Fill and Sign the Affidavit Merit Nj Form

JOHN LAWYER, ESQ. 12 MAIN STREET ANYWHERE, USA Attorneys for Plaintiffs JOHN DOE AND JANE DOE, Plaintiff(s), vs. JANE SMITH, Defendant(s). SUPERIOR COURT OF NEW JERSEY [insert] COUNTY LAW DIVISION DOCKET NO.: CIVIL ACTION AFFIDAVIT OF MERIT PURSUANT TO N.J.S.A. [insert] STATE OF [INSERT] :ss.: COUNTY OF [INSERT] [insert], being of sound mind and body and being duly sworn to oath, says: 1. I make this Affidavit Of Merit Pursuant to N.J.S.A. [insert]. I am an expert witness who has been hired by the Plaintiff in this case, the Township of [insert]. I have reviewed the complaint filed by the Township against Defendant [insert]. 2. Pursuant to N.J.S.A. [insert], I have no financial interest in the outcome of this case. Furthermore, in terms of my expertise I have the following credentials. First, I am a [insert] and I have been licensed by the State of [insert] since [insert]. I have been licensed in [insert] as a [insert] since [insert]. Second, I hold a [insert] and [insert]. in [insert] and an [insert] in [insert]. The degrees were earned from [insert]. In terms of my experience in the [insert] I have over [insert] years experience in the area of [insert] areas of responsibility include [insert] 3. My education, training and expertise clearly relates to the A general area or specialty involved in [this] action, @ which is [insert]. 4. I have reviewed the complaint in this matter and based on my education, experience and knowledge of the facts, I find that the allegations therein allege a viable cause of action such that there exists a reasonable probability that the care, skill, or knowledge exercised by the Defendant [insert] (which is the subject of the complaint filed by the Township) fell outside acceptable professional or occupational standards or treatment practices. _____________________________ Subscribed to and sworn before me this ____ day of _________, ______. __________________________