PA · rules
Philadelphia Cnty. C.P. CP-Trial Division-Civil 8
For the period of three years immediately preceding the date of the treatment, surgery or examination
referred to in the Complaint, state:
(a) The name and address of each of your employers or, if you were self-employed during that period, each
of your business addresses and the name of the business while self-employed.
(b) The dates of commencement and termination of each of your periods of employment or self-employment.
(c) A detailed description of the nature of your occu pation and the services performed by you in each
employment or self-employment.
(d) Your average weekly earnings from each employment or self-employment; the average number of hours
worked by you per week in each employment or self-employment; and the a mount of income from
employment or self-employment reported on your Federal Income Tax Return for each year.
Earnings after the Accident
Provenance
- Source
- courts.phila.gov
- Retrieved
- 2026-09-30
- Edition
- 2026-09-30
- Content hash
bc3337dc67e23c9ff887aaa4d39401f77da5f8ab7299f55dd6ba117886f99a63
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