1. Biographical Information

MM slash DD slash YYYY

2. Education

A. Educational Institutes

B. Current education

a. If you are currently a student

MM slash DD slash YYYY

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C. Future education

a. If you have been accepted to an education or training program post-high school

3. Employment for past 5 years

4. Summary of experience at the event

f. What time did you arrive at the event?

i. For all individuals that you attended the event with during the event, please provide each individual’s:

j. What time did you leave the event?

5. Injuries

7. List each doctor, psychiatrist, pharmacist, pharmacy, other healthcare provider you have seen in the last 5 years for chronic or serious conditions or conditions involving the same body part as the injuries sustained because of the event and please provide:

8. If you are claiming lost wages

9. For each prior lawsuit, legal or administrative proceeding, including workers’ compensation, in which you have been a plaintiff or claimant, state the:

10. For each web or mobile application, including social media accounts, payment apps, fitness apps, ride share apps, owned or maintained or used by you since January 1, 2021, please state:


2. Observation

Request for Production