Civil Court Rules and Jury Charges

Kenneth Vercammen & Associates, P.C.
2053 Woodbridge Avenue - Edison, NJ 08817

Monday, August 24, 2009

Certification of Non-Military Service 11191

Filer’s Name
Address
City, State, Zip
Telephone Number
Published 04/01/2008, CN 11191-English page 1 of 1

SUPERIOR COURT OF NEW JERSEY
CHANCERY DIVISION – FAMILY PART
COUNTY OF
Plaintiff
DOCKET NO.
vs. CASE ID


Defendant

CIVIL ACTION
CERTIFICATION OF NON-MILITARY SERVICE

I , hereby certify that:
1. I am the (check one) plaintiff defendant in the above-entitled civil action
2. I am personally acquainted with the other party and know that he or she resides at


3. The other party is not in the Military Service of the United States.
4.
I am supplying the Court with the following information as to how I know the other party is not in the military.
(Check all statements below that apply to your case) In each case you must explain how any contact proves
that the other party is not in the military):
I have recently seen the other party (when, where, circumstances):

My child(ren) last had parenting time with him or her on (when, where, circumstances):
at
I have recently had telephone contact with the other party.

I know where the other party works (indicate employer name and address):

To my knowledge, the other party’s age exceeds the military requirements (state age)
The other party is disabled (indicate nature of disability):

The other party is incarcerated (indicate location):

Any other reason:

and/or
I have checked with the Department of Defense website and the printout is attached. (https://www.dmdc.osd.mil/scra/owa/home) OR
I have attached statements from the 5 armed forces that the other party is not in the military service

I certify that the foregoing statements made by me are true. I am aware that if any of the foregoing statements
made by me are willfully false, I am subject to punishment.


Dated Plaintiff / Defendant

Certification of Non-Military Service and Search Instructions page 1 of 1
Published 04/01/2008, CN 11191-English
INSTRUCTIONS FOR VERIFYING
A DEFENDANT’S MILITARY STATUS

Federal law requires the court to verify that an individual is not on active duty in the armed
forces before it enters a default judgment against that person. You as the filer are required to
provide this information to the court. There are three ways to show this military status.

1. If you have the defendant’s Social Security Number you can search the Department of
Defense website (https://www.dmdc.osd.mil/scra/owa/home.) and get verification of that
person’s military status. You can print out the result of this search and bring the printout
to court.

2. You certify on the “Certification of Non-Military Service” form, or testify in court, that
you have personal knowledge about the defendant’s military status.

3. If you don’t know the military status of the defendant, and if you do not have the
defendant’s Social Security Number, you must request and obtain verification from the
sources listed below. You must contact each of the five branches of the military. Your
request should contain as much information as you know about the defendant such as the
full name, date of birth, last known address, service, rank or grade, or other information
to properly identify the individual in question. You must also state why you are
requesting this information.

Each request must be accompanied by a fee of $5.20 payable by check or money order, as
follows:

Air Force Worldwide Locator
HQ AFMPC/RMIQL
550 C Street, W., Suite 50
Randolph Air Force Base, TX 78150-4752
Make check payable to DAQ-DE
Bureau of Naval Personnel
Navy Personnel Command
PERS-312F
5720 Integrity Drive
Millington, TN 38055-3120
Make check payable to U.S. Treasurer

Commandant of the Marine Corps
(MMSBO)
Headquarters U.S. Marine Corps.
Code MMSB-10
2008 Elliot Road, Suite 203
Quantico, VA 22134-5030
Please mark on bottom of envelope
"OFFICIAL BUSINESS” and make check payable
to U.S. Treasurer
Army Worldwide Locator
US Army Enlisted Records
and Evaluation Center
8899 East 56th Street
Fort Benjamin Harrison, IN 46249-5301
Make check payable to Finance Officer



U.S. Coast Guard
Coast Guard Personnel Command
2100 Second Street, SW
Washington, DC 20593-0001
Make check payable to U.S. Coast Guard


Bring all forms to court with you when you appear for your hearing.