New Car Lemon Law Dispute Resolution Application Page 2
Download a blank fillable New Car Lemon Law Dispute Resolution Application in PDF format just by clicking the "DOWNLOAD PDF" button.
Open the file in any PDF-viewing software. Adobe Reader or any alternative for Windows or MacOS are required to access and complete fillable content.
Complete New Car Lemon Law Dispute Resolution Application with your personal data - all interactive fields are highlighted in places where you should type, access drop-down lists or select multiple-choice options.
Some fillable PDF-files have the option of saving the completed form that contains your own data for later use or sending it out straight away.
ADVERTISEMENT
1
2
3
4New Jersey Office of the Attorney General
Division of Consumer Affairs
Office of Consumer Protection
L
L
U
emon
aw
nit
P.O. Box 45026
Newark, New Jersey 07101
(973) 504-6226
(800) 242-5846
E-M
: lemonlaw@dca.lps.state.nj.us
ail
New Car Lemon Law Dispute Resolution Application
Please be advised that any information you supply on this complaint form may be subject to public disclosure. If an investigation into the
matter is conducted, the information is subject to public disclosure only after the completion of the investigation. You are also advised
that the completed complaint form is a “government record,” which the Lemon Law Unit may be obligated to provide to anyone making
a request pursuant to the Open Public Records Act (OPRA).
Consumer Information
N
: _ __________________________________________
ame
F
o
U
o
or
FFice
se
nly
a
: ________________________________________
ddress
C
: _ ___________________________________________
ity
L.L. case number:_____________________________
s
: ________________________ ZiP: _____________
tate
Assigned to:_____________________________
H
t
N
: ___________________________
ome
elePHoNe
umber
Date accepted:_____________________________
(
)
iNClude
area
Code
W
t
N
: _ __________________________
ork
elePHoNe
umber
O.A.L. docket number: ___________________________
(
)
iNClude
area
Code
FaX t
N
: _ ___________________________
elePHoNe
umber
Date completed:_____________________________
(
)
iNClude
area
Code
Approved by:_____________________________
e-m
a
: __________________________________
ail
ddress
For statistical and informational purposes only. Your age:
18-29
30-44
45-59
60 or older
(If an attorney is going to represent you, please provide the following information.)
Attorney Information
Attorney’s name: __________________________________________________________________________________________
Law firm: ________________________________________________________________________________________________
Address: ________________________________________________________________________________________________
City:__________________________________________________ State: ________________________ZIP code: _____________
Telephone number: ______________________________________ FAX number: ______________________________________
(include area code)
(include area code)
e-m
a
: ________________________________________
ail
ddress
Vehicle Information
1.
Is the vehicle registered in New Jersey?
Yes
No
If “No,” was the vehicle purchased or leased in New Jersey?
Yes
No
2.
Manufacturer: __________________________________________________________________________________________
Make: _____________________________________________
Model: __________________________________________
Year: _________________
Color:____________________
Body type: _______________________________________
3.
Is your vehicle normally used for commercial purposes?
Yes
No
ADVERTISEMENT
0 votes
Related Articles
Related forms
Related Categories
Parent category: Legal