Nj Complaint Form – Fill Out and Use This PDF

The NJ Complaint Form, officially known as the Civil Case Information Statement (Civil CIS), plays a crucial role for individuals embarking on a civil lawsuit without legal representation in New Jersey. Designed to summarize the case and highlight any special needs, such as language assistance or an expedited trial, the form must accompany the initial pleadings in civil matters filed in the Law Division. For those navigating the complexities of civil litigation on their own, mastering this form is vital to ensure that their legal journey commences without delay. To learn more about filling out the NJ Complaint Form, click the button below.

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Nj Complaint Form PDF Details

In navigating the complexities of initiating or responding to civil litigation in New Jersey, the Civil Case Information Statement (CIS) emerges as a pivotal document, tailored to streamline the judicial process for those navigating the legal system without legal representation. As of December 23, 2020, this form has been revised and serves as a mandatory inclusion for all first pleadings within the Civil Law Division. Aimed at plaintiffs and defendants alike, the CIS provides the courts with a summary of the case at hand, signaling any special requirements such as the need for language interpreters or expedited proceedings. The form includes sections for identifying personal information, case specifics – including the nature of the complaint or response, the relationship between the parties involved, and any requests for jury trials or accommodations for disabilities. Crucially, this form highlights the requirement to redact confidential personal identifiers, unless statute or court order dictates otherwise, and guides parties through the process of identifying the appropriate case type number for their issue. This information aids the New Jersey courts in efficient case management and ensures that parties are ready to proceed with due consideration of all involved. The Administrative Office of the Courts provides this and other forms, with updates reflecting current statutes and court rules, ensuring accessibility for self-represented litigants through the New Jersey Judiciary’s Internet site, thereby emphasizing the judiciary’s commitment to accessible and informed court proceedings for all participants.

Question	Answer
Form Name	Nj Complaint Form
Form Length	5 pages
Fillable?	No
Fillable fields	0
Avg. time to fill out	1 min 15 sec
Other names	complaint civil county, court complaint county, how to nj complaint file, how to nj complaint

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Civil – Law

Case Information Statement 12/23/2020

How to Complete the Civil Case Information Statement

(CIS)

These instructions are intended to guide individuals who are either plaintiffs or defendants in civil cases and who are not represented by an attorney in completing the Civil Case Information Statement (Civil CIS) required by court rules. The Civil CIS must be included with each party’s first pleading in the Civil part of the Law Division. That is, the plaintiff must file it with the complaint and the defendant must file it with the answer. If it is not included, the papers will be returned.

The CIS summarizes your case and alerts the court to any special needs you may have such as the need for an interpreter or the need for a quick trial date because one of your witnesses is expected to be unavailable. The numbers for the various case types are located on the back of the form. Enter the number which best describes your complaint. For example, if you are suing the defendant for a breach of contract, your case number would be 599.

After you have completed the CIS, keep it with the other papers you are planning to file.

Note: These materials have been prepared by the New Jersey Administrative Office of the Courts for use by self-represented litigants. The guides, instructions, and forms will be periodically updated as necessary to reflect current New Jersey statutes and court rules. The most recent version of the forms will be available at the county courthouse or on the Judiciary’s Internet site njcourts.gov. However, you are ultimately responsible for the content of your court papers.

Revised Form Promulgated by 12/23/2020 Notice to the Bar, CN 10517_ps

page 1 of 5

Instructions for Parties Not Represented by an Attorney for Completing the

Civil Case Information Statement (CIS)

Box#	Instruction

1.	Print your name.

2.	List a telephone number, including area code, where you can be reached during the day.

3.	Insert the name of the county where the complaint or answer is being filed.

4.	Leave the box blank.

5.	If you know the docket number of your case, insert it in the docket number box. If the CIS is
	being filed with a complaint, the court will assign the docket number before it returns the
	filed complaint.

6.	Enter an address where you wish to receive mail concerning this matter.

7.	Document type means the type of paper you are filing. If you are filing the complaint, print
	complaint; if you are filing an answer, print answer.

8.	Check the box marked “yes” if you have requested that the matter be heard by a jury.
	Otherwise, check “no.”

9.	Enter your name and indicate whether you are the plaintiff or defendant.

10.	The caption is the name of the case - the name of the plaintiff(s) v. the name of the
	defendant(s). For example: John Doe, Plaintiff v. Mary Smith, Defendant. Print the name of
	your case.

11.	The Case Type Number identifies the type of case. On the back of the CIS form is a list of
	case types. Sometimes it is difficult to pick the number of your case, but you must fill in this
	section in order for your case to proceed. Choose the one that best describes what your case
	is about and enter that number. For example, if you are the plaintiff or defendant in a dispute
	over fulfilling the terms of a contract, the case type is 599; if your case concerns a personal
	injury, the case type number is 605.

12.	Are you alleging claims of sexual abuse? If yes, check the box marked “yes.”	Otherwise,
	check “no.”

13.	If you believe that your case is a professional malpractice case, check the box marked “yes”
	and see N.J.S.A. 2A:53A-27 and applicable case law regarding your obligation to file an
	affidavit of merit.

14.	If you believe that you have any other cases involving the same adversary or arising from the
	same set of circumstances (related cases pending), check the box marked “yes.” Otherwise,
	check “no.”

15.	If you checked “yes” to the previous question, enter the docket number(s) of any related
	cases.

16.	If you believe you will be adding more parties to the case, check “yes.” Otherwise, check
	“no.”

17.	If you are the plaintiff and know the name of the defendant’s primary insurance company
	enter it in the box. Otherwise check “unknown.” If you are the defendant and you have
Revised Form Promulgated by 12/23/2020 Notice to the Bar, CN 10517_ps		page 2 of 5

insurance that might cover or partially cover the damages complained of, enter the name of your insurance company.

18.If you and your adversary knew each other before the event giving rise to the law suit occurred, check “yes.” Otherwise, check “no.”

If the answer was “yes”, check the box next to the word(s) that best describe the relationship between the parties.

19.If you believe that the statute governing your case provides for payment of fees by the losing party, (for example, the Law Against Discrimination), check “yes.” Otherwise, check “no.”

20.If you believe that your case has some unusual circumstance which would require special attention, indicate the problem in the space provided. For example, if there is a witness who is ill or who may be unavailable, you should let the court staff know.

21.If you are requesting any accommodation for a disability, check “yes” and indicate what is needed. Otherwise, check “no.”

22.If you are requesting an interpreter, check “yes” and indicate the language for which it is needed. Otherwise, check “no.”

23.This box contains the statement by which you certify that you have removed any confidential personal identifiers from any document you have already submitted to the court and that you will continue to remove such identifiers in any future submission, unless such confidential personal identifiers are required by statute, court rule or court order. If you are filing a name change complaint, N.J.S.A. 2A:52-1 (the applicable New Jersey statute) requires that the social security number be listed on your complaint. Once a name change judgment is entered, your social security number will be removed by the court before the judgment is published in the newspaper.

24.The person whose name appears in Box 1 must sign the CIS in the space marked “Attorney Signature.”

Revised Form Promulgated by 12/23/2020 Notice to the Bar, CN 10517_ps

page 3 of 5

Civil Case Information Statement

(CIS)

Use for initial Law Division

Civil Part pleadings (not motions) under RULE 4:5-1

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

For Use by Clerk’s Office Only

Payment type: ck cg ca

Chg/Ck Number:

Amount:

Overpayment:

Batch Number:

Attorney/Pro Se Name

Telephone Number

County of Venue

Firm Name (if applicable)

Docket Number (when available)

Office Address

Document Type

Jury Demand

Yes

Name of Party (e.g., John Doe, Plaintiff)

Caption

Case Type Number		Are sexual abuse claims			Is this a professional malpractice case?	Yes	No
(See reverse side for listing)		alleged?			Is this a professional malpractice case?	Yes	No
(See reverse side for listing)		alleged?
		Yes		No	If you have checked “Yes,” see N.J.S.A. 2A:53A-27 and applicable case law
		Yes		No	regarding your obligation to file an affidavit of merit.
					regarding your obligation to file an affidavit of merit.

Related Cases Pending?			If “Yes,” list docket numbers
Yes	No

Do you anticipate adding any parties

(arising out of same transaction or occurrence)?

Yes No

Name of defendant’s primary insurance company (if known)

None Unknown

The Information Provided on This Form Cannot be Introduced into Evidence.

Case Characteristics for Purposes of Determining if Case is Appropriate for Mediation

Do parties have a current, past or recurrent relationship?		If “Yes,” is that relationship:
Yes	No	Employer/Employee	Friend/Neighbor	Other (explain)
Yes	No	Familial	Business
		Familial	Business

Does the statute governing this case provide for payment of fees by the losing party?

Yes

Use this space to alert the court to any special case characteristics that may warrant individual management or accelerated disposition

Do you or your client need any disability accommodations?		If yes, please identify the requested accommodation:
Yes	No

Will an interpreter be needed?		If yes, for what language?
Yes	No

I certify 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).

Attorney Signature:

Revised Form Promulgated by 12/23/2020 Notice to the Bar, CN 10517_ps

page 4 of 5

Side 2

Civil Case Information Statement

(CIS)

Use for initial pleadings (not motions) under RULE 4:5-1

CASE TYPES (Choose one and enter number of case type in appropriate space on the reverse side.)

Track I - 150 days discovery

151	Name Change	506	PIP Coverage
175	Forfeiture	510	UM or UIM Claim (coverage issues only)
302	Tenancy	511	Action on Negotiable Instrument
399	Real Property (other than Tenancy, Contract, Condemnation, Complex	512	Lemon Law
	Commercial or Construction)	801	Summary Action
502	Book Account (debt collection matters only)	802	Open Public Records Act (summary action)
505	Other Insurance Claim (including declaratory judgment actions)	999	Other (briefly describe nature of action)

Track II - 300 days discovery

305	Construction	603Y	Auto Negligence – Personal Injury (verbal threshold)
509	Employment (other than Conscientious Employees Protection Act (CEPA)	605	Personal Injury
	or Law Against Discrimination (LAD))	610	Auto Negligence – Property Damage
599	Contract/Commercial Transaction	621	UM or UIM Claim (includes bodily injury)
603N	Auto Negligence – Personal Injury (non-verbal threshold)	699	Tort – Other

Track III - 450 days discovery

005	Civil Rights	608	Toxic Tort
301	Condemnation	609	Defamation
602	Assault and Battery	616	Whistleblower / Conscientious Employee Protection Act
604	Medical Malpractice		(CEPA) Cases
606	Product Liability	617	Inverse Condemnation
607	Professional Malpractice	618	Law Against Discrimination (LAD) Cases

Track IV - Active Case Management by Individual Judge / 450 days discovery

156	Environmental/Environmental Coverage Litigation	514	Insurance Fraud
303	Mt. Laurel	620	False Claims Act
508	Complex Commercial	701	Actions in Lieu of Prerogative Writs
513	Complex Construction

Multicounty Litigation (Track IV)

271	Accutane/Isotretinoin	601	Asbestos
274	Risperdal/Seroquel/Zyprexa	623	Propecia
281	Bristol-Myers Squibb Environmental	624	Stryker LFIT CoCr V40 Femoral Heads
282	Fosamax	625	Firefighter Hearing Loss Litigation
285	Stryker Trident Hip Implants	626	Abilify
286	Levaquin	627	Physiomesh Flexible Composite Mesh
289	Reglan	628	Taxotere/Docetaxel
291	Pelvic Mesh/Gynecare	629	Zostavax
292	Pelvic Mesh/Bard	630	Proceed Mesh/Patch
293	DePuy ASR Hip Implant Litigation	631	Proton-Pump Inhibitors
295	AlloDerm Regenerative Tissue Matrix	632	HealthPlus Surgery Center
296	Stryker Rejuvenate/ABG II Modular Hip Stem Components	633	Prolene Hernia System Mesh
297	Mirena Contraceptive Device	634	Allergan Biocell Textured Breast Implants

299Olmesartan Medoxomil Medications/Benicar

300Talc-Based Body Powders

If you believe this case requires a track other than that provided above, please indicate the reason on Side 1,

in the space under "Case Characteristics.

Please check off each applicable category

Putative Class Action

Title 59

Consumer Fraud

Revised Form Promulgated by 12/23/2020 Notice to the Bar, CN 10517_ps

page 5 of 5

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