Form Center

Municipal Court - Virtual Registration Form

2. Defendant - First Name*

3. Defendant - Middle Name

4. Defendant - Last Name*

6. Has your address changed since you received the ticket or complaint?

   1. Yes
   2. No
8. Defendant - Address

10. Defendant - City

11. Defendant - State
    -- Select One --AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareFloridaGeorgeHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming

12. Defendant - Zip Code

14. Defendant - Phone Number*

16. Defendant - Email Address*

18. Case/Complaint/Ticket #:*

    Note - If you do not have your case/complaint/ticket number, please contact the court at 732-390-6915 or check through NJ Municipal Court Case Search.

20. Is an Interpreter needed for court?*

    1. Yes
    2. No

21. Language

23. Are you an attorney requesting a court date?

    1. Yes
    2. No

25. Attorney - First Name

26. Attorney - Middle Name

27. Attorney - Last Name

29. Attorney - Address

31. Attorney - City

32. Attorney - State
    -- Select One --AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarlinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming

33. Attorney - Zip Code

35. Attorney - Phone Number

36. Attorney - Fax Number

38. Attorney - Email Address

Leave This Blank:


40. 1. Receive an email copy of this form.
41. Email address

    This field is not part of the form submission.

42. Submit

* indicates a required field