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Uniform Personal Injury Interrogatories

Clients of our office may be requested to complete the Uniform Personal Injury Interrogatories during the handling of their cases. Interrogatories are written questions that must be answered under oath which are then submitted to the defendant's attorney, and which may be used against you in court. Our office will review all submissions and contact you prior to finalizing your answers to these questions, to make sure you have properly completed them and to obtain your signature on the completed document. If you have questions about any item, you should fill the questionnaire out as best you can and contact our Atlanta, GA wrongful death lawyers at (404) 995-3955 to schedule an appointment to review your answers.

To see instructions for use click here.

Note: Fields with a * are required.


Yes   No


Yes   No




Yes   No

If so state:

Yes   No


Yes   No

If so state:

c. Whether such potential witness will base his opinion:

Yes   No

If so:




10. As to each medical practitioner who has examined or treated any of the persons named in your answer to Interrogatory No. 1 above, for any of the injuries or symptoms described, state:


11. State as to each item of medical expense attributable to the accident:



Yes   No

If so state:


14. If your answer to Interrogatory No. 13 is yes, list each job or position of employment including self-employment, held by you on the date of and since the accident, stating as to each, the following:


Yes   No

If so state:



Yes   No

If so state:



Yes   No


Yes   No


Yes   No


22. If the accident that is the subject of plaintiff's claim was an automobile accident, please state the following:

Yes   No

Yes   No

Contact us today for a free and comprehensive case evaluation.

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and you pay nothing unless we prevail.

Phone: (404) 995-3955

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Disclaimer: The legal information offered herein by Grant Law Office, is not formal legal advice, nor is it the formation of an attorney client relationship. In order for our firm to be considered your attorney there must be a signed agreement between the client and the firm. Any results set forth herein are based solely upon the circumstances of that particular case and offer no promise or guarantee on the outcome of any other case. Please contact a lawyer for a consultation.

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*Wayne Grant has been practicing law since 1979. Grant Law Office was founded in 2000.