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FILED: KINGS COUNTY CLERK 02/03/2020 10:17 AM INDEX NO. 528280/2019
NYSCEF DOC. NO. 6 RECEIVED NYSCEF: 02/03/2020
Sªg'g°
REQUEST FOR JUDICIAL INTERVENTION
Kings Supreme COURT, COUNTY OF Kings
Index No: 52828012019 Date Index Issued: 12/31/2019 For Court Use Only:
IAS EntryDate
RODNEY JACKSON
Judge Assigned
-against- Plaintiff(s)/Petitioner(s)
NEW YORK CITY TRANSIT AUTHORITY
RJIFiled Date
Defen±nit).mospondent(s)
COMMERCIAL MATRIMONIAL
O Contested
O BusinessEntity (includes corporations, partnerchinc LLCs,LLPs,etc.)
NOTE: If there are children under the age of 18, complete and attach the
Contract MATR1MONDALRJRAddendum (UCS-84OM).
O Insurance(where insurance company is a party, except =±!trat!en) . .
For UncontestedMatnmonial actions, use the UncontestedDivorce RJ1(UD-13).
O UCC(includes sales and negotiable instruments)
O Other Commercial(specify):
TORTS
NOTE: For CommercialDivision assignment requests pursuant to 22 NYCRR202.70(d),
complete and attach the COMMERCRALDEV151ON
RJRADDENDUM (UCS-84OC). O Asbestos
O Child Victims Act
REAL PROPERTY: Specify how many properties the application includes: Environmental (specify):
O
O Condemnation O Medical,Dental, or Podiatric Malpractice
O O Rea¡uentiai
Mortgage Foreclosure(specify): O Commercial O Motor Vehicle
Property Address: O Products Liability (specify):
O Other Negligence(specify):
NOTE: For Mortgage Foreclosureactions involving a one to four-family, owner-
occupied residential property or owner-occupiedconanminium. complete and
O Other ProfessionalMalpractice (specify):
attach the FORECLOSURERJRADDENDUM (UCS-84OF). Premises
Other Tort (specify):
O Tax Certiorari - Section: Block: Lot:
Tax Foreclosure SPECIAL PROCEEDINGS
O
Other Real Property (specify): O CPLRArticle 75 (Arbitration)
[see NOTE in COMMERCIALsection]
O
O CPLRArticle 78 (Body or Officer)
OTHER MATTERS
O Election Law
O Certificate of Incorporatior./D|::::‡|cr.
[see NOTE in COMMERCIALsection] O Extreme Risk ProtectionOrder
O Emergency MedicalTreatment O MHLArticle 9.60 (Kendra's Law)
O HabeasCorpus O MHLArticle 10 (Sex Offender Confinement-initial)
O LocalCourt Appeal O MHLArticle 10 (Sex Offender Confinement-Review)
O Mechanic'sLien O MHLArticle 81 (Guardianship)
O NameChange O Other Mental Hygiene (specify):
O Pistol Permit Revocation Hearing O Other Special Proceeding(specify):
O Saleor Financeof Religious/Not-for-ProfitProperty
O Other (specify):
STATUS OF ACTION OR PROCEEDING: AnswerYESor NOfor every question and enter additional information where indicated.
YES NO
Hasa summons and complaint or summonswith notice been filed? O 12/31/2019
If yes, date filed:
Hasa summons and complaint or summonswith notice been served? O 01/02."020
If yes, date served:
Is this action/proceeding being filed post-judgment? If yes, judgment date:
NATURE OF JUDICIAL INTERVENTION: Checkone box only and enter additional info=2tion
where indicated.
O Infant's Compromise
O Extreme Risk ProtectionOrder Application
O Note of Issue/Certificateof Readiness
O Date Issuejoined:
Notice of Medical, Dental, or Podiatric Malpractice
Notice of Motion Relief Requested: Return Date:
O
Notice of Petition Relief Requested: Return Date:
O
Order to ShowCause Relief Requested: Return Date:
O
Other Ex ParteApplication Relief Requested:
O
O PoorPersonApplication
Requestfor Preliminary Conference
O ResidentialMortgage ForeclosureSettlement Conference
O Writ of HabeasCorpus
O Other (specify):
1 of 2
FILED: KINGS COUNTY CLERK 02/03/2020 10:17 AM INDEX NO. 528280/2019
NYSCEF DOC. NO. 6 RECEIVED NYSCEF: 02/03/2020
RELATED CASES: List any related
actions.For Matrimonial
cases,list any
relatedcriminal
or FamilyCourtcases.If none,
leave blank.If additional
space
is required,
complete and attachthe RJI Addendum (UCS-840A).
Case Title Index/Case Number Court Judge (ifassigned) Relationship to instantcase
For parties
withoutan attorney,
check the"Un-Rep" box and enter
the party's phone number and emailin thespace
PARTIES: address,
provided.If additional
space is required,
completeand attachthe RJI Addendum (UCS-840A).
Un- Parties | Attorneys and/or Unrepresented Litigants Issue Joined | Insurance
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; 3rdparty plaintiff, etC.) email. beenjoined. carrier, if applicable.
Name: JACKSON, RODNEY CRAIG ROSENBAUM, ROSENBAUM & ROSENBAUM PC, 100
WALL STREET 15th FLOOR, NEW YORK, NY 10005, (212) E YES O NO
Role(s):Plaintiff/Petitioner 514-5007, info@rosenbaumnylaw.com
Name: NEW YORK CITY TRANSIT JAMILA JOSEPH-ST. BERNARD, NEW YORK CITY TRANSIT
AUTHORITY AUTHORITY, 130 LIVINGSTON ST FL 11 , BROOKLYN, NY E YES O NO
Role(s):Defendant/Respondent 11201, nyctatorts@nyct.com
Name:
O YES O NO
Role(s):
Name:
O YES O NO
Role(s):
Name:
O YES O NO
Role(s):
Name:
O YES O NO
Role(s):
Name:
O YES O NO
Role(s):
Name:
O YES O NO
Role(s):
Name:
O YES O NO
Role(s):
Name:
O YES O 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 INTHIS
ACTION OR PROCEEDING.
Dated: 02/03/2020 CRAIG DANIEL ROSENBAUM
Signature
2761997 CRAIG DANIEL ROSENBAUM
Attorney Registration Number PrintName
This form was generated by NYSCEF
2 of 2
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FILED: KINGS COUNTY CLERK 02/03/2020 10:17 AM INDEX NO. 528280/2019 NYSCEF DOC. NO. 6 RECEIVED NYSCEF: 02/03/2020 Sªg'g° REQUEST FOR JUDICIAL INTERVENTION Kings Supreme COURT, COUNTY OF Kings Index No: 52828012019 Date Index Issued: 12/31/2019 For Court Use Only: IAS EntryDate RODNEY JACKSON Judge Assigned -against- Plaintiff(s)/Petitioner(s) NEW YORK CITY TRANSIT AUTHORITY RJIFiled Date Defen±nit).mospondent(s) COMMERCIAL MATRIMONIAL O Contested O BusinessEntity (includes corporations, partnerchinc LLCs,LLPs,etc.) NOTE: If there are children under the age of 18, complete and attach the Contract MATR1MONDALRJRAddendum (UCS-84OM). O Insurance(where insurance company is a party, except =±!trat!en) . . For UncontestedMatnmonial actions, use the UncontestedDivorce RJ1(UD-13). O UCC(includes sales and negotiable instruments) O Other Commercial(specify): TORTS NOTE: For CommercialDivision assignment requests pursuant to 22 NYCRR202.70(d), complete and attach the COMMERCRALDEV151ON RJRADDENDUM (UCS-84OC). O Asbestos O Child Victims Act REAL PROPERTY: Specify how many properties the application includes: Environmental (specify): O O Condemnation O Medical,Dental, or Podiatric Malpractice O O Rea¡uentiai Mortgage Foreclosure(specify): O Commercial O Motor Vehicle Property Address: O Products Liability (specify): O Other Negligence(specify): NOTE: For Mortgage Foreclosureactions involving a one to four-family, owner- occupied residential property or owner-occupiedconanminium. complete and O Other ProfessionalMalpractice (specify): attach the FORECLOSURERJRADDENDUM (UCS-84OF). Premises Other Tort (specify): O Tax Certiorari - Section: Block: Lot: Tax Foreclosure SPECIAL PROCEEDINGS O Other Real Property (specify): O CPLRArticle 75 (Arbitration) [see NOTE in COMMERCIALsection] O O CPLRArticle 78 (Body or Officer) OTHER MATTERS O Election Law O Certificate of Incorporatior./D|::::‡|cr. [see NOTE in COMMERCIALsection] O Extreme Risk ProtectionOrder O Emergency MedicalTreatment O MHLArticle 9.60 (Kendra's Law) O HabeasCorpus O MHLArticle 10 (Sex Offender Confinement-initial) O LocalCourt Appeal O MHLArticle 10 (Sex Offender Confinement-Review) O Mechanic'sLien O MHLArticle 81 (Guardianship) O NameChange O Other Mental Hygiene (specify): O Pistol Permit Revocation Hearing O Other Special Proceeding(specify): O Saleor Financeof Religious/Not-for-ProfitProperty O Other (specify): STATUS OF ACTION OR PROCEEDING: AnswerYESor NOfor every question and enter additional information where indicated. YES NO Hasa summons and complaint or summonswith notice been filed? O 12/31/2019 If yes, date filed: Hasa summons and complaint or summonswith notice been served? O 01/02."020 If yes, date served: Is this action/proceeding being filed post-judgment? If yes, judgment date: NATURE OF JUDICIAL INTERVENTION: Checkone box only and enter additional info=2tion where indicated. O Infant's Compromise O Extreme Risk ProtectionOrder Application O Note of Issue/Certificateof Readiness O Date Issuejoined: Notice of Medical, Dental, or Podiatric Malpractice Notice of Motion Relief Requested: Return Date: O Notice of Petition Relief Requested: Return Date: O Order to ShowCause Relief Requested: Return Date: O Other Ex ParteApplication Relief Requested: O O PoorPersonApplication Requestfor Preliminary Conference O ResidentialMortgage ForeclosureSettlement Conference O Writ of HabeasCorpus O Other (specify): 1 of 2 FILED: KINGS COUNTY CLERK 02/03/2020 10:17 AM INDEX NO. 528280/2019 NYSCEF DOC. NO. 6 RECEIVED NYSCEF: 02/03/2020 RELATED CASES: List any related actions.For Matrimonial cases,list any relatedcriminal or FamilyCourtcases.If none, leave blank.If additional space is required, complete and attachthe RJI Addendum (UCS-840A). Case Title Index/Case Number Court Judge (ifassigned) Relationship to instantcase For parties withoutan attorney, check the"Un-Rep" box and enter the party's phone number and emailin thespace PARTIES: address, provided.If additional space is required, completeand attachthe RJI Addendum (UCS-840A). Un- Parties | Attorneys and/or Unrepresented Litigants Issue Joined | Insurance 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; 3rdparty plaintiff, etC.) email. beenjoined. carrier, if applicable. Name: JACKSON, RODNEY CRAIG ROSENBAUM, ROSENBAUM & ROSENBAUM PC, 100 WALL STREET 15th FLOOR, NEW YORK, NY 10005, (212) E YES O NO Role(s):Plaintiff/Petitioner 514-5007, info@rosenbaumnylaw.com Name: NEW YORK CITY TRANSIT JAMILA JOSEPH-ST. BERNARD, NEW YORK CITY TRANSIT AUTHORITY AUTHORITY, 130 LIVINGSTON ST FL 11 , BROOKLYN, NY E YES O NO Role(s):Defendant/Respondent 11201, nyctatorts@nyct.com Name: O YES O NO Role(s): Name: O YES O NO Role(s): Name: O YES O NO Role(s): Name: O YES O NO Role(s): Name: O YES O NO Role(s): Name: O YES O NO Role(s): Name: O YES O NO Role(s): Name: O YES O 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 INTHIS ACTION OR PROCEEDING. Dated: 02/03/2020 CRAIG DANIEL ROSENBAUM Signature 2761997 CRAIG DANIEL ROSENBAUM Attorney Registration Number PrintName This form was generated by NYSCEF 2 of 2