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FILED: NEW YORK COUNTY CLERK 03/24/2021 02:46 PM INDEX NO. 152631/2020
NYSCEF DOC. NO. 5 RECEIVED NYSCEF: 03/24/2021
REQUEST FOR JUDICIAL INTERVENTION UCS-840
(rev. 07/29/2019)
New York Supreme COURT, COUNTY OF New York
Index No: 152631/2020 Date Index Issued: 03/11/2020 For Court Use Only:
CAPTION Enter the complete case caption. Do not use et al or et ano. If more space is needed, attach a caption rider sheet.
IAS Entry Date
Mary Jo Cisternino
Judge Assigned
Plaintiff(s)/Petitioner(s)
-against-
The City of New York, The New York City Transit Authority, Metropolitan Transportation Authority
RJI Filed Date
Defendant(s)/Respondent(s)
NATURE OF ACTION OR PROCEEDING: Check only one box and specify where indicated.
COMMERCIAL MATRIMONIAL
☐ ☐
Business Entity (includes corporations, partnerships, LLCs, LLPs, etc.)
Contested
NOTE: If there are children under the age of 18, complete and attach the
☐ Contract MATRIMONIAL RJI Addendum (UCS-840M).
☐ Insurance (where insurance company is a party, except arbitration)
For Uncontested Matrimonial actions, use the Uncontested Divorce RJI (UD-13).
☐ UCC (includes sales and negotiable instruments)
☐ Other Commercial (specify):
TORTS
NOTE: For Commercial Division assignment requests pursuant to 22 NYCRR 202.70(d),
complete and attach the COMMERCIAL DIVISION RJI ADDENDUM (UCS-840C). ☐ Asbestos
REAL PROPERTY: Specify how many properties the application includes:
☐ Child Victims Act
☐ Environmental (specify):
☐ Condemnation ☐ Medical, Dental, or Podiatric Malpractice
☐ ☐
Mortgage Foreclosure (specify):
Residential ☐ Commercial ☐ Motor Vehicle
Property Address: ☐ Products Liability (specify):
☒ trip and fall
Other Negligence (specify):
NOTE: For Mortgage Foreclosure actions involving a one to four-family, owner-
☐ Other Professional Malpractice (specify):
occupied residential property or owner-occupied condominium, complete and
attach the FORECLOSURE RJI ADDENDUM (UCS-840F).
☐ Other Tort (specify):
☐ Tax Certiorari - Section: Block: Lot:
SPECIAL PROCEEDINGS
☐ Tax Foreclosure
☐ Other Real Property (specify): ☐ [see NOTE in COMMERCIAL section]
CPLR Article 75 (Arbitration)
OTHER MATTERS
☐ CPLR Article 78 (Body or Officer)
☐ Election Law
☐ [see NOTE in COMMERCIAL section]
Certificate of Incorporation/Dissolution
☐ Extreme Risk Protection Order
☐ Emergency Medical Treatment
☐ MHL Article 9.60 (Kendra's Law)
☐ Habeas Corpus
☐ MHL Article 10 (Sex Offender Confinement-Initial)
☐ Local Court Appeal
☐ MHL Article 10 (Sex Offender Confinement-Review)
☐ Mechanic's Lien
☐ MHL Article 81 (Guardianship)
☐ Name Change
☐ Other Mental Hygiene (specify):
☐ Pistol Permit Revocation Hearing
☐ Other Special Proceeding (specify):
☐ Sale or Finance of Religious/Not-for-Profit Property
☐ Other (specify):
STATUS OF ACTION OR PROCEEDING: Answer YES or NO for every question and enter additional information where indicated.
YES NO
Has a summons and complaint or summons with notice been filed? ☒ ☐ 03/11/2020
If yes, date filed:
Has a summons and complaint or summons with notice been served?☒ ☐ 03/12/2020
If yes, date served:
Is this action/proceeding being filed post-judgment? ☐ ☒ If yes, judgment date:
NATURE OF JUDICIAL INTERVENTION: Check one box only and enter additional information where indicated.
☐ Infant's Compromise
☐ Extreme Risk Protection Order Application
☐ Note of Issue/Certificate of Readiness
☐ Date Issue Joined:
Notice of Medical, Dental, or Podiatric Malpractice
☐ Notice of Motion Relief Requested: Return Date:
☐ Notice of Petition Relief Requested: Return Date:
☐ Order to Show Cause Relief Requested: Return Date:
☐ Other Ex Parte Application Relief Requested:
☐ Poor Person Application
☒ Request for Preliminary Conference
☐ Residential Mortgage Foreclosure Settlement Conference
☐ Writ of Habeas Corpus
☐ Other (specify):
1 of 2
FILED: NEW YORK COUNTY CLERK 03/24/2021 02:46 PM INDEX NO. 152631/2020
NYSCEF DOC. NO. 5 RECEIVED NYSCEF: 03/24/2021
RELATED CASES: List any related actions. For Matrimonial cases, list any related criminal or Family Court cases. If none, leave blank. If additional space
is required, complete and attach the RJI Addendum (UCS-840A).
Case Title Index/Case Number Court Judge (if assigned) Relationship to instant case
PARTIES: For parties without an attorney, check the "Un-Rep" box and enter the party's address, phone number and email in the space
provided. If additional space is required, complete and attach the RJI Addendum (UCS-840A).
Parties Attorneys and/or Unrepresented Litigants Issue Joined Insurance
Un-
Rep List parties in same order as listed in the
For represented parties, provide attorney's name, firm name, address, phone
For each defendant,
For each defendant,
caption and indicate roles (e.g., plaintiff,
and email. For unrepresented parties, provide party's address, phone and
indicate if issue has
indicate insurance
defendant; 3rd party plaintiff, etc.)email. been joined. carrier, if applicable.
Name: Cisternino, Mary Jo
☐ MITCHEL ASHLEY, THE ASHLEY LAW FIRM, 50 Broadway,
Suite 1000 , NEW YORK, NY 10004, 212 513 1300, ☒ YES ☐ NO
Role(s): Plaintiff/Petitioner Maria@theashleylawfirm.com
Name: The City of New York
☐ Corporation Counsel, New York City Corporation Counsel,
100 Church Street , New York, NY 10007-2601, 212-356- ☒ YES ☐ NO
Role(s): Defendant/Respondent 0800, ECF@law.nyc.gov
Name: The New York City Transit
☐ Authority
MATTHEW FAIRLEY, New York City Transit Authority, 130
Livingston St. , Brooklyn, NY 11231, 718-694-3874, ☒ YES ☐ NO
Role(s): Defendant/Respondent matthew.fairley@nyct.com
Name: Metropolitan Transportation
☐ Authority
MATTHEW FAIRLEY, New York City Transit Authority, 130
Livingston St. , Brooklyn, NY11231, 718-694-3874, ☒ YES ☐ NO
Role(s): Defendant/Respondent matthew.fairley@nyct.com
Name:
☐ ☐ YES ☐ NO
Role(s):
Name:
☐ ☐ YES ☐ NO
Role(s):
Name:
☐ ☐ YES ☐ NO
Role(s):
Name:
☐ ☐ YES ☐ NO
Role(s):
Name:
☐ ☐ YES ☐ NO
Role(s):
Name:
☐ ☐ YES ☐ NO
Role(s):
I AFFIRM UNDER THE PENALTY OF PERJURY THAT, UPON INFORMATION AND BELIEF, THERE ARE NO OTHER RELATED ACTIONS OR
PROCEEDINGS, EXCEPT AS NOTED ABOVE, NOR HAS A REQUEST FOR JUDICIAL INTERVENTION BEEN PREVIOUSLY FILED IN THIS
ACTION OR PROCEEDING.
Dated: 03/24/2021 MITCHEL HOWARD ASHLEY
Signature
2605319 MITCHEL HOWARD ASHLEY
Attorney Registration Number Print Name
This form was generated by NYSCEF
2 of 2
Preview
FILED: NEW YORK COUNTY CLERK 03/24/2021 02:46 PM INDEX NO. 152631/2020 NYSCEF DOC. NO. 5 RECEIVED NYSCEF: 03/24/2021 REQUEST FOR JUDICIAL INTERVENTION UCS-840 (rev. 07/29/2019) New York Supreme COURT, COUNTY OF New York Index No: 152631/2020 Date Index Issued: 03/11/2020 For Court Use Only: CAPTION Enter the complete case caption. Do not use et al or et ano. If more space is needed, attach a caption rider sheet. IAS Entry Date Mary Jo Cisternino Judge Assigned Plaintiff(s)/Petitioner(s) -against- The City of New York, The New York City Transit Authority, Metropolitan Transportation Authority RJI Filed Date Defendant(s)/Respondent(s) NATURE OF ACTION OR PROCEEDING: Check only one box and specify where indicated. COMMERCIAL MATRIMONIAL ☐ ☐ Business Entity (includes corporations, partnerships, LLCs, LLPs, etc.) Contested NOTE: If there are children under the age of 18, complete and attach the ☐ Contract MATRIMONIAL RJI Addendum (UCS-840M). ☐ Insurance (where insurance company is a party, except arbitration) For Uncontested Matrimonial actions, use the Uncontested Divorce RJI (UD-13). ☐ UCC (includes sales and negotiable instruments) ☐ Other Commercial (specify): TORTS NOTE: For Commercial Division assignment requests pursuant to 22 NYCRR 202.70(d), complete and attach the COMMERCIAL DIVISION RJI ADDENDUM (UCS-840C). ☐ Asbestos REAL PROPERTY: Specify how many properties the application includes: ☐ Child Victims Act ☐ Environmental (specify): ☐ Condemnation ☐ Medical, Dental, or Podiatric Malpractice ☐ ☐ Mortgage Foreclosure (specify): Residential ☐ Commercial ☐ Motor Vehicle Property Address: ☐ Products Liability (specify): ☒ trip and fall Other Negligence (specify): NOTE: For Mortgage Foreclosure actions involving a one to four-family, owner- ☐ Other Professional Malpractice (specify): occupied residential property or owner-occupied condominium, complete and attach the FORECLOSURE RJI ADDENDUM (UCS-840F). ☐ Other Tort (specify): ☐ Tax Certiorari - Section: Block: Lot: SPECIAL PROCEEDINGS ☐ Tax Foreclosure ☐ Other Real Property (specify): ☐ [see NOTE in COMMERCIAL section] CPLR Article 75 (Arbitration) OTHER MATTERS ☐ CPLR Article 78 (Body or Officer) ☐ Election Law ☐ [see NOTE in COMMERCIAL section] Certificate of Incorporation/Dissolution ☐ Extreme Risk Protection Order ☐ Emergency Medical Treatment ☐ MHL Article 9.60 (Kendra's Law) ☐ Habeas Corpus ☐ MHL Article 10 (Sex Offender Confinement-Initial) ☐ Local Court Appeal ☐ MHL Article 10 (Sex Offender Confinement-Review) ☐ Mechanic's Lien ☐ MHL Article 81 (Guardianship) ☐ Name Change ☐ Other Mental Hygiene (specify): ☐ Pistol Permit Revocation Hearing ☐ Other Special Proceeding (specify): ☐ Sale or Finance of Religious/Not-for-Profit Property ☐ Other (specify): STATUS OF ACTION OR PROCEEDING: Answer YES or NO for every question and enter additional information where indicated. YES NO Has a summons and complaint or summons with notice been filed? ☒ ☐ 03/11/2020 If yes, date filed: Has a summons and complaint or summons with notice been served?☒ ☐ 03/12/2020 If yes, date served: Is this action/proceeding being filed post-judgment? ☐ ☒ If yes, judgment date: NATURE OF JUDICIAL INTERVENTION: Check one box only and enter additional information where indicated. ☐ Infant's Compromise ☐ Extreme Risk Protection Order Application ☐ Note of Issue/Certificate of Readiness ☐ Date Issue Joined: Notice of Medical, Dental, or Podiatric Malpractice ☐ Notice of Motion Relief Requested: Return Date: ☐ Notice of Petition Relief Requested: Return Date: ☐ Order to Show Cause Relief Requested: Return Date: ☐ Other Ex Parte Application Relief Requested: ☐ Poor Person Application ☒ Request for Preliminary Conference ☐ Residential Mortgage Foreclosure Settlement Conference ☐ Writ of Habeas Corpus ☐ Other (specify): 1 of 2 FILED: NEW YORK COUNTY CLERK 03/24/2021 02:46 PM INDEX NO. 152631/2020 NYSCEF DOC. NO. 5 RECEIVED NYSCEF: 03/24/2021 RELATED CASES: List any related actions. For Matrimonial cases, list any related criminal or Family Court cases. If none, leave blank. If additional space is required, complete and attach the RJI Addendum (UCS-840A). Case Title Index/Case Number Court Judge (if assigned) Relationship to instant case PARTIES: For parties without an attorney, check the "Un-Rep" box and enter the party's address, phone number and email in the space provided. If additional space is required, complete and attach the RJI Addendum (UCS-840A). Parties Attorneys and/or Unrepresented Litigants Issue Joined Insurance Un- Rep List parties in same order as listed in the For represented parties, provide attorney's name, firm name, address, phone For each defendant, For each defendant, caption and indicate roles (e.g., plaintiff, and email. For unrepresented parties, provide party's address, phone and indicate if issue has indicate insurance defendant; 3rd party plaintiff, etc.)email. been joined. carrier, if applicable. Name: Cisternino, Mary Jo ☐ MITCHEL ASHLEY, THE ASHLEY LAW FIRM, 50 Broadway, Suite 1000 , NEW YORK, NY 10004, 212 513 1300, ☒ YES ☐ NO Role(s): Plaintiff/Petitioner Maria@theashleylawfirm.com Name: The City of New York ☐ Corporation Counsel, New York City Corporation Counsel, 100 Church Street , New York, NY 10007-2601, 212-356- ☒ YES ☐ NO Role(s): Defendant/Respondent 0800, ECF@law.nyc.gov Name: The New York City Transit ☐ Authority MATTHEW FAIRLEY, New York City Transit Authority, 130 Livingston St. , Brooklyn, NY 11231, 718-694-3874, ☒ YES ☐ NO Role(s): Defendant/Respondent matthew.fairley@nyct.com Name: Metropolitan Transportation ☐ Authority MATTHEW FAIRLEY, New York City Transit Authority, 130 Livingston St. , Brooklyn, NY11231, 718-694-3874, ☒ YES ☐ NO Role(s): Defendant/Respondent matthew.fairley@nyct.com Name: ☐ ☐ YES ☐ NO Role(s): Name: ☐ ☐ YES ☐ NO Role(s): Name: ☐ ☐ YES ☐ NO Role(s): Name: ☐ ☐ YES ☐ NO Role(s): Name: ☐ ☐ YES ☐ NO Role(s): Name: ☐ ☐ YES ☐ NO Role(s): I AFFIRM UNDER THE PENALTY OF PERJURY THAT, UPON INFORMATION AND BELIEF, THERE ARE NO OTHER RELATED ACTIONS OR PROCEEDINGS, EXCEPT AS NOTED ABOVE, NOR HAS A REQUEST FOR JUDICIAL INTERVENTION BEEN PREVIOUSLY FILED IN THIS ACTION OR PROCEEDING. Dated: 03/24/2021 MITCHEL HOWARD ASHLEY Signature 2605319 MITCHEL HOWARD ASHLEY Attorney Registration Number Print Name This form was generated by NYSCEF 2 of 2