Please rate Case Information Statement Appendix Xii-B1
Pleading will be rejected for filing, under Rule 1:5-6(c), if information above the black bar is not completed, or attorney's signature is not affixed.
Case types: Choose one and enter number of case type in appropriate space on page 1.
Malpractice: if this is a professional malpractice case, see N.J.S.A. 2A:53A-27 and applicable case law regarding your obligation to file an affidavit of merit.
Evidence: The Information Provided on This Form Cannot be Introduced into Evidence.
Redaction: I certify that confidential personal identifiers have been redacted from documents now submitted to the court.
| Question | Answer |
|---|---|
| Form Name | Form CN 10517 |
| Form Length | 4 pages |
| Fillable? | Yes |
| Fillable fields | 39 |
| Avg. time to fill out | 7 min |
| Edition | Rev 01/07/2026 |
| Issuing agency | New Jersey Judiciary |
| Other names | CN 10517, Civil CIS, CIS, Civil Case Information Statement, Case Information Statement |
| Official source | Form CN 10517 (Rev 01/07/2026), New Jersey Judiciary |
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Please rate Case Information Statement Appendix Xii-B1
