Free Civil Action Complaint - New Jersey

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SUPERIOR COURT OF NEW JERSEY LAW DIVISION County
Your Name (first, middle, last)

Docket Number
(to be filled in by the court) Street Address

Town, State, Zip Code

Telephone Number

CIVIL ACTION
Plaintiff

V.
Defendant

Complaint

Plaintiff, (your name) City of
(your address)

, residing at ,
(your city or town)

County of
(your county)

.

State Of New Jersey, complaining of defendant, states as follows: 1. On , 20 ,
(name of person being sued)

, Defendant

(Summarize what happened that resulted in your claim against the defendant. Use additional pages if necessary.)

Published 4/1/2008, CN 11210-English

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The defendant in this action resides at
(defendant's address)

,
, State Of New Jersey.

In the County of
(name of county where defendant lives)

2. Plaintiff is entitled to relief from defendant under the above facts. 3. The harm that occurred as a result of defendant's acts include: (list each item of damage and injury), 1.

2.

3.

Wherefore, plaintiff requests judgment against defendant for damages, together

with attorney's fees, if applicable, costs of suit, and any other relief as the court may deem proper.
Dated: Signature:

CERTIFICATION OF NO OTHER ACTIONS
I certify that the dispute about which I am suing is not the subject of any other action pending in any other court or a pending arbitration proceeding to the best of my knowledge and belief. Also, to the best of my knowledge and belief no other action or arbitration proceeding is contemplated. Further, other than the parties set forth in this complaint, I know of no other parties that should be made a part of this lawsuit. In addition, I recognize my continuing obligation to file and

Published 4/1/2008, CN 11210-English

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serve on all parties and the court an amended certification if there is a change in the facts stated in this original certification.

Dated:

Signature:

OPTIONAL: If you would like to have a judge decide your case, do not include the following paragraph in your complaint. If you would prefer to have a jury to decide your case, please sign your name after the following paragraph.

JURY DEMAND
The plaintiff demands trial by a jury on all of the triable issues of this complaint, pursuant to New Jersey Court Rules 1:8-2(b) and 4:35-1(a). Dated: Signature:

Published 4/1/2008, CN 11210-English

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