Instructions: Requests for Admissions

This template
provides guidance only. Using this template does not guarantee any result in your case.

HOW TO GET LEGAL INFORMATION AND ADVICE

Before serving this document

This email is to schedule appointments only-no legal advice is given over email.

Monday to Thursday 9:00 am - 12:00 pm

Monday to Thursday 1:00 pm - 4:00 pm

WHEN TO MAKE REQUESTS FOR ADMISSIONS

Figure out when you can first make requests.

06/22/2017 Instructions: Requests for Admissions 1 of 3

 If responding party objects or fails to
respond, the requesting party follows
Requests up
served (immediately after due date)

Resonding party provides Parties follow Judge's rules for resolving

written response to each disputes about discovery
request (ongoing, but no later than the "discovery
(30 days + 3 for mail) cutoff")

STAY UP TO DATE

Update your contact information.

Check your mail.

UNDERSTANDING THE LAWS AND RULES

Handbook for Pro Se Litigants

Legal Research Guide for Pro Se Litigants.

Federal Rules of Civil Procedure.

Local Rules.

06/22/2017 Instructions: Requests for Admissions 3 of 3

 1 Your name:
2 Address:
3
4 Phone Number:
5 E-mail Address:
6 Pro se
7
8 UNITED STATES DISTRICT COURT
9 NORTHERN DISTRICT OF CALIFORNIA
10 Division [check one]: San Francisco Oakland San Jose Eureka
11
)
12 ) Case Number:
)
13 ) REQUESTS FOR ADMISSION
14 )
Plaintiff, ) [name of responding party]
15 )
vs. ) ________________________________________
16 ) ________________________________________
)
17 )
)
18 ) SET NO. _____
)
19 )
)
20 )
)
21 Defendant. )
22 Pursuant to Federal Rules of Civil Procedure 26 and 36 and Local Rule 36, [name of
23 responding party] __________________________________________________________________
24 shall respond to these requests within thirty (30) days of service.
25 REQUESTS FOR ADMISSION
[Write out each issue you want the responding party to admit. In Section A, you can ask the
26 responding party to admit that certain facts or opinions are true. In Section B, you can ask the
responding party to admit that a document you attach to these requests is genuine. Add more pages to
27 each section if needed]
28

REQUESTS FOR ADMISSION

PAGE ___ OF ___ [JDC TEMPLATE]
 1 A. Admit that each of the following statements is true:
2 1. ________________________________________________________________________

3 _________________________________________________________________________________

4 _________________________________________________________________________________

5 2. ________________________________________________________________________

6 _________________________________________________________________________________

7 _________________________________________________________________________________

8 3. ________________________________________________________________________

9 _________________________________________________________________________________
10 _________________________________________________________________________________

11 4. ________________________________________________________________________

12 _________________________________________________________________________________

13 _________________________________________________________________________________

14 5. ________________________________________________________________________
15 _________________________________________________________________________________

16 _________________________________________________________________________________

17 6. _______________________________________________________________________
18 _________________________________________________________________________________

19 _________________________________________________________________________________

20 7. ________________________________________________________________________

21 _________________________________________________________________________________

22 _________________________________________________________________________________

23 8. ________________________________________________________________________

24 _________________________________________________________________________________

25 _________________________________________________________________________________

26 9. ________________________________________________________________________

27 _________________________________________________________________________________

28 _________________________________________________________________________________

REQUESTS FOR ADMISSION

PAGE ___ OF ___ [JDC TEMPLATE]
 1 B. Admit that each of the documents attached to this request is genuine:
2
3 Attachment 1. _______________________________________________________________
4 _________________________________________________________________________________
5 Attachment 2. _______________________________________________________________
6 _________________________________________________________________________________
7 Attachment 3. _______________________________________________________________
8 _________________________________________________________________________________
9
Attachment 4. _______________________________________________________________
10
_________________________________________________________________________________
11
Attachment 5. _______________________________________________________________
12
_________________________________________________________________________________
13
Attachment 6. _______________________________________________________________
14
_________________________________________________________________________________
15
Attachment 7. _______________________________________________________________
16
_________________________________________________________________________________
17
Attachment 8. _______________________________________________________________
18
_________________________________________________________________________________
19
Attachment 9. _______________________________________________________________
20
21 _________________________________________________________________________________

22 Attachment 10. ______________________________________________________________

23 _________________________________________________________________________________

24
25 [You must sign and date.]

26
Date: Sign Name:
27
Print Name:
28

REQUESTS FOR ADMISSION

PAGE ___ OF ___ [JDC TEMPLATE]
 1 CERTIFICATE OF SERVICE OF DOCUMENT OTHER THAN COMPLAINT
* You must serve each document you file by sending or delivering to the opposing side. Complete
2 this form, and include it with the document that you file and serve.*
3 1. Case Name: _____________________________ v. ________________________________
4 2. Case Number: _____________________________________________________________
5 3. What documents were served? Requests for Admissions
6 4. How was the document served? [check one]
7 Placed in U.S. Mail
8 Hand-delivered
9 Sent for delivery (e.g., FedEx, UPS)
10 Sent by fax (if the other party has agreed to accept service by fax)
11 5. Who did you send the document to? [Write the full name and contact information for
each person you sent the document.]
12
13 _____________________________________ _____________________________________

14 _____________________________________ _____________________________________

15 _____________________________________ _____________________________________

16 _____________________________________ _____________________________________

17 6. When were the documents sent? ______________________________________________

18 7. Who served the documents? [Whoever puts it into the mail, faxes, delivers or sends for
delivery should sign, and print their name and address. You can do this yourself.]
19
20 I declare under penalty of perjury under the laws of the United States that the foregoing
21 is true and correct.
22 Signature: _____________________________________________________
23 Name: _____________________________________________________
24 Address: _____________________________________
25 _____________________________________
26
27
28

CERTIFICATE OF SERVICE [JDC TEMPLATE Rev. 05/2017]