Yes! You can use AI to fill out Application for Admission to the Roster of Statewide Approved Parenting Coordinators
This application is for legal, mental health, and alternative dispute resolution professionals seeking to be included on the New Jersey Judiciary's Roster of Statewide Approved Parenting Coordinators. Completing this form is a mandatory step for professionals who wish to be appointed by the court to assist high-conflict parents in resolving child-related disputes outside of the courtroom. Today, this form can be filled out quickly and accurately using AI-powered services like Instafill.ai, which can also convert non-fillable PDF versions into interactive fillable forms.
CN: 13004 is part of the
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Form specifications
| Form name: | Application for Admission to the Roster of Statewide Approved Parenting Coordinators |
| Number of fields: | 53 |
| Number of pages: | 1 |
| Language: | English |
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How to Fill Out CN: 13004 Online for Free in 2026
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Follow these steps to fill out your CN: 13004 form online using Instafill.ai:
- 1 Navigate to Instafill.ai and upload or select the 'Application for Admission to the Roster of Statewide Approved Parenting Coordinators'.
- 2 Provide your personal and business contact information, including your name, firm details, address, and email.
- 3 Answer the questions regarding professional discipline history and malpractice insurance coverage.
- 4 Complete the section that corresponds to your profession (Attorney, Mental Health, or Dispute Resolution), entering details about your degrees, licenses, and credentials.
- 5 List your completed Parenting Coordinator and Domestic Violence training, including the provider, course title, dates, and total hours for each.
- 6 Review all the information you have entered for accuracy, then digitally sign and date the application to certify its truthfulness.
- 7 Download the completed form and gather the required attachments (resume, training certificates, and descriptive paragraph) to submit to the Parenting Coordinator Program.
Our AI-powered system ensures each field is filled out correctly, reducing errors and saving you time.
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Frequently Asked Questions About Form CN: 13004
This form is used by professionals to apply for inclusion on the New Jersey Judiciary's official roster of approved Parenting Coordinators. Those on the roster are eligible for court appointments to assist high-conflict parents with child-related disputes.
Eligible applicants include retired Superior Court judges, licensed New Jersey attorneys, licensed mental health professionals (psychology, psychiatry, social work), and alternative dispute resolution professionals who are in good standing and meet the specified training requirements.
You must submit the completed application form, a resume or Curriculum Vitae (CV), copies of official certificates for all required training, and a brief descriptive paragraph (50-word maximum) about your professional services.
Applicants must complete a minimum of 40 hours of training, which includes basic mediation skills and at least 16 hours of specialized parenting coordination training. Additional training in domestic violence is required to handle cases involving a restraining order.
You can send your completed form and all required attachments to the Parenting Coordinator Program via email, mail, or fax. The contact details are listed at the bottom of the application form.
After approval, you must annually provide the Administrative Office of the Courts with proof of your continued professional licensure and good standing, as well as proof of completing four hours of continuing education.
This paragraph should be a concise summary of your parenting coordinator services and relevant professional experience. This description will be published on the statewide roster if your application is approved, so it should be clear and professional.
Yes, you can still apply, but you must disclose the disciplinary action on the form. You are required to attach a separate document providing a full explanation of the incident.
The form asks if you carry malpractice insurance, but it does not state that it is a mandatory requirement for admission. You should answer the question truthfully based on your current coverage.
Yes, services like Instafill.ai use AI to accurately auto-fill form fields, which can save you time and help ensure accuracy. You will still be responsible for verifying the information and attaching all required documents.
To fill this form online, upload the PDF to the Instafill.ai platform. The service will make the form interactive, allowing you to type your answers directly into the fields, save your progress, and download the completed document.
If you have a non-fillable or 'flat' PDF, you can use a tool like Instafill.ai to convert it into an interactive, fillable form. This allows you to easily type your information instead of printing and filling it out by hand.
Your hourly fee is requested so it can be included in your profile on the statewide roster. This information provides transparency and helps courts and families understand the potential costs when selecting a Parenting Coordinator.
No, your training can be from multiple providers. The form includes space to list different courses, providers, and dates to demonstrate that you have met the total hourly and content requirements.
Compliance CN: 13004
Validation Checks by Instafill.ai
1
Ensures Applicant's First and Last Name are Provided
This check verifies that both the first name and last name fields are filled out. These are fundamental identifiers for the applicant and are required for processing the application and listing them on the roster. Failure to provide a complete name will result in an error and prevent form submission.
2
Validates Email Address Format
This validation ensures the email address entered in the 'applEmail' field follows the standard '[email protected]' format. A valid email is crucial for all official communication regarding the application status and future correspondence. An invalid format will trigger an error message prompting the user to correct the entry.
3
Verifies Complete Business Address
This check confirms that the Street, City, State, and Zip Code fields for the firm/business address are all populated. A complete address is necessary for official mailings and for verifying the applicant's business location. If any part of the address is missing, the submission will be flagged as incomplete.
4
Validates ZIP Code Format
This check ensures the 'firmAddrZip' field contains a valid 5-digit or 9-digit (ZIP+4) numerical format. Correct ZIP codes are essential for accurate mail delivery and location-based services. An incorrectly formatted ZIP code will prevent submission until corrected.
5
Conditional Requirement for Discipline Explanation
This validation checks if the applicant answered 'Yes' to the question 'Have you ever been disciplined in your profession?'. If so, the system must verify that an explanation has been attached or provided. This is critical for the review board to assess the applicant's professional standing and suitability for the roster. A missing explanation will halt the application process.
6
Ensures at least one Professional Category is Completed
This check verifies that the applicant has filled out the details for at least one of the three professional categories: Attorney/Judge, Mental Health Professional, or Dispute Resolution Professional. This information is fundamental to determining the applicant's eligibility for the roster based on their primary qualification. The application cannot be processed without this core information.
7
Validates New Jersey Attorney ID Format
This check ensures the 'attyIdNum' field, required for attorney applicants, is filled and matches the expected format for a New Jersey Attorney ID. This ID is used to verify the applicant's license and good standing with the State Bar. An invalid or missing ID will prevent the system from confirming their professional qualifications.
8
Validates Hourly Fee is a Numeric Value
This validation confirms that the value entered for the 'Hourly Fee' is a positive number. This information is used for the roster listing and must be in a consistent, machine-readable format. Non-numeric entries will be rejected, and the user will be prompted to enter a valid dollar amount.
9
Verifies Minimum Parenting Coordinator Training Hours
This check calculates the sum of hours from all 'Parenting Coordinator Training' entries and verifies that the total is at least 40. This is a mandatory requirement stated in the form's instructions for admission to the roster. Applications with fewer than 40 hours will be flagged as not meeting the minimum training qualifications.
10
Ensures Signature Date is Provided
This validation confirms that the date field next to the signature is filled out. The signature date is legally significant, as it marks the date the applicant certified the truthfulness of the provided information. An application without a signature date is considered incomplete and cannot be accepted.
11
Confirms Acknowledgment of Required Attachments
This check ensures the applicant has acknowledged that they are submitting the three required documents: a Resume/CV, training certificates, and a descriptive paragraph. This reduces the number of incomplete applications by forcing the user to confirm they have gathered all necessary materials. Failure to acknowledge the attachments would prevent submission.
12
Validates 50-Word Limit for Descriptive Paragraph
This validation checks the descriptive paragraph submitted by the applicant to ensure it does not exceed the 50-word maximum. This limit is in place to maintain a consistent and concise format for the statewide roster listing. Submissions exceeding the word count will be rejected, and the user will be asked to shorten their description.
13
Ensures Attorney Details are Provided for Retired Judges
This check verifies that if an applicant indicates they are a 'Retired Superior Court Judge,' they have also completed the 'Year Admitted to the New Jersey Bar' and 'Attorney ID' fields. This is because their qualification is based on their status as a licensed attorney. This ensures complete professional history is captured for all applicants in this category.
14
Ensures Mental Health Professional License Number is Provided
This validation confirms that if an applicant fills out the 'Mental Health Professionals' section, the 'License Number(s)' field is not empty. The license number is the primary key for verifying the applicant's credentials and good standing with the appropriate state board. An application for an MHP without a license number is fundamentally incomplete.
Common Mistakes in Completing CN: 13004
The application explicitly requires three attachments: a resume/CV, training certificates, and a 50-word descriptive paragraph. Applicants often overlook one or more of these items, particularly the 50-word paragraph which is easily missed in the list of instructions. An application is considered incomplete without all required documents and will not be reviewed, causing significant delays.
The instructions mandate a minimum of 40 hours of specific training, which is a core qualification. Applicants frequently make errors by miscalculating the total hours, listing courses without attaching the corresponding certificates, or including training that does not meet the specified content criteria. Failure to properly document the required 40 hours will result in an automatic rejection of the application.
When filling out their respective professional section, applicants sometimes forget to include critical identifiers like their New Jersey Attorney ID number or their Mental Health Professional license number. This happens when focusing on degrees and work history. This omission forces reviewers to halt the process to look up the missing information or contact the applicant, delaying approval.
The form requires an attached explanation for a 'Yes' answer regarding professional discipline. Applicants may correctly check 'Yes' but forget to prepare and include the mandatory explanatory document. This oversight results in an incomplete application and can be perceived as a lack of transparency, potentially jeopardizing the applicant's chances of approval.
The form requests a descriptive paragraph with a strict 'maximum of 50 words' for the public roster. Eager to market their services, applicants often submit a much longer summary, ignoring the specified limit. This can lead to the description being awkwardly truncated by administrators or the application being returned for correction, delaying entry onto the roster.
An applicant's name, firm, or training dates on the application form may not perfectly match the information on their attached resume, CV, or training certificates. These discrepancies, often due to simple oversight or using outdated documents, create confusion and raise red flags for reviewers. This forces clarification and delays the entire approval process.
This form is often distributed as a non-fillable PDF, leading many to print, handwrite, and scan their submission. Poor or rushed handwriting can render critical information like email addresses, license numbers, and names unreadable. An illegible application may be rejected outright or lead to data entry errors, requiring the applicant to start over. To avoid this, AI-powered tools like Instafill.ai can convert the form into a digitally fillable version, ensuring all entries are clear and professional.
In the training sections, applicants might enter generic descriptions like 'PC Training' instead of the specific course title, provider, date, and hours as listed on their certificate. This prevents reviewers from being able to verify that the training meets the specific content requirements outlined in the Judiciary's directive. As a result, the training hours may be discounted, potentially causing the application to fail the 40-hour minimum.
The form provides a simple field for 'Hourly Fee' expecting a number. Applicants sometimes complicate this by writing text such as 'Negotiable,' 'Varies,' or including '/hr' within the box instead of a single numerical value. This creates ambiguity for the public roster and may cause the application to be flagged for correction, as a specific fee is expected for the listing.
Submitting an unsigned or undated application is a classic but common error, often made when rushing to complete the paperwork. An application is not legally certified or valid without a signature and date. This simple oversight will cause the application to be immediately returned or discarded, leading to preventable and significant delays in the review process.
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