Oath Intake Sheet Form
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1
2OATH
INTAKE SHEET
P
LEASE COMPLETE ALL SECTIONS AND SUBMIT THIS FORM TO THE CALENDAR UNIT WITH THE PETITION
FAX
E.MAIL TO:
O
@OATH.NYC.GOV
OR (
212-933-3079). C
ATHCAL
ALENDAR DATE S WILL BE CONFIRMED
.
AFTER THIS FORM IS FILED
C ASE IN F O RM A T IO N
Civil Serv. Law :
§ 71
§ 72
§ 73
§ 75
§ 210 Contract :
§ 324
CDRB Co nflicts of Interest
B I C
Labor Law
Loft Law
Padlock Law
License/Regulatory (specify rule or law): _____________________ Other
(specify): _______________________________________________________________________________________
Par ties: If more than one party on either side, please provide additional identifying information for each on separate sheet.
Petitioner:
___________________________________________________________________________
Ap pea ring by:
___________________________________________________________________________
Add ress:
___________________________________________________________________________
Phone:
___________________
Fax:
______________________
E Mail Address
___________________________________________________________________________
Respondent:
___________________________________________________________________________
Ad dress :
___________________________________________________________________________
Phone:
___________________
Fax:
_______________________
Date petition or initiating papers served: ________________
Service was by:
personal
mail
both
Was a pre-trial suspension or similar pre-trial action imposed?
Yes
No If so, date: ______________________
C ALE N DAR IN FO RM A T ION
OATH'
. I
S R U L E S E N C O U R A G E S E L E C T IO N O F T R I A L A N D C O N F E R E N C E D A T E S B Y A L L P A R T I E S J O IN T L Y
N T H E E V E N T
, OATH’
O F E X P AR T E S C H E D U L I N G
S R U L E S R E Q U I R E S E R V IC E O F T H E N O T I C E O N A L L O T H E R P A R T I E S W IT H IN O N E
(48
§ 1-26(
)).
B U S IN E S S D A Y
R C N Y
D
Have you identified opposing counsel or representative?
Yes
No If so, plea se provide:
Name:
___________________________________________________________________________
Ad dress :
___________________________________________________________________________
Phone:
___________________
Fax:
___________________
E Mail Address
___________________________________________________________________________
Have you consulted with opposing counsel, representatives or unrepresented parties about available dates?
Yes
No
If so, list mutually available dates: ____________________________________________________________________________
Select calendar options:
Conference Calendar
Trial Calendar
Op en Status - pleas e attach statement why O pen Status is
requested . If you require expedited calendar date s, please complete C alendar Preference Application on other side.
Has this case been filed at OATH before?
Yes
No If yes, so, please attach statement of reason s for refiling.
Please estimate the number of witnesses for each side: Pet'r. : _____ Resp. : _____ Number of days for trial: ___________
Intake sheet filed by: ________________________ _
Phone: ____________
Fax: ____________
Date: _____________
D O N OT WR I TE B E L O W T H IS L IN E
O A T H CA L END AR A CTIO N
T
:
HE FOLLOW ING CALENDAR ACTIONS ARE CONFIRMED BY
Assigned Calendar Date(s):__________________________ Index No.: ____________
ALJ : _________________
Comments: ___________________________________________________________________________________________________
Revised 04/14
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