PA · rules

Philadelphia Cnty. C.P. CP-Trial Division-Civil 10

activein force · 2020-01-20 – presentact-effective-date

State whether you, subsequent to the date of the treat ment, surgery or examination, have been unable to

perform adequately any of your customary occupational duties or social or other activities, stating with

particularity (a) the duties and/or activities you have been unable to perform, and (b) the periods of time you

have been unable to perform, and (c) the names and last kno wn addresses of all persons who have personal

knowledge thereof.

Witnesses and Those with Knowledge of the Treatment, Surgery or Examination

Provenance

Source: courts.phila.gov
Retrieved: 2026-09-30
Edition: 2026-09-30
Content hash: c79d14fb95ba3cd7607178546effa0469ace2fa22c9a47278d793213c944b7c5

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