New Jersey Judiciary form CN 10486. This walkthrough fills the
107 text fields; 3 checkbox(es) on the form are
left for you to mark after download.
The Confidential Litigant Information Sheet is a New Jersey Judiciary form carrying the number CN 10486, marked “Revised: 11/2024” and running three pages. The form states that it is required “Pursuant to N.J.S.A. 2A:17-56.60 and to assure accurate court records,” and that “both parties must complete and file this form when a dissolution (FM) complaint or a non-dissolution (FD) complaint is filed.” The form also states that it “is confidential and will not be shared with the other party.”
The sheet is organized into three numbered sections. Section 1, described on the form as a section that “must be completed,” collects the docket number of an existing case and the CS number of an existing child support order, and asks whether there is “an active domestic violence restraining order with the other party in this case,” with Yes and No checkboxes. It then gathers parallel columns of identifying information for the Plaintiff and the Defendant: name (last, first, middle initial), Social Security number, date of birth, street address, city, state and zip, phone number, email address, race, ethnicity, gender, and attorney name and address. Section 1 also carries notices about reasonable accommodations for individuals with disabilities through the local ADA coordinator, and about court-interpreting services, with a checkbox for each party reading “spoken language interpreter required” and a blank for the language.
Section 2 applies, according to the form, “if the case involves alimony, spousal or child support, custody, parenting time (visitation) or paternity.” It collects employer name or other income source and employer address, professional, occupational and recreational licenses, driver’s license number and issuing state, height, weight, hair, eyes, and auto license plate, make, model, state and year, again in separate Plaintiff and Defendant columns. It also has space for up to four children, each with name, date of birth, race, ethnicity and gender, followed by health care provider, policy number and group number where health insurance is available for the children.
Section 3 is the certification. Its text reads: “I certify that the foregoing information provided by me is accurate to the best of my knowledge. I am aware that if I willfully provide inaccurate information, I am subject to punishment.” It provides a date line, an “s/” signature line, and a printed name line. Where information does not apply, the form directs entering “N/A,” and where it is unknown, “unknown.”
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