GENERAL CIVIL CASE INFORMATION STATEMENT

(Cover Sheet)

Superior Court of New Jersey ─ [LAW / CHANCERY] Division, [COUNTY] County

[// GUIDANCE: This template tracks the mandatory “Civil Case Information Statement (CIS)” required by N.J. Ct. R. 4:5-1(b)(1) and the statewide Case Type/Track Assignment list issued by the Administrative Office of the Courts. Confirm all data before filing, and update fee amounts or codes if the AOC releases a new schedule.]

I. DOCUMENT HEADER

1. Court Docket No.: ________ (to be assigned by Clerk)
2. Caption: [PLAINTIFF NAME] v. [DEFENDANT NAME]
3. Document Title: Civil Case Information Statement (General Civil Cover Sheet)
4. Filing Date: ___ / ___ / 20___
5. Venue: Superior Court of New Jersey, [COUNTY] County, [LAW or CHANCERY] Division
6. Governing Rule: N.J. Ct. R. 4:5-1

II. PARTY AND COUNSEL INFORMATION

[// GUIDANCE: For additional parties, replicate table rows. Use complete mailing addresses for service of process.]

III. CASE CLASSIFICATION & TRACK ASSIGNMENT

A. Case Type Code (select one only):

Track I – “Simple” (one-year discovery)
• 301 – Auto Negligence – Personal Injury
• 302 – Auto Negligence – Property Damage
• 305 – Other Personal Injury
• 509 – Contract / Debt Collection ≤ $15,000
• 510 – Consumer Fraud / Truth-in-Lending

Track II – “Standard” (300-day discovery)
• 602 – Construction / All Other Commercial Litigation
• 606 – Medical Malpractice
• 608 – Professional Malpractice (non-medical)
• 612 – Employment – Discrimination, Whistleblower, CEPA
• 699 – Complex Commercial

Track III – “Complex” (450-day discovery)
• 005 – Class Action
• 701 – Environmental / Toxic Tort
• 702 – Mass Tort (non-MCL)
• 703 – Antitrust / Trade Regulation

Track IV – Professional Malpractice (discovery per R. 4:24-1(c))
• 640 – Medical Malpractice
• 641 – Dental / Nursing / Other Health Care

Track V – Multicounty Litigation (MCL)
• 285 – Asbestos
• 286 – Talc-Based Products
• [ADD CURRENT AOC-DESIGNATED MCL CODE, if applicable]

Selected Case Type Number: [___]  Proposed Track: [I / II / III / IV / V]

B. Jury Demand: □ Yes □ No

C. Estimated Length of Trial: ____ Days

IV. RELATED MATTERS & SPECIAL DESIGNATIONS

1. Related Pending Cases? □ No □ Yes → List: _______
2. Pending Arbitration or Mediation? □ No □ Yes
3. Constitutional or Statutory Challenge? □ No □ Yes → Serve A.G. per R. 4:28-4
4. Professional Malpractice Case? □ No □ Yes → Affidavit of Merit required (N.J.S.A. 2A:53A-27)
5. Multicounty Litigation Request? □ No □ Yes → Submit Notice to AOC per Directive #08-12
6. Injunctive / Declaratory Relief Sought? □ No □ Yes – specify: ______

V. RELIEF SOUGHT & AMOUNT IN CONTROVERSY

1. Compensatory Damages: $ ______ (approx.)
2. Punitive / Exemplary Damages: □ Yes □ No
3. Statutory Attorney’s Fees: □ Yes □ No (identify statute): _____
4. Other Relief (attach addendum if necessary): _______

VI. ATTORNEY / PRO SE CERTIFICATION

I certify that:
a. The matter in controversy is not the subject of any other action pending in any court or arbitration forum, nor is any such action contemplated; or an explanation is attached.
b. Every party named herein is correctly joined, and I have made diligent inquiry to identify all indispensable parties.
c. Pursuant to N.J. Ct. R. 4:5-1(b)(2), I will, within 30 days after service of the first responsive pleading, file and serve on all parties a supplemental statement identifying any known insurance coverage or third-party contractual indemnity that may apply.

Date: ___ / ___ / 20  Signature: ____
Name (Print): ________  Title: □ Attorney □ Pro Se

VII. FILING CHECKLIST & FEE SCHEDULE

1. □ Original Complaint + CIS
2. □ Civil Case Filing Fee – $250.00 (N.J. Judiciary Fee Schedule, Rev. [MM/YY])
3. □ Track Assignment Fee (Track III or IV only) – $300.00 (if applicable)
4. □ Jury Demand Fee – $50.00 (optional; may be paid with Answer)
5. □ Pro Hac Vice Motion Fee – $25.00 (if required)

[// GUIDANCE: Verify current fees at www.njcourts.gov before tendering payment. Electronic filings through eCourts auto-calculate fees.]

VIII. SERVICE LIST

IX. CLERK’S OFFICE USE ONLY

1. Docket No.: ______
2. Fee Paid: $ ______ □ Cash □ Check □ Money Order □ ePayment
3. Track Assigned: ____
4. Reviewed by: ____ Date: ___ / ___ / 20_

X. NOTES & GUIDANCE FOR PRACTITIONERS

[// GUIDANCE:
• Failure to file this CIS with the Complaint will result in rejection or delay of processing.
• Serve a copy of the CIS on all parties with the Summons & Complaint.
• If asserting a constitutional challenge, promptly serve the Attorney General and relevant agency heads as required by R. 4:28-4.
• Amend the CIS if additional parties or case-related events arise (e.g., removal to federal court, new related action).
• Track assignments govern discovery periods (R. 4:24-1). Calendar the discovery end date upon receipt of the Clerk’s Notice of Track Assignment.
]