SMALL CLAIMS COMPLAINT (Contract, Security Deposit, Rent, or Tort)
SUPERIOR COURT OF NEW JERSEY
LAW DIVISON
SPECIAL CIVIL PART
Attorney for Plaintiff County
Address
Address
Telephone No. Telephone No.
From Plaintiff:
Name:
Address
Telephone No.
SMALL CLAIMS SECTION
CIVIL ACTION
COMPLAINT
To Defendant:
Check One – See Instruction A for Form A
Name: Contract
Security Deposit
Address
Rent
Telephone No. Personal Injury or Property Damage(other than motor vehicle)
COMPLAINT (See instruction B for form A)
Demand: $ ________________plus costs.
Plaintiff says:
(You may attach more sheets if you need to)
IMPORTANT: Plaintiffs and defendants must bring all witnesses, photos, and documents, and other evidence to the
hearing. Subpoena forms are available at the Clerk’s office to require the attendance of witnesses.
Plaintiff will use an interpreter fluent in the __________________________ language at the hearing.
I certify that the matter in controversy is not the subject of any other court action or arbitration proceeding, now
pending or contemplated, and that no other parties should be joined in this action.
_________________ ________________________________
Dated:
Your Signature
________________________________
Your Name Typed, Stamped or Printed
Revised 09/01/2007, CN 10532-English page 1 of 1
