On April 09, 2021 a
Request for Judicial Intervention
was filed
involving a dispute between
P G,
and
Bemus Point Central School District,
Bemus Point Central School District Board Of Education,
for Torts - Child Victims Act
in the District Court of Chautauqua County.
Preview
FILED: CHAUTAUQUA COUNTY CLERK 04/09/2021 12:39 PM INDEX NO. EK12021000534
NYSCEF DOC. NO. 6 RECEIVED NYSCEF: 04/09/2021
*
REQUEST FOR JUDICIAL INTERVENTION o lo
SUPREME CHAUTAUQUA
_ _ COURT, COUNTY OF
Index No: Date Index Issued: Po Úu
IASEntry Date
P.G.
Plaintiff(s)/Petitioner(s) JudgeAssigned
-against-
BEMUS POINT CENTRAL SCHOOL DISTRICT; and BEMUS POINT CENTRAL SCHOOL DISTRICT
BOARD OF EDUCATION R I Filed Date
Defendant(s)/Respondent(s)
O BusinessEntity (includes corporations, partnerships, LLCs,LLPs,etc.) O Contested
O Contract NOTE:If there are children under the age of 18, complete ond ottach the
O Insurance (where insurance company is a party, except arbitration) MAm!MON!AL RJIADDENDUM (UCS-840M).
O UCC(includes sales and negotiable instruments) For Uncontested Matrimonial octions, usethe UncontestedDivorce RJI(UD-13).
O Other Commercial (specify): 11(JS
NOTE:For Commercial Division assignmentrequestspursuant to 22 NYCRR202.70(d), O Asbestos
complete and ottach the COMMERCIALDIVISIONRJIADDENDUM (UCS-840C). @ Child Victims Act
ÂÈâEËlld ÍÈ 3pecif by a p t fi a O O Environmental (specify):
O Condemnation O Medical, Dental or Podiatric Malpractice
O Mortgage Foreclosure (specify): O Residential O Commercial O Motor Vehicle
Property Address: O Products Liability (specify);
NOTE:For Mortgage Foreclosureactions involving a one to four-family, O Other Negligence(specify):
owner-occupied residential property or owner-occupied condominium, O Other ProfessionalMalpractice (specify):
complete and ottach the FORECLOSURE RJIADDENDUM (UCS-840F). O Other Tort (specify):
--H¯ -¯
O Tax Certiorari P EEjJfji -
O Tax Foreclosure O CPLRArticle 75 (Arbitration) [see NOTEin COMMERCIALsection]
O Other Real Property (specify): Q CPLRArticle 78 (Body or Officer)
O E ÏVBt 5 yi L ,_ U Election Law
O Certificate of Incorporation/Dissolution [see NOTEin COMMERCIALsection] O Extreme RiskProtection Order
O Emergency Medical Treatment O MHL Article 9.60 (Kendra's Law)
O HabeasCorpus O MHL Article 10 (SexOffender Confinement-Initial)
O LocalCourt Appeal O MHL Article 10 (SexOffender Confinement-Review)
O Mechanic's Lien O MHL Article 81 (Guardianship)
O Name Change O Other Mental Hygiene (specify):
O Pistol Permit Revocation Hearing O Other Special Proceeding (specify):
O Saleor Financeof Religious/Not-for-Profit Property
O Other (specify):
.. . . . ...... . . . . .. . .
YES NO
Hasa summons and complaint or summons with notice been filed? O O If yes, date filed:
Hasa summons and complaint or summons with notice been served? O O If yes, date served:
Isthis action/proceeding being filed post-judgment? Q O If yes, judgment date:
O Infant's Compromise
O Extreme RiskProtection Order Application
O Note of Issue/Certificate of Readiness
O Notice of Medical, Dental or Podiatric Malpractice Date IssueJoined:
O Notice of Motion Relief Requested: Return Date:
O Notice of Petition Relief Requested: Return Date:
@ Order to Show Cause Relief Requested: To use and maintain a pseudonym Return Date:
O Other ExParte Application Relief Requested:
O Poor PersonApplication
O Requestfor Preliminary Conference
O Residential Mortgage ForeclosureSettlement Conference
O Writ of HabeasCorpus
O Other (specify);
1 of 2
FILED: CHAUTAUQUA COUNTY CLERK 04/09/2021 12:39 PM INDEX NO. EK12021000534
NYSCEF DOC. NO. 6 RECEIVED NYSCEF: 04/09/2021
CaseTitle Index/Case Number Cotirt udge (if assigned) o hip to instant case
Un- fattle AttoM andMWepretentedÙtigasit IssueJoined Insurance Canterf
Rep Ust.parties in same order as fisted In the for represented parties, provide attorney's name, firm nameseddress, phone and For each defendant, For eachadifen ant
captionantiintdicate roles (e4.,plaintiff, senall For unrepres tedjpit¾provide pWty's address, phontrand cmall. indicate if issue has indicate¾gangs
defendant, 3'd party plaintiff; etc.) been joined. carrier, if apñÏI ble
Name: P.1
Weitz& Luxenberg NewYork,NY10003
P.C.,700Broadway,
Role(s): @ YES O NO
Plaintiff (856)406-3999
jkristal@weitzlux.com
Name: BemusPointCentralSchoolDistrict
Role(s): 3980 Dutch Hollow BemuS NY 14712 O YES ® NO
Road, Point,
Defendant
Name: ,,,,,p,,nt Central
School Board
Distrkt ofEducation
Role(s): 3980 Dutch Hollow Bemus NY 14712 O YES ® NO
Road, Point,
Defendant
Name:
Role(s): Q YES O NO
Name:
Role(s): O YES O NO
Name:
Role(s): O YES O NO
Name:
Role(s): O YES O NO
Name:
Role(s): O YES O NO
Name:
Role(s): O YES O NO
_
Name:
Role(s): O YES O NO
.
Name:
Role(s): O YES O NO
Name:
. _
-
Role(s): O YES O NO
.
Name:
Role(s): O YES O NO
Name:
Role(s): O YES O NO
Name:
Role(s): O YES O NO
I AI FIRM UNDER THE PENALTY OF PER.URY THAT, UPON INFORMATION AND BELIEF, THERE ARE NO OTHER ItELATED ACTIONS OR PiiOCEEDiNGS,
EXCEPT AS NOTED ABOVE, NOR HLS A REQUEST FOR JUDICIAL INTERVENTION BEEN PREVIOUSLY FILED I 4 THIS ACTION OR PROCEED!NG.
Dated: 04/09/2021
Signature
2421105 JERRYKRISTAL
Attorney Registration Number Print Name
2 of 2
Document Filed Date
April 09, 2021
Case Filing Date
April 09, 2021
Category
Torts - Child Victims Act
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FILED: CHAUTAUQUA COUNTY CLERK 04/09/2021 12:39 PM INDEX NO. EK12021000534 NYSCEF DOC. NO. 6 RECEIVED NYSCEF: 04/09/2021 * REQUEST FOR JUDICIAL INTERVENTION o lo SUPREME CHAUTAUQUA _ _ COURT, COUNTY OF Index No: Date Index Issued: Po Úu IASEntry Date P.G. Plaintiff(s)/Petitioner(s) JudgeAssigned -against- BEMUS POINT CENTRAL SCHOOL DISTRICT; and BEMUS POINT CENTRAL SCHOOL DISTRICT BOARD OF EDUCATION R I Filed Date Defendant(s)/Respondent(s) O BusinessEntity (includes corporations, partnerships, LLCs,LLPs,etc.) O Contested O Contract NOTE:If there are children under the age of 18, complete ond ottach the O Insurance (where insurance company is a party, except arbitration) MAm!MON!AL RJIADDENDUM (UCS-840M). O UCC(includes sales and negotiable instruments) For Uncontested Matrimonial octions, usethe UncontestedDivorce RJI(UD-13). O Other Commercial (specify): 11(JS NOTE:For Commercial Division assignmentrequestspursuant to 22 NYCRR202.70(d), O Asbestos complete and ottach the COMMERCIALDIVISIONRJIADDENDUM (UCS-840C). @ Child Victims Act ÂÈâEËlld ÍÈ 3pecif by a p t fi a O O Environmental (specify): O Condemnation O Medical, Dental or Podiatric Malpractice O Mortgage Foreclosure (specify): O Residential O Commercial O Motor Vehicle Property Address: O Products Liability (specify); NOTE:For Mortgage Foreclosureactions involving a one to four-family, O Other Negligence(specify): owner-occupied residential property or owner-occupied condominium, O Other ProfessionalMalpractice (specify): complete and ottach the FORECLOSURE RJIADDENDUM (UCS-840F). O Other Tort (specify): --H¯ -¯ O Tax Certiorari P EEjJfji - O Tax Foreclosure O CPLRArticle 75 (Arbitration) [see NOTEin COMMERCIALsection] O Other Real Property (specify): Q CPLRArticle 78 (Body or Officer) O E ÏVBt 5 yi L ,_ U Election Law O Certificate of Incorporation/Dissolution [see NOTEin COMMERCIALsection] O Extreme RiskProtection Order O Emergency Medical Treatment O MHL Article 9.60 (Kendra's Law) O HabeasCorpus O MHL Article 10 (SexOffender Confinement-Initial) O LocalCourt Appeal O MHL Article 10 (SexOffender Confinement-Review) O Mechanic's Lien O MHL Article 81 (Guardianship) O Name Change O Other Mental Hygiene (specify): O Pistol Permit Revocation Hearing O Other Special Proceeding (specify): O Saleor Financeof Religious/Not-for-Profit Property O Other (specify): .. . . . ...... . . . . .. . . YES NO Hasa summons and complaint or summons with notice been filed? O O If yes, date filed: Hasa summons and complaint or summons with notice been served? O O If yes, date served: Isthis action/proceeding being filed post-judgment? Q O If yes, judgment date: O Infant's Compromise O Extreme RiskProtection Order Application O Note of Issue/Certificate of Readiness O Notice of Medical, Dental or Podiatric Malpractice Date IssueJoined: O Notice of Motion Relief Requested: Return Date: O Notice of Petition Relief Requested: Return Date: @ Order to Show Cause Relief Requested: To use and maintain a pseudonym Return Date: O Other ExParte Application Relief Requested: O Poor PersonApplication O Requestfor Preliminary Conference O Residential Mortgage ForeclosureSettlement Conference O Writ of HabeasCorpus O Other (specify); 1 of 2 FILED: CHAUTAUQUA COUNTY CLERK 04/09/2021 12:39 PM INDEX NO. EK12021000534 NYSCEF DOC. NO. 6 RECEIVED NYSCEF: 04/09/2021 CaseTitle Index/Case Number Cotirt udge (if assigned) o hip to instant case Un- fattle AttoM andMWepretentedÙtigasit IssueJoined Insurance Canterf Rep Ust.parties in same order as fisted In the for represented parties, provide attorney's name, firm nameseddress, phone and For each defendant, For eachadifen ant captionantiintdicate roles (e4.,plaintiff, senall For unrepres tedjpit¾provide pWty's address, phontrand cmall. indicate if issue has indicate¾gangs defendant, 3'd party plaintiff; etc.) been joined. carrier, if apñÏI ble Name: P.1 Weitz& Luxenberg NewYork,NY10003 P.C.,700Broadway, Role(s): @ YES O NO Plaintiff (856)406-3999 jkristal@weitzlux.com Name: BemusPointCentralSchoolDistrict Role(s): 3980 Dutch Hollow BemuS NY 14712 O YES ® NO Road, Point, Defendant Name: ,,,,,p,,nt Central School Board Distrkt ofEducation Role(s): 3980 Dutch Hollow Bemus NY 14712 O YES ® NO Road, Point, Defendant Name: Role(s): Q YES O NO Name: Role(s): O YES O NO Name: Role(s): O YES O NO Name: Role(s): O YES O NO Name: Role(s): O YES O NO Name: Role(s): O YES O NO _ Name: Role(s): O YES O NO . Name: Role(s): O YES O NO Name: . _ - Role(s): O YES O NO . Name: Role(s): O YES O NO Name: Role(s): O YES O NO Name: Role(s): O YES O NO I AI FIRM UNDER THE PENALTY OF PER.URY THAT, UPON INFORMATION AND BELIEF, THERE ARE NO OTHER ItELATED ACTIONS OR PiiOCEEDiNGS, EXCEPT AS NOTED ABOVE, NOR HLS A REQUEST FOR JUDICIAL INTERVENTION BEEN PREVIOUSLY FILED I 4 THIS ACTION OR PROCEED!NG. Dated: 04/09/2021 Signature 2421105 JERRYKRISTAL Attorney Registration Number Print Name 2 of 2