NEW JERSEY JUDICIARY CIVIL PRACTICE DIVISION RESOLUTION OF ARBITRATED CASES QUESTIONNAIRE

This questionnaire was created and will be used by the Supreme Court Arbitration Advisory Committee to better understand and improve the arbitration process. Information provided on this form may be subject to public review.

REGARDING THE CASE YOU HAVE JUST SETTLED, PLEASE PROVIDE THE FOLLOWING INFORMATION:

Docket Number (e.g. L-000067-08)

Question Title

* Docket Number (e.g. L-000067-08)

Arbitrator Name

Question Title

* Arbitrator Name

1. The demand for trial de novo was filed by?

Question Title

* 1. The demand for trial de novo was filed by?

2. Your role and if applicable, your client's insurance status: (check all that apply)

Question Title

* 2. Your role and if applicable, your client's insurance status: (check all that apply)

3. If representing a defendant, please indicate name of insurance carrier:

Question Title

* 3. If representing a defendant, please indicate name of insurance carrier:

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