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MRS-L-001173-18 06/19/2018 10:59:08 AM Pg 1 of 30 Trans ID: LCV20181068503

MRS-L-001173-18 06/19/2018 10:59:08 AM Pg 1 of 30 Trans ID

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MRS-L-001173-18 06/19/2018 10:59:08 AM Pg 1 of 30 Trans ID: LCV20181068503

MRS-L-001173-18 06/19/2018 10:59:08 AM Pg 2 of 30 Trans ID: LCV20181068503

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Civil Case Information Statement

Case Details: MORRIS | Civil Part Docket# L-001173-18

Case Caption: GROSSMAN E. VS ROCKAWAY

TOWNSHIP

Case Initiation Date: 06/19/2018

Attorney Name: BRUCE H NAGEL

Firm Name: NAGEL RICE LLP

Address: 103 EISENHOWER PKWY

ROSELAND NJ 07068

Phone: Name of Party: PLAINTIFF : GROSSMAN, E. DIANNE

Name of Defendant’s Primary Insurance Company (if known): None

THE INFORMATION PROVIDED ON THIS FORM CANNOT BE INTRODUCED INTO EVIDENCECASE CHARACTERISTICS FOR PURPOSES OF DETERMINING IF CASE IS APPROPRIATE FOR MEDIATION

Do parties have a current, past, or recurrent relationship? YES

If yes, is that relationship: Other(explain) parent/school

Does the statute governing this case provide for payment of fees by the losing party? NO

Use this space to alert the court to any special case characteristics that may warrant individual management or accelerated disposition:

Do you or your client need any disability accommodations? NOIf yes, please identify the requested accommodation:

Will an interpreter be needed? NOIf yes, for what language:

I certify that confidential personal identifiers have been redacted from documents now submitted to the court, and will be redacted from all documents submitted in the future in accordance with Rule 1:38-7(b)

06/19/2018Dated

/s/ BRUCE H NAGELSigned

Case Type: PERSONAL INJURY

Document Type: Complaint with Jury Demand

Jury Demand: YES - 6 JURORS

Hurricane Sandy related? NO

Is this a professional malpractice case? NO

Related cases pending: NO

If yes, list docket numbers: Do you anticipate adding any parties (arising out of same transaction or occurrence)? YES

MRS-L-001173-18 06/19/2018 10:59:08 AM Pg 1 of 1 Trans ID: LCV20181068503