11. Contractor TIN or SSN (individual) 12. Contractor Specialty Taylor Trial Consulting Jury consulting services Telephone: 13. Reason for Request (Place an "X" in the applicable Box in the Left Column) 13.a. Expert Testimony on Behalf of U.S. 13.b. Deposition Conducted by DOJ Attorney 13.c. Medical Examination of Plaintiff/Witness/Defendant…