Judicial Report Form Judicial ReportUse this form to report judges who refuse to enforce your property and other constitutional rights and provide meaningful court access. Also used to report courts which refuse to provide court records.Note: All fields must be filled in. If a field is not applicable, click the N.A. button. Reports without sufficient details may be deleted.1. Pro-Se or represented by Attorney?Pro-SeAttorney2. If attorney, name, phone number of attorney?ApplicableN/A3a. Full Title of Matter?ApplicableN/A3b. Lower Docket Number?ApplicableN/A4. Subject/nature of Case (Be Brief)?5. Judge's name?6. If Superior Court - Vicinage/County:ApplicableN/A7. If Local/Municipal Court - City/town:ApplicableN/A8a. At issue?Final Pre-TrialTrial OrderN/A9a. If trial occurred, Jury Trial?YesNo9b. Outcome: Decision and Judgment (amount) rendered?ApplicableN/A10a. Was a motion for reconsideration filed?YesNoN/A10b Result?Denied in fullin partN/A11a. Was an Appeal filed? (y or n)YesNo11b. If so, Docket Number?ApplicableN/A12a. Was petition to State Supreme Court Filed? (y or n)?YesNoN/A12b. If yes, granted or denied?GrantedDeniedN/A13. Was the AOC written about the alleged improper behavior which resulted in your failure to obtain due process? (y or n)?YesNoN/A14a. Has any other legal or other action been taken by you? (y or n)YesNo14b. If yes, explain briefly?15. State reason(s) you believe you did not receive a full, fair and impartial disposition on motion or trial, i.e. judge was not impartial or failed to recuse himself though in conflict, knowingly failed to apply laws, gave no reasons for his dismissal of issues, failed to adjudicate key issues, etc. ? (itemize)16. What is your strongest circumstantial and/or documentary evidence which would show this?17. Why do you believe this was purposeful and not due to error by the judge/courts/state?Date Check box to have your report published including your name. I certify that I have read and understand FairTrialNJ’s web site and purpose and I hereby give my permission for FairTrialNJ to either publish or refer to this report (without mentioning my name) and expressly hold FairTrialNJ and its officers harmless for said use, and acknowledge that no duty whatsoever is owed me by FairTrialNJ. .