TRIAL DE NOVO REQUEST FORM
SUPERIOR COURT OF NEW JERSEY
LAW DIVISION, CIVIL PART
COUNTY
NJ
NOTICE OF DEMAND FOR TRIAL DE NOVO
If trial de novo is sought this form must be filed with the Arbitration Administrator
within 30 days of the filing of the arbitration award and served on all parties within that
time.
Plaintiff Docket No.
VS.
Arbitration Date:
Defendant
The arbitration hearing in the above-captioned matter was held on ___________________________.
Payment in the amount of $200.00 being tendered herewith, and this notice having been served on all
parties, trial de novo is hereby requested in the above captioned matter, pursuant to RULES 4:21A-6(b)
(1) and 4:21A-6(c).
Date: By: ,
Signature (Pro Se Party or Attorney for Filer)
THIS NOTICE, WHEN TIMELY FILED AND SERVED ON ALL ADVERSE PARTIES, SHALL
BE SUFFICIENT TO RESTORE THE CASE TO THE TRIAL CALENDAR.
Makes checks or money orders payable to: TREASURER, STATE OF NEW JERSEY
Pro se litigants must use certified check or money order.
Revised 08/24/2007, CN 10768-English page 1 of 1
