Rji Fillable Form PDF Details

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QuestionAnswer
Form NameRji Fillable Form
Form Length2 pages
Fillable?No
Fillable fields0
Avg. time to fill out30 sec
Other namesmatrimonial rji addendum ucs 840m, request for judicial intervention new york, form 840, rji form

Form Preview Example

REQUEST FOR JUDICIAL INTERVENTION

_______________ COURT, COUNTY OF _______________

UCS-840

(rev. 07/29/2019)

 

 

Index No: _______________

Date Index Issued: _______________

For Court Use Only:

 

 

 

 

 

 

CAPTION

Enter the complete case caption. Do not use et al or et ano. If more space is needed, attach a caption rider sheet.

IAS Entry Date

 

 

 

Plaintiff(s)/Petitioner(s)

 

 

 

 

Judge Assigned

 

-against-

 

 

 

 

 

 

 

 

 

 

 

 

RJI Filed Date

 

 

 

Defendant(s)/Respondent(s)

 

NATURE OF ACTION OR PROCEEDING Check only one box and specify where indicated.

COMMERICIAL

Business Entity (includes corporations, partnerships, LLCs, LLPs, etc.) Contract

Insurance (where insurance company is a party, except arbitration) UCC (includes sales and negotiable instruments)

Other Commercial (specify):_____________________________________________

NOTE: For Commercial Division assignment requests pursuant to 22 NYCRR 202.70(d), complete and attach the COMMERCIAL DIVISION RJI ADDENDUM (UCS-840C).

 

REAL PROPERTY

Specify how many properties the application includes: _______

 

 

Condemnation

 

 

 

 

 

 

 

Mortgage Foreclosure (specify):

 

Residential

 

Commercial

 

 

 

 

Property Address: ____________________________________________________

NOTE: For Mortgage Foreclosure actions involving a one to four-family, owner-occupied residential property or owner-occupied condominium, complete and attach the FORECLOSURE RJI ADDENDUM (UCS-840F).

Tax Certiorari

Tax Foreclosure

Other Real Property (specify): ___________________________________________

OTHER MATTERS

 

Certificate of Incorporation/Dissolution

[see NOTE in COMMERCIAL section]

Emergency Medical Treatment

Habeas Corpus

Local Court Appeal

Mechanic’s Lien

Name Change

Pistol Permit Revocation Hearing

Sale or Finance of Religious/Not-for-Profit Property

Other (specify): ______________________________________________________

MATRIMONIAL

Contested

NOTE: If there are children under the age of 18, complete and attach the

MATRIMONIAL RJI ADDENDUM (UCS-840M).

For Uncontested Matrimonial actions, use the Uncontested Divorce RJI (UD-13).

TORTS

Asbestos

Child Victims Act

Environmental (specify): _______________________________________________

Medical, Dental or Podiatric Malpractice Motor Vehicle

Products Liability (specify): ____________________________________________

Other Negligence (specify): ____________________________________________

Other Professional Malpractice (specify): _________________________________

Other Tort (specify): __________________________________________________

SPECIAL PROCEEDINGS

CPLR Article 75 (Arbitration) [see NOTE in COMMERCIAL section]

CPLR Article 78 (Body or Officer)

Election Law

Extreme Risk Protective Order

MHL Article 9.60 (Kendra’s Law)

MHL Article 10 (Sex Offender Confinement-Initial)

MHL Article 10 (Sex Offender Confinement-Review) MHL Article 81 (Guardianship)

Other Mental Hygiene (specify): ________________________________________

Other Special Proceeding (specify): ______________________________________

STATUS OF ACTION OR PROCEEDING Answer YES or NO for every question and enter additional information where indicated.

YES NO

Has a summons and complaint or summons with notice been filed? Has a summons and complaint or summons with notice been served? Is this action/proceeding being filed post-judgment?

If yes, date filed:

___________________

If yes, date served:

___________________

If yes, judgment date: ___________________

NATURE OF JUDICIAL INTERVENTION

Check one box only and enter additional information where indicated.

 

Infant’s Compromise

 

 

 

 

 

Extreme Risk Protective Order Application

 

 

 

 

 

 

 

 

 

 

Note of Issue/Certificate of Readiness

 

 

 

 

 

 

 

 

 

 

Notice of Medical, Dental or Podiatric Malpractice

Date Issue Joined: ___________________

 

 

 

 

Notice of Motion

 

Relief Requested:

______________________________

Return Date: ___________________

 

 

 

Notice of Petition

 

Relief Requested:

______________________________

Return Date: ___________________

 

 

 

Order to Show Cause

 

Relief Requested:

______________________________

Return Date: ___________________

 

 

 

Other Ex Parte Application

 

Relief Requested:

______________________________

 

 

 

 

 

Poor Person Application

 

 

 

 

 

 

 

 

 

Request for Preliminary Conference

Residential Mortgage Foreclosure Settlement Conference

Writ of Habeas Corpus

Other (specify): ____________________________________________________________________________

RELATED CASES List any related actions. For Matrimonial cases, list any related criminal or Family Court cases. If none, leave blank. If additional space is required, complete and attach the RJI ADDENDUM (UCS-840A).

Case Title

Index/Case Number

Court

Judge (if assigned)

Relationship to instant case

PARTIES

For parties without an attorney, check the “Un-Rep” box and enter the party’s address, phone number and email in the space provided.

 

 

 

 

 

 

 

If additional space is required, complete and attach the RJI ADDENDUM (UCS-840A).

 

 

 

 

 

 

 

 

Un-

Parties

 

 

 

Attorneys and Unrepresented Litigants

Issue Joined

 

Insurance Carriers

Rep

List parties in same order as listed in the

 

For represented parties, provide attorney’s name, firm name, address, phone and

For each defendant,

For each defendant,

 

 

 

caption and indicate roles (e.g., plaintiff,

 

email. For unrepresented parties, provide party’s address, phone and email.

indicate if issue has

indicate insurance

 

 

 

defendant, 3rd party plaintiff, etc.)

 

 

been joined.

 

carrier, if applicable.

 

 

 

Name:

 

 

 

 

 

 

YES

 

 

NO

 

 

 

 

Role(s):

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Name:

 

 

 

 

 

 

YES

 

 

 

NO

 

 

 

 

Role(s):

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Name:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Role(s):

 

 

 

 

 

 

 

 

YES

 

 

NO

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Name:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Role(s):

 

 

 

 

 

 

 

 

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NO

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Name:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

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NO

 

 

 

 

Role(s):

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Name:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Role(s):

 

 

 

 

 

 

 

 

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Role(s):

 

 

 

 

 

 

 

 

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Role(s):

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

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Role(s):

 

 

 

 

 

 

 

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Role(s):

 

 

 

 

 

 

 

 

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Role(s):

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Name:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Role(s):

 

 

 

 

 

 

 

 

 

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Name:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

YES

 

 

NO

 

 

 

 

Role(s):

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

I AFFIRM UNDER THE PENALTY OF PERJURY THAT, UPON INFORMATION AND BELIEF, THERE ARE NO OTHER RELATED ACTIONS OR PROCEEDINGS,

EXCEPT AS NOTED ABOVE, NOR HAS A REQUEST FOR JUDICIAL INTERVENTION BEEN PREVIOUSLY FILED IN THIS ACTION OR PROCEEDING.

Dated: ___________________

_______________________________________________________

 

Signature

________________________________________________________

_______________________________________________________

Attorney Registration Number

Print Name

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request for judicial intervention ny conclusion process outlined (step 1)

2. Right after this part is filled out, proceed to enter the relevant information in all these: Other Negligence specify, Tax Foreclosure, Other Professional Malpractice, Other Real Property specify, Other Tort specify OTHER MATTERS, SPECIAL PROCEEDINGS, Certificate of, ChildParent Security Act specify, see NOTE in COMMERCIAL section, Extreme Risk Protection Order MHL, Initial, Review, Sale or Finance of, Other specify, and Surrogacy Agreement.

request for judicial intervention ny completion process explained (step 2)

3. The following segment will be focused on Partition Settlement Conference, Poor Person Application, Request for Preliminary Conference, Residential Mortgage Foreclosure, Writ of Habeas Corpus, and Other specify - fill in these fields.

Residential Mortgage Foreclosure, Other specify, and Writ of Habeas Corpus in request for judicial intervention ny

4. The form's fourth section comes next with these particular form blanks to complete: List any related actions For, Case Title, IndexCase Number, Court, Judge if assigned, Relationship to instant case, PARTIES, For parties without an attorney, Un Rep, Parties List parties in same order, Name Roles, Name Roles, Name Roles, Name Roles, and Attorneys and Unrepresented.

Best ways to fill in request for judicial intervention ny part 4

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5. Now, the following final portion is what you'll want to complete before finalizing the PDF. The blanks at issue include the following: Name Roles, Name Roles, Name Roles, Name Roles, Name Roles, Name Roles, Name Roles, Name Roles, Name Roles, YES, YES, YES, YES, YES, and YES.

Step no. 5 for filling out request for judicial intervention ny

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