Case Evaluation Form
Your Name
*
First Name
Last Name
Your Email
example@example.com
Your Phone Number
Please enter a valid phone number.
Other Party's Name
*
First Name
Last Name
Is there currently a case pending against you?
*
Yes
No
What county is your case in?
*
Please Select
Atlantic
Cape May
Bergen
Burlington
Camden
Cumberland
Gloucester
Salem
Essex
Hudson
Mercer
Middlesex
Monmouth
Morris
Sussex
Ocean
Passaic
Somerset
Hunterdon
Warren
Union
What is your court date, if you have one?
*
/
Month
/
Day
Year
Date
Is Child Support an Issue in your case?
*
Yes
No
Please provide a brief description of the facts of your case.
*
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Submit
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