Rules Appendix XXVII-A Rules Appendix XXVII-A revised August 1, 2016 to be effective September 1, 2016. (CN 10890) page 1 of 1 NOTICE: This is a public document, which means the document as submitted will be available to the public upon request. Therefore, do not enter personal identifiers on it, such as Social Security number, driver222s license number, vehicle plate number, insurance policy number, active financial account number, or active credit card number. Superior Court of New Jersey Chancery Division - Family Part County Docket Number FM - Plaintiff Civil Action Rule 5:4-2(h) Certification by Attorney and Client v. Defendant Attorney , being of full age, hereby certifies as follows: 1. I am the attorney for the Plaintiff Defendant in the above captioned matter. 2. I make this Certification pursuant to New Jersey Court Rule 5:4-2(h). 3. I have provided my client with a copy of the document entitled 223Descriptive Material (R. 5:4-2(h)) -- Divorce or Dissolution -- Dispute Resolution Alternatives to Conventional Litigation.224 4. I have discussed with my client the complementary dispute resolution alternatives to litigation contained in that document. I certify that the foregoing statements made by me are true. I am aware that if any of the foregoing statements made by me are willfully false, I am subject to punishment. Dated: Signature ****************************************************************************** Client , being of full age, hereby certifies as follows: 1. I am the Plaintiff Defendant in the above captioned matter and am represented in this dissolution matter by . 2. I make this Certification pursuant to New Jersey Court Rule 5:4-2(h). 3. I have read the document entitled 223Descriptive Material (R. 5:4-2(h)) -- Divorce or Dissolution -- Dispute Resolution Alternatives to Conventional Litigation.224 4. I thus have been informed as to the availability of complementary dispute resolution alternatives to litigation. I certify that the foregoing statements made by me are true. I am aware that if any of the foregoing statements made by me are willfully false, I am subject to punishment. Dated: Signature American LegalNet, Inc. www.FormsWorkFlow.com