Civil Case Information Statement (CN 10517) at a glance
What it is: The Civil Case Information Statement (Civil CIS) of the New Jersey Judiciary, Civil Practice Division, is for initial Law Division Civil Part pleadings (not motions) under Rule 4:5-1.
Who signs: Sign on the Attorney/Self-Represented Litigant Signature line.
A filled-in Civil Case Information Statement (CN 10517) example: a contract suit filed without a lawyer
How to fill out Civil Case Information Statement (CN 10517), box by box
Attorney/Pro Se Name, Telephone Number and County of Venue
Enter the Attorney/Pro Se Name, the Telephone Number with its ext. and the County of Venue.
Firm Name, Docket Number and Office Address
Enter the Firm Name (if applicable) and the Docket Number (when available).
Enter the Office Address: Street, City, State and Zip.
Document Type, Jury Demand, Name of Party and Caption
Enter the Document Type, and mark Yes or No for Jury Demand.
Enter the Name of Party (e.g., John Doe, Plaintiff) and the Caption.
Case Type Number
Choose one case type from the listing on page 3 and enter its number in Case Type Number.
Track I is 150 days discovery, Track II is 300 days discovery and Track III is 450 days discovery.
999 Other
For 999 Other, briefly describe the nature of action.
Sexual abuse, COVID-19 and professional malpractice
Are sexual abuse claims alleged? Does this case involve claims related to COVID-19? Mark Yes or No for each.
Is this a professional malpractice case? Mark Yes or No. If “Yes,” see N.J.S.A. 2A:53A-27 and applicable case law regarding your obligation to file an affidavit of merit.
Related Cases Pending?
Related Cases Pending? Mark Yes or No. If “Yes,” list docket numbers.
Adding any parties and the defendant's primary insurance company
Do you anticipate adding any parties (arising out of same transaction or occurrence)? Mark Yes or No.
Enter the Name of defendant's primary insurance company (if known), or mark None or Unknown.
Case Characteristics: relationship and fees
Do parties have a current, past or recurrent relationship? Mark Yes or No.
If “Yes,” mark that relationship: Employer/Employee, Friend/Neighbor, Familial, Business or Other (explain).
Does the statute governing this case provide for payment of fees by the losing party? Mark Yes or No.
Special case characteristics
In the Case Characteristics space, alert the court to any special case characteristics that may warrant individual management or accelerated disposition.
Disability accommodations and interpreter
Do you or your client need any disability accommodations? Mark Yes or No. If yes, identify the requested accommodation.
Will an interpreter be needed? Mark Yes or No. If yes, enter the language.
Attorney/Self-Represented Litigant Signature
Signing certifies that confidential personal identifiers have been redacted from documents now submitted to the court and will be redacted from all documents submitted in the future in accordance with Rule 1:38-7(b).
Select each applicable category
Select each applicable category: Putative Class Action, Title 59, Consumer Fraud and Medical Debt Claim.
Before you go
The pleading will be rejected for filing, under Rule 1:5-6(c), if information above the black bar on page 1 is not completed, or attorney's signature is not affixed.
Common questions about Civil Case Information Statement (CN 10517)
What is a case information statement in NJ?
The Civil Case Information Statement (Civil CIS) of the New Jersey Judiciary, Civil Practice Division, is for initial Law Division Civil Part pleadings (not motions) under Rule 4:5-1. The information provided on this form cannot be introduced into evidence.
Sources
[1] Civil Case Information Statement, CN 10517 (Revised Form Promulgated by 01/07/2026 Notice to the Bar), New Jersey Judiciary (the Official source link on this page).
