DISC-001 ATTORNEY OR PARTY WITHOUT ATTORNEY (Name, State Bar number, and address): FAX NO. (Optional):E-MAIL ADDRESS (Optional):ATTORNEY FOR (Name): SUPERIOR COURT OF CALIFORNIA, COUNTY OF SHORT TITLE OF CASE: CASE NUMBER:FORM INTERROGATORIES227GENERALAsking Party:Answering Party:Set No.:(c) Each answer must be as complete and straightforward as the information reasonably available to you, including the information possessed by your attorneys or agents, permits. If an interrogatory cannot be answered completely, answer it to the extent possible.Sec. 1. Instructions to All Parties(a) Interrogatories are written questions prepared by a party to an action that are sent to any other party in the action to be answered under oath. The interrogatories below are form interrogatories approved for use in civil cases.(b) For time limitations, requirements for service on other parties, and other details, see Code of Civil Procedure sections 2030.0102262030.410 and the cases construing those sections.(d) If you do not have enough personal knowledge to fully answer an interrogatory, say so, but make a reasonable and good faith effort to get the information by asking other persons or organizations, unless the information is equally available to the asking party.(c) These form interrogatories do not change existing law relating to interrogatories nor do they affect an answering party222s right to assert any privilege or make any objection.(e) Whenever an interrogatory may be answered by referring to a document, the document may be attached as an exhibit to the response and referred to in the response. If the document has more than one page, refer to the page and section where the answer to the interrogatory can be found.Sec. 2. Instructions to the Asking Party(a) These interrogatories are designed for optional use by parties in unlimited civil cases where the amount demandedexceeds $25,000. Separate interrogatories, FormInterrogatories227Limited Civil Cases (Economic Litigation) (form DISC-004), which have no subparts, are designed for use in limited civil cases where the amount demanded is $25,000 or less; however, those interrogatories may also be used in unlimited civil cases.(f) Whenever an address and telephone number for the same person are requested in more than one interrogatory, you are required to furnish them in answering only the first interrogatory asking for that information.(g) If you are asserting a privilege or making an objection to an interrogatory, you must specifically assert the privilege or state the objection in your written response.(b) Check the box next to each interrogatory that you want the answering party to answer. Use care in choosing those interrogatories that are applicable to the case.(h) Your answers to these interrogatories must be verified, dated, and signed. You may wish to use the following form at the end of your answers:(c) You may insert your own definition of INCIDENT in Section 4, but only where the action arises from a course of conduct or a series of events occurring over a period of time. I declare under penalty of perjury under the laws of the State of California that the foregoing answers are true and correct.(d) The interrogatories in section 16.0, Defendant222s Contentions226Personal Injury, should not be used until the defendant has had a reasonable opportunity to conduct an investigation or discovery of plaintiff222s injuries and damages.(DATE)(SIGNATURE)(e) Additional interrogatories may be attached.Sec. 4. DefinitionsSec. 3. Instructions to the Answering PartyWords in BOLDFACE CAPITALS in these interrogatories(a) An answer or other appropriate response must be given to each interrogatory checked by the asking party.are defined as follows:(a) (Check one of the following):(b) As a general rule, within 30 days after you are served with these interrogatories, you must serve your responses on the asking party and serve copies of your responses on all other parties to the action who have appeared. See Code of Civil Procedure sections 2030.2602262030.270 for details. (1) INCIDENT includes the circumstances andevents surrounding the alleged accident, injury, or other occurrence or breach of contract giving rise to this action or proceeding.Page 1 of 8 Code of Civil Procedure, 247247 2030.010-2030.410, 2033.710Form Approved for Optional Use Judicial Council of California DISC-001 [Rev. January 1, 2008]FORM INTERROGATORIES227GENERALwww.courtinfo.ca.gov TELEPHONE NO.: American LegalNet, Inc. www.FormsWorkFlow.com 1.0 Identity of Persons Answering These Interrogatories (2) INCIDENT means (insert your definition here or on a separate, attached sheet labeled 223Sec. 4(a)(2)224): 1.1 State the name, ADDRESS, telephone number, andrelationship to you of each PERSON who prepared or assisted in the preparation of the responses to these interrogatories. (Do not identify anyone who simply typed or reproduced the responses.)2.0 General Background Information227individual(b) YOU OR ANYONE ACTING ON YOUR BEHALF includes you, your agents, your employees, your insurance companies, their agents, their employees, your attorneys, your accountants, your investigators, and anyone else acting on your behalf. 2.1 State:(a) your name; (b) every name you have used in the past; and (c) the dates you used each name. 2.2 State the date and place of your birth.(c) PERSON includes a natural person, firm, association, organization, partnership, business, trust, limited liability company, corporation, or public entity. 2.3 At the time of the INCIDENT, did you have a driver'slicense? If so state: (a) the state or other issuing entity; (b) the license number and type; (c) the date of issuance; and (d) all restrictions.(d) DOCUMENT means a writing, as defined in Evidence Code section 250, and includes the original or a copy of handwriting, typewriting, printing, photostats, photographs, electronically stored information, and every other means of recording upon any tangible thing and form of communicating or representation, including letters, words, pictures, sounds, or symbols, or combinations of them. 2.4 At the time of the INCIDENT, did you have any otherpermit or license for the operation of a motor vehicle? If so,state:(e) HEALTH CARE PROVIDER includes any PERSON referred to in Code of Civil Procedure section 667.7(e)(3).(a) the state or other issuing entity; (b) the license number and type; (c) the date of issuance; and (d) all restrictions.(f) ADDRESS means the street address, including the city, state, and zip code. 2.5 State:Sec. 5. Interrogatories(a) your present residence ADDRESS; (b) your residence ADDRESSES for the past five years; and (c) the dates you lived at each ADDRESS.The following interrogatories have been approved by the Judicial Council under Code of Civil Procedure section 2033.710:CONTENTS 2.6 State:(a) the name, ADDRESS, and telephone number of your present employer or place of self-employment; and1.0 Identity of Persons Answering These Interrogatories 2.0 General Background Information227Individual 3.0 General Background Information227Business Entity 4.0 Insurance5.0 [Reserved]6.0 Physical, Mental, or Emotional Injuries7.0 Property Damage8.0 Loss of Income or Earning Capacity 9.0 Other Damages(b) the name, ADDRESS, dates of employment, job title,and nature of work for each employer or self-employment you have had from five years before the INCIDENT until today. 2.7 State:10.0 Medical History11.0 Other Claims and Previous Claims 12.0 Investigation227General 13.0 Investigation227Surveillance14.0 Statutory or Regulatory Violations15.0 Denials and Special or Affirmative Defenses 16.0 Defendant222s Contentions Personal Injury 17.0 Responses to Request for Admissions 18.0 [Reserved]19.0 [Reserved]20.0 How the Incident Occurred227Motor Vehicle25.0 [Reserved]30.0 [Reserved]40.0 [Reserved]50.0 Contract60.0 [Reserved](b) the dates you attended; (c) the highest grade level you have completed; and (d) the degrees received. 2.10 Can you read and write English with ease? If not, whatlanguage and dialect do you normally use? 70.0 Unlawful Detainer [See separate form DISC-003] 101.0 Economic Litigation [See separate form DISC-004]2