On March 27, 2024 a
Request for Judicial Intervention
was filed
involving a dispute between
A H
An Infant,
Noore Hame Husseini
As Parent And Natural Guardian,
and
Lowe'S Home Centers, Llc,
for Torts - Other Negligence (Premises Liability)
in the District Court of Broome County.
Preview
FILED: BROOME COUNTY CLERK 03/27/2024 03:53 PM INDEX NO. EFCA2024000793
NYSCEF DOC. NO. 13 RECEIVED NYSCEF: 03/27/2024
REQUEST FOR JUDICIAL INTERVENTION For Court Clerk Use Only:
UCS-840 (3/2011) IAS Entry Date
Supreme COURT, COUNTY OF Broome
Judge Assigned
Index No: Date Index Issued:
Enter the complete case caption Do not use et al or et ano If more space is
CAPTION:
requIred, attach a captlan rider sheet.
In the Matter of the Application of Noor Hame Husseini,as Parent and Natural Guardian
for Leave to Compromise a Claim Brought on
behalf of A.H., An Infant
Plaintiff(s)/Petitioner(s)
-against-
-4-
Lowe's Home Centers, LLC,
Defendant(s)/Respondent(s)
NATURE OF ACTION. OR PROCEEDING: Chebk ONˆ box 5nly an specify where Indicated.
MATRIMONIAL COMMERCIAL
O Contested O Business Entity (including corporations partnerships LLCs, etc.)
O uncontested O Contract
NOTE: For all Matrimonial actions where the parties have children under O Insurance (where insurer is a party, except arbitration)
the age of 18, complete and attach the MATRIMONIAL RJi Addendum. O UCC (including sales, negotiable instruments)
TORTS O Other Commercial:
(SPedfY)
O Asbestos
O Breast Implant NOTE: For Commercial Division assignment requests [22 NYCRR §
O Environmental: 202.70(d)], complete and attach the COMMERCIAL DIV RJi Addendum.
(SPedfY) REA OPERTY owrnany prolstiesýoesaÿlicatio inclùde?
O Medical, Dental, or Podiatric Malpractice O Condemnation
O Motor Vehicle O Foreclosure
O Products Liability: Property Address:
(spedfy) streetAddress City State Zlp
Other Negligence: Premises Liability NOTE: For Foreclosure actions involving a one- to four-family, owner-
(spedfy) occupied, residential property, or an owner-occupied condominium,
O Other Professional Malpractice: complete and attach the FORECLOSURE RJi Addendum.
(spedfy) TaX CertiOrari - Sectiom Bh Lot·
O Other Tort: O Other Real Property:
(spedfy) (spedfy)
OTHER MATTERS SPECIAL PROCEEDIhlGS
Û Certificate of Incorporation/Dissolution [see NOTE under Commercial] O CPLR Article 75 (Arbitration) [see NOTE under Commercial]
O Emergency Medical Treatment O CPLR Article 78 (Body or Officer)
O Habeas Corpus O Election Law
O Local Court Appeal O MHL Article 9.60 (Kendra's Law)
O Mechanic's Lien O MHL Article 10 (Sex Offender Confinement-Initial)
O Name Change O MHL Article 10 (Sex OffenderConflnernent-Review)
O Pistol Permit Revocation Hearing Û MHL Article 81 (Guardianship)
O Sale or Finance of Religious/Not-for-Profit Property O Other Mental Hygiene:
(SPeclfy)
O Other:
(SPed'v)
O Other Special Proceeding
(spedly)
STATUS OF ACTION OR PROCˆEDING: Answer xES or MO for EVERY question ÂND enter ädditiònal informatiéþ where indicated
YES NO
Has a summons and complaint or summons w/notice been filed? f yes, date filed:
Is this action/proceeding being filed post-judgment? If yes, judgment date:
1 of 2
FILED: BROOME COUNTY CLERK 03/27/2024 03:53 PM INDEX NO. EFCA2024000793
NYSCEF DOC. NO. 13 RECEIVED NYSCEF: 03/27/2024
NATURE OF JUDICIAL INTERVENTION: Check ONE box only AND enter additional information where indicated.
Infant's Compromise
O Note of Issue and/or Certificate of Readiness
O Notice of Medical, Dental, or Podiatric Malpractice Date Issue Joined:
O Notice of Motion Relief Sought: Compromise Return Date:
O Notice of Petition Relief Sought:1 Return Date:
O Order to Show Cause Relief Sought:1 Return Date:
O Other Ex Parte Application Relief Sought:1
O Poor Person Application
O Request for Preliminary Conference
O Residential Mortgage Foreclosure Settlement Conference
O writ of Habeas Corpus
O Other (specify):
List any related actioFs. For Matrimonial actions, include any related criminal and/or Family Court cases.
RELATED CASES:
If additional space is.required, complete and attach tte RJI Addendum. If none, leave blank.
Case Title Index/Case No. Court Judge (if assigned) Relationship to Instant Case
-IES. If additional space is require I, complete and attach the RJi Addendu n.
p "Un-Rep" ttorneys" space
For parties without an attorn sy, check box AND enter party iddress, phone number ar d e-mall ad Iress in "/
Parties: Attorneys:
locuc
Provide name, firm name, business address, phone number and e-mail Joined Insurance Carrier(s):
ca e p ole s) defendant ' (Y/N):
address of all attorneys that have appeared In the case.
3rd-party plaintiff)
Husseini
LastName LastName FirstName
Noor Hame Finkelstein & Partners, LLP
FirstName FirmName
......... PrimaryRole: NewYork
1279Route300,P.O.Box1111 Newburgh, 00001-2551
StreetAddress city State Zip
" NO
SecondaryRole(if any):
+1 (845)562-0203 +1 (845)725-7005 efile@lawampm.com
Phone Fax e-mail
H
LastName LastName FirstName
A . Finkelstein & Partners, LLP
FirstName FirmName
PrimaryRole: NewYork 00001-2551
1279Route300,P.O.Box1111,Newburgh
StreetAddress City state Zip .
" NO
SecondaryRole(if any):
+1 (845)562-0203 +1 (845)725-7005 efile@lawampm.com
Phone Fax e-mall
LastName LastName FirstName
Lowe's Home Centers, LLC
FirstName FirmName
X PrimaryRole: NewYork
Respondent StreetAddress City State Zip
NO
secondaryRole(if any);
Phone Fax e-mail
LastName LastName FirstName
FirstName FirmName
PrimaryRole:
StreetAddress City state Zlp
NO
SecondaryRole(if any):
Phone Fax e-mail
I AFF RM UNDER THE PENALTY OF PE RJURY THAT, TO MY KNOWLEDGE, OTHER THAN AS NOTED AB JVE, TH ERE ARE AND
HAVI BEEN NO RELATED ACTIONS O t PROCEEDINGS, NOR HAS A REQUEST FOR JUDICIAL INTERVE iTION P REVIOUSLY BEEN
FILEI) IN THIS ACTION OR PROCEEDIr!G.
Dated:
SIGNATURE
2980779 Kara L Campbell
ATTORNEY REGISTRATION NUMBER PRINT OR TYPE NAME
Print Form
2 of 2
Document Filed Date
March 27, 2024
Case Filing Date
March 27, 2024
Category
Torts - Other Negligence (Premises Liability)
For full print and download access, please subscribe at https://www.trellis.law/.
Preview
FILED: BROOME COUNTY CLERK 03/27/2024 03:53 PM INDEX NO. EFCA2024000793 NYSCEF DOC. NO. 13 RECEIVED NYSCEF: 03/27/2024 REQUEST FOR JUDICIAL INTERVENTION For Court Clerk Use Only: UCS-840 (3/2011) IAS Entry Date Supreme COURT, COUNTY OF Broome Judge Assigned Index No: Date Index Issued: Enter the complete case caption Do not use et al or et ano If more space is CAPTION: requIred, attach a captlan rider sheet. In the Matter of the Application of Noor Hame Husseini,as Parent and Natural Guardian for Leave to Compromise a Claim Brought on behalf of A.H., An Infant Plaintiff(s)/Petitioner(s) -against- -4- Lowe's Home Centers, LLC, Defendant(s)/Respondent(s) NATURE OF ACTION. OR PROCEEDING: Chebk ONˆ box 5nly an specify where Indicated. MATRIMONIAL COMMERCIAL O Contested O Business Entity (including corporations partnerships LLCs, etc.) O uncontested O Contract NOTE: For all Matrimonial actions where the parties have children under O Insurance (where insurer is a party, except arbitration) the age of 18, complete and attach the MATRIMONIAL RJi Addendum. O UCC (including sales, negotiable instruments) TORTS O Other Commercial: (SPedfY) O Asbestos O Breast Implant NOTE: For Commercial Division assignment requests [22 NYCRR § O Environmental: 202.70(d)], complete and attach the COMMERCIAL DIV RJi Addendum. (SPedfY) REA OPERTY owrnany prolstiesýoesaÿlicatio inclùde? O Medical, Dental, or Podiatric Malpractice O Condemnation O Motor Vehicle O Foreclosure O Products Liability: Property Address: (spedfy) streetAddress City State Zlp Other Negligence: Premises Liability NOTE: For Foreclosure actions involving a one- to four-family, owner- (spedfy) occupied, residential property, or an owner-occupied condominium, O Other Professional Malpractice: complete and attach the FORECLOSURE RJi Addendum. (spedfy) TaX CertiOrari - Sectiom Bh Lot· O Other Tort: O Other Real Property: (spedfy) (spedfy) OTHER MATTERS SPECIAL PROCEEDIhlGS Û Certificate of Incorporation/Dissolution [see NOTE under Commercial] O CPLR Article 75 (Arbitration) [see NOTE under Commercial] O Emergency Medical Treatment O CPLR Article 78 (Body or Officer) O Habeas Corpus O Election Law O Local Court Appeal O MHL Article 9.60 (Kendra's Law) O Mechanic's Lien O MHL Article 10 (Sex Offender Confinement-Initial) O Name Change O MHL Article 10 (Sex OffenderConflnernent-Review) O Pistol Permit Revocation Hearing Û MHL Article 81 (Guardianship) O Sale or Finance of Religious/Not-for-Profit Property O Other Mental Hygiene: (SPeclfy) O Other: (SPed'v) O Other Special Proceeding (spedly) STATUS OF ACTION OR PROCˆEDING: Answer xES or MO for EVERY question ÂND enter ädditiònal informatiéþ where indicated YES NO Has a summons and complaint or summons w/notice been filed? f yes, date filed: Is this action/proceeding being filed post-judgment? If yes, judgment date: 1 of 2 FILED: BROOME COUNTY CLERK 03/27/2024 03:53 PM INDEX NO. EFCA2024000793 NYSCEF DOC. NO. 13 RECEIVED NYSCEF: 03/27/2024 NATURE OF JUDICIAL INTERVENTION: Check ONE box only AND enter additional information where indicated. Infant's Compromise O Note of Issue and/or Certificate of Readiness O Notice of Medical, Dental, or Podiatric Malpractice Date Issue Joined: O Notice of Motion Relief Sought: Compromise Return Date: O Notice of Petition Relief Sought:1 Return Date: O Order to Show Cause Relief Sought:1 Return Date: O Other Ex Parte Application Relief Sought:1 O Poor Person Application O Request for Preliminary Conference O Residential Mortgage Foreclosure Settlement Conference O writ of Habeas Corpus O Other (specify): List any related actioFs. For Matrimonial actions, include any related criminal and/or Family Court cases. RELATED CASES: If additional space is.required, complete and attach tte RJI Addendum. If none, leave blank. Case Title Index/Case No. Court Judge (if assigned) Relationship to Instant Case -IES. If additional space is require I, complete and attach the RJi Addendu n. p "Un-Rep" ttorneys" space For parties without an attorn sy, check box AND enter party iddress, phone number ar d e-mall ad Iress in "/ Parties: Attorneys: locuc Provide name, firm name, business address, phone number and e-mail Joined Insurance Carrier(s): ca e p ole s) defendant ' (Y/N): address of all attorneys that have appeared In the case. 3rd-party plaintiff) Husseini LastName LastName FirstName Noor Hame Finkelstein & Partners, LLP FirstName FirmName ......... PrimaryRole: NewYork 1279Route300,P.O.Box1111 Newburgh, 00001-2551 StreetAddress city State Zip " NO SecondaryRole(if any): +1 (845)562-0203 +1 (845)725-7005 efile@lawampm.com Phone Fax e-mail H LastName LastName FirstName A . Finkelstein & Partners, LLP FirstName FirmName PrimaryRole: NewYork 00001-2551 1279Route300,P.O.Box1111,Newburgh StreetAddress City state Zip . " NO SecondaryRole(if any): +1 (845)562-0203 +1 (845)725-7005 efile@lawampm.com Phone Fax e-mall LastName LastName FirstName Lowe's Home Centers, LLC FirstName FirmName X PrimaryRole: NewYork Respondent StreetAddress City State Zip NO secondaryRole(if any); Phone Fax e-mail LastName LastName FirstName FirstName FirmName PrimaryRole: StreetAddress City state Zlp NO SecondaryRole(if any): Phone Fax e-mail I AFF RM UNDER THE PENALTY OF PE RJURY THAT, TO MY KNOWLEDGE, OTHER THAN AS NOTED AB JVE, TH ERE ARE AND HAVI BEEN NO RELATED ACTIONS O t PROCEEDINGS, NOR HAS A REQUEST FOR JUDICIAL INTERVE iTION P REVIOUSLY BEEN FILEI) IN THIS ACTION OR PROCEEDIr!G. Dated: SIGNATURE 2980779 Kara L Campbell ATTORNEY REGISTRATION NUMBER PRINT OR TYPE NAME Print Form 2 of 2