Fill and Sign the Mandatory Arbitration Circuit Court of Cook County Form

ORDER OF DISMISSAL/SUPPRESSION PREPARED AND FILED BY THE COURT SUPERIOR COURT OF NEW JERSEY LAW DIVISION PLAINTIFF(s) COUNTY DOCKET NO. ARBITRATION DATE: DEFENDANT(s) THIS MATTER WAS LISTED FOR A MA NDATORY ARBITRATION HEARING ON THE ABOVE INDICATED DATE. FOR GOOD CAUSE SHOWN, IT IS ON THE ___________DAY OF ____________________20__ ORDERED THAT: __________THE COMPLAINT OF THE PLAINTIFF( S) (SEE * BELOW) IS DISMISSED: ________ for failure to timely serve the ARBITRATION STATEMENT OF FACTS/ ISSUES upon other counsel/parties. ________ for failure to furnish the ARBITR ATION STATEMENT OF FACTS/ ISSUES to the arbitrator at the arbitration hearing. ________ for failure to appear for the ARBI TRATION HEARING as scheduled (late appearance is treated the same as non-appearance) _________ THE CLAIMS ASSERTED AGAINS T THE NON-SERVED PARTIES (SEE ** BELOW) AR E SUPRESSED: ________ for failure to timely serve the ARBITRATION STATEMENT OF FACTS/ ISSUES upon other counsel/parties. ________ for failure to furnish the ARBITRAT ION STATEMENT OF FACTS/ ISSUES to the arbitrator at the arbitration hearing. ________ for failure to appear for the ARBI TRATION HEARING as scheduled (late appearance is treated the same as non-appearance) _________ ALL CLAIMS ASSERTED AGAINST THE NON-SERVED PARTIES (SEE *** BELOW) ARE DISMISSED FOR LACK OF PROSECUTION, SERVICE OF PROCESS NOT YET HAVING BEEN EFFECTED. Revised 8/24/2007, CN 10766-English Page 1 of 2 _________ ALL CLAIMS/DEFENSES ARE DISMISSED SUPRESSED FOR FAILURE OF THE PARTIES TO TIMELY MOVE TO EITHER REJECT OR CONFIRM THE ARBITRATION AWARD [SEE R. 4:21A-6(b)] RELIEF FROM THE TERMS OF THIS ORDER SHALL ONLY BE GRANTED ON FORMAL APPLICATION TO THE PRESIDI NG JUDGE ON NOTICE TO ALL COUNSEL/ PARTIES. Dated: (Name of Presiding Judge), P.J. Cv. ALL COUNSEL (***ASTERISKS INDI CATE TO WHOM ORDER APPLIES) Revised 8/24/2007, CN 10766-English Page 2 of 2