Propounding Party: __________ [Plaintiff or Defendant]
__________ [name]
Interrogatory Set _____ [number of set]
Responding party: __________ [Plaintiff or Defendant]
__________ [name]
To __________ [Plaintiff or Defendant] _________ [name], and
__________ [his or her or its] attorney:
__________ [Propounding party], the __________ [plaintiff
or defendant] in the above cause of action, requests that
__________ [responding party], the _________ [plaintiff or
defendant] in the cause, respond to each of the following
interrogatories within 30 days of service of this request:
__________ [List interrogatories, numbering each separately
and consecutively, as follows:
Interrogatory Number 1: __________ (Text of interrogatory)
Interrogatory Number 2: __________ (Text of interrogatory)]