies (EEOC or state) and the status of charges.

Verification

text
I declare under penalty of perjury that the foregoing answers are true and correct.

______________________________
[RESPONDING PARTY NAME]
Date: [DATE]