Form 1C-P-526 "Interrogatories to Plaintiff (Slip/Trip/Fall)" - Hawaii

What Is Form 1C-P-526?

This is a legal form that was released by the Hawaii State Judiciary - a government authority operating within Hawaii. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

  • Released on July 1, 2007;
  • The latest edition provided by the Hawaii State Judiciary;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a fillable version of Form 1C-P-526 by clicking the link below or browse more documents and templates provided by the Hawaii State Judiciary.

ADVERTISEMENT
ADVERTISEMENT

Download Form 1C-P-526 "Interrogatories to Plaintiff (Slip/Trip/Fall)" - Hawaii

Download PDF

Fill PDF online

Rate (4.6 / 5) 40 votes
INTERROGATORIES TO PLAINTIFF
(Slip/Trip/Fall)
1. State your full name, your present address, and date of birth.
Answer:
2. List your occupation or job (full and/or part-time) and employers’ name and
address during the last five (5) years, starting with your present employer.
Answer:
RevaComm 508 Certified
INTERROGATORIES TO PLAINTIFF
(Slip/Trip/Fall)
1. State your full name, your present address, and date of birth.
Answer:
2. List your occupation or job (full and/or part-time) and employers’ name and
address during the last five (5) years, starting with your present employer.
Answer:
RevaComm 508 Certified
3. Describe in your own words, in full detail, how the incident (“incident” is
defined as the accident or other event which is the subject of this claim) occurred, including the
events in the five (5) minutes leading up to the incident.
Answer:
4. Indicate whether you contend your slip and/or trip and/or fall resulted from:
a) Slipperiness of the floor and/or walking surface and/or stair(s), and if so, due
to what substance?
Answer:
b) Defects in the floor and/or walking surface and/or stair(s) and/or floor
covering; and if so, due to what kind of defects?
Answer:
2
RevaComm 508 Certified
c) Debris, litter and/or obstructions on the floor and/or walking surface and/or
stair(s), and if so, due to what kind of debris, litter and/or obstructions?
Answer:
d) Variations in the floor and/or walking surface and/or stairs(s), and if so, due to
what kind of variations?
Answer:
e) Inadequate lighting in the area, describing the lighting that was present and
why you contend it was inadequate.
Answer:
3
RevaComm 508 Certified
f) Other defects (specify).
Answer:
5. If you were wearing footwear at the time of the slip and/or trip and/or fall,
please state:
a) The type and brand name of the footwear;
b) Where and when you purchased the footwear;
c) The material of the sole and the type and height of the heel;
d) The identity of the present custodian, if any, of the footwear.
Answer:
4
RevaComm 508 Certified
6. If you reported the condition of the area where you tripped and/or slipped
and/or fell to anyone either before or after the trip and/or slip and/or fall, please indicate to whom
it was reported.
Answer:
7. State the names and addresses of all persons known to you or to your attorney
who witnessed any part of the incident, and give a brief description of all witnesses whose
names or addresses are not known.
Answer:
8. Were any statements concerning the incident made to any police officer,
private investigator, insurance company agent or adjuster, or anyone else?
Answer:
5
RevaComm 508 Certified