New Jersey Lawyers' Fund for Client Protection - Claim Form

Filing Your Claim:

The Board of Trustees have limited jurisdiction. Please read our brochure for information about the Fund's purpose and jurisdiction.

The filing process is free and easy, and instructions are provided with each request for a Statement of Claim. To view a sample claim form and instructions click here.

To obtain your own Statement of Claim form and instructions, please complete the information on the right and press the "Submit" button. Your claim form will be e-mailed to you within 24 hours. It must be returned to us by regular mail with an original signature. You will receive a confirmation of receipt letter after your claim has been docketed.

Special Note: We match all claim forms received by mail with the information you provide to us on the right side of this page. Please DO NOT use fictitious names and contact information. Feel free to contact us at 609-292-8008 for additional information or to have claim forms sent to you by mail.

Intake Form:

Person Making Inquiry
Date of Inquiry:
Name:
 Telephone #:
 E-mail:
Street Address:
City:
 State:
 Zip:
Names(s) of Potential Claimant(s):
Attorney Information
Attorney Name:
City:
 County:
Has Attorney been suspended or disbarred?
Yes  No  Unknown		 Amount of Loss:
Nature of Claim:

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