Request for Judicial Intervention (RJI) / Civil Cover Sheet - New York

REQUEST FOR JUDICIAL INTERVENTION (RJI) / CIVIL COVER SHEET

Supreme Court of the State of New York

Form UCS-840

FORM PURPOSE: The Request for Judicial Intervention (RJI) is the mechanism by which a civil case is assigned to an Individual Assignment System (IAS) justice in the New York Supreme Court. Use this document to collect case information and plan the filing. It includes extra fields that do not appear on the official form. Transfer the relevant information to the court's official UCS-840 and file that form, with any applicable official addendum, when judicial intervention is sought.

IMPORTANT: In New York, the Supreme Court is the court of general jurisdiction (equivalent to "superior court" or "circuit court" in other states). An Index Number must be purchased from the County Clerk before the RJI can be filed.

IAS SYSTEM: New York uses the Individual Assignment System (IAS), under which a single justice is assigned to a case from inception through disposition. The justice is assigned randomly upon filing the RJI.

SECTION 1: COURT DESIGNATION

County of Filing: [________________________________]

New York has 62 counties organized into 13 judicial districts:

SECTION 2: CASE CAPTION

SUPREME COURT OF THE STATE OF NEW YORK
COUNTY OF [________________________________]

________________________________________
[________________________________],
                    Plaintiff(s)/Petitioner(s),

        v.                                          Index No.: ____________________
                                                    (Purchased from County Clerk)
[________________________________],
                    Defendant(s)/Respondent(s).
________________________________________

REQUEST FOR JUDICIAL INTERVENTION

Index Number: [________________________________]
Date Index Number Purchased: [__/__/____]

SECTION 3: NATURE OF ACTION OR PROCEEDING

Select ONE category that best describes the nature of the action or proceeding. This selection determines case management and may affect judicial assignment.

A. Commercial

B. Tort

C. Real Property

D. Matrimonial / Family

E. Special Proceedings

F. Other Matters

SECTION 4: NATURE OF JUDICIAL INTERVENTION SOUGHT

What event triggers the need for judicial intervention at this time?

• ☐ Preliminary conference (R. 202.12)
• ☐ Motion (specify relief sought): [________________________________]
• ☐ Order to show cause (specify relief sought): [________________________________]
• ☐ Note of Issue / Certificate of Readiness
• ☐ Notice of medical/dental/podiatric malpractice action
• ☐ Statement of net worth (matrimonial)
• ☐ Writ of habeas corpus
• ☐ Settlement conference
• ☐ Other (specify): [________________________________]

Has issue been joined?

• ☐ Yes — Date issue joined: [__/__/____]
• ☐ No

If issue has not been joined, explain the basis for filing the RJI:
[________________________________]

SECTION 5: ADDENDA AND SPECIAL DESIGNATIONS

A. Commercial Division

• ☐ This case qualifies for the Commercial Division (22 NYCRR 202.70)
• ☐ Commercial Division RJI Addendum (UCS-840C) attached

Commercial Division Monetary Thresholds (by County):

Commercial Division Case Types (22 NYCRR 202.70(b), subject to exclusions in (c)):

These are screening prompts only. Check the precise category in subdivision (b), the exclusions in subdivision (c), and the applicable monetary threshold in subdivision (a) before requesting assignment.

• ☐ Commercial contract dispute meeting the rule's case-type and monetary requirements
• ☐ Business entity disputes (formation, dissolution, governance)
• ☐ Shareholder derivative actions
• ☐ Commercial bank/banking transactions
• ☐ Internal affairs of business organizations
• ☐ Malpractice arising from representation in commercial matters
• ☐ Insurance coverage related to environmental damage or mass torts (the underlying claim does not qualify merely because it is the subject of the coverage action)
• ☐ Insurance coverage disputes (commercial policies)
• ☐ Dissolution of corporations, partnerships, LLCs
• ☐ Applications to appoint receivers for property of corporations/LLCs
• ☐ Trade secret claims
• ☐ Restrictive covenant / non-compete disputes
• ☐ Franchise disputes
• ☐ Other qualifying commercial matters

B. Mortgage Foreclosure

• ☐ Foreclosure RJI Addendum (UCS-840F) attached
• Residential mortgage foreclosure: ☐ Yes ☐ No
• Settlement conference required (CPLR 3408): ☐ Yes ☐ No

C. Matrimonial

• ☐ Matrimonial RJI Addendum (UCS-840M) attached

D. Partition

• ☐ Partition Addendum attached

SECTION 6: PARTY INFORMATION

A. Plaintiff(s) / Petitioner(s)

Plaintiff 1:

• Full Legal Name: [________________________________]
• Address: [________________________________]
• City, State, ZIP: [________________________________]
• Phone: [________________________________]
• Email: [________________________________]
• Party Type: ☐ Individual ☐ Corporation ☐ LLC ☐ Partnership ☐ Government Entity ☐ Other: [____]
• Insurance carrier (if applicable): [________________________________]

Plaintiff 2 (if applicable):

• Full Legal Name: [________________________________]
• Address: [________________________________]
• City, State, ZIP: [________________________________]
• Phone: [________________________________]
• Email: [________________________________]

☐ Additional plaintiffs listed on attached sheet (total: [____])

B. Defendant(s) / Respondent(s)

Defendant 1:

• Full Legal Name: [________________________________]
• Address: [________________________________]
• City, State, ZIP: [________________________________]
• Phone (if known): [________________________________]
• Email (if known): [________________________________]
• Party Type: ☐ Individual ☐ Corporation ☐ LLC ☐ Partnership ☐ Government Entity ☐ Other: [____]
• Insurance carrier (if known): [________________________________]

Defendant 2 (if applicable):

• Full Legal Name: [________________________________]
• Address: [________________________________]
• City, State, ZIP: [________________________________]
• Phone (if known): [________________________________]
• Email (if known): [________________________________]

☐ Additional defendants listed on attached sheet (total: [____])

SECTION 7: ATTORNEY INFORMATION

A. Filing Attorney

• Attorney Name: [________________________________]
• NY Bar Registration Number: [________________________________]
• Firm Name: [________________________________]
• Mailing Address: [________________________________]
• City, State, ZIP: [________________________________]
• Telephone: [________________________________]
• Facsimile: [________________________________]
• Email Address: [________________________________]
• NYSCEF User ID (if e-filed): [________________________________]
• Attorney for: ☐ Plaintiff(s) ☐ Defendant(s) ☐ Petitioner(s) ☐ Other: [________]

B. Opposing Attorney (if known)

• Attorney Name: [________________________________]
• Firm Name: [________________________________]
• Telephone: [________________________________]
• Attorney for: [________________________________]

C. Self-Represented Party (if applicable)

• ☐ Party is self-represented (pro se)
• Full Legal Name: [________________________________]
• Mailing Address: [________________________________]
• City, State, ZIP: [________________________________]
• Telephone: [________________________________]
• Email Address: [________________________________]

SECTION 8: AMOUNT IN CONTROVERSY

• ☐ Amount claimed exceeds $50,000
• ☐ Amount claimed is $50,000 or less
• ☐ No monetary relief sought

Specific amount claimed: $[________________________________]

SECTION 9: JURY DEMAND

• ☐ Jury trial requested (CPLR 4102(a): serve and file the demand with the note of issue)
• ☐ Non-jury / bench trial
• ☐ Jury demand after another party’s note of issue without demand (serve and file within 15 days after service of that note under CPLR 4102(a))

Jury Demand Fee: $65.00 (payable to County Clerk at time of demand).

SECTION 10: RELATED CASES

Are there any related, pending, or previously adjudicated cases involving the same or similar subject matter, or the same parties?

• ☐ No related cases
• ☐ Yes — Provide details below:

Has a justice been previously assigned to a related case?

• ☐ Yes — Justice: [________________________________]
• ☐ No

NOTE: If a related case has been assigned to an IAS justice, this case should be assigned to the same justice for coordination.

SECTION 11: SERVICE OF PROCESS

A. Method of Service

• ☐ Personal delivery (CPLR 308(1))
• ☐ Substituted service — suitable person + mailing (CPLR 308(2))
• ☐ Nail and mail (CPLR 308(4)) — requires prior attempts
• ☐ Service on Secretary of State (for domestic and authorized foreign entities — BCL 306, LLC Law 303)
• ☐ Service by publication (CPLR 316) — requires court order
• ☐ Other method (specify): [________________________________]

B. Service Status

• ☐ All defendants have been served
• ☐ Service is pending on the following defendants: [________________________________]
• ☐ Motion for alternate service to be filed

C. Service Deadlines

• Service must be completed within 120 days of filing (CPLR 306-b)
• Defendant has 20 days to answer if served personally in New York (CPLR 320)
• Defendant has 30 days to answer if served by any other method (CPLR 320)

SECTION 12: FILING FEE INFORMATION

Current Filing Fees

Payment Summary for This Filing

Payment Method

• ☐ NYSCEF e-filing (credit card)
• ☐ County Clerk cashier's office (check, money order, cash, credit card)
• ☐ Poor Person Relief granted — all fees waived (CPLR Article 11)
• ☐ Government entity — exempt from fees

SECTION 13: SPECIAL ACCOMMODATIONS

• Interpreter needed: ☐ Yes ☐ No
• Language: [________________________________]
• ADA / disability accommodation needed: ☐ Yes ☐ No
• Describe accommodation: [________________________________]
• Hearing impairment services needed: ☐ Yes ☐ No

SECTION 14: CERTIFICATION AND SIGNATURE

I, the undersigned, certify that the information provided on this Request for Judicial Intervention is true and complete to the best of my knowledge. I understand that the filing of this RJI will result in the assignment of a justice to this case under the Individual Assignment System.

I further certify that no other RJI has been filed in this action, and that the information provided will be used by the court for case management purposes.

Date: [__/__/____]

________________________________________
Signature of Attorney / Pro Se Party

________________________________________
Printed Name

________________________________________
NY Bar Registration Number (or "Pro Se")

________________________________________
Firm Name (if applicable)

________________________________________
Address

________________________________________
City, State, ZIP

________________________________________
Telephone

________________________________________
Email Address

SECTION 15: E-FILING INSTRUCTIONS AND CHECKLIST

NYSCEF (New York State Courts Electronic Filing)

Portal: https://iapps.courts.state.ny.us/nyscef/Login

NYSCEF Mandatory vs. Consensual E-Filing

NYSCEF participation varies by county:

Pre-Filing Checklist

• ☐ Index Number purchased from County Clerk
• ☐ Summons and complaint filed (or summons with notice)
• ☐ Official RJI (UCS-840) completed using information collected here
• ☐ Applicable addendum completed:
• ☐ UCS-840C (Commercial Division) if applicable
• ☐ UCS-840F (Foreclosure) if applicable
• ☐ UCS-840M (Matrimonial) if applicable
• ☐ RJI fee of $95.00 confirmed
• ☐ All documents in PDF format
• ☐ NYSCEF account created and verified
• ☐ Confidential information redacted (22 NYCRR 202.5(e))

Filing Steps

1. Purchase Index Number from County Clerk ($210 or $400)
2. File summons and complaint via NYSCEF (or at County Clerk for paper filings)
3. When judicial intervention is needed, file the court's official RJI (UCS-840) through the applicable filing channel
4. Pay RJI fee ($95)
5. Upload applicable addenda
6. Receive IAS justice assignment
7. Serve all parties with notice of RJI filing

Post-Filing Steps

• ☐ Receive IAS justice assignment notification
• ☐ Note assigned justice and Part number
• ☐ Serve all parties with copy of filed RJI
• ☐ Review Individual Rules and Practices of assigned justice
• ☐ Calendar preliminary conference (if scheduled)
• ☐ If Commercial Division: review 22 NYCRR 202.70 rules and mandatory e-filing

SECTION 16: PRACTITIONER NOTES

IAS System — Key Principles

• One justice assigned per case from filing to disposition.
• The assigned justice handles all motions, conferences, discovery disputes, and trial.
• Each justice publishes individual rules and practices (available on the court's website).
• If a case is designated for the Commercial Division, it is assigned to a Commercial Division justice.

Commercial Division Practice

• Filing in the Commercial Division requires the RJI Addendum (UCS-840C).
• The case must meet both the monetary threshold for the county AND involve a qualifying commercial case type.
• Commercial Division justices have specific rules regarding discovery, motion practice, and trial.
• Mandatory electronic filing via NYSCEF for all Commercial Division cases.

County-Specific Notes

Foreclosure Practice (CPLR 3408)

• Residential mortgage foreclosure cases require a mandatory settlement conference.
• The court must hold an initial conference within 60 days of filing proof of service.
• Both parties must appear with authority to settle/modify.
• The Foreclosure Addendum (UCS-840F) must be filed with the RJI.

Common Statute of Limitations

Confidentiality Requirements (22 NYCRR 202.5(e))

The following must be redacted from all filings:

• Social Security numbers (omit or use last four digits)
• Financial account numbers (use last four digits only)
• Dates of birth (use year only)
• Names of minor children (use initials only)

SOURCES AND REFERENCES

• UCS-840 RJI Form: https://www.nycourts.gov/forms/request-judicial-intervention-0
• RJI Forms and Addenda: https://www.nycourts.gov/forms/rji/
• NY Filing Fees: https://www.nycourts.gov/forms/filingfees.shtml
• NYSCEF E-Filing Portal: https://iapps.courts.state.ny.us/nyscef/Login
• Uniform Civil Rules (22 NYCRR Part 202): https://www.nycourts.gov/rules/trialcourts/202.shtml
• Commercial Division Rules (22 NYCRR 202.70): https://www.nycourts.gov/rules/trialcourts/202.shtml#702
• CPLR (Civil Practice Law and Rules): https://www.nysenate.gov/legislation/laws/CVP
• Poor Person Relief (CPLR Article 11): https://www.nysenate.gov/legislation/laws/CVP/A11

This template is provided by ezel.ai for informational purposes only. It does not constitute legal advice. Laws, rules, fees, and procedures change frequently. Always verify current requirements with the New York court system and consult a licensed New York attorney before filing.