Superior Court - Appellate Division
New Jersey Judiciary
Please type or clearly print all information.
Revised effective 9/01/2008 Page 1 of 2
TITLE IN FULL
CIVIL CASE INFORMATION STATEMENT
PLAINTIFF DEFENDANT OTHER (SPECIFY)
TRIAL COURT OR AGENCY DOCKET NUMBER
APPELLANT’S ATTORNEY
NAME CLIENT
STREET ADDRESS CITY STATE ZIP TELEPHONE NUMBER
RESPONDENT’S ATTORNEY *
NAME CLIENT
STREET ADDRESS CITY STATE ZIP TELEPHONE NUMBER
* Indicate which parties, if any, did not participate below or were no longer parties to the action at the time of entry of the judgment or decision being appealed.
GIVE DATE AND SUMMARY OF JUDGMENT, ORDER, OR DECISION BEING APPEALED AND ATTACH A COPY:
Are there any claims against any party below, either in this or a consolidated action, which have not been disposed
of, including counterclaims, cross-claims, third-party claims and applications for counsel fees?
If so, has the order been properly certifi ed as fi nal pursuant to R. 4:42-2? (If not, leave to appeal must be sought. R. 2:2-4,2:5-6)
(If the order has been certifi ed, attach, together with a copy of the order, a copy of the complaint or any other
relevant pleadings and a brief explanation as to why the order qualifi ed for certifi cation pursuant to R. 4:42-2.)
Is the validity of a statute, regulation, executive order, franchise or constitutional provision of this State being questioned?
(R. 2:5-1(h))
YES NO
YES NO
YES NO
GIVE A BRIEF STATEMENT OF THE FACTS AND PROCEDURAL HISTORY:
TO THE EXTENT POSSIBLE, LIST THE PROPOSED ISSUES TO BE RAISED ON THE APPEAL AS THEY WILL BE DESCRIBED IN
APPROPRIATE POINT HEADINGS PURSUANT TO R. 2:6-2(a)(5). (Appellant or cross-appellant only.):
■ Attach additional sheets as necessary for any information below.
EMAIL ADDRESS:
EMAIL ADDRESS:
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3. Will the trial judge be fi ling a statement or an opinion pursuant to R. 2:5-1(b)? YES NO
Civil appeals are screened for submission to the Civil Appeals Settlement Program (CASP) to determine their potential for settlement or, in the
alternative, a simplifi cation of the issues and any other matters that may aid in the disposition or handling of the appeal. Please consider these
when responding to the following question. A negative response will not necessarily rule out the scheduling of a preargument conference.
State whether you think this case may benefi t from a CASP conference. YES NO
Explain your answer:
1. IS THERE ANY APPEAL NOW PENDING OR ABOUT TO BE BROUGHT BEFORE THIS COURT WHICH:
(A) Arises from substantially the same case or controversy as this appeal?
(B) Involves an issue that is substantially the same, similar or related to an issue in this appeal?
2. WAS THERE ANY PRIOR APPEAL INVOLVING THIS CASE OR CONTROVERSY?
YES NO
YES NO
YES NO
IF THE ANSWER TO EITHER 1 OR 2 ABOVE IS YES, STATE:
Case Name: Appellate Division Docket Number:
Name of Appellant or Respondent Name of Counsel of Record
(or your name if not represented by counsel)
Date Signature of Counsel of Record
(or your signature if not represented by counsel)
IF YOU ARE APPEALING FROM A JUDGMENT ENTERED BY A TRIAL JUDGE SITTING WITHOUT A JURY OR FROM AN ORDER OF THE
TRIAL COURT, COMPLETE THE FOLLOWING:
1. Did the trial judge issue oral fi ndings or an opinion? If so, on what date? ___________________
2. Did the trial judge issue written fi ndings or an opinion? If so, on what date? ___________________
YES NO
YES NO
Caution: Before you indicate that there was neither fi ndings nor an opinion, you should inquire of the trial judge to determine whether fi ndings or
an opinion was placed on the record out of counsel’s presence or whether the judge will be fi ling a statement or opinion pursuant to R. 2:5-1(b).
DATE OF YOUR INQUIRY: ____________________
