EUO deposition title page

I had to do "examination under oath" via conference call and was wondering if anyone had any info on how you may have done the title page for this type of depo?  THANKS!!

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EXAMINATION UNDER OATH OF:

            RUBEN MATOS         

           Name of  Insurance  COMPANY

          CLAIM #:  110581-02

           INSURED:  JOSE PICARDO

            DATE OF LOSS:  11/9/11 

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                                         221 Grant Avenue 

                                         Bronx, New York 

                                         January 5, 2012

                                         1:05 p.m.

EXAMINATION UNDER OATH of RUBEN MATOS, the witness herein, taken by an investigator for *** Insurance Company, pursuant to the terms and conditions of the insurance policy, and held before YOUR NAME, a Notary Public of the State of New York, at the above-stated time and place. 

A P P E A R A N C E S:  

LAW OFFICES OF ARIEL AMINOV, PLLC

     Attorney for the Claimant

     107-06 71st Road, Suite 2 

     Forest Hills, New York 11375

BY:  DASHA OLSHANETSKAYA, ESQ.

GOLDEN EAGLE CLAIMS

     Attorneys for the Respondent

     INSURANCE COMPANY 

     5 Merrick Road, Suite 205 

     Nyack Stream, New York 11680

     BY:  TOYA CHILDS, INVESTIGATOR

     File #:  2011-1729

I hope this helps

EXAMINATION UNDER OATH

------------------------------------------X

In the Matter Between,

NAME,

CLAIMANT,

-and-

INSURANCE CO.,

RESPONDENT.

------------------------------------------X

Claim #: No.

File #: No.

DOA or DOL: Date

Policy Holder: Name

   DATE: MONTH DAY, 2009

TIME: ^ TIME, ^ A.M. ^ P.M. 

EXAMINATION UNDER OATH of the Claimant, ^ CLAIMANT, in the above-captioned matter, held at the offices of ^ Job Location, ^ address, ^ City, New York ^ zip, before ^ reporter, a Notary Public of the State of New York.

Also, make sure you put telephonic somewhere or via telephone if the witness wasn't there in person.  As a notary public, you can only swear in the witness if they are there before you in person, at least in my state.  There should be a notary public with the person, wherever they are, swearing in the person, and then you should have the notary's information to include on the EUO or depo who they were sworn in by.