Fill and Sign the State of Louisiana Court of Appeal Third Circuit Versus Form

_____________________ , : _______ JUDICIAL DISTRICT COURT : DOCKET NO. ____ VERSUS : PARISH OF _______ _____________________ : STATE OF LOUISIANA ______________________________________________________________________________ ANSWERS TO INTERROGATORIES NOW INTO COURT, through undersigned co unsel, comes _____________________ , Plaintiff, who answers Defen dant's, _____________________ , interrogatories with respect shows: 1. Plaintiff's full name is _____________________ , and address is _____________________ , _____________________ , Louisiana. H is date of birth is _______ , Social Security No. ___ ____ ; Plaintiff is married. 2. Plaintiff has a ________________ degree in ________________ from _____________________ , which he attended from _______ to _______ . 3. Plaintiff has not been convicted or plead guilty to any crime. 4. A. An eyewitness to the incident was _____________________ (last name unknown) who was the host at _____________________ . The address and telephone number of this witness is unknown by the Plaintiffs. B. See answer to Interrogatory No. 4 -A. C. _______ , _______ , _______ , Louisiana, Phone No. _______ . D. See answer to Interrogatory No. 7. 5. Plaintiffs are not in possession of any written or recorded statements of any perso n. 6. No statements were obtained from any employee. 7. 1. _____________________ , Physical Therapist, _____________________ , _______ , Louisiana , Phone No. _______ . Medical Testimony. 2. Dr. _____________________ , _____________________ , _______ , Louisiana , Phone No. _______ . Medical Testimony. 3. Dr. ___ __________________ , Phone No. _______ . Medical Testimony. 4. Dr. _____________________ , _____________________ , _______ , Louisiana , Phone No. _______ . Medical Testimon y. 5. Dr. _____________________ , _____________________ , _______ , Louisiana , Phone No. _______ . Medical Testimony. 6. Dr. _____________________ , _____________________ , _______ , Louisiana , Phone No. _______ . Medical Testimony. 7. _____________________ , PT, _____________________ , _______ , _______ , Louisiana. Medical Testimony. 8 _______ ______________ (last name unknown), last known add ress is _____________________ (eye -witness). 9. _____________________ , address has been provided. 10. _____________________ , _____________________ , _______ , Louisiana , Phone No. _______ (eye witness). 11. Other witnesses that may become known in the future, and these answers will be timely supplemented if and when additional witnesses are known. 8. A. All medical witnesses will testify as to the pain and suffering and g eneral diagnoses of _____________________ . B. The eye witnesses will testify as to what they saw at the time of the accident. 9. All medical bills incurred by the Plaintiffs, rece ipt from _____________________ , any and all medical reports, and additional exhibits that may be developed in the future. Respectfully Submitted, _____________ _______________ _____________________ Attorney for Plaintiff _____________________ _______ , LA ____ (____ )_______ LA. Bar Roll No. ____ ____________________________ _____________________ Attorney for Plaintiff _____________ ________ _______ , LA ____ (____ ) ____ LA. Bar Roll No. ____ CERTIFICATE OF SERVICE I HEREBY CERTIFY that a copy of the above and foregoing has been forwarded by U.S. Mail, postage prepaid, and correctly addressed to opposing counsel of record. _____________________ , Louisiana, this ______ day of ___________________, 20 ____ . ___________________________ _____________________ ___________________________ _____________________