Lemon Application Details

If you are a New Jersey resident and have recently bought or leased a new car, you may be wondering if the NJ lemon law applies to you. The good news is that the NJ lemon law application form is simple and easy to fill out, so you can find out quickly if your vehicle qualifies for protection under the law. In this blog post, we will walk you through the steps of filling out the application form and provide some tips on what to include.

Below is the information regarding the file you were seeking to fill out. It will tell you just how long it takes to finish nj lemon law application, exactly what parts you will need to fill in, and so on.

QuestionAnswer
Form NameNj Lemon Law Application
Form Length4 pages
Fillable?No
Fillable fields0
Avg. time to fill out1 min
Other namesnj new car lemon law, new jersey lemon law form, nj new car lemon, new jersey lemon law

Form Preview Example

New Jersey Ofice of the Attorney General

Division of Consumer Affairs

Ofice of Consumer Protection

Lemon Law Unit

P.O. Box 45026

Newark, New Jersey 07101

(973)504-6226

(800)242-5846

E-Mail: lemonlaw@dca.lps.state.nj.us

WEbsitE: www.state.nj.us/lps/ca/home.htm

Instructions for Completing the Application for New Car Lemon Law Dispute Resolution

Please complete the attached application either by typing or printing legibly in dark ink. Be accurate and thorough. You must attach a clear copy of all relevant documents, including the sales contract or lease agreement, service or work orders and correspondence between you and the manufacturer, or its authorized dealer, relating to the problem(s). Do not send your original documents.

Sign and return the completed application, together with a copy of each document, to the New Jersey Division of Consumer Affairs, Lemon Law Unit, P.O. Box 45026, Newark, NJ 07101.

The Lemon Law Unit will review your application for completeness and eligibility. If the application is accepted, you will be notiied and asked (only after acceptance) to forward a iling fee of $50. Do not send the iling fee until you are notiied to do so. If your application is rejected, it will be returned to you with a statement of the reason(s) for its rejection.

Please remember to sign and date the application. Your failure to complete any questions or submit all of the required documents may result in the rejection of your application.

Notice

The decision of the Director of the Division of Consumer Affairs under this program is binding on both parties, subject to a right of appeal to the Superior Court by either party. You may wish to consult an attorney before participating in this program, since the manufacturer will be represented by an attorney.

New Jersey Ofice of the Attorney General

Division of Consumer Affairs

Ofice of Consumer Protection

Lemon Law Unit

P.O. Box 45026

Newark, New Jersey 07101

(973)504-6226

(800)242-5846

E-Mail: lemonlaw@dca.lps.state.nj.us

New Car Lemon Law Dispute Resolution Application

Please be advised that any information you supply on this complaint form may be subject to public disclosure. If an investigation into the matter is conducted, the information is subject to public disclosure only after the completion of the investigation. You are also advised that the completed complaint form is a “government record,” which the Lemon Law Unit may be obligated to provide to anyone making a request pursuant to the Open Public Records Act (OPRA).

Consumer Information

 

Name:___________________________________________

 

For oFFice Use only

 

address: ________________________________________

 

 

 

 

 

 

 

City:____________________________________________

 

L.L. case number:_____________________________

 

state: ________________________ ZiP: _____________

 

Assigned to:_____________________________

 

Home telePHoNe Number: ___________________________

 

Date accepted:_____________________________

 

(iNClude area Code)

 

 

 

 

 

Work telePHoNe Number:___________________________

O.A.L. docket number:___________________________

 

(iNClude area Code)

 

 

 

 

 

FaX telePHoNe Number:____________________________

 

Date completed:_____________________________

 

(iNClude area Code)

 

 

 

 

 

e-mail address: __________________________________

 

Approved by:_____________________________

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

For statistical and informational purposes only. Your age:

18-29

30-44

45-59

60 or older

 

 

 

 

 

 

Attorney Information (If an attorney is going to represent you, please provide the following information.)

Attorney’s name:__________________________________________________________________________________________

Law irm:________________________________________________________________________________________________

Address: ________________________________________________________________________________________________

City:__________________________________________________State: ________________________ZIP code:_____________

Telephone number: ______________________________________FAX number: ______________________________________

(include area code)

(include area code)

e-mail address: ________________________________________

 

Vehicle Information

1.Is the vehicle registered in New Jersey?

If “No,” was the vehicle purchased or leased in New Jersey?

Yes Yes

No No

2.Manufacturer: __________________________________________________________________________________________

Make: _____________________________________________

Model: __________________________________________

Year:_________________

Color:____________________

Body type: _______________________________________

3.Is your vehicle normally used for commercial purposes?

Yes

No

4. What was the mileage on delivery? ______________________

Present mileage: _____________________

5.Date of delivery: ____________________________________

Month

Day

Year

6.The vehicle identiication number (the VIN can be found on the registration): _________________________________________

7.Dealer from which the vehicle was purchased or leased:

Name:____________________________________________________ Telephone number : _____________________________

(include area code)

Street Address: ___________________________________________________________________________________________

City: ______________________________________ State: ______________________________ ZIP code: _______________

8.Company to which you make monthly payments:

Name:____________________________________________________ Telephone number : _____________________________

(include area code)

Street Address: ___________________________________________________________________________________________

City: ______________________________________ State: _______________________________ ZIP code: _______________

Please provide the loan or lease account number: ________________________________________________________________

Financial Information

9.Please attach a copy of all sales or lease documents and receipts.

10.Other costs, including: any towing charges, rental fees and/or cost of modiications.

Please specify and attach receipts _________________________________________________________ .

Nonconformity Repair Information

11.Briely describe the defect which substantially impairs your vehicle’s use, value or safety.

_______________________________________________________________________________________________________

_______________________________________________________________________________________________________

12.

Is this defect the result of your abuse, neglect or an unauthorized modiication or alteration?

Yes

No

 

If “Yes,” please explain: ___________________________________________________________________________________

 

_______________________________________________________________________________________________________

13.

Have you notiied the manufacturer of the defect, by certiied mail, return receipt requested?

Yes

No

 

What was the certiied mail return receipt date? _______________ What was the vehicle’s mileage at the time? _____________

14.

Was there a inal repair attempt?

Yes

No

 

If “Yes,” what was the date of the inal repair attempt? _____________________________________

 

 

 

What was the vehicle’s mileage at the time of the inal repair attempt? __________________________

 

 

 

If “No,” please explain: ____________________________________________________________________________________

 

_______________________________________________________________________________________________________

15. Was the vehicle ever repaired by anyone other than a dealer authorized by the manufacturer?

Yes

No

 

If “Yes,” by whom? _______________________________________________________________________________________

16.

If you answered “Yes” to question number 15, was that repair authorized by the manufacturer or its dealer?

Yes

No

17.What was the date you irst presented your vehicle to the dealer for repair of the defect?_________________________________

What was the vehicle’s mileage at the time? _________________________________

18. If your vehicle experienced one or more defects, was the car out of service due to repairs for a total of 20 or more days?

If “Yes,” how many days? __________________

Yes

No

19. Give a chronology of the repair attempts for the defect. Brief description of problem(s)

1st Defect

Date

Mileage

Days out of service

__________________________________________________

_______________

_________________

_________

__________________________________________________

_______________

_________________

_________

__________________________________________________

_______________

_________________

_________

__________________________________________________

 

 

 

 

2nd Defect

Date

Mileage

Days out of service

__________________________________________________

_______________

_________________

_________

__________________________________________________

_______________

_________________

_________

__________________________________________________

_______________

_________________

_________

__________________________________________________

 

 

 

 

20.

Do any of the problems continue to exist?

Yes

No

 

If “Yes,” please explain: ___________________________________________________________________________________

 

_______________________________________________________________________________________________________

21.

Please check one:

 

 

 

The defect substantially impairs the use, value or safety of the vehicle.

 

 

 

The defect is a “serious safety defect” which is likely to cause death or serious bodily injury if the vehicle is driven.

 

Additional Information

22. Have you previously participated in any arbitration for the nonconformity for which you are now seeking relief?

If “Yes,” what was the date of the inal arbitration decision? __________________________________

Yes

No

 

 

Did you accept the decision?

Yes

No

If “Yes,” please explain and give the current status: (Use additional sheets of paper if needed.)

 

 

_______________________________________________________________________________________________________

_______________________________________________________________________________________________________

_______________________________________________________________________________________________________

I certify that the manufacturer has not yet given me a refund or replacement, and that all statements made in connection with this request for dispute resolution are true to the best of my knowledge. I understand that this document and its attachments are a part of the public record.

I am aware that I can participate in the dispute resolution process regarding this motor vehicle only once and that further applications will not be accepted after a inal decision is issued in this case.

_____________________________________________________

____________________________

Signature

Date

 

 

 

 

If you have not already done so, please attach a copy (do not send the original) of the following documents:

• Final repair opportunity letter to the manufacturer

Purchase order

• Certiied mail return receipts

Finance agreement

• All relevant evidence of repair attempts

Lease agreement

Sales invoice

Work orders/repair invoices

All towing charges, rental fees, expert witness fees and legal fees

Vehicle registration