ORDER OF DISMISSAL/SUPPRESSION PREPARED AND FILED BY THE COURT SUPERIOR COURT OF NEW JERSEY LAW DIVISION PLAINTIFF(s) COUNTY DOCKET NO. ARBITRATION DATE: DEFENDANT(s) THIS MATTER WAS LISTED FOR A MANDATORY ARBITRATION HEARING ON THE ABOVE INDICATED DATE. FOR GOOD CAUSE SHOWN, IT IS ON THE DAY OF 20 ORDERED THAT: THE COMPLAINT OF THE PLAINTIFF(S) (SEE * BELOW) IS DISMISSED: for failure to timely serve the ARBITRATION STATEMENT OF FACTS/ ISSUES upon other counsel/parties. for failure to furnish the ARBITRATION STATEMENT OF FACTS/ ISSUES to the arbitrator at the arbitration hearing. for failure to appear for the ARBITRATION HEARING as scheduled (late appearance is treated the same as non-appearance) THE CLAIMS ASSERTED AGAINST THE NON-SERVED PARTIES (SEE ** BELOW) ARE SUPRESSED: for failure to timely serve the ARBITRATION STATEMENT OF FACTS/ ISSUES upon other counsel/parties. for failure to furnish the ARBITRATION STATEMENT OF FACTS/ ISSUES to the arbitrator at the arbitration hearing. for failure to appear for the ARBITRATION HEARING as scheduled (late appearance is treated the same as non-appearance) ALL CLAIMS ASSERTED AGAINST THE NON-SERVED PARTIES (SEE *** BELOW) ARE DISMISSED FOR LACK OF PROSECUTION, SERVICE OF PROCESS NOT YET HAVING BEEN EFFECTED. American LegalNet, Inc. www.FormsWorkFlow.com ALL CLAIMS/DEFENSES ARE DISMISSED SUPRESSED FOR FAILURE OF THE PARTIES TO TIMELY MOVE TO EITHER REJECT OR CONFIRM THE ARBITRATION AWARD [SEE R. 4:21A-6(b)] RELIEF FROM THE TERMS OF THIS ORDER SHALL ONLY BE GRANTED ON FORMAL APPLICATION TO THE PRESIDING JUDGE ON NOTICE TO ALL COUNSEL/ PARTIES. Dated: (Name of Presiding Judge), P.J. Cv. ALL COUNSEL (***ASTERISKS INDICATE TO WHOM ORDER APPLIES) American LegalNet, Inc. www.FormsWorkFlow.com