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REQUEST FOR JUDICIAL INTERVENTION UCS-840

For Court Clerk Use Only: REQUEST FOR JUDICIAL INTERVENTIONIAS Entry Date(7/2012) UCS-840 COUNTY OF_____COURT,Judge AssignedDate Index Issued:_____Index No: _____RJI Dateattach a caption rider the complete case caption. Do not use et al or et ano. If more space is required,CAPTION:Plaintiff(s)/Petitioner (s)-against-Defendant(s)/Respondent(s)Ch eck ONE box only and specify where OF ACTION OR PROCEEDING:COMMERCIALMATRIMONIALG Business Entity (including corporations, partnerships, LLCs, etc.)G ContestedG ContractNOTE: For all Matrimonial actions where the parties have children underG Insurance (where insurer is a party , except arbitration)the age of 18, complete and attach the MATRIMONIAL RJI UCC (including sales, negotiable instruments)For Uncontested Matrimonial actions, use RJI form Other Commercial:_____TORTS(specify)G AsbestosNOTE: For Commercial Division assignment requests [22 NYCRR 'G Breast (d)], complete and attach the COMMERCIAL DIV RJI Environmental: _____REAL PROPERTY: How many properties does the application include?

Insurance (where insurance company is a party, except arbitration) MATRIMONIAL RJI ADDENDUM (UCS-840M). UCC (includes sales and negotiable instruments) For Uncontested Matrimonial actions, use the Uncontested Divorce RJI ( UD-13 ).

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