Conn. Practice Book Form 212
Form 212. Defendant’s Interrogatories—Loss of Consortium
Length: 383 wordsOfficial source
Defendant’s Interrogatories—Loss of Consortium
No. CV-
: SUPERIOR COURT
(Plaintiff)
: JUDICIAL DISTRICT OF
VS.
: AT
(Defendant)
: (Date)
The undersigned, on behalf of the Defendant, hereby propounds the following interrogatories to be
answered by the Plaintiff,
, under oath, within sixty (60) days of the filing hereof in
compliance with Practice Book Section 13-2.
Definition: ‘‘You’’ shall mean the Plaintiff to whom these interrogatories are directed except that if
suit has been instituted by the representative of the estate of a decedent, ward, or incapable person,
‘‘you’’ shall also refer to the Plaintiff’s decedent, ward or incapable person unless the context of an
interrogatory clearly indicates otherwise.
In answering these interrogatories, the Plaintiff(s) is (are) required to provide all information within
their knowledge, possession or power. If an interrogatory has subparts, answer each subpart separately
and in full and do not limit the answer to the interrogatory as a whole. If any interrogatories cannot be
answered in full, answer to the extent possible.
(1) Please state your name, address and occupation.
(2) Please state the date and place of your marriage.
(3) Do you have any children? If so, state their names and dates of birth.
(4) Describe the nature of your loss of consortium claim.
(5) During your marriage, please list your employers, the length of time employed by each, and the
average number of hours worked per month.
(6) Prior to the incident which is the subject of this lawsuit (‘‘the incident’’), did your spouse regularly
perform work, services and/or chores (‘‘services’’) in or around the home?
(7) If the answer to the previous interrogatory is in the affirmative, please describe the nature and
frequency of such services.
(8) Subsequent to the incident, did such services change? If so, state how, and describe the impact
of this change on you.
(9) Subsequent to the incident, did anyone other than your spouse perform the services usually
performed by your spouse in and around the home?
(10) If the answer to the previous interrogatory is in the affirmative, please state the name(s) and
address(es) of each person(s), the amount paid, the period of time they were hired and what services
they performed.
(11) Have you or your spouse ever instituted legal proceedings seeking a divorce or separation? If
so, state when.