ft
€iirNewJersey Courts 1
111 Independence• Integrity • Fairness• Quality Service
Administrative Office of the Courts
Richard J. Hughes Justice Complex • P.O. Box 037 • Trenton, NJ 08625-0037
TO: Assignment Judges
Trial Court Administra,~r!tJ / 1
njcourts.gov • Tel: 609-376-3000 • Fax: 609-376-3002
DIRECTIVE #15-21
[Questions or comments may be directed to (609) 815-2900, ext. 55350]
GLENN A. GRANT,J.A.D. Acting Administrative Director of the Courts
FROM: Glenn A. Grant, J.A.Dp , z ! f
RE: Family - Revised Certification of Diligent Search Packet for Use by Self-
Represented Litigants in Non-Dissolution (FD) Cases DATE: July 26, 2021
This Directive promulgates a revised Certification of Diligent Search packet (CN 11490) for use by self-represented litigants in non-dissolution (FD) cases as approved by the Judicial Council.
The packet was revised to more closely conform to the court rule language on how to attempt to locate a parent or guardian. The prior version of this packet directed litigants to do more in that regard than was required by Rule 5:4-4(c) in two ways. First, the prior packet stated that litigants should send letters of inquiry to "[t]he other party's family members, close friends, or past employers who might know the other party's address." Rule 5:4-4, provides that diligent inquiry efforts should include inquiry "to therelativesandlastknownemployersoftheperson...." TheRuledoesnotrequire inquiry to "close friends," which thus has been eliminated from the revised packet.
Second, the prior packet stated that litigants should send letters of inquiry to "[a]II branches of the U.S. Military." This is also beyond the scope of Rule 5:4-4, which states that inquiry should be made to "the United States Department of Defense." Consequently, we have included in the revised packet a sample Request for Certificate ofMilitaryServiceorNon-Service- General. Litigantsareadvisedthatiftheyhave access to the Internet and know the parent or guardian's birth date or Social Security number, they can obtain information about active military service from the Department of Defense Manpower Data Center (DMDC) at: https://scra.dmdc.osd.mil/scra/#/home. The revised packet explains that if the U.S. Department of Defense does not provide enough information to the litigant to satisfy the court, the court at that point may ask the litiganttosendseparateletterstotheseveralbranchesoftheU.S.Military. Forthe litigants' convenience, sample letters to each branch are included in the packet.
ADA
Americans with Disabilities Act
ENSURING A N O PE N D O O R T O
JUSTICE
Directive #15-21
Revised Certification of Diligent Search Packet for Use by Self-Represented Litigants in Non-Dissolution Cases
July 26, 2021 Page 2 of 2
Finally, litigants reported that they were having difficulty obtaining information from the United States Postal Service and the New Jersey Motor Vehicle Commission using the sample letters to those agencies contained in the prior version of the packet. After consultation with the United States Postal Service and the New Jersey Motor Vehicle Commission, revised sample letters are included in the packet for submission to each of those agencies.
Questions regarding this Directive may be directed to the AOC's Family Practice Division at 609-815-2900, ext. 55350.
Attachments:
(1) CN 11490 (Certification of Diligent Search - Includes Letter of Inquiry to Motor Vehicle Commission and Letter of Inquiry to Postmaster)
(2) CN 11493 (Letter of Inquiry to Parents or Guardian's Relatives or Last Known Employer
(3) CN 11494 (Letter of Inquiry to Military - Air Force)
(4) CN 11495 (Letter of Inquiry to Military -Army)
(5) CN 11496 (Letter of Inquiry to Military - Coast Guard)
(6) CN 11497 (Letter of Inquiry to Military - Marine Corps)
(7) CN 1498 (Letter of Inquiry to Military - Navy)
(8) CN 11501 (Request for Certificate of Military Service or Non-Service - General)
cc: Chief Justice Stuart Rabner Family Presiding Judges
Steven D. Benville, Chief of Staff
AOC Directors and Assistant Directors
Clerks of Court
Special Assistants to the Administrative Director Amelia Wachter-Smith, Chief, Family Practice Family Division Managers
Assistant Family Division Managers
Gina G. Bellucci, Esq., Family Practice
Family- Chancery Certification o f Diligent Search July 2021
New Jersey Courts
www.njcourts.gov
Independence• Integrity Fairness• Quality Service
Certification of Diligent Search
Superior Court of New Jersey - Chancery Division - Family Part
Who Should Use This Packet? You can use this packet ifyour case type starts with the letters FD.
A Non-Dissolution (FD) case is a court case about family matters such as custody, parenting time, child support, spousal support for married people that are separated, and requests from relatives such as grandparents, aunts, or uncles filing in court about the custody and care of minor children. A diligent search is used for a Non-Dissolution (FD) case when the person filing in court does not have an address for the person they are filing against in the case. That parent or legal guardian should receive a notice to appear in court.
This packet includes information on attempting to find the location of the parent or legal guardian named in your case, along with sample letters and forms that can be used to ask for location information. You must send a letter or complete the identified forms for all locations listed on the next page. Ifyou omit any location, you must explain to the court the reason for excluding that particular place.
The court must determine that you have made a serious effort to obtain information about the location of the parent or guardian named in your case, and that you have followed up on any information that you have received about their whereabouts. The Certification of Diligent Search form is returned to the Court along with copies of all letters or forms you have sent and any responses you have received.
Revised 07/2021, CN 11490 (Certification ofDiligent Search) page I of 18 CN 11494 (Letter ofJnquiry to Military - Air Force)
Instructions - How to Complete the Diligent Search Certification
You should send the letters or forms listed below to any people or agencies that might have an address fortheparentorguardiannamedinyourcase. Youmustkeepcopiesofthelettersyousendandany responses you receive so you can submit them to the court as evidence ofyour attempts to find the parent or guardian. These letters and forms include:
a) Letters sent to the parent's or guardian's relatives and last known employers who might know theiraddress. Thislettershouldbesentbybothregularandcertifiedmail,returnreceipt requested. The signed return receipt card (or electronic receipt) should be submitted to the court as evidence.
b) Ifthe parent or guardian had a driver's license in New Jersey, submit a completed "Driver License Application Request" form to the New Jersey Motor Vehicle Commission (MVC), along with any required fee. Ifyou have access to the Internet, you can obtain the form at www.njmvc.gov and a copy is included with this packet. Ifthe parent or guardian lived in another state, you should contact that state's motor vehicle department to ask them how to request this information.
c) The U.S. Department ofDefense (Defense Manpower Data Center), request for a Certification of Military Service or Non-Service-General. Ifthe U.S. Department of Defense does not provide enough information, the Court might ask you to send separate letters to the different branches of the U.S. Military. Ifyou are required to send additional letters, you can send them by regular mail.
Ifyou have access to the Internet, and you know the parent or guardian's birth date or Social Security Number, you can obtain information about active military service from the Department of Defense Manpower Data Center (DMDC) at: https://scra.dmdc.osd.mil/scra/#/home
Ifthe Court requires you to send letters to the different branches ofthe U.S. Military, your
letters must contain as much information as you know about the parent or guardian , such as their full name, Social Security Number, date and place of birth, last known military address, service number, rank or grade, (officer/enlisted), and last duty assignment. The reason for your request must be included. This process can take several weeks.For information on sending inquiries to different branches of the U.S. Military, please see the detailed information below and this link: https://www.usa.gov/military-personnel-and- installations
Revised 07/2021, CN 11490 (Certification ofDiligent Search) page 2 of 18 CN 11494 (Letter oflnquiry to Military - Air Force)
Air Force Worldwide Locator:
HQ AFPC/DPlORM
550 C St West,
Joint Base San Antonio-Randolph TX 78150
Locator Service: https://www.afpc.af.mil/Support/Worldwide-Locator/
(210) 565-2660
DSN: 665-2660
Include an envelope with a return address, proper postage affixed and the individual's name in the addressee portion of the envelope. Place this envelope in a larger envelope with your check or money order for $3.50 made payable to DAO-DE JBSA-R.
The Worldwide Locator also provides a "Statement or Verification of Service". This applies to active duty Air Force personnel only. A fee of $5.20, per individual written request, is required. Checks or money orders must be made payable to DAO-DE JBSA-R
Army:
(https://www.marines.mil/FAO/)
Commander Soldier' s Records Data Center (SRDC) 8899 East 56th Street
Indianapolis, IN 46249-5301
NOTE: All requests must be in writing.
You may also contact them by phone at 1-866-771-6357
U.S. Coast Guard
Commander
Personnel Service Center
A TfN: PSC-BOPS-C-MR
US Coast Guard Stop 7200
2703 Martin Luther King Jr Ave SE
Washington DC 20593-7200
E-maiJ.,....MR_CustomerService@uscg.mil https://www.dcms.uscg.mil/Our-Organization/Assistant-Commandant-for-Human-Resources- CG-l/Personnel-Service-Center-PSC/BOPS/PSC-BOPS-C/PSC-BOPS-C-MR/ Fax:202-372-8440
Marine Corps:
(https://www.marines.mil/FAO/)
Headquarters U.S. Marine Corps
Personnel Management Support Branch (MMSB-17)
2008 Elliott Road,
Quantico, V A 22134-5030
Locator Service: 703-784-3941 /3942/3943
Because of the large volume ofrequests that each service locator receives, please allow at least four weeks processing time for written requests. Please contact officials ofour Defense Manpower Data Centerfor assistance with military verification. Their telephone number is (703) 696-6762.
Navy Worldwide Locator
(https://www.navy.mil/Resources/Frequently-Asked-Ouestions/) BUPERS-07 Customer Service Center
Revised 07/2021, CN 11490 (Certification ofDiligent Search) CN 11494 (Letter oflnquiry to Military - Air Force)
page 3 of 18
d)
5720 Integrity Drive Millington, TN 38055-3120 (901 )874-3388
You should mail the "Request for Change of Address or Boxholder Information Needed for Service ofLegal Process" to the U.S. Post Office where you believe the parent or guardian last resided. Thisformshouldbesentbyregularmail.
It is important to enclose a self-addressed, stamped envelope with each letter or form to encourage the person or agency to write back to you. Please refer to the attached certification.
The following sample Letters of Inquiry are attached to assist you:
Letter ofInquiry to Other Party's Relatives and Last Known Employers
Letter of Inquiry to Military - Air Force (if necessary)
Letter ofInquiry to Military - Army (if necessary)
■ Letter ofInquiry to Military - Coast Guard (ifnecessary)
Letter oflnquiry to Military - Marine Corps (ifnecessary)
Letter oflnquiry to Military-Navy (ifnecessary)
■ Request for Certificate ofMilitary Service or Non-Service - General
Letter oflnquiry to New Jersey Motor Vehicle Commission/"Driver License Application
Request" Form
Letter of Inquiry to the United States Postal Service/"Request for Change of Address or
Boxholder Information Needed for Service ofLegal Process" Form to be submitted to the United States Postal Service
Revised 07/2021, CN 11490 (Certification ofDiligent Search) page 4 of 18 CN 11494 (Letter oflnquiry to Military-Air Force)
Letter to Parent's or Guardian's Relatives or Last Known Employers
Filer's Name
Filer's Street Address
City _ _ _ _ _ _ _ _ _ _ _ _ _
Date
Name of the person to whom you are writing
Street Address ofthe person to whom you are writing
City
State__ ZipCode_____ _
addressed envelope.
Thank you for your assistance.
Revised 07/2021, CN 11490 (Certification ofDiligent Search) CN 11494 (Letter ofinquiry to Military - Air Force)
Very truly yours,
s/
Filer's Signature
State
Zip Code
Docket Number: _ _ _ _ _ _ _ _ _ _ _ _ Docket#
RE: - - - - - - - - - - - - - - - - - - - - Caption/title ofcase
Dear
Name ofthe person to whom you are writing
Please be advised that I have filed a court complaint against _________________ your
Non-filer's name Non-filer's relationship to the person Iwritetorequestthatyouinformmeaboutthehomeaddressof _____________ _,
Non-Filer's name
if you know that information.
I am trying to give notice to _ _ _ _ _ _ _ _ _ _ _ _ _ ofthe fact that I have filed
Non-filer's name
a court complaint against _ _ _ so that - - - can appear in court, or answer and defend this
they/them they/them
complaint. To assist you in promptly returning your answer to me, I have enclosed a stamped, self-
page 5 of 18
Filer's Name
Filer's Street Address
City
Date
State
Zip Code
HQ AFPC/DPlORM
550 C St West
Joint Base San Antonio-Randolph TX 78150
Letter of Inquiry to Military (Air Force)
Re: Request for a Certificate ofMilitary Service or Non-Service
RE:------------------- DocketNumber:------------ Caption/title ofcase Docket#
Dear Sir/Madam,
PleasebeadvisedthatIhavefiledacourtcomplaintagainst ______________
Non-filer's name
The two objects ofthis inquiry are (1) to obtain a certificate ofmilitary service or non-service and
(2) to give notice to_ _ _ _ _ _ _ _ _ _ _ _ _ , ofthe fact that I have filed a court complaint Non-filer's name
against _ _ _ so that _ _ _ can appear in court, or answer and defend this complaint. they/them they/them
Please return to me a certificate along with any address that you might have, regardless of whether it is expired. I enclose a check payable to the DAQ-DE and a stamped, self-addressed envelope for this purpose. Thank you for your consideration ofthis request.
Revised 07/2021, CN 11490 (Certification of Diligent Search) CN 11494 (Letter oflnquiry to Military - Air Force)
page 6 of 18
Very truly yours,
sf
Filer's Signature
Letter oflnquiry to Military (Army)
Filer's Name
Non-Filer's Street Address
City State Zip Code
Date
Commander Soldier' s Records Data Center (SRDC) 8899 East 56th Street
Fort Benjamin Harrison, IN 46249-5031
Re: RequestforaCertificateofMilitaryServiceorNon-Service
RE: ------------------- DocketNumber: Caption/title ofcase
- ------,-Do-c,k-e-t,#,..----
Dear Sir/Madam,
PleasebeadvisedthatIhavefiledacourtcomplaintagainst ____________ _
Non-filer's name
The two objects ofthis inquiry are (1) to obtain a certificate ofmilitary service or non-service and
(2) to give notice to_ _ _ _ _ _ _ _ _ _ _ _ _ _, ofthe fact that I have filed a court complaint Non-filer's name
against___ so that _ _ _ can appear in court, or answer and defend this complaint. They/them They/them
Please return to me a certificate along with any address that you might have, regardless of whether it is expired. I enclose a check payable to the Finance Officer and a stamped, self-addressed envelopeforthispurpose. Thankyouforyourconsiderationofthisrequest.
Revised 07/2021, CN 11490 (Certification ofDiligent Search) CN 11495 (Letter of Inquiry to Military - Army)
page 7 of18
Very truly yours,
s/
Filer's Signature
Filer's Name
Filer's Street Address
City State
Date
Commander
Personnel Service Center
ATTN: PSC-BOPS-C-MR
US Coast Guard Stop 7200
2703 Martin Luther King Jr Ave SE Washington DC 20593-7200
Zip Code
Letter of Inquiry to Military (Coast Guard)
Re: RequestforaCertificateofMilitaryServiceorNon-Service
RE:------------------ DocketNumber:------------ Caption/title ofcase Docket #
Dear Sir/Madam,
PleasebeadvisedthatIhavefiledacourtcomplaintagainst ______________
Non-filer's name
The two objects of this inquiry are (1) to obtain a certificate of military service or non-service and
(2) to give notice to_ _ _ _ _ _ _ _ _ _ _ _ _ , ofthe fact that I have filed a court complaint Non-filer's name
against _ _ _ so that that _ _ _ can appear in court, or answer and defend this complaint. they/them they/them
Please return to me a certificate along with any address that you might have, regardless of whether it is expired. I enclose a check payable to the United States Coast Guard and a stamped, self- addressedenvelopeforthispurpose. Thankyouforyourconsiderationofthisrequest.
Revised07/2021,CN 11490(CertificationofDiligentSearch) CN 11496 (Letter oflnquiry to Military - Coast Guard)
page8of18
Very truly yours,
sf
Filer's Signature
Letter ofInquiry to Military (Marine Corps)
Filer's Name
Filer's Street Address
City State Zip Code
Date
Personnel Management Support Branch (MMSB-17) 2008 Elliott Road
Quantico, V A 22 J34-5030
Re: Request for a Certificate ofMilitary Service or Non-Service
RE: - - - - -- -C-a-pt-io_n/_tit-le-o-fc-a-se_ __ _ _ __ DocketNumber:------------ Docket#
Dear Sir/Madam,
Please be advised that I have filed a court complaint against
Non-filer's name
The two objects ofthis inquiry are (1) to obtain a certificate of military service or non-service and
(2) to give notice to , ofthe fact that I have filed a court complaint -------------- ·
Non-filer's name
against _ _ _ so that _ _ _ can appear in court, or answer and defend this complaint.
they/them they/them
Please return to me a certificate along with any address that you might have, regardless of whether it is expired. I enclose a check payable to the United States Treasurer and a stamped, self- addressedenvelopeforthispurpose. Thankyouforyourconsiderationofthisrequest.
Revised 07/2021, CN 11490 (Certification ofDiligent Search) CN 11497 (Letter oflnquiry to Military -Marine Corps)
page 9 of 18
Very truly yours,
s/
Filer's Signature
Filer's Name
Filer's Street Address
City State
Date
BUPERS-07 Customer Service Center 5720 Integrity Drive
Millington, TN 38055-3120
Zip Code
Letter oflnquiry to Military (Navy)
Re: Request for a Certificate ofMilitary Service or Non-Service
RE: ------------------- DocketNumber:-------D -oc-ke_t_#__ _ __ Caption/title ofcase
Dear Sir/Madam,
PleasebeadvisedthatIhavefiledacourtcomplaintagainst ---------,-,-=--------
Non-filer's name
The two objects ofthis inquiry are (I) to obtain a certificate ofmilitary service or non-service and
( 2 ) t o g i v e n o t i c e t o _ _ _ _ _ N_ o _ n - f - i - l e - r ' - s n_ a _m _e - - - - - , o f t h e f a c t t h a t I h a v e f i l e d a c o u r t c o m p l a i n t against___ so that___ can appear in court, or answer and defend this complaint.
they/them they/them
Please return to me a certificate along with any address that you might have, regardless of whether it is expired. I enclose a check payable to the United States Treasurer and a stamped, self- addressed envelope for this purpose. Thank you for your consideration ofthis request.
Revised 07/2021, CN 11490 (Certification of Diligent Search) CN 11498 (Letter oflnquiry to Military - Navy)
page IO of 18
Very truly yours,
s/
Filer's Signature
Request for Certificate of Military Service or Non-Service - General
Filer's Name
Filer' s Street Address
City State
Date
Defense Manpower Data Center Attention: Military Verification 1600 Wilson Boulevard, Suite 400 Arlington, Virginia 22209-2593
Zip Code
Re: RequestforaCertificateofMilitaryServiceorNon-Service
RE:--- ---------------- DocketNumber:--- ------- - - Caption/title of case Docket#
Dear Sir/Madam,
PleasebeadvisedthatIhavefiledacourtcomplaintagainst ________ ______
Non-filer's name
The two objects of this inquiry are (1) to obtain a certificate of military service or non-service and
(2)togivenoticeto____________~ ofthefactthatIhavefiledacourtcomplaint Non-filer's name
against _ _ _ so that _ _ _ can appear in court, or answer and defend this complaint. they/them they/them
Please return to me a certificate along with any address that you might have, regardless of whether it is expired. I enclose a check payable to the United States Treasurer and a stamped, self- addressed envelope for this purpose. Thank you for your consideration ofthis request.
Very truly yours, s/
Filer's Signature
Revised 07/2021, CN 11490 (Certification ofDiligent Search)
CN 1150I (Request for Certificate ofMilitary Service or Non-Service - General)
page 11 of 18
NewJor&OyMoto, VohidoCommissior-
New Jersey Motor Vehicle Commission Business & Government Services
P.O. Box 146
Trenton, NJ 08666-0146
609-292-4102
Letter oflnquiry to Motor Vehicle Commission Driver License
Application Request
A separate form must be completed for each record requested. You may photocopy this form for your convenience; however, each request must bear an original signature of the requester. No other form of request will be accepted. The proper fee(s) must accompany each request in the form of a check or money order payable to: "New Jersey Motor Vehicle Commission." DO NOT SEND CASH. Please note that the turnaround time is approximately 3-4 weeks.
*If you have any questions or need to obtain the status of a request sent by mail, please call 609-292-4102.
ALL APPLICANTS MUST COMPLETE SECTIONS A,B,D OF THIS FORM AND C, IF APPLICABLE. (Please print clearly)
SECTION A - Requestor's Information Applicant's Name:
Business Name (if applicable):
Street Address:
City:
Applicant's Driver License Number:
FEE· $15 PER RECORD SEARCH
Your File or Claim#:
Phone#:
State:
ZIP Code:
SECTION B • Information Requested
New Jersey Driver License Number: (If you do not have the Driver's License number; you .M!!fil supply the name, DOB, gender and address)
Name:
Street Address:
City:
CHECK ONE $15 PER SEARCH
DATE YOU WANT COVERED:
DO-11 {R 10/19)
Date of Birth
State:
MALE FE MALE □□
□
□
□
□
Copy of Driver License Application
Issue Date of Driver (some information is purged, as required by law. But we will give oldest available.) Name and Address of Driver
Address History of Driver
Revised 07/2021, CN 11490 (Certification ofDiligent Search)
page 12of18
Month
Dav Year
DRIVING t-lJ FORWARD Visit us at www.NJMVC.gov
New Jerseyis an Equal Opportunity Employer
I• Photocopy of your Driver License or a photocopy of a Passport, Birth Certificate, or any valid state or federally issued ID.
~
ZIP Code:
Page 1 of 4
Letter of Inquiry to Motor Vehicle Commission Driver License
Application Request
ISECTIONC- PurposefortheRequest(requiredONLYwhenrequestinganother'srecord) I
PLEASE READ THE BELOW SECTION OF THE NEW JERSEY DRIVER PRIVACY PROTECTION ACT, INITIAL NEXT TO THE PERMITTED USE(S) THAT APPLY TO YOUR SPECIFIC USE OF THE MVC RECORDS. THEN PROVIDE A WRITTEN EXPLANATION OF THE REASON FOR YOUR REQUEST AND INTENDED USE OF THE INFORMATION.
USES PERMITTED BY N.J.S.A. 39:2-3.4/cl
_ _ _ 1. For use by any government agency including any court or law enforcement agency carrying out its functions , or any private
person or entity acting on behalf of a Federal, State or Local agency in carrying out its functions.
ff acting on behalfofa government agency, please provide proofof retention.
_ _ _ 2. For use in connection with matters of motor vehicle or driver safety and theft; motor vehicle emissions; motor vehicle product alterations, recalls or advisories; performance monitoring of motor vehicles; motor vehicle parts and dealers; motor vehicle market research activities, including survey research; and the removal of non-owner records form the original owner records of motor vehicle manufacturers.
P l e a s e I n c l u d e t h e d o c u m e n t a t i o n s u p p o r t i n g y o u r r e q u e s t i f t h e I n f o r m a t i o n i s t o b e u s e d f o r m o t o r v e h i c l e e m i s s i o n s, r e c a l l s o r advisories, etc.
_ _ _ 3. For use in the normal course of business by a legitimate business or its agents, employees or contractors, but only;
to verify the accuracy of personal information submitted by the individual to the business or agents, employees or
contractors; and
if such information as so submitted is not correct or is no longer correct, to obtain the correct information, but only for the purposes of preventing fraud by pursuing legal remedies against or recovering on a debt or security interest against the individual.
Please Include a copy of the individual release consent fonn; a contract; a tow bill; or a repair bill from the repair shop with the person In question.
_ _ _ 4. For use in connection with any civil, criminal, administrative or arbitral proceeding in any Federal, State or Local court or agency or before any self-regulating body, including service of process, investigation in anticipation of litigation, and the execution or enforcement of judgments and orders, or pursuant to an order of a Federal, State or Local court.
PleaseIncludetheDocketnumberandaletterfromtheclientconfirmingthatyouhavebeenretained. Pleaseprovideanexplanation if no docket number has been assigned. ff no Docket number is available, please submit the case file number on Attorney letter headandIncludea copyoftheaccidentreport.
_ _ _ 5. For use in educational initiatives, research activities, and for use in producing statistical reports , so long as the personal information is not published, redisclosed, or used to contact individuals and, in the case of educational initiatives, only to organ procurement organizations as aggregated, non-identifying information.
Please include a description of the initiative or research on official letterhead
_ _ _ 6. For use by any insurer or insurance support organization, or by a self-insured entity, or its agents, employees, or contractors, in
connection with claims investigation activities, antifraud activities, rating or underwriting.
Please include supporting documents for intended use i.e. declaration page.
_ _ _ 7. For use in providing notice to the owners of towed or impounded vehicles.
Please Include proofofauthorization to tow or impound vehicles.
_ _ _ 8. For use by an employer or its agent or insurer to obtain or verify information relating to a holder of a commercial driver's license that is required under the "Commercial Motor Vehicle Safety Act, "49 U.S.C. App. §271 Oet seq.
P l e a s e i n c l u d e a c o p y o f a n i n d i v i d u a l r e l e a s e c o n s e n t form, a c o p y o f t h e i n s u r a n c e p o l i c y , a n d a c o p y o f t h e a g r e e m e n t i f d o n e o n behaffofa client.
_ _ _ 9. For use in connection with the operation of private toll transportation facilities. If your request does not fall under one of the above reasons:
_ _ _ 1o. For use by any requester, if the requester demonstrates it has obtained the notarized written consent of the individual to the information pertains.
Now Jo"•Y' Motor Vehicle Commissicr
DO-11 (R 10/19)
Page 2 of 4
*Please note: If you selected number 10, a "Notarized Authorization to Release Personal Motor Vehicle Information" (Form BGS/DO-21A) must be submitted and will not be accepted unless it is acknowledged by a Notary Public or Attorney at Law.
\
DRIVING tU FORWARD Visit us at www.NJMVC.gov
New Jersey is an Equal Opportunity Employer
Revised 07/2021,CN 11490(CertificationofDiligentSearch)
page 13 of18
NevwJomay Motor VehicloCommiuior-
DO-11 (R 10/19)
Page 3 of 4
Explanation of reason
Letter oflnquiry to Motor Vehicle Commission
Driver License Application Request
Please explain in detail your reason for requesting this information and how you plan to use it. If involving a lawsuit, please state the type oflawsuitandyourrelationship to the case.
Revised 07/2021, CN 11490 (Certification ofDiligent Search)
page 14 of 18
DRIVING t-tJ FORWARD Visit us at www.NJMVC.gov
New Jersey is an Equal Opportunity Employer
Now Jorsey Moto, Vchiclo Commissior-
!SECTIOND- TennsandConditions
DO-11 (R 10/19)
Page 4 of 4
Letter oflnquiry to Motor Vehicle Commission Driver License
Application Request
The disclosure and use of the personal information• contained in the record you have requested is governed by the "New Jersey Drivers' Privacy Protection Act" ("NJDPPA"), N.J.S.A. 39:2-3.3 et seq. The NJDPPA provides that a person who knowingly obtains or discloses information from a motor vehicle record for any use not permitted by the Act is guilty of a crime of the fourth degree and can be held liable, in a civil action in the Superior Court, to the individual to whom the information pertains, including an award of actual damages, punitive damages, and reasonable attorney's fees and litigation costs.
* "Personal Information" means information that identifies an individual, including an individual's photograph; social security number; driver identification number; name; address other than the five-digit zip code; telephone number; and medical or disability information, but does not include information on vehicular accidents, driving violations, and driver's status.
I hereby certify that the foregoing statements and submitted supporting documents are true. I understand that if any of the statements or submitted supporting documents are willfully false, I am subject to punishment. I have read N.J.S.A. 39:2-3.3, et seq. ("NJDPPA") and I have initialed all the permitted purposes that apply to my request for online access. I will only use any personal information contained in records I have requested as permitted by the NJDPPA.
I agree to hold the New Jersey Motor Vehicle Commission (NJMVC) harmless in the event of any errors or omissions in the record and document(s) furnished under this application.
If I am requesting another's record, I certify that:
1) Use of the information provided by the NJMVC pursuant to this Application will only be for the purposes
explicitly set forth in this Application;
2) The information provided by the NJMVC pursuant to this Application will not be used for the purpose of commercial solicitation or marketing, political canvassing or campaigning or any similar purpose or objective, and I shall not provide such information to any person or entity that seeks to use such information for any of these purposes;
3) If the information requested is to be used "in anticipation of litigation," pursuant to N.J.S.A. 39:2-3.4(c}4, personal information will only be used where litigation is imminent or foreseeable, or where the party on whose behalf the information is obtained has made the conscious decision to prepare a claim or defend against a probable claim;
4) In the event of a breach of any of the security obligations or other event requiring notification under applicable law, I shall comply with all applicable State and Federal laws that require notification of individuals in the event of unauthorized release of Personal Information, or other event requiring notification, and assume responsibility for informing the NJMVC within twenty four (24) hours and all such appropriate individuals, including the customer whose information is the subject of the release, in accordance with applicable law and to indemnify, hold harmless and defend the State of New Jersey from, and against any claims, damages, or other harm related to such breach or event. All communications must be coordinated with the State of New Jersey by contacting the NJMVC at 609-341-5777.
sf
Signature of Applicant (original signature only - signature stamps are unacceptable)
Date
Revised 07/2021 , CN 11490 (Certification of Diligent Search)
page 15 of 18
"
DRIVING t-lJ FORWARD Visit us at www.NJMVC.gov
New Jersey is an Equal Opportunity Employer
The request should be forwarded to lhe Postmaster of tno last known ajdross
Pos1rnas1e1
Dato_ _ _ _ _ _ _ _ _
Letter ofInquiry to Postmaster
The Pos1aJService does no: ha•,e e database wiih the cumml address o' all of 1!1 cus!omers It doesn't need et al mlOl'mahon smco 1ldo~vurs10add1c::ses.1alhoIlhM to1'11.lrvlduals lio•,,-ovo<,1facu:.lon,0Imovesandfiles.ichor)Qeofaddressorde-.lhlltmformat10<1 Is kepi ai tile post office serving the last ~l'lown add,ess The d !Qasure of customer na~ e and address lnlo1mat10'l 1Soon1a1nod OI socbun265.6(d)of01JI1C9ulation~(39crR265).whchc.;onbuaocessod1,omLllorOIAMmepnge ChangeofsddreS!Ilnformahon at>o111indi\'idlJlllsm1am1lies1s8\•a1ll'!bleonly10governmP.nlaoencvre11ueslers lopersom;nee::hngthe1nlo1111al1ontoservolllgnl pIoooss who 11001c:01tmn 1cqu11cm~nls, 01 pu,~uanl to a court 01d 1Jr,
The Pos1at Service suggests the fol'owng f0<mal to be used In conjuncti()(l with regulahons al 39 CFR 20!i Oid)l4)(1) by persons empowered by law 10 ser.ie legal process when reques1ing change of address or baxhotde1 inlo1111atJ011.
City, State. 71P Cooe
REQUEST FOR CHANGE OF ADDRESS OR BOXHOLDER INFORMATION NEEDED FOR SERVICE OF LEGAL PROCESS
PleAse furn sh the new ::idaress or the name and etree1address {If a bo1(11o\der) for the lollo•,,1119. tarne:_______________________ __________________
Ao-Jress:____ ____________________ _ _ __________ ____
Nole: 0 111y one I(JqUObl nIay be made per completed lonn I he name and lasl known address are re{luired tor change ol address mfo,mauon The name. If known oncl Po.sl Office box oodress nre required for boxh<>lder mlo1mat1on Tha loll-0wi11g information ,s provided In accordance with 39 CFR 265 6(d)(4)(H) The,e ib no loo cha1get1 lllf ci1ango ol ad01ess Of ooxhor.ter informat1on
1 CcJpac1ty ot 11~uestoI (process sorJor. anorney. porty represen ng self)
? Staiu1e or regula;ion that empowers me to serve process (not rnqu,red lo, allorn11y's or o party acLng prose- xcepl a co1po1abon
actingprosemustcitestatuto·-----,----- --- --------- - ------ - ---- 3 Tl'lenomesofBIikoo11mpartiestothehtigat1oir__________ _________________
.: ThecourtInwhichlh8e:1sohasbeonorwlllbohoard_ ___________________ _____ 5 Thedocketorothe-rideniifyingnumberifonehasbeenissued______________ ______ _ _ 6 fh11capacityInwn,cnthlGlncl1viduaIis ob8sorved(defcnaont0tw,tness)____ _ ___ _ _ ____ _ ___
WARNING: THE SUBMISSION OF FALSE INFORMATION TO OBTAIN AND USE CHANGE OF ADDRESS INFORMATION OR BOXHOLDER INFORMATION FOR ANY PURPOSE OTHER THAN THE SERVICE OF LEGAL PROCESS IN CONNECTION WITH ACTUAL OR PROSPECTIVE LITIGATION COULD RESULT IN CRIMINAL PENALTIES INCLUDING A FINE OF UP TO S1O,OO0 OR IMPRISONMENT OF NOT MORE THAN 5 YEARS, OR BOTH (TITLE 18 U.S.C. SECTION 1001),
IcertifylhAtlhe:iboveInformat10l'Iistrueandlha1theaddress,nformat1onIsneedodandw1Ib usedsolelyrorSf!rvir.eoflegsl procos.s ,n co11Juncl,on w,ln actu;.1I or μIospectI~c I t~al!on
s/
Printed Name
No change of address on file
__ Movodand\ellnofOIWilrd,ngadd1MS
No sucn addfess
A odres~
Cil~, Slele, ZIP Code FOR POST OFFICE USE ONLY
New A.dorQSS 01 8oxho,de1 Narne and Street Add10~~
Revised 07/2021, CN 11490 (Certification ofDiligent Search) page 16 ofl 8
SUPERIOR COURT OF NEW JERSEY
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ CHANCERY DIVISION - FAMILY PART
Plaintiff v.
Defendant
I,___________ offullage,herebycertifythat:
1. I am the D plaintiff/ D defendant in the above-entitled action.
Certification of Diligent Search
I do not know the present whereabouts ofthe D plaintiff/ D defendant, and have not seen or heard from him/her since on or about _ _ _ __,_
Despite diligent efforts, I do not know the D plaintiffs / D defendant's mailing address, and the last known address ofrecord ofthe D plaintiff/ D defendant is:
I attempted to locate the D plaintiffs/ D defendant's last known mailing address by contacting, on the following dates, the following individual(s) whom I believed possessed information about the
D plaintiffs / D defendant' s whereabouts.Result of search:
I performed a search to locate the D plaintiff/ D defendant through the United States Post Office for the current address or any previous address.
Result ofsearch:
COUNTY OF
DOCKETNO.: FD-__________
Revised 07/2021, CN I1490 (Certification ofDiligent Search) page 17 of l8
6. Iinquiredofthestatemotorvehicleagencyat:_______________ Result o f search:
The Department ofDefense website was checked or letters were sent to the Armed Forces ofthe United States and their response as to whether or not there is any information regarding the
D plaintiff / D defendant.Result of search:
My other attempts to locate the other party resulted in the following:
I have kept copies of the letters I sent and responses I received from the above individuals/agencies so that they can be submitted to the court as evidence of my attempts to find the
D plaintiff / D defendant.
I certify that the foregoing statements made by me are true. I am aware that if any ofthe foregoing statements made by me are willfully false, I am subject to punishment.
Date D Plaintiff/ D Defendant (PrintName) sf
Signature
Revised 07/2021, CN 11490 (Certification ofDiligent Search) page 18 of 18
