Litigant Information Sheet Form PDF Details

Are you a party in a court case? Understanding the details and procedures of the legal system can be daunting, especially if you're unfamiliar with courtroom practice. However, it is important to make sure that all of your documents have been filed properly before attending a trial or hearing. One very important form is called the Litigant Information Sheet – this document helps ensure that litigants are in compliance with all laws and regulations governing their particular court proceedings. In this article, we’ll provide an overview of what litigant information sheet forms are and why they’re necessary. Read on to find out more!

QuestionAnswer
Form NameLitigant Information Sheet Form
Form Length1 pages
Fillable?No
Fillable fields0
Avg. time to fill out15 sec
Other namesconfidential litigant form nj, cn 10486, confidential litigant information sheet, jersey judiciary 5

Form Preview Example

New Jersey Judiciary

Confidential Litigant Information Sheet (R. 5:4-2(g))

To assure accuracy of court records - To be filled out by Plaintiff, or Defendant, or Attorney

Collection of the following information is pursuant to N.J.S.A. 2A:17-56.60 and R. 5:7-4.

Confidentiality of this information must be maintained

Please complete the entire form, leaving no blank spaces. If something does not apply to you, enter “N/A”. This form is confidential and will not be shared with the other party.

Docket Number:

CS Number:

Do you have an active Domestic Violence Order with the other party in this case?

Yes

No

 

 

 

 

 

Plaintiff

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Defendant

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Name (last, first, middle initial)

 

 

 

 

 

 

 

 

Name (last, first, middle initial)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Social Security Number

 

 

 

 

 

Date of Birth

 

 

 

 

 

Social Security Number

 

 

 

 

 

 

 

 

Date of Birth

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Address: Street

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Address: Street

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

City

 

 

 

 

 

 

 

State

Zip

 

 

 

 

 

City

 

 

 

 

 

 

 

 

 

State

Zip

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Plaintiff Telephone Number

 

 

 

Employer Telephone Number

 

Defendant Telephone Number

 

 

 

Employer Telephone Number

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Plaintiff Email Address

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Defendant Email Address

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Employer Name (or other income source)

 

 

 

 

 

 

 

 

Employer Name (or other income source)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Employer Address: Street

 

 

 

 

 

 

 

 

 

 

 

 

 

Employer Address: Street

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

City

 

 

 

 

 

 

 

State

Zip

 

 

 

 

 

City

 

 

 

 

 

 

 

 

 

State

Zip

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Professional, Occupational, Recreational Licenses

 

 

 

 

 

Professional, Occupational, Recreational Licenses

 

 

 

 

(include types and license numbers)

 

 

 

 

 

 

 

 

 

 

 

 

 

(include types and license numbers)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Driver's License Number

 

 

 

 

State of Issuance

 

 

 

 

 

Driver's License Number

 

 

 

 

 

 

 

State of Issuance

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Sex

Race/Ethnicity

 

 

 

Height

Weight

Eyes

Hair

 

Sex

 

Race/Ethnicity

 

 

 

 

 

Height

Weight

Eyes

Hair

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Auto: License Plate

State

 

Make

 

Model

 

Year

 

Auto: License Plate

State

Make

 

Model

 

Year

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Attorney Name

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Attorney Name

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Attorney Address: Street

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Attorney Address: Street

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

City

 

 

 

 

 

 

 

State

Zip

 

 

 

 

 

City

 

 

 

 

 

 

 

 

 

State

Zip

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Children Information

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Name (last, first, middle initial)

 

 

 

 

 

Date of Birth

 

Race

 

Sex

 

 

 

Social Security Number

1.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

2.

3.

4.

Health Coverage for Children - available through parent filling out this form ( Plaintiff /

Defendant)

Health Care Provider:

 

Policy Number:

 

Group Number:

Health Care Provider:

 

Policy Number:

 

Group Number:

Health Care Provider:

 

Policy Number:

 

Group Number:

I certify that the foregoing statements made by me are true to the best of my knowledge. I am aware that if any of the foregoing statements made by me are wilfully false, I am subject to punishment.

Date

Signature

 

 

Revised: 08/2020 CN 10486

page 1 of 1

How to Edit Litigant Information Sheet Form Online for Free

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litigant information online writing process outlined (part 1)

2. Right after completing the previous step, go to the subsequent stage and fill in all required details in all these blanks - Drivers License Number, State of Issuance, Drivers License Number, State of Issuance, Sex RaceEthnicity, Height Weight Eyes Hair, Sex RaceEthnicity, Height Weight Eyes Hair, Auto License Plate, State Make, Model, Year, Auto License Plate, State Make, and Model.

Sex RaceEthnicity, State of Issuance, and Year in litigant information online

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