Legal Practice Forms

The New Jersey Judiciary prepared these materials for attorneys practicing law in the State of New Jersey. If you are not an attorney and you are planning to represent yourself in your legal matter, you should visit the NJ Courts Self-Help Resource Center, which offers general information about representing yourself in court, what the court can and cannot do for you, contact information, brochures, forms and kits.

Please note that because these forms were created for lawyers, they do not include instructions. Further, although the forms are intended for use by attorneys, self-represented litigants are permitted to use them, where appropriate.

If you have a problem accessing a form or publication, please check our forms help page. If you continue to have problems please contact the Webmaster.

The New Jersey Judiciary is providing free copies of active case records that were lost or damaged due to Hurricane Sandy. To request files, please fill out the Active Case File Recovery Assistance Emergent Hurricane Sandy Request form

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State of New Jersey Court Fees (revised: 01/2013)

Civil Division

Catalog Number (CN)	Form, Kit, or Brochure Title Título del formulario, documento o folleto		Revision Date Enmendado	Type Tipo	PDF
	Kits, Forms, and Instructions
	Complete self-help kits and individual forms with instructions are available on the main Self-Help Resource Center page.
Superior Court Directories - The directories below contain up-to-date contact information and should be used in lieu of contact information contained in individual files.
11237	Directory of Civil Division County Offices		10/13/2011	Information
	Español	Guía de las Oficinas de la División Civil de los Condados	10/13/2011	Información
10150	Directory of Superior Court Special Civil Part Clerk's Offices		08/2011	Information
	Español	Lista de las oficinas de los secretarios de la parte civil de los tribunales superiores	08/2011	Información
10153	Directory of Superior Court Deputy Clerk's Offices County Lawyer Referral and Legal Services Offices		11/2010	Information
	Español	Guía de las Oficinas de los Subsecretarios del Tribunal Superior Recomendación de Abogados de los Condados y Oficinas de Servicios Legales	11/2010	Información
11208	Filing Fee Waiver Request		08/05/2010	Form

	Chancery Division, General Equity and Probate Part
10508	Annual Report of Guardian		07/11/2008	Form
10510	Model Incapacitated Person Guardianship Judgment		03/23/2005	Sample Order
10705	Order to Show Cause Preliminary Injunction Pursuant to Rule 4:52 (Court Rules Appendix XII-G)		09/04/2012	Sample Order
	Current Directory - Superior Court Deputy Clerk's Offices/County Lawyer Referral & Legal Services Offices
10704	Order to Show Cause Summary Action (Court Rules Appendix XII-F)		09/04/2012	Sample Order
	Current Directory - Superior Court Deputy Clerk's Offices/County Lawyer Referral & Legal Services Offices
10308	Order to Show Cause with Temporary Restraints Pursuant to Rule 4:52 (Court Rules Appendix XII-H)		09/04/2012	Sample Order
	Current Directory - Superior Court Deputy Clerk's Offices/County Lawyer Referral & Legal Services Offices
11215	Order to Show Cause Probate Part Action		04/16/2008	Sample Order
11220	Order Scheduling Guardianship Hearing		05/20/2008	Sample Order
11233	Monthly Report of Probate Part and Surrogate Court Cases - Effective July 1, 2008		03/2008	Form
10964	Surrogates' Judiciary Records Request Form		09/2007	Form

	Foreclosure Information and FAQs
11291	Foreclosure FAQ		12/2010	Information
	Español	Preguntas Comunes sobre ejecuciones hipotecarias	12/2010	Información
11351	Notice to Residential Tenants of Rights During Foreclosure (Appendix XII-K)		11/16/2009	Sample
	Español	Aviso a los inquilinos residenciales sobre sus derechos durante una ejecución hipotecaria (Apéndice XII-K)	02/01/2011	información
11289	Foreclosure Mediation FAQ		03/2009	Information
	Español	Preguntas frecuentes sobre la mediación en ejecuciones hipotecarias	03/2009	Información
11290	Foreclosure Mediation Program Description		03/2013	Information

	Foreclosure Forms
10169	Foreclosure Case Information Statement (FCIS)		11/09/2009	Form
10170	Foreclosure Amount Due Schedule		09/01/2008	Sample Form
11647	How to File an Objection to a Foreclosure Order to Show Cause Or to a Corrected "Notice Of Intention To Foreclose"		10/2012	Form
11720	Abandoned Residential Pleadings		05/2013	Sample Form

	Foreclosure Mediation - To Be Completed by Homeowner/Borrower
11269	Foreclosure Mediation Financial Worksheet		10/2012	Form
11270	Borrower Instructions Mediation Request		03/2013	Form
	Additional form that must be completed and submitted with the Borrower Instructions and Mediation Request (11270)
	11655	Loan Modification Checklist	10/2012	Form
11270	Español	Instrucciones para el Prestatario para una Solicitud de Mediación	10/2012	Formulario
	Formulario adicional que debe llenar con las Instrucciones para el Prestatario y la Solicitud de Mediación (11270)
	11655	Lista de Verificación para la Modificación de un Préstamo	03/2013	Formulario
11277	Notice of Motion to Stay Sheriff's Sale and Referral to Mediation		06/22/2009	Kit
11284	Notice of Foreclosure Mediation Availability		05/2013	Poster
11529	Surplus Money Application		9/2008	Information
	Español	Solicitud de pago del excedente monetario	9/2008	Información

	Foreclosure Mediation
11272	Foreclosure Mediation - Attorney Questionnaire		04/28/2009	Form
11273	Foreclosure Mediation - Litigant Questionnaire		04/28/2009	Form
11274	Foreclosure Mediation Completion Report		12/2012	Form
11276	Foreclosure Mediation Settlement Memorandum		08/12/2010	Form
11386	Interim Provisional Settlement Form		05/05/2010	Form
11387	Mediation Continuation Accord		05/21/2012	Form
For more information on foreclosures please visit our Foreclosure page and the Foreclosure Mediation page.

	Law Division, Civil Part (Self-Represented Litigants, go to the Self-Help Resource Center to access kits for filing in the Law Division, Civil Part)
10516	Affidavit of Service		10/3/2002	Form
11210	Complaint		03/2008	Form
11411	Complaint and Proposed Form of Order for Action Seeking Title to Motor Vehicle		03/2013	Sample Form
10517	Civil Case Information Statement (CIS)		05/07/2012	Form
10518	Discovery in Aid of Foreign Litigation		06/2007	Sample Form
		Contents of this packet include:
		Instructions
		Form A: Ex-Parte Petition for Issuance of Subpoena Pursuant to Court Rule 4:11-4
		Form B: Order Pursuant to Court Rule 4:11-4
10519	Docketing Foreign Judgments		01/2010	Sample Form
		Contents of this packet include:
		Instructions
		Form A: Affidavit in Support of Application to Record a Foreign Judgment in New Jersey
10877	Expedited Jury Trial Form		10/20/2006	Form
11543	False Claims Act Cover Sheet		11/14/2011	Form
10520	Friendly Settlement Judgment		05/19/2008	Sample Order
10880	Notice and Certification to Out-of-State Counsel Licensed in New Jersey		07/16/2006	Notice/ Form
10876	Order Extending Discovery		10/20/2006	Form
10521	Pro Hac Vice Applications		03/08/2005	Instructions/ Form
		Forms contained in this packet include:
		Instructions
		Form A: Order Admitting Attorney Pro Hac Vice
11401	Certification to Director NJ MVC (SR-38)		03/1990	Form
11402	Notification to Director NJ MVC (SR-39)		12/1978	Form
11008	Subpoena Ad Testificandum (For Use When Someone's Testimony in Court is Needed)		11/15/2011	Sample Order
11010	Subpoena Duces Tecum (For Use When Records Are Needed)		11/15/2011	Sample Order
10878	Summary Jury Trial Form		10/20/2006	Form
10792	Summons (Court Rules Appendix XII-A)		09/04/2012	Form
11009	Warrant to Satisfy Judgment		08/24/2007	Sample Order
11234	Writ of Execution (Court Rules Appendix XII-D)		09/04/2012	Form
11235	Writ of Wage Execution (Court Rules Appendix XII-E)		07/24/2009	Form
11236	Notice of Application for Wage Execution (Court Rules Appendix XI-I)		07/24/2009	Form
11249	Notice to Client/Pro Se Party Pursuant to R. 4:23-5(a)(1) (Court Rules Appendix II-A)		09/01/2010	Form
11250	Notice to Client/Pro Se Party Pursuant to R. 4:23-5(a)(2) (Court Rules Appendix II-B)		09/01/2008	Form
11406	Order for Appointment of Attorney - Trustee		08/03/2010	Form
11407	Verified Petition for Appointment of Attorney - Trustee		08/03/2010	Form

	Arbitration
11669	Notice Of Arbitration Hearing - Rule 4:21A-9(b)		09/2012	Form
10507	Application For Admission To Roster of Civil Arbitrators		11/1/2011	Form
10767	Notice of Settlement/Order of Dismissal		08/24/2007	Instructions/ Order
10766	Order of Dismissal/Suppression		08/24/2007	Sample Order
10978	Report and Award Form of Arbitrator(s) - Commercial		07/23/2007	Sample Order
10977	Report and Award Form of Arbitrator(s) - Auto / Personal Injury		07/23/2007	Sample Order
10768	Trial De Novo Request Form		08/24/2007	Form
10505	Uniform Arbitration Statement of Facts		07/13/2000	Form
10506	Uniform Commercial Arbitration Memorandum		07/13/2000	Form
10763	Uniform Order Confirming Arbitration Award and Entering Judgment		08/24/2007	Sample Order
10770	Voluntary Binding Arbitration Order		7/27/2005	Form
10736	Voluntary Binding Arbitration - Civil Action Consent Order of Dismissal			Form
10769	Voluntary Binding Arbitration Program Consent Form		7/26/2005	Form
10738	Voluntary Binding Arbitration Program Application			Form

	Mediation
11580	Frequently Asked Questions - Statewide Civil Mediation Program		03/2012	Information
	Español	Preguntas comunes - programa de mediación civil en todo el estado	03/2012	Información
11328	Statewide Mediation (Non-Foreclosure) Program		09/2011	Brochure
	Español	Programa de mediación en todo el estado (sin ejecución hipotecaria)	09/2011	Folleto
10523	Application for Admission to Roster of Mediators for Civil, General Equity and Probate Cases		01/24/2011	Form
10826	Civil Mediator Roster Change / Update Form		11/2008	Form
11183	Disclosure Concerning Continuation of Mediation and Mediation Preparation Time		09/2011	Form
10524	Statewide Attorney Questionnaire (Survey Monkey website where you will fill out the form online)		09/2011	Sample Form	Web page
10525	Statewide Litigant Questionnaire (Survey Monkey website where you will fill out the form online)		09/2011	Sample Form	Web page
10526	Statewide Mediation Case Information Form (Survey Monkey website where you will fill out the form online)		09/2011	Sample Form	Web page
10827	Completion of Mediation Form		12/2012	Form
For more information on the Civil Mediation Program, please visit our Civil Mediation page.

	Special Civil Part (Self-Represented Litigants, go to the Self-Help Resource Center to access kits for filing in the Special Civil Part)
10520	Friendly Settlement Judgment		05/19/2008	Sample Order
10887	Landlord/Tenant Pre-Calendar Call Instructions (Court Rules Appendix XI-S)		09/01/2006	Instructions
	Español	Instrucciones antes de la lectura de la lista de causas de inquilinato	09/01/2006	Instrucciones
10821	Notice to Debtor (Court Rules Appendix VI)		09/04/2012	Form
10537	Special Civil Part Mileage Rates		05/2010	Information
10536	Summons and Return of Service(Court Rules Appendix XI-A (1)) Contains English and Spanish Instructions		09/04/2012	Instructions/ Form
	Español	Notificación de demanda y constancia de emplazamiento (Apéndice XI-A(1))	09/04/2012	Instrucciones
11236	Notice of Application for Wage Execution (Court Rules Appendix XI-I)		07/24/2008	Form
11636	Answer - Auto Accident (Court Rules Appendix XI-E)		09/04/2012	Form
11637	Answer (Court Rules Appendix XI-F)		09/04/2012	Form
11638	Writ of Possession (Court Rules Appendix XI-Y)		09/04/2012	Form

	Landlord / Tenant
11351	Notice to Residential Tenants of Rights During Foreclosure (Appendix XII-K)		11/16/2009	Information
	Español	Aviso a los inquilinos residenciales sobre sus derechos durante una ejecución hipotecaria (Apéndice XII-K)	02/01/2011	información
10822	Tenancy Summons and Return of Service (Appendix XI-B)		09/01/2010	Form
10512	Certification by Landlord (Appendix XI-T)		09/01/2008	Form
10513	Certification by Landlord's Attorney (Appendix XI-U)		09/29/2005	Form
10514	Consent to Enter Judgment (Tenant Remains) (Appendix XI-V)		04/01/2004	Form
10515	Consent to Enter Judgment for Possession (Tenant Vacates) (Court Rules Appendix XI-W)		09/04/2012	Form
11252	Verified Complaint Landlord/Tenant (Appendix XI-X)		09/01/2009	Form

	Small Claims - Kits
--	Complete packets (forms and instructions) for filing a small claims suit.			Web page	--

	Small Claims - Individual Forms
10532	Small Claims Complaint (Contract, Security Deposit, Rent or Tort) (Court Rules Appendix XI-C)		09/04/2012	Form
10533	Small Claims Complaint - Motor Vehicle (Court Rules Appendix XI-D)		09/04/2012	Form
10534	Small Claims Summons and Return of Service (Court Rules Appendix XI-A (2)) Contains English and Spanish Instructions		09/04/2012	Form
	Español	Notificación de demanda en reclamación de menor cuantía y constancia de emplazamiento (Apéndice XI-A(2))	09/04/2012	Instrucciones

Criminal Division

Catalog Number (CN)	Form, Kit, or Brochure Title Título del formulario, documento o folleto		Revision Date Enmendado	Type Tipo
	Kits, Forms, and Instructions
	Complete self-help kits and individual forms with instructions are available on the main Self-Help Resource Center page.
11688	Waiver of First Appearance for Indictable Offenses - For Attorney Use Only (Directive #01-13 )		03/18/2013	Form
10079 Plea-01	Main Plea Form		08/01/2011	Form
	Español	Formulario de Declaración	08/01/2011	Formulario
11077 Plea-02	Supplemental Plea Form for Non-Negotiated Pleas		10/08/2008	Form
	Español	Formulario de declaración suplementario para declaraciones no negociadas	10/08/2008	Formulario
11080 Plea-03	Supplemental Plea Form for Sexual Offenses		10/08/2008	Form
	Español	Formulario de declaración suplemental para delitos sexuales	10/08/2008	Formulario
11081 Plea-04	Additional Questions for Certain Sexual Offenses Committed on or After December 1, 1998		10/08/2008	Form
	Español	Preguntas adicionales para ciertos delitos sexuales cometidos a partir del primero de diciembre de 1998	10/08/2008	Formulario
10080 Plea-05	Additional Questions for Certain Sexual Offenses		10/08/2008	Form
	Español	Preguntas adicionales para ciertos delitos sexuales	10/08/2008	Formulario
11000 Plea-06	Supplemental Plea Form for Drug Offenses		10/08/2008	Form
	Español	Formulario de declaración suplemental para delitos relacionados con drogas	10/08/2008	Formulario
11168 Plea-07	Supplemental Plea Form for Theft of a Motor Vehicle or Unlawful Taking of a Motor Vehicle (N.J.S.A. 2C:20-2.1)		10/08/2008	Form
	Español	Suplemento al formulario de declaración de culpabilidad por robo de un vehículo motorizado o la retención ilegal de un vehículo motorizado (N.J.S.A. 2C:20-2.1)	10/08/2008	Formulario
11169 Plea-08	Additional Questions for Certain Drug and Weapons Offenses Committed on or After June 24, 1998		09/04/2009	Form
	Español	Preguntas Adicionales Para Ciertos Actos Criminales Relacionados Con Drogas Y Armas Que Se Cometieron El 24 De Junio De 1998 O Después De Esa Fecha	09/04/2009	Formulario
11170 Plea-09	Supplemental Plea Form for No Early Release Act (NERA) Cases (N.J.S.A. 2C:43-7.2)		10/08/2008	Form
	Español	Formulario Suplemental de Declaración en Causes Sujetas a la Ley Contra Puestas en Libertad Prematuras (NERA) (N.J.S.A. 2C:43-72)	10/08/2008	Formulario
11171 Plea-10	Supplemental Plea Form for No Early Release Act (NERA) Cases (N.J.S.A. 2C:43-7.2) [on or after June 29, 2001]		10/08/2008	Form
	Español	Formulario Suplemental de Declaración en Causes Sujetas a la Ley Contra Puestas en Libertad Prematuras (NERA) (N.J.S.A. 2C:43-72) [el 29 de junio del 2001 o después de esa fecha]	10/08/2008	Formulario
11172 Plea-11	Supplemental Plea Form for Graves Act Offenses (N.J.S.A. 2C: 43-6c)		10/08/2008	Form
	Español	Formulario de suplemental de declarición para delitos bajo la ley graves (N.J.S.A. 2C: 43-6c	10/08/2008	Formulario

Family Division

Catalog Number	Form, Kit, or Brochure Title			Revision Date	Type
	Kits, Forms, and Instructions
	Complete self-help kits and individual forms with instructions are available on the main Self-Help Resource Center page.
11297	Directory of Family Division Offices			02/13/2013	Information
	Español		Guía a las oficinas de la división de familias del tribunal superior	02/13/2013	Información
11350	Certification of Child Support Arrears			09/01/2011	Order
11191	Certification of Non-Military Service			05/2010	Order/ Instructions
10486	Confidential Litigant Information Sheet			10/2012	Form
10482	Family Part Case Information Statement			09/01/2011	Form
10484	Family Case Management Order			09/01/2009	Order
11208	Filing Fee Waiver Request			08/05/2010	Form
11223	Financial Statement for Summary Support Actions			09/01/2011	Form
10485	Form of Order - Order of Protection			11/2008	Order
	Chancery Division, Family Part
10487	Temporary Support Order			09/01/2011	Order
10284	Uniform Summary Support Order			09/01/2011	Order
11181	Certification for Support Order to be Administered Through Probation Division			12/13/2007	Form
	Divorce - Dispute Resolution Alternatives to Conventional Litigation
10889	Rule 5:4-2(h) Certification by Self Represented Litigant			09/01/2009	Order
	Español	Regla 5:4-2(H) Certificaciön del Litigante que Se Representa a sì Mismo		09/2009	Paquete
10890	Rule 5:4-2(h) Certification by Attorney and Client			09/01/2009	Order
Getting a divorce in New Jersey can be complicated. Legal Services of New Jersey offers a guide that explains how to file for divorce or dissolve a civil union based on irreconcilable differences, separation, desertion or extreme cruelty. The guide is available on-line. Click here to access the guide and to learn more about Legal Services of New Jersey.
	Grants - Proposal Information and Forms
11299	Children in Court Improvement Grant Proposal
		CIC Improvement Grant Proposal Instructions		05/31/2012	Instructions
		CIC Improvement Grant Proposal Form		05/31/2012	Form
		CIC Improvement Grant Proposal Budget Worksheet		05/31/2012	Worksheet
		CIC Improvement Grant Proposal Budget Worksheet Sample		05/31/2012	Sample
	Mediation of Economic Aspects of Family Law Cases
10488	Application for Admissions to Roster of Mediators			06/21/2004	Form
10491	Mediation Case Information Form			2/5/2007	Form
10936	Referral Order for Post-MESP Mediation Program			2/5/2007	Form

	Parenting Coordination
11667	Order Appointing Parenting Coordinator - Consent			11/13/2012	Model Order
11668	Order Appointing Parenting Coordinator - on Motion			11/13/2012	Model Order

Interstate Child Support Forms (Probation and Family Divisions)

Interstate Child Support Forms can be found on the Uniform Interstate Family Support Act (UIFSA) page.

Probation Services

Catalog Number (CN)	Form, Kit, or Brochure Title Título del formulario, documento o folleto		Revision Date Enmendado	Type Tipo
Child Support Brochures
11397	A Lawyers Guide to Child Support Services in New Jersey (Formatted for on-screen reading)		02/2011	Information
	A Lawyers Guide to Child Support Services in New Jersey - booklet (Formatted for duplex printing of booklet)		02/2011	Booklet
10752	Your Guide to the NJ Judiciary Child Support Enforcement Program		03/2011	Brochure
	Español	Su guía para el programa de ejecución de la manutención de menores del poder judicial de nueva jersey	03/2011	Folleto

Tax Court

Tax Court forms can be found on the main Self-Help Resource Center page, and the main Tax Court page.

Appellate Division

Catalog Number	Form, Kit, or Brochure Title	Revision Date	Type	PDF	Web Page
	Kits, Forms, and Instructions
	Complete self-help kits and individual forms with instructions are available on the main Self-Help Resource Center page.

	E-Filing
10842	Appellate Division E-Filing Transmittal Form	--	Form	--	page
	Individual Forms
10502	Notice of Appeal	09/01/2008	Form		--
10500	Civil Case Information Statement	01/03/2011	Form
10501	Criminal Case Information Statement	01/03/2011	Form		--
10504	Court Transcript Request (Transcript Request Form)	09/01/2008	Form		--
10776	Certification of Lost Verbatim Court Record	09/04/2007	Form
10498	Application for Permission to File Emergent Motion	06/2010	Form

	Transcript Forms
10776	Certification of Lost Verbatim Court Record	09/2004	Form		--
10504	Court Transcript Request (Transcript Request Form)	09/01/2008	Form		--
11308	Request for Extension of Transcript Filing	05/2009	Form		--
10199	Transcript Fees (Notice to the Bar)	06/16/2005	Information		--
	Megan's Law
10838	Megan's Law Emergent Application	12/2009	Form		--
10839	Notice of Appeal and Case Information Statement (CIS)	12/2009	Form		--
Additional Appellate Division information is available on the main Appellate Division page.

Miscellaneous Forms

Catalog Number	Form, Kit, or Brochure Title	Revision Date	Type
	Requesting Records Due to Hurricane Sandy
11665	Active Case File Recovery Assistance Emergent - Hurricane Sandy Request (dynamic form, expands to fit data)	11/2012	Form

10975	Americans with Disabilities Act (ADA) Complaint Form	07/2008	Form
10845	Insurance Producer / Limited Insurance Representative Registration Form	07/13/2000	Form

11527	Bail Program Registration Form	09/04/2012	Form


	Superior Court Clerk's Office - Foreclosure
11647	How to File an Objection to a Foreclosure Order to Show Cause Or to a Corrected "Notice Of Intention To Foreclose"	10/2012	Form

	Requesting Records or Documents
10504	Court Transcript Request (Transcript Request Form)	09/01/2008	Form
10200	Records Request Form (use for all record requests except Surrogates)	07/12/2011	Form
10964	Surrogates' Judiciary Records Request Form	09/2007	Form
10461	Request for Disclosure of Judicial Financial Reporting Statement	06/2012	Form

New Jersey Courts