Request for Admissions Template
[Attorney Name or Party Name]
[Law Firm Name, if applicable]
[Address]
[City, State, ZIP Code]
[Phone Number]
[Email Address]
IN THE [NAME OF COURT]
FOR [COUNTY / DISTRICT / JURISDICTION]
[Plaintiff / Petitioner Name],
Plaintiff / Petitioner,
v.
[Defendant / Respondent Name],
Defendant / Respondent.
Case No.: [Case Number]
1. Requesting Party
The following Request for Admissions is served by:
Name: [Attorney Name or Party Name]
Role: [Attorney for Plaintiff / Attorney for Defendant / Self-Represented Party / Other]
Address: [Address]
Email: [Email Address]
Phone: [Phone Number]
2. Responding Party
These Requests for Admissions are directed to:
Name of Responding Party: [Full Name or Entity Name]
Role in Case: [Plaintiff / Defendant / Petitioner / Respondent / Other]
3. Instructions
You are requested to admit or deny each of the following statements separately and in writing within the time allowed by the applicable rules.
If you cannot admit or deny a statement in full, state the part admitted, the part denied, and any reason why a full admission or denial cannot be made.
If an objection is made, state the basis for the objection as required by the applicable rules.
4. Definitions
For purposes of these Requests for Admissions:
“Document” means any written, printed, recorded, electronic, or stored material.
“Communication” means any oral, written, electronic, or recorded exchange of information.
“Incident” means [brief description of event, transaction, contract, or dispute].
“Subject Document” means [describe document, agreement, record, or exhibit, if applicable].
5. Requests for Admission
Request No. 1: Admit that [insert fact, event, or statement].
Request No. 2: Admit that [insert fact, event, or statement].
Request No. 3: Admit that [insert fact, event, or statement].
Request No. 4: Admit that [insert fact, event, or statement].
Request No. 5: Admit that [insert fact, event, or statement].
Request No. 6: Admit that [insert fact, event, or statement].
Request No. 7: Admit that [insert authenticity of document or record].
Request No. 8: Admit that [insert application of law to fact, if appropriate].
6. Documents Identified
The following documents, if any, are referenced in these requests:
[Exhibit A – Contract or Agreement]
[Exhibit B – Email or Letter]
[Exhibit C – Invoice, Record, or Report]
[Other Supporting Document]
7. Response Deadline
Responses to these Requests for Admissions must be served within the time required by the applicable court rules or procedural law.
Date Served: [Date]
Response Due Date: [Date]
8. Reservation of Rights
The requesting party reserves all rights to conduct additional discovery, amend claims or defenses, and use any admissions, denials, objections, or failures to respond as permitted by applicable law.
9. Signature
Dated: [Date]
Signature: __________________________
Name: [Attorney Name or Party Name]
Title: [Attorney for Party / Self-Represented Party / Other]
Bar Number: [Bar Number, if applicable]
Law Firm: [Law Firm Name, if applicable]
10. Certificate of Service
I certify that on [Date], I served a copy of this Request for Admissions on the following person(s) or party(ies):
[Name] – [Address / Email]
[Name] – [Address / Email]
Method of Service:
☐ mail
☐ email
☐ hand delivery
☐ electronic filing system
☐ other: [Specify]
Signature: __________________________
Name: [Attorney Name or Party Name]
Date: [Date]