Form Interrogatories

(a) The division has developed standard interrogatories for parties to exchange the following information:

(1) the name and contact information of the person answering the interrogatories;

(2) the issues in dispute;

(3) any certification of maximum medical improvement and impairment rating;

(4) any statement obtained from any person on the issues in dispute;

(5) the name and contact information for each health care provider the claimant has seen since the date of injury, and the conditions the health care provider treated;

(6) any recordings, photographs, videotapes, or similar material showing the claimant since the date of injury;

(7) for each health care provider the claimant has seen during the five years before the date of injury for treatment of a body part the claimant believes to be part of the claim:

(A) the health care provider's name and contact information;

(B) the dates the health care provider treated the claimant; and

(C) the conditions the health care provider treated; and

(8) for each expert witness expected to testify:

(A) the expert witness' name and contact information;

(B) the subject matter the expert witness may or will testify on; and

(C) the general substance of the expert witness' opinions and a brief summary of the basis for them.

(b) In addition to these standard interrogatories, a party may add up to five additional questions. The parties should write the questions in plain language and present them in a readable and understandable format.

(c) Parties to a dispute must use the standard form interrogatories developed and published by the division in a form and manner consistent with this rule:

(1) Claimant's Interrogatories to Carrier; and

(2) Carrier's Interrogatories to Claimant.