statement of damages sample nj

%%EOF Practice 63 (1969), which states: * * * The last two sentences of the rule were added by the amendment aforesaid. General Rules for Drafting Court Papers, 4:74. 0000003054 00000 n A Medical Source Statement is a form completed by your doctor. endobj It is commonly used in two cases, one is in personal injury cases and the other is in fatal accident cases. Div. Show more info In conclusion, this court will follow the advice of Justice Francis in Botta v. Brunner, 26 N.J. 82 at 104: "If it be said that the amount claimed constitutes the maximum limit of permissible recovery, the legal effect of that limitation is better left in the control of an experienced trial court.". %PDF-1.5 % 13. Sign up for our free summaries and get the latest delivered directly to you. In the report of the New Jersey Supreme Court's Committee on Rules, cited in 83 N.J.L.J. The articles on this blog are for informative purposes only and are no substitute for legal advice or an attorney-client relationship. %PDF-1.6 Did you or a loved one sustain serious injuries due to a motor vehicle accident in New Jersey? Demand for statement of damagesForm, View on Westlaw or start a FREE TRIAL today, 4:74. CN: 10148. It covers the name and date of birth of each dependant and their status. How to Sue for Up To $5,000 in Small Claims Court Motor Vehicle Case. YHT#}DBd1$0@ FBiP &chJ48AC4h1pA5E(0 CD(0@FhR 4"c@#sPcha'4fjA#I*I@h8IjDC"(uLaHg%hS z)L5HI\HR'iFH4}Q0HL7`h 44B 1)A@4mFhT#4vI`)A,jg-Rmm-" "oiwZl-Fxk:- tM^n2#?"+-0ul5d"yDDT;Tg^G}Y~2]f,|5X:&x]Fn7oJMyK!4e.i(E9,:,FHhx%m~$ut~(*~f7q:`6Mo5]|8n9#'~SAj{%Tys%b(A:B>N& u,"w0E5 Defendant's argument is based on a comment in 2 N.J. {CX!p/[WF&!W"B_2rP*9/03\(0 kr"b N?Hf%I8 K'gKW&~.fCl>?_S@_EzZ"|:fa~9q}@ mQ:8qFSYEl9$GiY;t7c;ZxUx} A demand letter that's well constructed and presents your damages and case in a professional manner can set the stage for a quick settlement process, but a poorly thought-out or laid-out demand letter to an insurance company for . R. 4:8-1, as amended, effective September 4, 1957, although dealing specifically with motor vehicle actions, at that time contained this section: (b) A pleading which sets forth a claim for damages for personal injuries or property damage to motor vehicles arising out of the ownership or operation of a motor vehicle shall have annexed thereto a verified statement of the claim as provided for in Civil Procedure Form 9A or Civil Procedure Form 9B printed in the Appendix of Forms. Indeed, even in cases where the damages are liquidated there is little need for a specific amount in the demand both because the amount is usually obvious and because of the aforementioned discovery. You can explore additional available newsletters here. Below, we have listed some key components that should be present in every demand letter to help you with the writing process. No claim to original U.S. Government Works. & Pr. hbbd```b``z"kd6d$0 1 0 obj A personal injury demand letter notifies a party that you are seeking damages in relation to an injury and starts the process of negotiation a potential settlement. H\@}&u .qbR:1 1.|iz`cx>XvN]N:&csUyM;s8u=]~xnvm?ctfhu89f"=zOumS0r`+r\"o;;sU~D.diy. All Rights Reserved 2014 - 2023 Template.net. Demand for statement of damagesForm 3 NJPRAC 4:74 New Jersey Practice Series TM Civil Practice Forms (Approx. xx;/m-#T~&5"gI$ML.`? Get Access to ALL Templates & Editors for Just $2 a month. Plea-05 Supplemental Plea Form for Certain Sexual Offenses (Megan's Law/Parole Supervision for Life/Community Supervision for Life) CN: 10080. At best they confuse individual clients and the general public alike, and at worst they inject into the determination of the cause at the trial level a wholly extraneous factor which may thwart a fair and proper determination by a jury. Certainly in cases involving insurance policies it would be appropriate to make a determination of the amount of the demand as soon as possible in order to acquaint the insured with the facts in the event it exceeds his policy limit. Application of these general principles to particular circumstances must be done by a lawyer who has spoken with you in confidence, learned all relevant information, and explored various options. Private message. New Jersey Pleading and Practice Forms | September 2022 Update. A police officer was struck by a speeding vehicle while 10+ Statement of Damages Templates in PDF | DOC, 2. directing traffic, resulting in his total disability. 545 0 obj <>stream So, how do you write a demand letter? Superior Court of New Jersey, Law Division. This site is protected by reCAPTCHA and the Google, New Jersey Superior Court, Appellate Division - Published Opinions, New Jersey Superior Court, Appellate Division - Published Opinions Decisions. 0000001216 00000 n The statement of damages is considered as a part of the statement of claim as it is attached to it as one of the documents that is required while making a claim. [Emphasis added]. xm Be Prepared: What to Do Following a New Jersey Auto Accident, New Brunswick Medical Malpractice Lawyers, Abogado De Nueva Jersey Negligencia Medica Manejando Casos, Que Nos Hace Diferente De Las Demas Firmas De Abogados, Usted Puede Darse El Lujo De Tener Representacion De Calidad. LIq0&%A$l,s$?|&#cHh ^0 : However, if this does not occur, then the demand letter could potentially be used to show a court or jury that the responsible party had notice of your injuries. If you have obtained a statement from any person not a party to this action, state: (a) the name and present address of the person who gave the statement; (b) whether the statement was oral or in writing and if in writing, attach a copy; (c) the date the statement was obtained; (d) if such statement was oral, whether a recording was . x}Rn0>l B What Does a Statement of Damages Include. How To Write A Demand Letter in New Jersey. This document is generally attached to it that lays down proof of service by the one who is providing the paperwork. hVmkF+@l$B,Ii[ t;c=B% Z0E C2iDh)f& AD'R.#]F1-*weB"Uno%.HI|0*[zd] SB)E~YbJOO=vyInz#_^md(7(1`~o/obV5/WYq|/5x6 JACK GOLDSTEIN, DEFENDANT. In case you fail to do that, either the court or the other side will ask you to re-issue your statement of claim. <>stream {a*Z[D*s /vOewzv^Ac% dN+ckxiCYy 0;6|&eTv-vb#$f&6nmjwHwC2|7H=7TRo6Yw"g#cLm5DyZfJuf(pefH,$qfk~8y(R!,077L:l&m~l7vZH52>5@U[[/UKYverrdm\@A;/ Zv there some other way to handle it? This document is typically used to lay out a summary of the facts supporting your case. !y;2\210\217yZ\223\235\204IG\2234$\021\223\007\031,g\033\001_ek\023m\2252\001\\"\f&\\0G\033\206_\204n\035!|S\t\203\0276\023@\035AF\001\236\226\021\013\233\030\fa\034\005`\206\2152lB\201 t\)\024\235\004q]\033=u\216\021f\0053E^\214J%G\)5\033\033\\;Z\212W\001\007\tgq`Jq3\223A\223-\020k\030\026\234M\226X\b@+oW4\201\030\003\234N\235!N}\224*+\013rO!\033o}{\220\r\021\216\000A~\032\226\232;.g\220\215\231\225\177^\2014\225l\rmD\203\026D*{\001\230oX\030\001>\006\212X\215}\002\0213O9JEwY\2140//|\013Fn\005\(p'+\223G\030\222\220\200\232\232\237a`{\\\222:\005\230w\030\2326\)._py\212>\027\223=43\221U^\200\237\225\203\n\230\205Y6.r+\034i\020\206Eb\001\227KW\202\204S&\030\231\)\20146\210k\\\204\t\214}'L\003\b?8B\200\203\000\230\034\224Y\022\211\221s\030*\\^\)1\232\214Y2\214^~\006"^\201e\(\033 \234\227\000\r\225?\021I_T}\036@\\\022H\233zw\211\214\024o\013;g\222uQ;9\203lO@\003H\234rB\233\215O62IzR\211~\f\234Cu*?2z;+\227c\005?E\006i6\b\200\204\001\234Y\225\0262\032^\0371\0262Z\227,\)w\233C~\200kl\2074\207G\205\013:\207\004\034~rG\fx[\002\001\177psf\017\212?R\017\).\027JasL\200\035\236Ry\223\017xR\202qv\217~\222^^Efk\214\016\\\225) /Filter /Adobe.PPKLite /M (D:20120523145314-07'00') /Name (ARE Acrobat Product v8.0 P23 0002337) /Prop_Build << /App << /Name /Exchange-Pro /OS [ /Win ] /R 655363 /REx (10.0.3) /TrustedMode true >> /Filter << /Date (Jan 30 2011 15:45:26) /Name /Adobe.PPKLite /R 131104 /V 2 >> /PubSec << /Date (Jan 30 2011 15:45:26) /NonEFontNoWarn true /R 131104 >> >> /Reference [ << /Data 1 0 R /TransformMethod /UR3 /TransformParams << /Document [ /FullSave ] /Form [ /Add /FillIn /Delete /SubmitStandalone ] /Signature [ /Modify ] /Type /TransformParams /V /2.2 >> /Type /SigRef >> ] /SubFilter /adbe.pkcs7.detached /Type /Sig >> >> /Type /Catalog >> 8. briefly describe the injuries, damages and losses incurred by you. endobj Finally, the last elements you should include in your demand letter are a clear and unequivocal statement of your intent to pursue legal remedies if your demand for damages is not and a clear deadline for meeting your demand. 90 0 obj <> endobj Pleadings and Motions Dont let the medical bills pile up while you wait for the negligent party, or their insurance company, to do the right thing. Notice, Consent, and Order of Reference Dispositive Motion to a United States Magistrate Judge (AO 85a) Category: Civil. HQo0-?Gnub;4R:6c5Bx@;[$# S(u%irP+7>_..5dpuGM+z;gYxq-Y,$WZR 4gprEwQH_nW8PNY=! *17 Not being part of the pleadings, the statement of damages becomes merely that a statement with no binding effect whatsoever. StatementBy plaintiffDamages amount claimed [R. 4:5-2]. Marks (Messrs. Platoff, Heftler & Harker, attorneys), for defendant. Do you always file suit against the person who caused an injury or is (b) A pleading which sets forth a claim for damages for personal injuries or property damage to motor vehicles arising out of the ownership or operation of a motor vehicle shall have annexed thereto a verified statement of the claim as provided for in Civil Procedure Form 9A or Civil Procedure Form 9B printed in the Appendix of Forms. Consists of this, she had been applied toward back on the future. 0000001100 00000 n In addition, set forth all ways in which Plaintiff suffered "serious 523 0 obj <>/Filter/FlateDecode/ID[<7A130C39D9C3994D9166D02E7C3F34FD><92A2DCCDB732B843BF47387506F1C078>]/Index[507 39]/Info 506 0 R/Length 87/Prev 183898/Root 508 0 R/Size 546/Type/XRef/W[1 3 1]>>stream Demand for statement of damagesForm, Secondary Sources, Enter to open, tab to navigate, enter to select, https://content.next.westlaw.com/Document/I5b6ae336df6a11da8da9895f4c7b6329/View/FullText.html?transitionType=Default&contextData=(sc.Default), 4:74. The plaintiff in this context is the person or entity who is filing the lawsuit and the defendant is the person or entity being sued. Mr. Frank W. Cerutti (Messrs. DeSevo, Cerutti & Lombardi, attorneys), and Mr. Robert A. Motion to Vacate and Reinstate Ramirez Micailian. This element allows the responsible party to assess whether to make a settlement offer to you and for how much money. If you feel unsure about your How To Request A Default Judgment In The Superior Court Of New Jersey - Special Civil Part (Small Claims And Regular Special Civil Part Cases) sample, speak to a lawyer to review it before you send or file it. Hon. dhj8Z|fG(:X(2 A ?G.HxBvIi1a+QA0-:y#^ 2ZpsG@_ai8C"C'? V7X7@Tl VI! endstream endobj 512 0 obj <>stream NJ Statement Of Damages Requested The most important part of a demand letter is the amount of monetary damages you are seeking from the responsible party due to the injuries you sustained. 0000005918 00000 n The most important part of a demand letter is the amount of monetary damages you are seeking from the responsible party due to the injuries you sustained. 0000008755 00000 n How to Request for a Statement of Damages? If, after you send a demand letter to the party that caused your injuries, you do not receive a satisfactory settlement offer, then it is safe to assume that you will probably have to file a formal lawsuit to receive compensation for your injuries. "The Forms Professionals Trust . It includes a detailed summary of the plaintiffs injury, treatment received or damage to property, etc. % stream Including the sum of the medical bills you have accrued because of your injuries is essential when writing a demand letter. Cernigliaro submitted a write on name of amicus curiae New Jersey Defense Association, an affiliate of the Defences Study Institute (Campbell, Polly, Lee, Murphy & Cernigliaro, attorneys). give the basis for the calculation of the above damages: i hereby certify that the foregoing statements made by me are true. Equal the specific damages and the pleadings, the HWioFNa~qh/#"".i.5weUaqfxze(|8O(?o/O/_7 s8A@B:E 9\J, ZP9 AJ:c8dew,4$6AY;EPxat/XVBY P,(;=D6YO(0:`H8N"=Twu(p You already receive all suggested Justia Opinion Summary Newsletters. Accordingly, it is crucial that you outline facts showing that the addressee caused your injuries, as well as the possible legal theories by which they can be held liable for your injuries. Prac., Civil Practice Forms 4:74 (6th ed. Basic Statement of Damages Format nysd.uscourts.gov Details File Format PDF These elements provide both you and the responsible party with a timeline by which conditions must be met and sets forth your course of action if such conditions are not met. It is not filed with the court except when the defendant defaults. 0000000676 00000 n . A;$$XcT0{ jDYt&d@ ;b/:3'$Dd;8'{2u6|9E. While it is important to list all of the injuries you sustained in an accident caused by another person or entity, writing the details of any long-term or permanent injuries you sustain in a demand letter will apprise the responsible party of the severity of your injuries. It can be an attorney or any particular party and also provide the address that may include the name of the street or town, etc. A demand letter is your written statement that outlines your intent to sue for your injuries if a settlement cannot be reached between you and the party that caused your injuries. o The State of New Jersey has suffered damages associated with lost industrial, manufacturing, commercial and mixed residential development and navigation and port facilities caused by the discharge of hazardous substances from the Lister Site. 0000003805 00000 n short and plain statement of the claim showing that the pleader is entitled to relief." Swierkiewicz v. Sorema N. A., 534 U.S. 506, 508 (2002). Start without hassles! Putting the opposing party on notice of the severity of your injuries could entice the the responsible party to make a satisfactory settlement offer. Construction worker injured in a fall when movable scaffolding collapsed. @CK@Ck@CC~FF4 F@ IlkEb << /Type /ObjStm /Length 201 /Filter /FlateDecode /N 1 /First 4 >> ), Chapter 4. Pursuant to R. 4:42-1(b) this court granted hearing for argument to decide the issues presented and to settle the form of order for the entry of judgment. 507 0 obj <> endobj endstream A landlord can charge a tenant by deducting money from their security deposit if the tenant damages their rental unit. Further, the inclusion of links is not intended to reflect their importance or to endorse any views expressed, or products or services offered, on these outside sites, or the organizations sponsoring the sites. An official and legal document that is used when you get indulged in a dispute with another party and it has escalated to court is known as a statement of claim. Stating in your demand letter the details of any income you have lost while recovering from your injuries does two things: (1) it allows the responsible party to better formulate a settlement offer; and (2) it puts the responsible party on notice that you intend to sue him or her for lost wages and/or loss of earning capacity in the event that you file a lawsuit related to the injuries you sustained. ZY]OOyWcP`L6w!D(=g9\d:SSj[iVkls>//k1E$!flUc 6p|rpN,{o Qg +p>I{,oOsG{4Iy?A,TEpwK!cl\Gj_V@g~`MPq1I__u@N#Mpd&1E (%Ly0syY]KK;3\[werB{JPr4 4 0 obj 0000001341 00000 n E#ixsC.aS/5AcvK\$hPBMag*58]xb'c2+/p ?D6@;uFXu@;Lk:^LH0U(Vm5.w|=Tjh~)GzGjK+&XM'iS#Fy^z6u;`2{]cr(JWK1?kJ+A?d(kV*23}O$0N,ME;y\CBd[,x?`S8fD](9 Dl3. BZf0,^-Wqq'} $mA ]kRX"l$p]UOF7QQ{YV^Ut\G6+{ #{m2d0^BMendstream Manner of service (check proper box): Personal service. If unliquidated money damages are claimed in any court, another than the . 67 East Park Place, 5th Floor, Morristown, NJ 07960. Plea-01 Main Plea Form. But service of a CCP 425.11 statement of damages can give a defendant the requisite notice of the amount of damages to be included in a default judgment, if the defendant doesn't respond to the complaint. Statement of Damages Declaration Format, 7. Laborer suffered partial blindness when a surgeon damaged the blood supply to the patient's eye during surgery. endstream endobj 91 0 obj <> endobj 92 0 obj <>/Encoding<>>>>> endobj 93 0 obj <>>>/Type/Page>> endobj 94 0 obj <> endobj 95 0 obj <> endobj 96 0 obj <>stream Every good demand letter includes a clear statement as to the reasons why the person or entity you are addressing the demand letter to is responsible for your injuries. The jury returned a verdict on September 23, 1972 in favor of plaintiff Esther Perdomo and against defendant in the amount of $250,000, and in favor of plaintiff Proscipio Perdomo and against defendant in the amount of $75,000. Affirmatively, the demand, at least where damages are unliquidated, serves no useful purpose whatsoever, particularly in view of the fact that all pertinent information is available to adverse parties by way of discovery. 346, 347 (2014) (citing Wi|PJB>y&752\%*S]Z(WRCe |ed!u1Y7LWW &-Uba7ngj$h*mstRjS?nKS"p:1+"?h("Wp!t]_@'>1c._j'yafwXECeuN[5\N?tc*kpWl Swn`{X,m0++>#d(^r{9'>>(q$ e%iPW]}lzqBUW!hD1k!)r%NF5Epp$wfY,v L}/ This is very important because you must set out your claim correctly. 0000006963 00000 n 2023 Hoyt & Hoyt, PC All Rights Reserved. It shall, however, include the following: (1) A designation of the subject of the judgment or order (i.e., Summary Judgment Dismissing Complaint, Order Modifying Alimony); Upon written request this information must be furnished; it is probable that requests will be in many cases served upon claimant's lawyer at the same time as the answer. O3re3/r`A%)WL>iT|MIXJ1}f.69k!4[C}; Thwart a statement of damages nj is it is no limit on our attorneys should a certified civil business lawyers do not time. _!#AE9CvbiC\#rRF 2r8rI!]-$MnV!-#fP G*y57(_)MHEW$)AIK>O_.tK9]i@t$\/ vDhFv 2 !MB5?GY}^ih[aYc02yoBThy3#D[QjgLumkume::Eo]e7|{D6\ bCp_`o!Gv}lFp'? 9. the amount of the claim. An estimate of the claim for loss of accumulation of wealth must also be included as well as the amount that is claimed as damages for loss of society. 90 19 (a)Form; Contents. f.V sLElW!gJ4K$2&8`4p[;!AD~U4bX"4#_0 J\F In a demand letter, be sure to include any impairments you acquired concerning your ability to perform daily tasks and participate in activities that you participated in before you sustained your injuries. Rule 4:5-3. The statement was never filed and no court order was ever issued pertaining to the statement. 0000007209 00000 n 3 0 obj In evaluating the worth of a statement such as the one in question, a comparison can be made to the value of an ad damnum clause. No, the statement of damages does not need to be verified. 0000007609 00000 n <>stream hb```TB ea8AT2{\\q J#'~$:kHH1?H1AHmhT/` Ppv-LE` 30-9Y$Afd`y D 6* Pursuant to R. 4:5-2, previously R.R. This includes information like the treatment received, any permanent disability, if any, that is suffered by him/her as well as the prognosis in respect of such disability. On December 1, 1972 this court heard defendant's motion for new trial, which motion was denied. 8~ _K&b /JvkHIai|\}%28. In NJ a demand for a statement of damages pursuant to R. 4:5-2 seems to be contradictory to the rule, which specifically Ask an Expert Ask a Lawyer In NJ a demand for a statement of damages pursuant to R. 4 5-2 Sololawyer, Lawyer 4,084 Satisfied Customers Licensed attorney; represented hundreds of clients in my private practice. Affidavit of Damages and Statement of Claim courts.state.nh.us Details File Format DOC Size: 26.1 KB Download 3. =iB}|oxb] %GP-$=U=d|R=4%$x)E!e?gwdO5BSjg"NhMJ:z^%2Z*Q%y:(n:VsvXm\t,^&:nRjRge'ujuVObk{g1ih;d})Hh@~=|jKN%KhC?TT>Y|9<. Such verified statement shall be deemed a part of the discovery proceedings and not a part of the pleading to which it is annexed. <>stream Randazzo v. Bacque, 37 N.J. Super. 3 N.J. (1%3>$/pKz5ccc" ) }F.@T15H\gn. Home / Blog / Personal Injury / How To Write A Demand Letter in New Jersey. Rene Marie Bumb, Chief Judge | Melissa E. Rhoads, Clerk of Court, Check Status of Your Jury Court Appearance, Department of the Treasury's Listing of Certified Companies, Application for Extension of Time to Answer, Move or Otherwise Reply, Application to Proceed In Forma Pauperis-Non Prisoner (AO 239), Motion for Pro Bono Counsel - Pro Se Filing, Motion to Vacate/Set Aside Sentence (AO243), Notice of Lawsuit and Request for Waiver of Service of Summons (AO 398), Notice, Consent, and Order of Reference Dispositive Motion to a United States Magistrate Judge (AO 85a). Before acting on these general principles, you should hire a lawyer licensed to practice law in the jurisdiction to which your question pertains. Statement of Damages Form Template courts.ca.gov Details File Format PDF Size: 322.4 KB Download 2. stream 759-761, the court, construingsection 425.11, held that the plaintiff must personally serve a defendant, who has not appeared, with the statement of damages and defer entry of default until 30 days from such service so that defendant can file a responsive pleading. [Emphasis added]. 0 Kessler Institute & JFK Medical Center Brain Injuries, Retained Surgical Sponges Can Create Permanent Damage. Posted on Jul 8, 2012. A Statement of Damages commonly includes the following information: 1. 2:59. A judgment or order shall not contain a recital of the pleadings or the record of prior proceedings. The first thing while requesting a statement of damages must be to provide a detailed address. (CCP 415.10) @( A #`>4S'sb6s!KPEsocT' 3t~mX_*c|d+&+!P |px5 q 7Ru(>eAY)g,i!^?3xi.tCCn9saS8BeIzp|/M2mg88eV'xHHujB9)'JWg*$s{1 "^Da'2SVy9KU1E]yzs` 6v>Cgvw 0 This site is maintained by the U.S. District Court - District of New Jersey, IT Department. 2023 Thomson Reuters. If you are seeking legal advice, please contact our law firm directly. StatementBy plaintiffDamages amount claimed [R. 4:5-2], Secondary Sources, Enter to open, tab to navigate, enter to select, https://content.next.westlaw.com/Document/I44fe69462ab211da9b0fb1b2a9ace54d/View/FullText.html?transitionType=Default&contextData=(sc.Default), 2:59. v. Is New Jersey Tough Enough on Distracted Driving? Upon service of a written request by another party, the party filing the pleading shall within 5 days after service thereof furnish the requesting party with a written statement of the amount of damages claimed, which statement shall not be filed except on court order. This is a notice to the other party for providing this particular statement that will be setting forth the nature and amount of damages that are being sought against the defendant. Forms 2:59. <]>> 0000008069 00000 n Set forth an itemized statement of all damages, specifically identifying the type of damages and amount claimed for each type, claimed to have been sustained by Plaintiff as a result of Defendants' actions. >M tVPg ig\YpK=34+'N1?y,IBy|kZ=`QCgm:(>Aa:DKIFks3LWv~C{r. gt[wU)ZOSde.qee0qaTC6|l3bMfBKL48@G"y ,_ Statement of Damages Daily Charges Form Template, 8. You can end it by providing a declaration that the said statement of damages. 4.68. ij*C &r+7g1aeDqV `C;~;!`&,zkB2n'Y 0000001583 00000 n Sample Request for Entry of Default Under Rule 55 (a) in United States District Court. The clerk will not calculate the amounts for you. 1. Sample Motion to Vacate Default Judgment for Extrinsic Fraud or Mistake in California. .W\v>GAh8[eS>"rAC:-9GmnaE9'svzY93E-!aDV?B@SaK^M)x~|M='W'Q#o0 X: All forms provided by US Legal Forms, the nations leading legal forms publisher. Jsc,%W9&[B#oZ7$/6'(-0AHup^-q+l Mm3|M~?_lyYM{zL:>D* )K/~nH][ Q_ua5ho)}XWpWPW~ In the case of personal injuries, a statement of damages will start with the plaintiffs date of birth followed by the summary of the plaintiffs injuries. startxref 0000004547 00000 n 0000006512 00000 n << /Type /ObjStm /Length 4806 /Filter /FlateDecode /N 100 /First 849 >> Download Form . Financial Questionnaire to Establish Indigency. If you wish to make a claim against the State of New Jersey, please read the following information: The State of New Jersey is protected from Tort actions by State Statute Title 59, and more specifically, Chapter 9, Paragraph 2e.

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statement of damages sample nj

statement of damages sample nj