Personal Information:

Name   

Address  

City   State    Zip

Telephone Number   Fax Number

Email Address

What is/are your field(s) of expertise?

Are you willing to serve as an expert witness for both plaintiffs and defendants?      _______ Yes No

What is the extent of your experience in legal consulting work?

Have you ever testified live at a trial or in  a deposition? _______ Yes No If so, provide details:  (Rule 26 has taken effect in many states, and because our clients come from all parts of the country, we ask that you provide a copy of your Testimony History that we will file on your behalf with your curriculum vitae.  This information will only be offered if requested by our client.  You may include your history in the space below, or submit it along with your c.v.)

References:

Please list three verifiable attorney references.  (If you are a new consultant, then you may use three business references).

Questionnaire:

TAB makes every effort to pre-screen our experts.  In doing so, we have been able to maintain our reputation in the legal community as having some of the best expert witnesses available in the business.  We ask you to please take a moment to fill out this questionnaire which we will keep on file with your c.v.  (Please note: This information will not effect your registration process.)

Are you personally named as a plaintiff in any current litigation? _______ Yes No

Have you ever been named as a plaintiff in a law suit due to professional issues? _______ Yes No
If so what was the outcome?

Have you ever been sanctioned by any State in which you have held a license? _______ Yes No

Have you ever had your license revoked or suspended? _______ Yes No
If so, what were the reasons?

Please submit this form along with a copy of your complete and current resume and fee schedule for consulting time, travel time, deposition and trial appearance, and at least two verifiable references, attorney references preferred if available.   Also, if you have not already done so on this form, please include your Testimony history as well.  

Please be patient, as this may take a few minutes to process.