The 16.91 Special Verdict Form: Interrogatories (Hours Worked) is a legal form used in civil trials. It is a special verdict form used to determine a plaintiff’s unpaid wages and other damages. The form includes a series of questions posed to the jury to determine how many hours the plaintiff worked, and whether the plaintiff was entitled to compensation for those hours. The form is used to determine the total hours worked and any overtime wages due to the plaintiff. There are two types of 16.91 Special Verdict Forms, one for the determination of unpaid wages and one for the determination of unpaid overtime wages.