Library of New Jersey Personal Injury Forms

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1 Brochure More information from Library of New Jersey Personal Injury Forms Description: Prosecute your personal injury matter from start to finish using the 325+ forms in print and in Word on CD. You will have at your disposal the forms library of one of New Jersey's premiere plaintiffs' personal injury practices. The 750+ page book and CD of 325+ forms (in Word) serves as a comprehensive Personal Injury Firm office library. The CD of forms includes: 37 New Client/Initial Intake Forms, 32 Pre-Litigation Forms, 16 PIP Forms, 23 Sample Complaints, 35 Pending Litigation Forms, 46 Sample Discovery Documents, 21 Sample Motions, 9 Sample Arbitration Forms, 21 Sample Trial Documents, 39 Settlement and Post-Trial Documents, 14 UM/UIM Motorist Forms, 34 Worker's Compensation Forms. Low-tech and easy to use, the CD allows for easy drafting and editing of a large variety of Word documents. The 8 1/2 x 11" softcover book contains printed versions of each form, and is organized to bring you through your case start to finish. Topics include: - Auto Negligence - Medical Malpractice - Legal Malpractice - Premises Liability - Product Defects - Recreation and Sports Injuries - Workers' Compensation Contents: New Client/Initial Intake Form 001 Welcome Letter To New Client Form 002 Welcome Letter To New Client With Retainer And Other Forms Form 003 Contingency Retainer Agreement Form 004 Medical Authorization Form 005 Authorization To Protect Payment Of Medical Bills Form 006 Affidavit Of No Insurance Form 007 Wage Loss Authorization Form 008 Initial Letter To Client - Medical Malpractice Case Form 009 Welcome Letter To Non Personal Injury Client Form 010 Takeover Authorization To Prior Attorney Requesting Clients File Form 011 Letter To Clients Prior Attorney Request Clients File Form 012 Thank You Referral Letter To Attorney From Certified Civil Trial Attorney Form 013 Thank You Referral Letter To Attorney From Non-Certified Civil Trial Attorney Form 014 Thank You Referral Letter To Non-Attorney Form 015 Letter To Potential Referring Attorney Form 016 Letter To Attorney Referring New Case Form 017 Letter To Client Referring Case Form 018 Letter Requesting Police Report Form 019 Notice Defendant Letter - Motor Vehicle Case Form 020 Verify Liability Coverage - Motor Vehicle Accident Form 021 Request Municipal Court Disposition - Motor Vehicle Accident Form 022 Welcome Doctor Letter Motor Vehicle Accident Form 023 Notice Defendant Letter - Non Motor Vehicle Accident Form

2 024 Welcome Doctor Letter - Non Motor Vehicle Accident Form 025 Letter To Client Requesting Insurance Information Form 026 Request Record Property Owner - Fall Down Case Form 027 Letter Requesting Weather Report Form 028 Letter Requesting Osha Records Form 029 Letter Requesting Liability Coverage - Medical Malpractice Case Form 030 Notice Of Title 59 Tort Claim Form 031 Rejection Letter To Client - Personal Injury Case Form 032 Rejection Letter To Attorney Referred Client - Personal Injury Case Form 033 Rejection Letter To Referring Attorney Form 034 Rejection Letter To Attorney Referred Client - Tort Claims Case Form 035 Rejection Letter To Attorney Referred Client - Medical Malpractice Case Form 036 Rejection Letter To Attorney Referred Client - Legal Malpractice Case Form 037 Rejection Letter To Client - Long Form Pre-Litigation Form 001 Status Of Treatment Letter Form 002 Letter Requesting Hospital Records Form 003 Letter Requesting Hospital Bill Form 004 Letter Requesting Final Doctor Report (Non-Limitation On Lawsuit Threshold Case) Form 005 Letter Requesting Final Doctor Report (Limitation On Lawsuit Threshold Case Form 006 Letter Requesting Final Doctor Bill Form 007 Letter Forwarding Report Fee To Doctor Form 008 Follow Up Letter For Doctors Report Form 009 Letter Requesting Medical Providers Records Form 010 Letter Requesting Records From Potential Defendant In A Medical Malpractice Case Form 011 Alternate Letter Requesting Records From Potential Defendant In A Medical Malpractice Case Form 012 Follow Up Letter For Doctors Office Records Form 013 Letter To Board Of Medical Examiners Form 014 Letter Requesting MRI Or X-Ray Films Form 015 Letter Of Protection To Medical Provider Form 016 Letter Requesting Photographs Of Accident Scene Form 017 Letter To Post Office For Current Address Lookup Form 018 Letter Requesting State Temporary Disability Benefits File Form 019 Authorization For State Temporary Disability Benefits Form 020 Letter To Employer For Personnel File Form 021 Authorization To Employer For Personnel File Form 022 Letter Requesting Workers Compensation Lien Form 023 Letter Requesting Workers Compensation Lien And File Form 024 Letter Rejecting Health Insurance Lien Form 025 Settlement Letter To Insurance Company Form 026 Letter To Doctor Enclosing Certification Of Permanency Form 027 Certification Of Permanency - Motor Vehicle Accident Form 028 Letter To Medical Malpractice Expert Requesting Affidavit Of Merit Form 029 Affidavit Of Merit - Medical Malpractice Form 030 Letter To Legal Malpractice Expert Requesting Affidavit Of Merit Form 031 Affidavit Of Merit - Legal Malpractice Form 032 Collection Letter Personal Injury Protection (PIP) Benefits Form 001 Letter Requesting Pip Application Form 002 Letter To Client Forwarding Pip Application Form 003 Letter Forwarding Pip Application To Insurance Carrier Form 004 Notice Of Intent To Njpliga Form 005 Letter Enclosing Notice Of Intent To Njpliga Form 006 Letter Submitting Medical Bills To Pip Carrier For Payment Form 007 Letter Requesting Pip Payment Ledger Form 008 Letter To Pip Carrier - Future Treatment Form 009 Letter Forwarding Demand For Pip Arbitration To National Arbitration Forum Form 010 Letter Forwarding Demand For Pip Arbitration To Insurance Company Form 011 Demand For Arbitration Form 012 Letter To Client For Pip Arbitration Form 013 Letter To Doctor Enclosing Certification For Pip Arbitration Form 014 Certification Of Doctor For Pip Arbitration Form 015 Certification Of Services Form 016 Complaint For Personal Injury Protection (Pip) Benefits Complaints Form 001 Motor Vehicle Complaint Form

3 002 Motor Vehicle Complaint - Different Driver And Owner Form 003 Motor Vehicle Complaint For Passenger In A One Car Accident Form 004 Motor Vehicle Complaint For Passenger In A One Car Accident Different Driver And Owner Form 005 Motor Vehicle Complaint For A Passenger Against Driver Of Another Vehicle Form 006 Motor Vehicle Complaint For A Passenger Against A Different Driver And Operator Form 007 Motor Vehicle Complaint For A Passenger Vs. Host Owner/Operator And Other Vehicles Owner/Operator Form 008 Motor Vehicle Complaint For A Pedestrian Form 009 Motor Vehicle Complaint For A Pedestrian Against Different Driver And Owner Form 010 Motor Vehicle Complaint Against Dwi Defendant And Bar/Social Host Form 011 Fall Down Complaint Form 012 Products Liability Complaint Form 013 Medical Malpractice Complaint Form 014 Medical Malpractice Complaint - Discovery Rule Form 015 Dental Malpractice Complaint Form 016 Physical Therapy Malpractice Complaint Form 017 Legal Malpractice Complaint Arising Out Of An Underlying Motor Vehicle Case Form 018 Legal Malpractice Complaint Arising Out Of An Underlying Medical Malpractice Case Form 019 Dog Bite Complaint Form 020 Food Poisoning Complaint Form 021 Per Quod Count Form 022 Order To Show Cause And Verified Complaint Compelling Prior Attorney To Turn Over Clients File Form 023 Civil Case Information Statement Pending Litigation Form 001 Letter Updating Referring Attorney Form 002 Summons Form 003 Letter To Sheriff To Serve Complaint Form 004 Letter To Private Subpoena Service To Serve Complaint Form 005 Proof Of Service - Service By Private Subpoena Service Form 006 Letter To New Jerseys Division Of Motor Vehicles To Serve Complaint On Out Of State Defendant Form 007 Letter Serving Complaint By Certified Mail Form 008 Proof Of Service - Service By Certified Mail Form 009 Request To Enter Default Form 010 Letter Requesting Proof Hearing Form 011 Letter Forwarding Affidavit Of Proof And Non-Military Service To Client Form 012 Notice Of Dismissal Form 013 Letter Filing Amended Complaint Before An Answer Has Been Filed Form 014 Letter Filing Amended Complaint Naming Third Party Defendant As A Direct Defendant Form 015 Letter To Attorney Forwarding Acknowledgment Of Service Form 016 Acknowledgment Of Service Form 017 Letter Serving Certification Of Permanency Form 018 Letter Serving Affidavit Of Merit Form 019 Letter To Expert Requesting Further Review Of Records Form 020 Letter To Client To Sign Authorizations From The Defendant Form 021 Letter Forwarding Signed Authorizations To The Defendant Form 022 Letter To Adversary Requesting Records Obtained With Subpoena Form 023 Letter To Client For A Scheduled Defense Medical Examination Form 024 Letter To Client To Schedule A Defense Medical Examination Form 025 Rova Farms/Bad Faith Letter To Defendant Form 026 Offer For Judgment Form 027 Frivolous Litigation Letter Form 028 Letter To Adversary Confirming De Bene Esse Deposition Of Doctor Form 029 Letter To Doctor Confirming De Bene Esse Deposition Form 030 Letter Forwarding Proposed Order Under Five Day Rule Form 031 Certification Verifying Facsimile Signature Form 032 Substitution Of Attorney Form 033 Letter To Newspaper Enclosing Press Release Form 034 Letter To Attorney Regarding Status Of Referred Case Form 035 Questionnaire Providing Information To Expert Economist Discovery Form 001 Letter To Client To Answer Interrogatories Form 002 Letter To Client Forwarding Draft Answers To Interrogatories For Review Form 003 Letter Serving Answers To Interrogatories Form 004 Letter Amending Answers To Interrogatories With A Document Form 005 Letter Amending Answers To Interrogatories With An Experts Report Form

4 006 Letter Providing Plaintiffs Response To Demand For Production Of Documents Form 007 Letter Advising Adversary Of Experts Further Review Of Records Form 008 Letter Serving Discovery Requests Form 009 Alternate Letter Serving Discovery Requests Form 010 Letter Propounding Interrogatories On Defendant Form 011 Letter Serving Demand For Production Of Documents Form 012 Letter Serving Request For Admissions Form 013 Interrogatories To Defendant - Motor Vehicle Case Form 014 Interrogatories To Defendant - Fall Down Case Form 015 Interrogatories To Defendant - Products Liability Case Form 016 Interrogatories To Defendant Doctor - Medical Malpractice Case Form 017 Interrogatories To Defendant Hospital - Medical Malpractice Case Form 018 Demand For Discovery Of Insurance Information Form 019 Demand For Production Of Documents - Motor Vehicle Case Form 020 Demand For Production Of Documents - Fall Down Case Form 021 Demand For Production Of Documents - Products Liability Case Form 022 Demand For Production Of Documents - Medical Malpractice To A Doctor Form 023 Request For Admissions - Motor Vehicle Case Form 024 Request For Admissions - Fall Down Case Form 025 Request For Admissions - Products Liability Case Form 026 Request For Admissions - To Doctor Medical Malpractice Case Form 027 Demand For Inspection Form 028 Letter To Defendant Regarding Overdue Answers To Interrogatories Form 029 Follow Up Letter Requesting Overdue Insurance Information Form 030 Letter Requesting Overdue Demand For Production Of Documents Form 031 Letter Requesting More Specific Answer To Form A Interrogatory #5 - Defendants Pre-Litigation Statement Form 032 Letter To Defendant Following Up On Request For More Specific Answers To Interrogatories Form 033 Letter To Client For Scheduled Deposition Form 034 Letter To Client For Rescheduled Deposition Form 035 Notice For Deposition Form 036 John Doe Deposition Notice For A Representative Of The Defendant Form 037 Letter Rescheduling Defendants Deposition Form 038 Letter To Adversary In Lieu Of Cross-Notice Scheduling Deposition Form 039 Letter To Adversary Changing Location Of Deposition Form 040 Letter Notifying Defendant That Plaintiff Requires Interpreter For Deposition Form 041 Letter Serving Deposition Notice For Expert Witness Form 042 Deposition Notice For An Expert Witness Form 043 Letter To Witness Enclosing Subpoena And Deposition Notice Form 044 Subpoena To Witness For Deposition Form 045 Deposition Notice To Witness (Serve With Subpoena) Form 046 Letter Requesting Discovery Extension Pursuant To R.4:24-1(C) Motions Form 001 Letter To Court Filing Motion Form 002 Letter To Judge To Carry A Motion Form 003 Letter To Judge To Withdraw A Motion Form 004 Notice Of Motion For Substituted Service Form 005 Motion To Enter Default Judgment And Schedule A Proof Hearing Form 006 Motion To File An Amended Complaint Adding A New Party Form 007 Motion To File An Amended Complaint Adding A New Claim Against An Existing Party Form 008 Motion To Consolidate Cases On The Issue Of Damages Form 009 Motion To Strike Defendants Answer Without Prejudice For Failure To Provide Discovery Form 010 Motion To Strike Defendants Answer With Prejudice For Failure To Provide Discovery Form 011 Motion To Compel More Specific Answers To Interrogatories Form 012 Motion To Strike Defendants Answer For Failure To Respond To A Demand For Production Of Documents Form 013 Motion To Compel Defendant To Produce Insurance Information Form 014 Motion Of Motion To Compel Production Of An Incident Report Form 015 Motion To Compel Defendants Deposition Form 016 Motion To Fix Date For Service Of Experts Report Form 017 Motion To Extend Discovery (Short Form) Form 018 Notice Of Motion For Partial Summary Judgment On Issue Of Liability (Rear-End Hit Motor Vehicle Case) Form 019 Notice Of Motion To Be Relieved As Counsel - Clients Failure To Cooperate Form

5 020 Motion To Quash Subpoena For Psychiatric Records Form 021 Motion For The Creation Of A Special Needs Trust Arbitration Form 001 Letter To Client For Arbitration Form 002 Letter To Client For Re-Scheduled Arbitration Form 003 Personal Injury Arbitration Statement Form 004 Letter To Client Regarding Arbitration Award Form 005 Letter To Court Forwarding Demand For Trial De Novo Form 006 Demand For Trial De Novo Form 007 Letter To Client Regarding Rejection Of Arbitration Award Form 008 Motion To Confirm Arbitration Award Form 009 Motion To Remove Case From Arbitration Trial Form 001 Letter To Client Regarding Trial Date Form 002 Letter To Medical Expert Regarding Trial Date Form 003 Letter To Liability Expert Regarding Trial Date Form 004 Letter To Police Officer Enclosing Subpoena For Trial Form 005 Subpoena To Police Officer For Trial Form 006 Letter Enclosing Trial Subpoena For Hospital Records Form 007 Subpoena For Hospital Records For Trial Form 008 Letter To Adversary Serving Notice In Lieu Of Subpoena For Trial Form 009 Notice In Lieu Of Subpoena Form 010 Letter To Subpoenaed Witness For Trial Form 011 Subpoena Ad Testificandum For Trial Form 012 Follow Up Letter To Subpoenaed Witness For Trial Form 013 Letter To Civil Assignment Requesting An Interpreter For Trial Form 014 Letter To Court Confirming Adjournment Of Trial Date Form 015 Letter To Medical Expert For New Trial Date Form 016 Pre Trial Information Exchange - Motor Vehicle Case Form 017 Trial Memorandum - Limitation On Lawsuit Threshold Case Form 018 Voir Dire Questions Form 019 Additional Juror Voir Dire Questions - Medical Malpractice Case Form 020 Request To Charge Cover Page Form 021 Order To Produce Prisoner For Trial Settlement and Post-Trial Form 001 Settlement Letter To Client Form 002 General Release Form 003 Settlement Closing Statement Form 004 Settlement Closing Statement With One Protect Form 005 Settlement Closing Statement With Two Protects Form 006 Settlement Closing Statement For A Minor Form 007 Letter Notifying Court That Case Settled Form 008 Letter To Adversary Confirming Settlement Form 009 Letter To Medical Witness That Case Settled Form 010 Letter To Expert Witness That Case Settled Form 011 Letter To Medical Provider Requesting Compromise Of A Bill Form 012 Letter Forwarding Release To Adversary Form 013 Stipulation Of Dismissal With Prejudice Form 014 Letter To Adversary To Follow Up On Settlement Check Form 015 Motion To Enforce Settlement Form 016 Letter Forwarding Settlement Check To Client Form 017 Letter Forwarding Referral Fee To Referring Attorney Form 018 Letter Paying Medical Providers Outstanding Bill From Settlement Proceeds Form 019 Letter Paying Workers Compensation Lien From Settlement Proceeds Form 020 Letter To Court To Schedule Friendly Hearing Form 021 Letter To Court Confirming A Friendly Hearing Form 022 Letter To Client For Friendly Hearing Form 023 Letter To Doctor Forwarding Friendly Certification Form 024 Doctors Certification For Friendly Hearing Form 025 Order Entering Judgment And Directing Deposit Of Funds Form 026 Order Entering Judgment And Directing Payment To Guardian Form 027 Letter To Adversary Forwarding Friendly Order Form 028 Warrant To Satisfy Judgment Form 029 Letter To Surrogate Forwarding Minors Settlement Check Form 030 Letter To Guardian Enclosing Settlement Funds Form 031 Complaint Seeking To Schedule Friendly Hearing When A Minors Case Settles Prior To The Filing Of A

6 Lawsuit Form 032 Order For Judgment Form 033 Prejudgment Interest Calculations Form 034 Letter Advising Referring Attorney That Case Settled Form 035 Letter Forwarding Bill To Client Form 036 Letter To Court To Docket A Judgment Form 037 Petition For Discovery Form 038 Order For Discovery Form 039 Letter Filing Petition For Discovery Uninsured/Underinsured Motorist FORM 001 INITIAL NOTICE TO UNINSURED (UM)/UNDERINSURED (UIM) MOTORIST CARRIER FORM 002 LETTER DEMANDING UNINSURED/UNDERINSURED MOTORIST ARBITRATION FORM 003 FOLLOW UP LETTER TO UM/UIM CARRIER FORM 004 ORDER TO SHOW CAUSE, VERIFIED COMPLAINT, VERIFICATION OF PLAINTIFF AND VERIFICATION OF COUNSEL DEMANDING UIM ARBITRATION FORM 005 LETTER OBJECTING TO PROPOSED ARBITRATOR IN A UM/UIM ARBITRATION FORM 006 LETTER TO PLAINTIFFS ARBITRATOR SUGGESTING NEUTRAL ARBITRATORS FORM 007 LONGWORTH LETTER TO UNDERINSURED MOTORIST CARRIER REGARDING PROPOSED SETTLEMENT FORM 008 UNINSURED/UNDERINSURED MOTORIST ARBITRATION STATEMENT FORM 009 UM/UIM AWARD FORM FORM 010 LETTER PAYING PARTYS UM/UIM ARBITRATOR FORM 011 LETTER PAYING NEUTRAL UM/UIM ARBITRATOR FORM 012 UM/UIM RELEASE AND TRUST AGREEMENT FORM 013 UNINSURED MOTORIST COMPLAINT FORM 014 UNINSURED MOTORIST COMPLAINT FOR TRIAL DE NOVO Workers Compensation FORM 001 WELCOME CLIENT LETTER FORM 002 LETTER REQUESTING IDENTITY OF WORKERS COMPENSATION CARRIER FORM 003 LETTER OF REPRESENTATION TO WORKERS COMPENSATION CARRIER FORM 004 LETTER OF REPRESENTATION TO CLIENTS EMPLOYER FORM 005 LETTER TO CLIENT REFERRING A WORKERS COMPENSATION CASE FORM 006 LETTER TO ATTORNEY REFERRING WORKERS COMPENSATION CASE FORM 007 SUBSTITUTION OF ATTORNEY FORM 008 CLAIM PETITION FORM 009 LETTER TO WORKERS COMPENSATION CARRIER FORWARDING FILED CLAIM PETITION FORM 010 SECOND LETTER REGARDING OVERDUE ANSWER TO CLAIM PETITION FORM 012 MOTION TO SUPPRESS DEFENSES FORM 013 LETTER FORWARDING DEMAND FOR MEDICAL INFORMATION FORM 014 REQUEST TO RESPONDENT FOR MEDICAL INFORMATION FORM 015 FOLLOW UP LETTER TO RESPONDENT FOR MEDICAL INFORMATION FORM 016 NOTICE OF MOTION TO COMPEL PRODUCTION OF MEDICAL INFORMATION FORM 017 MOTION FOR MEDICAL AND TEMPORARY BENEFITS FORM 018 CERTIFICATION OF COUNSEL IN SUPPORT OF MOTION FOR MEDICAL AND TEMPORARY BENEFITS FORM 019 CERTIFICATION OF PETITIONER IN SUPPORT OF MOTION FOR MEDICAL AND TEMPORARY BENEFITS FORM 020 CERTIFICATION OF DOCTOR IN SUPPORT OF MOTION FOR MEDICAL AND TEMPORARY BENEFITS FORM 021 LETTER TO CLIENT TO SCHEDULE PETITIONERS PERMANENCY EXAMINATION FORM 022 LETTER TO DOCTOR TO SCHEDULE PETITIONERS PERMANENCY EXAMINATION FORM 023 LETTER ASKING RESPONDENT TO SCHEDULE PERMANENCY EXAMINATIONS FORM 024 LETTER TO CLIENT TO SCHEDULE RESPONDENTS WORKERS COMPENSATION EXAMINATION FORM 025 LETTER FORWARDING PERMANENT DISABILITY REPORTS TO RESPONDENTS ATTORNEY FORM 026 CASE STATUS REPORT FORM 027 LETTER TO CLIENT FOR PRETRIAL HEARING FORM 028 LETTER REQUESTING ADJOURNMENT OF PRE-TRIAL HEARING FORM 029 LETTER TO CLIENT REGARDING TRIAL DATE FORM 030 LETTER TO WITNESS REGARDING TRIAL DATE FORM 031 LETTER TO FOLLOW UP ON AWARD OF ATTORNEY FEES FORM 032 SECOND INJURY FUND PETITION FORM 033 LETTER ENCLOSING FORWARDING APPLICATION FOR REVIEW OF FORMAL AWARD FORM 034 APPLICATION FOR REVIEW OR MODIFICATION OF FORMAL AWARD Ordering: Order Online -

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8 Page 1 of 2 Fax Order Form To place an order via fax simply print this form, fill in the information below and fax the completed form to (from USA) or (from Rest of World). If you have any questions please visit Order Information Please verify that the product information is correct. Product Name: Web Address: Office Code: Library of New Jersey Personal Injury Forms SC Product Format Please select the product format and quantity you require: Hard Copy and CD-ROM - Single User: Quantity USD USD 29 Shipping/Handling * Shipping/Handling is only charged once per order. Contact Information Please enter all the information below in BLOCK CAPITALS Title: Mr Mrs Dr Miss Ms Prof First Name: Last Name: Address: * Job Title: Organisation: Address: City: Postal / Zip Code: Country: Phone Number: Fax Number: * Please refrain from using free accounts when ordering (e.g. Yahoo, Hotmail, AOL)

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