Initial Disclosures 194.2 Initial Disclosures What is your full legal name?(Required) First Middle Last The correct names of the parties to the lawsuit:Plaintiff(s)Defendant(s) Add RemoveList any other people or entities that we need to add to this lawsuit:NameAddressPhone Add RemoveCheck all that apply(Required) None Apply Did you lose job opportunities because of the dispute? Will you lose job opportunities in the future as a result of the dispute? Have you experienced a significant pay cut or decrease in income since the dispute began? Were you terminated or wrongfully discharged from your job due to the dispute? Did you have to spend personal savings or incur debt to cover expenses related to the dispute (e.g., legal fees, medical bills, etc.)? Have you incurred medical expenses due to emotional distress, physical injury, or other health-related issues tied to the dispute? Did you suffer damage to your reputation or business as a result of the dispute (e.g., loss of clients, negative publicity)? Have you lost any contracts, clients, or business relationships because of the dispute? Were you forced to relocate or change your living arrangements due to the dispute? Have you been unable to work or had to take extended time off due to stress, emotional distress, or injury caused by the dispute? Did you experience any damage to your personal property or assets as a result of the dispute? Did you miss out on promotions, raises, or career advancements because of the dispute? Are you expected to incur future financial losses as a direct result of the dispute? Have you experienced a loss of benefits (e.g., health insurance, retirement plans) due to the dispute? Did you lose a business or a major client because of the dispute? Have you experienced lost profits or revenue due to the dispute? Have you incurred costs for replacing damaged or lost personal or business property as a result of the dispute? Did you have to stop or delay a major project, investment, or business expansion due to the dispute? Have you been subjected to fines, penalties, or other regulatory costs due to the dispute? Did you have to pay out-of-pocket for additional childcare, home care, or other personal services because of the dispute? Have you lost rental income or the opportunity to rent out property due to the dispute? Have you incurred unexpected travel or relocation expenses because of the dispute? Were there any business interruptions that led to significant financial losses (e.g., having to close down temporarily)? Did you have to use paid time off (PTO) or unpaid leave due to stress, injury, or court dates related to the dispute? List any witnesses with knowledge of facts that will help your caseNameAddressTelephoneBrief statement of their connection with the case Add RemoveDocuments for your caseList and describe any documents that you know exist and might help you win your caseType of document (e.g. contract, voice recording, invoice)Describe the content of the document Add RemoveUpload any documents or files that may help you win your case Do not submit medical/counseling records or medical/counseling bills here. Drop files here or Select files Max. file size: 32 MB. List indemnity and insuring agreements that are relevant of this dispute: Add RemoveList any settlement agreements you've received as part of this dispute: Add RemoveWere you physically or mentally injured because of the incident?In this context, “mental injury” refers to emotional or psychological harm that a person may experience as a result of an incident. This type of injury can include things like: Emotional distress: Ongoing feelings of sadness, fear, anxiety, or depression caused by the event. Post-Traumatic Stress Disorder (PTSD): A severe emotional reaction to a traumatic experience, which may cause flashbacks, nightmares, or severe anxiety. Anxiety and Panic Attacks: Intense worry, fear, or overwhelming feelings that can affect daily life. Sleep disturbances: Trouble sleeping, including nightmares or insomnia, related to the stress from the incident. Other psychological conditions: Such as depression or heightened stress that affects your mood, behavior, or ability to function. Yes, I was physically injured Yes, I was mentally injured Yes, I was both physically + mentally injured No, I was not physically OR mentally injured Describe your physical injuries.(Required)Describe your mental injuries.(Required) Δ