Templates Personal Injury Form Interrogatories - Personal Injury

Form Interrogatories - Personal Injury

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FORM INTERROGATORIES — PERSONAL INJURY

IN THE [________________________________] COURT
[____] JUDICIAL DISTRICT / CIRCUIT / DIVISION
COUNTY OF [________________________________], STATE OF [____]


[________________________________], )
Plaintiff, ) Case No.: [________________________________]
) Judge: [________________________________]
v. )
) Dept./Division: [____]
[________________________________], )
Defendant. )


PROPOUNDING PARTY INFORMATION

Field Entry
Propounding Party [________________________________]
Party Designation ☐ Plaintiff ☐ Defendant ☐ Cross-Complainant ☐ Cross-Defendant
Set Number ☐ One ☐ Two ☐ Three ☐ Other: [____]
Responding Party [________________________________]
Date Served [__/__/____]
Response Due Date [__/__/____]
Attorney Name [________________________________]
Bar Number [________________________________]
Firm Name [________________________________]
Address [________________________________]
Telephone [________________________________]
Email [________________________________]

NOTICE

TO RESPONDING PARTY AND COUNSEL OF RECORD:

The Propounding Party hereby requests that the Responding Party answer the following interrogatories in writing, under oath, within the time period prescribed by applicable rules of civil procedure. Responses must be served upon the undersigned counsel at the address set forth above.

Pursuant to applicable rules, these interrogatories are continuing in nature. If the Responding Party obtains additional information after serving responses, supplemental responses must be served in accordance with the applicable rules of civil procedure.


JURISDICTIONAL NOTES — INTERROGATORY LIMITS AND PROCEDURES

IMPORTANT: Interrogatory limits and procedures vary significantly by jurisdiction. Before serving these interrogatories, counsel must verify the applicable limit and adapt this template accordingly.

Jurisdiction Rule Limit Response Time Key Notes
Federal (FRCP) Rule 33 25 interrogatories (including discrete subparts) 30 days after service Leave of court or stipulation required to exceed limit; contention interrogatories permitted
California CCP § 2030.030 35 specially prepared interrogatories (no limit on Judicial Council Form Interrogatories DISC-001) 30 days after service (35 days if served by mail) Declaration required to exceed 35; form interrogatories do not count toward limit
Texas TRCP Rule 197 25 interrogatories (Level 2); 15 (Level 1) excluding authentication questions 30 days after service (50 days for defendant served before answer due) Discrete subparts count separately; contention interrogatories limited
Florida Rule 1.340 30 interrogatories (including all subparts) 30 days after service (45 days for defendant after initial service of process) Court permission required to exceed limit; standard form interrogatories available
New York CPLR § 3130 25 interrogatories (Uniform Rules) 20 days after service In negligence PI actions, party cannot serve interrogatories AND depose the same party without leave of court

INSTRUCTIONS TO RESPONDING PARTY

  1. Full and Complete Answers. Each interrogatory must be answered separately, fully, and under oath. If you cannot answer an interrogatory completely, state the reason and answer to the extent possible.

  2. Oath/Verification Required. All answers must be verified under oath by the party (not counsel). Corporate parties must designate an officer or agent to verify responses on behalf of the entity.

  3. Objections. If you object to any interrogatory, state all grounds for the objection with specificity. An objection to part of an interrogatory does not excuse failure to answer the remainder. Boilerplate or blanket objections without specific factual and legal bases are disfavored and may be deemed waived.

  4. Identity of Sources. When answering, identify the source(s) of your information if the answer is based on information and belief rather than personal knowledge.

  5. Supplementation Duty. Under FRCP Rule 26(e) and analogous state rules, you have a continuing duty to supplement responses if you learn that a prior response was materially incomplete or incorrect.

  6. Electronically Stored Information. Interrogatory responses may require identification of electronically stored information (ESI), including emails, text messages, social media content, GPS data, dashcam footage, and data stored on mobile devices or cloud platforms.

  7. Privilege Log. If any information is withheld on the basis of privilege (attorney-client, work product, or other), you must provide a privilege log identifying the date, author, recipient, subject matter, and basis of the claimed privilege for each withheld item, in accordance with FRCP Rule 26(b)(5) or applicable state rule.

  8. Business Records Option. Where the answer to an interrogatory may be derived or ascertained from the business records (including ESI) of the responding party, you may specify the records from which the answer may be derived and afford the propounding party a reasonable opportunity to examine, audit, or inspect such records, provided such specification is made in sufficient detail to permit the propounding party to locate and identify the records as readily as the responding party could. See FRCP Rule 33(d).


DEFINITIONS

For the purpose of these interrogatories, the following definitions apply:

  1. "Incident" means the occurrence or event described in the Complaint, including all acts, omissions, conditions, and circumstances alleged to have caused or contributed to the injuries and damages claimed by Plaintiff.

  2. "Person" means any natural person, corporation, limited liability company, partnership, joint venture, association, trust, estate, governmental entity, or any other legal entity.

  3. "You" / "Your" means the Responding Party, including all agents, employees, representatives, attorneys, investigators, insurers, and any other Persons acting on behalf of or at the direction of the Responding Party.

  4. "Document" has the broadest meaning permitted under FRCP Rule 34 and applicable state rules, and includes, without limitation: writings, correspondence, emails, text messages, instant messages, social media posts and messages, photographs, videos, audio recordings, electronically stored information, drawings, graphs, charts, spreadsheets, databases, computer files, metadata, and any other data compilations from which information can be obtained.

  5. "Communication" means any exchange of information, whether oral, written, or electronic, including but not limited to conversations, meetings, telephone calls, voicemails, emails, text messages, letters, memoranda, and social media interactions.

  6. "Identify" (as to a Person) means to state the Person's: (a) full legal name; (b) present or last known home address; (c) present or last known telephone number(s); (d) present or last known email address; (e) employer and job title (if applicable); and (f) relationship to any party in this action.

  7. "Identify" (as to a Document) means to state the Document's: (a) type or nature (e.g., letter, email, report); (b) date; (c) author or sender; (d) recipient(s); (e) subject matter; (f) present location and custodian; and (g) Bates number or other identifying designation, if assigned.

  8. "Describe" means to provide a detailed narrative explanation, including all relevant facts, dates, locations, Persons involved, and circumstances.

  9. "Relate to" or "Relating to" means concerning, referring to, describing, evidencing, constituting, mentioning, or having any logical connection to the subject matter referenced.

  10. "Medical Provider" means any physician, surgeon, specialist, chiropractor, physical therapist, occupational therapist, psychologist, psychiatrist, counselor, nurse practitioner, hospital, clinic, urgent care facility, ambulance service, pharmacy, diagnostic imaging center, rehabilitation facility, or any other Person or entity that provided medical, psychological, chiropractic, or therapeutic treatment or services.

  11. "Medical Records" means all records maintained by any Medical Provider relating to examination, diagnosis, treatment, prognosis, billing, or referral, including physician notes, nursing notes, operative reports, discharge summaries, imaging studies, laboratory results, physical therapy notes, and prescription records.

  12. "Insurance" means any policy of insurance, health benefit plan, self-insured plan, Medicare, Medicaid, TRICARE, workers' compensation coverage, uninsured/underinsured motorist coverage, medical payments coverage, or any other benefit plan that may provide coverage or reimbursement related to the Incident or injuries claimed.

  13. "Prior Claim" means any claim, lawsuit, demand, workers' compensation claim, insurance claim, or administrative proceeding filed or asserted by or on behalf of the Responding Party at any time before the Incident.

  14. "Subsequent Claim" means any claim, lawsuit, demand, workers' compensation claim, insurance claim, or administrative proceeding filed or asserted by or on behalf of the Responding Party at any time after the Incident.

  15. "Expert" means any Person retained or specially employed to provide expert testimony in this action, or any Person whose duties as an employee regularly involve giving expert testimony, as defined under FRCP Rule 26(a)(2) or applicable state rule.

  16. "Economic Damages" means all objectively verifiable monetary losses, including but not limited to medical expenses, lost wages, lost earning capacity, property damage, out-of-pocket expenses, and similar pecuniary losses.

  17. "Non-Economic Damages" means all subjective, non-monetary losses, including but not limited to pain and suffering, emotional distress, mental anguish, loss of enjoyment of life, disfigurement, physical impairment, inconvenience, and loss of consortium.

  18. "Litigation Hold" means any directive or instruction to preserve Documents and ESI that may be relevant to pending or reasonably anticipated litigation.


INTERROGATORIES

PART A: PARTY IDENTIFICATION AND BACKGROUND

Interrogatory No. 1. State your full legal name, all former names or aliases, date of birth, Social Security Number (last four digits only), current home address, all home addresses during the past ten (10) years, current telephone number(s), and current email address(es).

Interrogatory No. 2. State your current marital status. If married, identify your spouse by full name, date of marriage, and current home address. If divorced or separated at any time within the past ten (10) years, identify each former spouse by name, dates of marriage and divorce/separation, and current address.

Interrogatory No. 3. Identify all persons who reside in your household, including their names, ages, and relationship to you.

Interrogatory No. 4. State your current driver's license number and issuing state. Describe any restrictions, suspensions, or revocations of your driving privileges during the past ten (10) years, including the dates and reasons for each.


PART B: INCIDENT FACTS AND CIRCUMSTANCES

Interrogatory No. 5. State the date, time, and exact location (including street address, intersection, mile marker, or other identifying location) of the Incident.

Interrogatory No. 6. Describe in detail how the Incident occurred from your perspective, including: (a) the events leading up to the Incident; (b) your activities in the 24 hours preceding the Incident; (c) the sequence of events during the Incident; (d) weather and road/surface conditions at the time; (e) lighting conditions; and (f) the events immediately following the Incident.

Interrogatory No. 7. State whether you consumed any alcohol, prescription medication, over-the-counter medication, or other substances within the 24 hours prior to the Incident. If so, identify each substance, the quantity consumed, and the time of consumption.

Interrogatory No. 8. Identify all vehicles, equipment, machinery, premises, products, or instrumentalities involved in or connected to the Incident, including for each vehicle: (a) year, make, model, and color; (b) license plate number and state of registration; (c) vehicle identification number (VIN); (d) registered owner; (e) name and address of the operator at the time of the Incident; and (f) a description of all damage sustained.

Interrogatory No. 9. State whether any traffic citations, criminal charges, warnings, or notices of violation were issued to any Person in connection with the Incident. If so, identify the issuing authority, the charge or citation, the case or citation number, and the disposition.

Interrogatory No. 10. Identify all Persons who witnessed the Incident or arrived at the scene within one (1) hour after the Incident, including for each: (a) full name; (b) address; (c) telephone number; (d) email address; (e) relationship to any party; and (f) a description of what each Person observed.

Interrogatory No. 11. State whether any law enforcement, fire, or emergency medical services responded to the Incident. If so, identify each agency, the responding officer(s) or personnel, and any report numbers assigned.

Interrogatory No. 12. Identify all statements (whether written, oral, or recorded) made by any Person regarding the Incident, including for each statement: (a) the identity of the Person who made the statement; (b) the identity of the Person(s) to whom the statement was made; (c) the date and time of the statement; (d) whether the statement was recorded and, if so, the method of recording; and (e) the current location and custodian of any recorded or written statement.


PART C: INJURIES AND MEDICAL TREATMENT

Interrogatory No. 13. Describe each and every injury you claim to have sustained as a result of the Incident, including a description of each body part affected, the nature of each injury (e.g., fracture, sprain, herniation, laceration, contusion, concussion), and the current status of each injury.

Interrogatory No. 14. Identify each and every Medical Provider who has examined, treated, or provided services to you for injuries arising from or related to the Incident, including for each provider: (a) full name and specialty; (b) complete address; (c) telephone number; (d) dates of treatment; (e) a description of the treatment provided; and (f) the total charges billed and amounts paid.

Interrogatory No. 15. Identify each and every hospital, emergency room, urgent care center, or ambulatory surgical center where you received treatment related to the Incident, including: (a) the name and address of each facility; (b) dates of admission and discharge; (c) diagnoses made; (d) procedures performed; and (e) total charges billed and amounts paid.

Interrogatory No. 16. State whether you have undergone or are scheduled to undergo any surgical procedures as a result of injuries claimed in this action. If so, for each procedure, state: (a) the type of procedure; (b) the date performed or scheduled; (c) the name and address of the surgeon; (d) the name and address of the facility; and (e) the charges billed or estimated cost.

Interrogatory No. 17. Identify all prescription medications you have been prescribed or have taken as a result of injuries from the Incident, including for each: (a) the name of the medication; (b) the prescribing physician; (c) the condition being treated; (d) the dosage and frequency; (e) the dates of use; and (f) any adverse side effects experienced.

Interrogatory No. 18. State whether any Medical Provider has advised you that you will need future medical treatment, surgery, therapy, or other medical care related to the injuries claimed in this action. If so, for each item of future treatment, state: (a) the nature of the treatment; (b) the recommending provider; (c) the expected duration; (d) the estimated cost; and (e) whether you have obtained a life care plan or future medical cost projection.

Interrogatory No. 19. State whether you have been diagnosed with any permanent impairment, disability, or restriction as a result of the injuries claimed in this action. If so, state: (a) the nature of each impairment or restriction; (b) the diagnosing physician; (c) the date of diagnosis; (d) any permanent impairment rating assigned (including the rating system used); and (e) a description of how each impairment affects your daily activities.


PART D: PRIOR AND SUBSEQUENT MEDICAL HISTORY

Interrogatory No. 20. Identify all injuries, illnesses, medical conditions, or disabilities you had in the ten (10) years prior to the Incident that affected or involved the same body parts you now claim were injured in the Incident. For each, state: (a) the nature of the condition; (b) the date of onset; (c) the treating Medical Provider(s); (d) the treatment received; and (e) the outcome or residual effects.

Interrogatory No. 21. State whether you have ever filed any Prior Claim for personal injuries. If so, for each Prior Claim, state: (a) the date and nature of the claim; (b) the body parts injured; (c) the court, agency, or insurer involved; (d) the case or claim number; (e) the attorney who represented you; and (f) the outcome or disposition (including any settlement amount).

Interrogatory No. 22. Identify all injuries, illnesses, medical conditions, or claims that have arisen since the Incident involving the same body parts you claim were injured in this action. For each, state: (a) the date and nature of the injury or condition; (b) the cause; (c) the treating Medical Provider(s); (d) the treatment received; and (e) whether you filed a Subsequent Claim.


PART E: DAMAGES — ECONOMIC

Interrogatory No. 23. State the total amount of medical expenses you claim to have incurred to date as a result of the Incident, broken down by: (a) emergency/hospital charges; (b) physician charges; (c) surgical charges; (d) diagnostic imaging (MRI, CT, X-ray); (e) physical therapy/rehabilitation; (f) chiropractic treatment; (g) psychological/psychiatric treatment; (h) prescription medications; (i) medical equipment/supplies; (j) ambulance/transport; and (k) any other medical costs. For each category, state the amount billed, the amount paid, and the source of payment.

Interrogatory No. 24. State the total amount of future medical expenses you claim, including the basis for each estimate and the identity of any Person who provided the estimate.

Interrogatory No. 25. State whether you lost any income or wages as a result of the Incident. If so, state: (a) the total amount of lost wages claimed; (b) the period(s) of absence from work; (c) your rate of pay during each period of absence; (d) the name and address of each employer; (e) whether you used sick leave, vacation, or disability benefits during your absence; and (f) the identity of any Person who can verify your lost wages.

Interrogatory No. 26. State whether you claim any loss of earning capacity as a result of the Incident. If so, state: (a) the nature and extent of the claimed loss; (b) your occupation(s) before the Incident; (c) your occupation(s) after the Incident; (d) your annual income for each of the five (5) years preceding the Incident; (e) your annual income for each year since the Incident; and (f) the identity of any Expert who has calculated or will testify regarding your lost earning capacity.

Interrogatory No. 27. Identify all out-of-pocket expenses, costs, or expenditures you claim to have incurred as a result of the Incident (other than medical expenses and lost wages), including but not limited to: transportation costs, household assistance, home modification costs, childcare costs, and any other incidental expenses. For each, state the amount, date, and nature of the expense.


PART F: DAMAGES — NON-ECONOMIC

Interrogatory No. 28. Describe all Non-Economic Damages you claim as a result of the Incident, including but not limited to: (a) physical pain and suffering (describe the nature, intensity, frequency, and duration); (b) emotional distress or mental anguish (describe the nature and manifestations); (c) loss of enjoyment of life (identify specific activities you can no longer perform or enjoy); (d) disfigurement or scarring (describe the location, size, and appearance); (e) physical impairment (describe functional limitations); and (f) loss of consortium (if applicable).

Interrogatory No. 29. State whether you have received psychological or psychiatric treatment as a result of the Incident. If so, identify: (a) each treating provider; (b) the diagnosis(es); (c) the dates and frequency of treatment; (d) the medications prescribed (if any); and (e) the total charges.


PART G: EMPLOYMENT AND INCOME

Interrogatory No. 30. For the ten (10) years prior to the Incident, identify each employer (including self-employment), stating for each: (a) the name and address of the employer; (b) your job title and duties; (c) dates of employment; (d) rate of pay and annual income; (e) the reason for leaving; and (f) the name and contact information of your supervisor.

Interrogatory No. 31. Identify your current employment status and, if employed, state: (a) your employer's name and address; (b) your job title and duties; (c) your rate of pay and annual income; (d) any work restrictions imposed by a Medical Provider; and (e) any modifications to your duties since the Incident.

Interrogatory No. 32. Identify all sources of income you have received since the Incident, including but not limited to: wages, self-employment income, disability benefits (short-term or long-term), Social Security disability, workers' compensation benefits, unemployment benefits, pension or retirement income, rental income, and investment income.


PART H: INSURANCE AND LIENS

Interrogatory No. 33. Identify each Insurance policy that may provide coverage for the claims asserted in this action, including: (a) the name of the insurer; (b) the policy number; (c) the type of coverage; (d) the policy limits; (e) the named insured(s); (f) the effective dates; and (g) the claim number assigned.

Interrogatory No. 34. Identify all Insurance or benefit plans that have paid or may be obligated to pay any medical expenses incurred as a result of the Incident, including health insurance, Medicare, Medicaid, TRICARE, medical payments (MedPay) coverage, personal injury protection (PIP), and workers' compensation. For each, state: (a) the name and address of the insurer or plan; (b) the policy or plan number; (c) the total amount paid to date; and (d) whether a lien or subrogation claim has been asserted.

Interrogatory No. 35. Identify all liens, subrogation claims, or reimbursement demands that have been asserted by any Person or entity against any recovery in this action, including for each: (a) the name and address of the lien claimant; (b) the basis of the claim; (c) the amount claimed; and (d) whether the lien has been resolved or reduced.


PART I: WITNESSES AND EVIDENCE

Interrogatory No. 36. Identify all Persons you may call as witnesses at trial (excluding Experts), including for each: (a) full name; (b) address; (c) telephone number; (d) email address; (e) relationship to any party; and (f) a summary of the expected testimony.

Interrogatory No. 37. Identify all Experts you have retained, consulted, or intend to call as witnesses at trial, including for each: (a) full name and professional credentials; (b) business address; (c) area of expertise; (d) the subject matter of the expected testimony; (e) a list of publications authored in the past ten (10) years; (f) compensation rate; (g) all cases in which the Expert has testified at trial or by deposition in the past four (4) years; and (h) the substance of the opinions held and the basis and reasons for each opinion, as required under FRCP Rule 26(a)(2)(B) or applicable state rule.

Interrogatory No. 38. Identify all photographs, videos, audio recordings, surveillance footage, dashcam footage, body camera footage, or other recordings relating to the Incident, the scene, the vehicles or property involved, or your injuries, including for each: (a) a description of the item; (b) the date created; (c) the Person who created it; and (d) the current location and custodian.

Interrogatory No. 39. Identify all social media accounts (including but not limited to Facebook, Instagram, Twitter/X, TikTok, Snapchat, YouTube, LinkedIn, Reddit, and any other platform) maintained by you at any time from one (1) year before the Incident to the present. For each account, state the platform name, username/handle, and whether you have posted, shared, commented on, or transmitted any content relating to the Incident, your injuries, your physical activities, or your emotional state since the Incident.


PART J: MITIGATION AND COMPARATIVE FAULT

Interrogatory No. 40. Describe all steps you have taken to mitigate your damages, including compliance with medical treatment recommendations, use of assistive devices, participation in rehabilitation programs, and efforts to return to work.

Interrogatory No. 41. State whether you contend that any Person other than the Defendant(s) was wholly or partially at fault for the Incident. If so, identify each such Person, describe their alleged fault, and state the percentage of fault you attribute to each.

Interrogatory No. 42. State whether you were wearing a seatbelt, helmet, or other safety device at the time of the Incident. If so, describe the safety device(s) used.

Interrogatory No. 43. Describe any physical limitations, restrictions, or disabilities that affect your daily activities, including: (a) restrictions on lifting, bending, walking, standing, sitting, or driving; (b) limitations on household chores, yard work, or home maintenance; (c) limitations on recreational activities, hobbies, sports, or exercise; (d) limitations on personal care activities; and (e) whether you require assistance from another Person for any activities of daily living.

Interrogatory No. 44. State whether you have applied for or received any disability benefits (Social Security Disability, Supplemental Security Income, state disability, or private disability insurance) at any time. If so, for each application or award, state: (a) the type of benefit; (b) the date of application; (c) the condition(s) for which benefits were sought; (d) the administering agency or insurer; (e) whether benefits were approved or denied; and (f) the amount received.


PART K: STATUTORY AND REGULATORY VIOLATIONS

Interrogatory No. 45. State whether you contend that any Defendant violated any federal, state, or local statute, regulation, ordinance, or code at the time of or in connection with the Incident. If so, identify each statute, regulation, ordinance, or code and describe the facts supporting the alleged violation.

Interrogatory No. 46. State whether you are aware of any prior complaints, violations, citations, or regulatory actions against any Defendant relating to the same or similar conduct alleged in this action. If so, describe each such matter, including the date, the issuing authority, and the disposition.


PART L: PRESERVATION AND SPOLIATION

Interrogatory No. 47. Identify any and all investigations or inspections of the Incident scene, vehicles, equipment, or products that have been conducted by any Person, including: (a) the name and affiliation of the investigator; (b) the date of the investigation; (c) a description of the investigation conducted; and (d) any reports or findings generated.

Interrogatory No. 48. State whether you have given or received any notice of a Litigation Hold relating to this action. If so, state the date of the Litigation Hold, the Person who issued or received it, and a description of the categories of Documents and ESI subject to preservation.

Interrogatory No. 49. State whether you have destroyed, discarded, overwritten, or lost any Documents or ESI that may be relevant to this action since the date of the Incident. If so, for each item, state: (a) the nature of the item; (b) the date of destruction or loss; (c) the Person responsible; (d) the reason for the destruction or loss; and (e) whether any copies exist.


PART M: DAMAGE COMPUTATION AND SUMMARY

Interrogatory No. 50. Identify all damages you seek in this action, including: (a) past medical expenses; (b) future medical expenses; (c) past lost wages/income; (d) future lost wages/earning capacity; (e) property damage; (f) out-of-pocket expenses; (g) pain and suffering; (h) emotional distress; (i) loss of enjoyment of life; (j) disfigurement; (k) loss of consortium; (l) punitive damages (if claimed); and (m) any other category of damages sought. For each category, state the amount claimed or the basis for computation.

Interrogatory No. 51. Identify each person, entity, or source that has made any payment toward your damages, including: (a) the name of the payor; (b) the type of payment (insurance, government benefit, charity, personal, etc.); (c) the amount paid; (d) the date(s) of payment; and (e) whether any right of reimbursement, lien, or subrogation has been asserted.

Interrogatory No. 52. State whether you have received, been promised, or expect to receive any financial assistance, loan, funding, or advance from any litigation funding company, medical funding company, or other third-party funder in connection with this action. If so, identify the entity, the amount, the terms, and the date of the arrangement.


PART N: CONTENTION INTERROGATORIES

Note: Contention interrogatories ask the opposing party to state all facts, identify all documents, and identify all witnesses supporting a particular claim or defense. Courts may defer answers to contention interrogatories until later in discovery. See FRCP Rule 33(a)(2).

Interrogatory No. 53. State all facts upon which you base your contention that Defendant was negligent and/or liable for the Incident.

Interrogatory No. 54. State all facts upon which you base your contention that the Plaintiff's injuries were caused by the Incident (as opposed to any pre-existing condition, subsequent event, or other cause).

Interrogatory No. 55. State all facts upon which you base any defense of comparative fault, contributory negligence, or assumption of risk by the Plaintiff.

Interrogatory No. 56. If you contend that the Plaintiff failed to mitigate damages, state all facts supporting that contention, including the specific steps you contend the Plaintiff should have taken and failed to take.


VERIFICATION

I, [________________________________], am the ☐ Plaintiff ☐ Defendant ☐ Authorized Officer/Agent in the above-captioned action. I have read the foregoing answers to interrogatories and declare under penalty of perjury under the laws of the State of [________________________________] (and, where applicable, under 28 U.S.C. § 1746) that the foregoing answers are true and correct to the best of my knowledge, information, and belief.

Signature: ______________________________

Printed Name: [________________________________]

Date: [__/__/____]


SUBSCRIBED AND SWORN to before me this [____] day of [________________], 20[____].

Notary Public: ______________________________

My Commission Expires: [__/__/____]

[SEAL]


CERTIFICATE OF SERVICE

I hereby certify that on [__/__/____], I served the foregoing Form Interrogatories — Personal Injury upon all counsel of record and/or unrepresented parties by the following method:

☐ Electronic filing (e-filing) through the Court's electronic filing system
☐ Email to: [________________________________]
☐ U.S. Mail, postage prepaid, to the address(es) on file
☐ Personal delivery / Hand delivery
☐ Certified mail, return receipt requested
☐ Facsimile to: [________________________________]
☐ Other: [________________________________]

Signature: ______________________________

Printed Name: [________________________________]

Bar Number: [________________________________]

Firm: [________________________________]

Address: [________________________________]

Telephone: [________________________________]

Email: [________________________________]

Date: [__/__/____]


PRACTICE TIPS FOR ATTORNEYS

Strategic Considerations

  1. Tailor to Your Case. Not every interrogatory will be relevant to every personal injury case. Select and modify interrogatories appropriate to your specific claim type (motor vehicle accident, premises liability, medical malpractice, product liability, etc.).

  2. Count Subparts Carefully. In jurisdictions that count discrete subparts against the interrogatory limit (federal, Texas, Florida), carefully draft interrogatories to minimize subparts while still obtaining the information needed. Consider using document requests or deposition questions for detailed follow-up.

  3. California Form Interrogatories. In California state court, consider using the Judicial Council Form Interrogatories (DISC-001) in addition to specially prepared interrogatories. Form interrogatories are not subject to the 35-interrogatory limit and cannot be objected to on the basis of form.

  4. New York Limitations. Under CPLR § 3130, in negligence-based personal injury actions, a party cannot serve interrogatories on and depose the same party without leave of court. Plan your discovery strategy accordingly.

  5. Timing. Serve interrogatories early in discovery to identify witnesses, documents, and the opposing party's contentions. Use the responses to prepare for depositions and to frame document requests.

  6. Contention Interrogatories. Consider including contention interrogatories (asking the opposing party to state all facts supporting a particular claim or defense) but be aware that courts may defer their answer until later in discovery. See FRCP Rule 33(a)(2).

  7. Meet and Confer Before Filing Motions. Most jurisdictions require a good-faith meet-and-confer effort before filing a motion to compel answers to interrogatories. Document your meet-and-confer efforts.

  8. Use Responses at Trial. Interrogatory answers are made under oath and may be used as admissions at trial, in support of summary judgment motions, or for impeachment. Draft interrogatories with trial use in mind.

Common Objections and Responses

Objection Response
Overly broad / unduly burdensome Narrow the time period, scope, or subject matter; demonstrate proportionality under Rule 26(b)(1)
Vague and ambiguous Clarify defined terms; reference the Definitions section
Calls for legal conclusion Rephrase as a contention interrogatory; cite Rule 33(a)(2)
Attorney-client privilege / work product Request a privilege log; challenge scope of claimed privilege
Exceeds numerical limit Remove subparts, consolidate interrogatories, or seek leave of court
Premature (Expert discovery not yet open) Re-serve after expert disclosure deadline or after Rule 26(a)(2) disclosures
Not reasonably calculated to lead to admissible evidence Demonstrate relevance; note that discovery scope is broader than admissibility
Invasion of privacy Balance privacy interest against relevance; offer a protective order
Compound / multi-part Simplify the interrogatory or separate into distinct questions
Already answered in prior discovery Identify the specific deficiency in the prior response; explain the different information sought

Motion to Compel Checklist

If the Responding Party fails to provide adequate answers, use this checklist before filing a motion to compel:

☐ Calendar the response deadline and confirm the response is late or deficient
☐ Send a detailed meet-and-confer letter identifying each deficient response and the specific information sought
☐ Allow a reasonable time for the Responding Party to supplement (typically 10-14 days)
☐ Conduct a telephone or in-person meet-and-confer conference
☐ Document all meet-and-confer efforts in writing
☐ Prepare a joint discovery dispute statement (if required by local rules)
☐ File the motion to compel with a supporting declaration, copies of the interrogatories and responses, and meet-and-confer correspondence
☐ Include a request for sanctions under FRCP Rule 37(a)(5) or applicable state rule

Interrogatory Selection Guide by Case Type

Case Type Prioritize These Interrogatory Topics
Motor Vehicle Accident Vehicle operation details, traffic violations, distraction/impairment, vehicle condition, insurance, witnesses
Premises Liability Property ownership/control, prior notice of hazard, maintenance history, prior incidents, building codes
Medical Malpractice Standard of care, informed consent, treatment alternatives, credentials, peer review
Product Liability Design/manufacturing process, warnings, prior complaints, testing, recall history
Slip and Fall Condition causing fall, notice of hazard, maintenance schedule, prior complaints, surveillance
Dog Bite / Animal Attack Prior aggressive behavior, training, confinement, vaccination records, knowledge of propensity
Assault / Intentional Tort Prior similar conduct, criminal history, motive, relationship between parties, damages

Discovery Timeline Recommendations

Phase Action Timing
Initial Discovery Serve Form Interrogatories (Set 1) Within 30 days of Rule 26(f) conference or answer
Follow-Up Serve supplemental interrogatories based on document production After initial document production received
Expert Discovery Serve expert-related interrogatories After expert disclosure deadline
Pre-Trial Serve contention interrogatories 60-90 days before trial (or per scheduling order)
Supplementation Serve and respond to supplemental responses Ongoing through close of discovery

Sample Instruction for Defendant's Use

When adapting these interrogatories for use by the Defendant against the Plaintiff, the most critical interrogatories typically involve: prior medical history (Interrogatories 20-22), employment and income verification (Interrogatories 30-32), social media activity (Interrogatory 39), mitigation of damages (Interrogatory 40), and damage computations (Interrogatories 23-28 and 48). Defendants should prioritize these topics to evaluate the legitimacy and extent of claimed damages.

Sample Instruction for Plaintiff's Use

When adapting these interrogatories for use by the Plaintiff against the Defendant, the most critical interrogatories typically involve: incident facts and admissions (Interrogatories 5-12), insurance coverage (Interrogatories 33-35), statutory violations (Interrogatories 45-46), prior similar incidents (Interrogatory 46), witness identification (Interrogatory 36), and expert identification (Interrogatory 37). Plaintiffs should prioritize these topics to establish liability and identify the defendant's available insurance coverage.

Subparts and Counting Rules by Jurisdiction

Understanding how subparts are counted is critical to staying within interrogatory limits:

Jurisdiction Counting Rule Example
Federal Each "discrete subpart" counts as a separate interrogatory. Subparts that are logically related to the primary question do not count separately. An interrogatory asking for a person's "name, address, and phone number" is one interrogatory. An interrogatory asking "identify all witnesses AND describe what each observed" may count as two.
California Special interrogatories only — each separately numbered interrogatory counts as one, regardless of subparts. Form interrogatories (DISC-001) are not counted. An interrogatory with multiple subparts (a)-(f) counts as one specially prepared interrogatory.
Texas "Each discrete subpart" counts as a separate interrogatory. Authentication interrogatories are excluded from the count. An interrogatory with subparts (a)-(e) where each seeks unrelated information may count as five interrogatories.
Florida All subparts count toward the 30-interrogatory limit, regardless of whether they are logically related. An interrogatory with three subparts counts as three interrogatories toward the 30-question limit.
New York The 25-interrogatory limit under Uniform Rules counts each separately numbered interrogatory, with courts examining subparts for potential abuse. Courts may treat unreasonably divided subparts as separate interrogatories.

Response Review Checklist

When reviewing interrogatory responses received from opposing parties, use this checklist to evaluate completeness:

☐ Were all interrogatories answered (not just objected to)?
☐ Is the verification signed by the party under oath (not just by counsel)?
☐ Are the answers responsive to the actual question asked?
☐ Are the answers complete, or do they use hedging language ("to the best of my recollection")?
☐ Are all persons, documents, and entities fully identified as defined in the instructions?
☐ Are objections stated with specificity (not boilerplate)?
☐ Where objections are made, is the non-objectionable portion still answered?
☐ Has a privilege log been provided for information withheld on privilege grounds?
☐ Are there inconsistencies between interrogatory responses and other discovery responses?
☐ Are there gaps or omissions that suggest additional discovery is needed?


APPENDIX: STATE-SPECIFIC SUPPLEMENTAL NOTES

California Supplemental Notes

  • Form Interrogatories (DISC-001): California provides Judicial Council-approved form interrogatories that cover standard personal injury topics. These form interrogatories cannot be objected to on the basis of form, only on substantive grounds. They do not count against the 35 special interrogatory limit.
  • Declaration of Necessity (CCP § 2030.050): To exceed 35 special interrogatories, the propounding party must include a declaration stating that the additional interrogatories are warranted by the complexity or quantity of existing and potential issues, that the interrogatories will not be used for harassment, and that the party has not previously propounded interrogatories that are unreasonably duplicative.
  • Response Time: 30 days after service (add 5 days for service by mail under CCP § 1013, 2 additional days for overnight delivery).
  • Monetary Sanctions: Under CCP § 2030.300, the court shall impose monetary sanctions against any party who unsuccessfully makes or opposes a motion to compel further responses, unless the court finds substantial justification or other circumstances make the imposition of sanctions unjust.

Texas Supplemental Notes

  • Discovery Levels: Texas uses a tiered discovery system. Level 1 cases (claims under $100,000 for monetary relief only) are limited to 15 interrogatories. Level 2 cases (default level) permit 25 interrogatories. Level 3 cases (court-ordered discovery plan) have limits set by the court.
  • Contention Interrogatory Limitation: Under TRCP Rule 197.1, interrogatories may not be used to require a party to marshal all available proof or the proof the party intends to offer at trial.
  • Response Time: 30 days after service; 50 days for a defendant served before the answer is due.
  • Authentication Exclusion: Interrogatories asking a party only to identify or authenticate specific documents do not count toward the numerical limit.

Florida Supplemental Notes

  • Standard Form Interrogatories: Florida provides standard form interrogatories for various case types under Rule 1.340(c). The standard forms may be used without court permission and are presumptively proper.
  • Numerical Limit: 30 interrogatories including all subparts. Court permission required to exceed.
  • Response Time: 30 days after service; 45 days for a defendant after service of process and initial pleading.
  • Business Records Option: Under Rule 1.340(c), a party may answer by specifying business records where the answer may be derived, similar to FRCP Rule 33(d).

New York Supplemental Notes

  • Interrogatory/Deposition Election: Under CPLR § 3130, in negligence-based personal injury actions, a party may not serve interrogatories on and depose the same party without leave of court. This forces a strategic choice between written discovery and oral examination.
  • Bill of Particulars Limitation: A party may not serve interrogatories and demand a bill of particulars from the same party (except in matrimonial actions).
  • Numerical Limit: 25 interrogatories under the Uniform Rules (22 NYCRR § 202.20), unless the parties stipulate or the court orders otherwise.
  • Response Time: 20 days after service — the shortest response period among major jurisdictions.

SOURCES AND REFERENCES

  • Federal Rules of Civil Procedure, Rules 26, 33 — https://www.law.cornell.edu/rules/frcp
  • California Code of Civil Procedure §§ 2030.010-2030.410 — https://leginfo.legislature.ca.gov
  • California Judicial Council Form Interrogatories (DISC-001) — https://www.courts.ca.gov/forms
  • Texas Rules of Civil Procedure, Rules 190, 197 — https://www.txcourts.gov/rules-forms
  • Florida Rules of Civil Procedure, Rule 1.340 — https://www.floridabar.org/rules
  • New York Civil Practice Law and Rules, CPLR §§ 3130-3133 — https://www.nysenate.gov/legislation/laws/CVP
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About This Template

Personal injury cases are brought by people who were hurt because of someone else's carelessness: car crashes, slip and falls, defective products, and more. Demand letters, settlement agreements, and court filings in these cases have to document the injuries, the medical treatment, the lost income, and the exact legal basis for holding the other side responsible. Well-prepared paperwork is what drives higher settlements and forces insurers to take the claim seriously.

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Last updated: March 2026