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2. INSTRUCTIONS:

   Please read the following (PDF) for instructions on when and how to properly file a complaint with Pennsauken Township Municipal Court. 

   Filing A Complaint Instructions

   
   

   After you have read the above instructions, complete the following information to the best of your ability. This information will help in the preparation of the complaint.

4. YOUR INFORMATION (THE COMPLAINANT)
6. Your Name*
7. Your Email Address
9. Your Address*
11. City*
12. State*
13. Zip Code*
15. Your Phone Number*
19. DEFENDANT'S INFORMATION
21. Defendant's Name*
22. Defendant's Email Address (if known)
24. Defendant's Address*
26. City*
27. State*
28. Zip Code*
30. Defendant's Phone Number (if known)
34. Is the person you are charging an elected public official or a candidate for elected public office?*

    1. Yes
    2. No
36. If yes, provide any information regarding what elected office the person is a candidate for or currently holds.
38. Names and addresses of witnesses
42. State of New Jersey - Pennsauken Township Municipal Court - Court of Camden County

    2400 Bethel Avenue, Pennsauken, NJ. 08109

44. Date of Incident*
    Date of Incident
45. Location of Incident*
46. Municipality
48. I offer the following facts and information to establish probable cause in this complaint against (defendant's name):*
50. Whom I would like to charge with (list statutes or ordinances):*
52. How do you know the identity of the person you are charging?*
54. Describe the incident in detail:*
58. CERTIFICATION:

    I certify that the foregoing statements made by me are true. I am aware that if any of the foregoing statements made by me are willfully false, I am subject to punishment.

60. First Name*
61. Last Name*
63. Date*
    Date
Leave This Blank:


67. 1. Receive an email copy of this form.
68. Email address

    This field is not part of the form submission.

69. Submit

* indicates a required field