Florida Standard Interrogatories- Form 1

Pursuant to Florida Rule of Judicial Administration 2.130, the Florida Supreme Court has officially approved and adopted the following standard interrogatories:^0.1

SET (FORM) 1

GENERAL PERSONAL INJURY NEGLIGENCE

INTERROGATORIES TO PLAINTIFF

(If answering for another person or entity, answer with

respect to that person or entity, unless otherwise stated.)

1. What is the name and address of the person answering these interrogatories and, if applicable, the person’s official position or relationship with the party to whom the interrogatories are directed?

2. List the names, business addresses, dates of employment, and rates of pay regarding all employers, including self-employment, for whom you have worked in the past ten years.¹

3. List all former names and when you were known by those names. State all addresses where you have lived for the past ten years, the dates you lived at each address, your Social Security number, your date of birth, and if you are or have ever been married, the name of your spouse or spouses.

4. Do you wear glasses, contact lenses, or hearing aids? If so, who prescribed them; when were they prescribed; when were your eyes or ears last examined; and what is the name and address of the examiner?

5. Have you ever been convicted of a crime, other than any juvenile adjudication, which under the law under which you were convicted was punishable by death or imprisonment in excess of one year, or that involved dishonesty or a false statement regardless of the punishment?² If so, state as to each conviction, the specific crime, the date and the place of conviction.

6. Were you suffering from physical infirmity, disability, or sickness at the time of the incident described in the complaint? If so, what was the nature of the infirmity, disability, or sickness?

7. Did you consume any alcoholic beverages or take any drugs or medication within twelve hours before the time of the incident described in the complaint? If so, state the type and amount of alcoholic beverages, drugs, or medication which were consumed and when and where you consumed them.

8. Describe in detail how the incident described in the complaint happened, including all actions taken by you to prevent the incident.³

9. Describe in detail each act or omission on the part of any party to this lawsuit that you contend constituted negligence that was a contributing legal cause of the incident in question.

10. Were you charged with any violation of law (including any...