Free Application for Admission to Roster of Civil Arbitrators - New Jersey

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APPLICATION FOR ADMISSION TO ROSTER OF CIVIL ARBITRATORS
A separate form must be sent to the Arbitration Administrator of each County in which you wish to serve

LAST NAME FIRM/BUSINESS FIRM/BUSINESS ADDRESS CITY Number of years of legal experience:

FIRST NAME

MIDDLE NAME

STATE

ZIP CODE

TELEPHONE NUMBER

Name of Group/Organization in which you served as an arbitrator:

Bar Admission Year: New Jersey: _________ Other States: __________ Counties in which you appear and are willing to arbitrate: I regularly represent:



Plaintiffs



Defendants



Both

I have at least seven years' experience in the following areas and request to arbitrate them (check all that apply): 502 Book Account 503 Commercial Transaction 506 PIP Coverage 512 Lemon Law 599 Contract ­ Other 602 Assault/Battery 603 Auto Neglect-Personal Injury 605 Personal Injury 610 Auto Neg - Prop

I certify that the foregoing statements made by me are true and that I am in good standing in my profession.

______________________
Signature

_________________
Date

Return this form with a copy of your resume to: Arbitration Administrator of the County

See Page 2 for Names and Addresses of Arbitration Administrators
Revised 04/29/2009, CN 10507-English page 1 of 2

Atlantic County Arbitration Lisa Hernberg Atlantic County Courts Building 1201 Bacharach Boulevard Atlantic City, NJ 08401 609-345-6700 Ext. 3520 Camden County Arbitration Stephen Gladden Camden County Hall of Justice Suite 150 101 South Fifth Street Camden, NJ 08103 856-379-2200 Ext. 3080 Essex County Arbitration Crystal Page Essex County Superior Court Historic Court House, Room 103 470 Dr. Martin Luther King, Jr. Blvd. Newark, NJ 07102 973-693-6447 Hunterdon/Somerset/Warren Vicinage Arbitration Ellen Reaves Somerset County Courthouse 40 N. Bridge St. Somerville, NJ 08876-1262 908-231-7659 Monmouth County Arbitration Laura Larkin Civil Division Monmouth County Courthouse Monument and Court Streets Freehold, NJ 07728 732-677-4246 Passaic County Arbitration Joan Neubert Passaic County Superior Court 77 Hamilton Street, 3rd Floor Paterson, NJ 07505 973-247-8198

Bergen County Arbitration Nichole DeLaFuente Bergen County Superior Court 10 Main Street, Room 115 Hackensack, NJ 07601 201-527-2735 Cape May County Arbitration Janet Hill Cape May County Superior Court 4 Moore Road, DN 203 Cape May Court House, NJ 08210 609-463-6512 Gloucester County Arbitration Rebecca Bertino Gloucester County Courthouse Civil Case Management P.O. Box 750 Woodbury, NJ 08096 856-853-3228 Mercer County Arbitration Kathleen Wardlow Mercer County Civil Case Management 175 South Broad Street P. O. Box 8068 Trenton, NJ 08650 609-571-4454 Morris County Arbitration Elizabeth Erb Civil Division Manager's Office P.O. Box 910 Morristown, NJ 07963-0910 973-656-4103

Burlington County Arbitration Patricia A. Spiehs Burlington County Superior Court 49 Rancocas Road P.O. Box 6555 Mt. Holly, NJ 08060 609-518-2816 Cumberland County Arbitration Kathleen Graham Cumberland County Courthouse Civil Division, Rooms 162-185 Broad and Fayette Streets Bridgeton, NJ 08302 856-453-5531 Hudson County Arbitration Cheryl D'Anna Hudson County Superior Court Civil Division - Arbitration 583 Newark Avenue Jersey City, NJ 07306 201-795-6372 Middlesex County Arbitration Fee O'Brien Middlesex County Courthouse 56 Paterson Street New Brunswick, N.J. 08903 732-519-3721 Ocean County Arbitration Kimberly Knapp Ocean County Courthouse 206 Courthouse Lane, 2nd Floor Toms River, NJ 08754 732-929-4771

Salem County Arbitration Jeanne Evangelisti Salem County Courthouse Civil Case Management Office 92 Market Street P.O. Box 29 Salem, NJ 08079 856-935-7510 Ext. 8207

Sussex County Arbitration Stephanie Greene Sussex County Judicial Center 43-47 High Street Newton, NJ 07860 973-579-3624

Union County Arbitration Doris Tarquinio Union County Superior Court Civil Arbitration Albender Building, 2nd Floor 1143 East Jersey Street Elizabeth, NJ 07201 908-659-3240

Revised 04/29/2009, CN 10507-English

page 2 of 2