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Civil Case Information Statement

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Civil Case Information Statement (CIS)

Use for initial Law Division Civil Part pleadings (not motions) under Rule 4:5-1

Pleading will be rejected for filing, under Rule 1:5-6(c), if information above the black bar is not completed or if attorney's signature is not affixed.

For Use by Clerk's Office Only

Payment Type: CK / CG / CA

CHG / CK No.:

Amount:

Overpayment:

Batch Number:

1. Attorney / Pro Se Name

2. Telephone Number

3. County of Venue

4. Firm Name (If applicable)

5. Docket Number (When available)

6. Office Address

7. Document Type

8. Jury Demand

9. Name of Party

10. Caption

11. Case Type Number

12. Is this a Professional Malpractice Case?

13. Related Cases Pending?

14. If Yes, List Docket Numbers

15. Do You Anticipate Adding Any Parties?

16. Defendant's Primary Insurance Company

THE INFORMATION PROVIDED ON THIS FORM CANNOT BE INTRODUCED INTO EVIDENCE.

CASE CHARACTERISTICS FOR PURPOSES OF DETERMINING IF CASE IS APPROPRIATE FOR MEDIATION

17A. Do Parties Have a Current, Past or Recurrent Relationship?

If Yes, Is That Relationship

18B. Does the Statute Governing This Case Provide for Payment of Fees by the Losing Party?

19. Use This Space to Alert the Court to Any Special Case Characteristics That May Warrant Individual Management or Accelerated Disposition

20. Do You or Your Client Need Any Disability Accommodations?

If Yes, Please Identify the Requested Accommodation

21. Will an Interpreter Be Needed?

If Yes, For What Language:

22. I certify that confidential personal identifiers have been redacted from documents now submitted to the court, and will be redacted from all documents submitted in the future in accordance with Rule 1:38-7(b).

22. Attorney Signature

Date

Side 2 - Case Types

Choose one and enter number of case type in appropriate space on the reverse side.

Track I - 150 days' discovery

151 Name Change

175 Forfeiture

302 Tenancy

399 Real Property (other than Tenancy, Contract, Condemnation, Complex Commercial or Construction)

502 Book Account (debt collection matters only)

505 Other Insurance Claim (including Declaratory Judgment Actions)

506 PIP Coverage

510 UM or UIM Claim

511 Action on Negotiable Instrument

512 Lemon Law

801 Summary Action

802 Open Public Records Act (Summary Action)

999 Other (Briefly describe nature of action)

Track II - 300 days' discovery

305 Construction

509 Employment (other than CEPA or LAD)

599 Contract/Commercial Transaction

603 Auto Negligence - Personal Injury

605 Personal Injury

610 Auto Negligence - Property Damage

699 Tort - Other

Track III - 450 days' discovery

005 Civil Rights

301 Condemnation

602 Assault and Battery

604 Medical Malpractice

606 Product Liability

607 Professional Malpractice

608 Toxic Tort

609 Defamation

616 Whistleblower / Conscientious Employee Protection Act (CEPA) Cases

617 Inverse Condemnation

618 Law Against Discrimination (LAD) Cases

620 False Claims Act

Track IV - Active Case Management by Individual Judge / 450 days' discovery

156 Environmental Coverage Litigation

303 Mt. Laurel

508 Complex Commercial

513 Complex Construction

514 Insurance Fraud

701 Actions in Lieu of Prerogative Writ

Centrally Managed Litigation (Track IV)

280 Zelnorm

285 Stryker Trident Hip Implants

Mass Tort (Track IV)

248 CIBA GEIGY

266 Hormone Replacement Therapy (HRT)

271 Accutane

272 Bextra/Celebrex

274 Risperdal/Seroquel/Zyprexa

275 Ortho Evra

277 Mahwah Toxic Dump

278 Zometa/Aredia

279 Gadolinium

281 Bristol-Myers Squibb Environmental

282 Fosamax

283 Digitek

284 Nuvaring

286 Levaquin

601 Asbestos

619 Vioxx

If you believe this case requires a track other than that provided above, please indicate the reason on Side 1, in the space under "Case Characteristics."

Please check off each applicable category:

Effective 09/01/2009, CN 10517_ps-English

Page 2 of 2

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What a Civil Case Information Statement Is and When it Applies

A Civil Case Information Statement is a court document that summarizes key case details at filing, including party names, cause of action, statutory basis, estimated damages, and counsel contact information. Courts use it to assign case categories, calendar events, and resources; it supports case management and may be required at initial filing, civil cover sheet submission, or when requesting expedited or specialized handling. Requirements and form names vary by jurisdiction, but the purpose is consistent: give the clerk a concise factual snapshot so the case is routed correctly and any jurisdictional or procedural thresholds are identified.

Why the Civil Case Information Statement Matters

Completing this statement accurately ensures correct case classification, avoids processing delays, and helps the court assign the appropriate calendar, judge, and resources. Accurate information reduces the risk of administrative rejections and supports timely service and discovery scheduling.

Why the Civil Case Information Statement Matters

Who Completes This Statement and Who Sees It

The filing party or their counsel normally prepares the Civil Case Information Statement when initiating or responding to a civil action.

  • Plaintiff counsel preparing initial filing with court clerks and case management systems
  • Defendant counsel or pro se litigants completing statements on responsive filings
  • Court clerks and case schedulers who use the information to route and calendar the matter

Ensure the person completing the form confirms party names, addresses, and counsel contact details before submission to limit administrative corrections.

Typical Signatories and Their Roles

Plaintiff Representative

An attorney or authorized corporate officer signs to confirm the accuracy of the plaintiff-side facts, contact details, and claims. The signer should be prepared to correct clerical errors and to provide proof of authority if requested by the court.

Defense Counsel

Defense counsel or an unrepresented defendant signs when a responsive statement is required; signing certifies the accuracy of the response and may trigger service or scheduling obligations under local rules.

Security, Compliance, and Authentication Considerations

Encryption: TLS 1.2/1.3 in transit; AES-256 at rest
Audit Trail: Time‑stamped actions and IP logging
ESIGN/UETA: Meets ESIGN and UETA legal tests
HIPAA: BAA available for PHI workflows
21 CFR Part 11: Compliant controls for FDA records
SOC 2 / PCI: SOC 2 Type II and PCI DSS certified

Consequences of Inaccurate or Incomplete Statements

Administrative Delay: Court may reject or return filing
Sanctions: Possible monetary or procedural sanctions
Default Risk: Delays can lead to default judgments
Contempt Exposure: False statements can lead to contempt
Service Errors: Incorrect addresses hinder service
Discovery Impact: Misclassification limits discovery timing

Common Preparation Errors to Avoid

  • Using informal party names instead of full legal names causes mismatches with service or judgment records and may require corrected filings.
  • Listing estimated damages with vague ranges rather than a specific amount can affect case assignment and eligibility for alternative dispute resolution tracks.
  • Failing to include correct counsel contact information leads to missed notices, calendar conflicts, and potential default scheduling orders.
  • Assuming all courts accept electronic signatures — court local rules frequently specify e‑filing and signature requirements; verify before e‑submitting.

How to Complete a Civil Case Information Statement — Step by Step

Follow these steps to prepare and validate the statement before filing with the clerk or e‑filing system.

  • 01
    Identify the form: Confirm the court’s required form name and version
  • 02
    Enter party details: Use full legal names and business entity types
  • 03
    Describe the claim: Select the case category and state the cause of action
  • 04
    Verify and sign: Confirm accuracy, then sign and date as required

Where to File and How the Court Processes It

The completed statement is submitted to the court clerk as part of the initiating or responsive filing and is used to categorize and docket the case.

  • Clerk’s Office: File in person or via the court’s civil filings counter
  • E‑File System: Submit via the jurisdiction’s electronic filing portal when available
  • Submit with Cover Sheet: Include any required civil cover sheet or local form
  • Retain a Copy: Keep a signed copy for service and retention requirements

Key Elements to Include in a Professional Statement

A complete Civil Case Information Statement contains discrete fields that courts use for triage, calendaring, and statistical reporting; ensure each required element is present and formatted correctly.

Case Caption

Full caption including court name, docket number (if known), and complete party names for accurate indexing and service.

Cause of Action

Select the controlling case type or statute (for example, contract, tort, civil rights) so the court assigns the correct category and track.

Relief Sought

State specific relief requested—damages amount, injunctive relief, declaratory relief—to inform assignment and potential ADR eligibility.

Counsel Information

Provide attorney name, bar number, firm, full mailing address, phone, and email for official service and notice.

Related Cases

List any pending or prior related matters and docket numbers to help the court avoid duplicate filings or conflicting schedules.

Signature Block

Include signature, printed name, title, and date; indicate whether signature is electronic and the method used for authentication.

How to Configure an Electronic Workflow for This Statement

Set up a consistent e‑filing workflow so signers authenticate correctly and the court receives required metadata with every submission.

Field Configuration
Signature Field Enable audit trail and timestamp
Date Field Enforce MM/DD/YYYY format
Counsel Block Make required with validation rules
File Output Export as PDF/A for court archives

Digital Signing and e‑Submission Requirements

Verify the court’s local rules for e‑filing, acceptable signature methods, and required attachments before electronic submission.

  • Authentication: Email, SMS, or stronger KBA depending on court rules
  • File Formats: PDF/A preferred; avoid editable formats
  • Metadata: Include signer name, timestamp, and IP address

Timing: When to Submit the Statement

Timelines depend on whether the statement accompanies an initial complaint, a responsive filing, or a subsequent case event; check local civil rules for exact deadlines.

Initial Filing:

Often required at time of complaint or within days of filing

Responsive Filing:

Some courts require a statement with answers or motions

Amendments:

Update when claim types or parties change

Requesting Assignment:

Include when seeking expedited or complex case tracks

Local Rules:

Deadlines and formats vary by jurisdiction

Key Milestones in Case Intake and Management

A typical sequence from filing to initial scheduling ensures the court and parties have the information needed for case management.

01

Filing Submitted

Clerk receives complaint and Civil Case Information Statement

02

Intake Review

Clerk verifies form completeness and assigns case type

03

Assignment

Case is assigned to a division, judge, or court calendar

04

Scheduling

Initial status conference or case management order issued

eSignature Pricing Comparison for Filing and Signing Court Forms

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HIPAA Compliant Yes Yes Yes No No

Frequently Asked Questions About the Civil Case Information Statement

Answers to common questions about form acceptance, e‑signatures, and court rules; consult local court rules for jurisdiction-specific requirements.


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