PDF · PUBLIC LIBRARY #491
RJI -RE: NOTICE OF PETITION
NYSCEF document #9 | Filed: 2026-03-30 | Filed by: SASH, ALAN EDWARD Filed: Received: | Docket status: Processed Confirmation Notice | Case: Jane Doe v. Cornell Univeristy (Tompkins County) | Source: NYSCEF
File: NYSCEF-case-4c779433507a-000009.pdf · 0.09 MBSHA-256:
c4199969f0e6…1fcfcce1fc OCR: ready · Transcript: not_applicable
OCR / extracted text
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Cornell University
John Doe
REQUEST FOR JUDICIAL INTERVENTION
Supreme COURT, COUNTY OF Tompkins
UCS-840
Index No:
Date Index Issued:
For Court Use Only:
IAS Entry Date
Judge Assigned
RJI Filed Date
CAPTION
Enter the complete case caption. Do not use et al or et ano. If more space is needed, attach a caption rider sheet.
Plaintiff(s)/Petitioner(s)
Defendant(s)/Respondent(s)
-against-
(rev. 12/16/2024)
NATURE OF ACTION OR PROCEEDING:
Check only one box and specify where indicated.
SPECIAL PROCEEDINGS
REAL PROPERTY
COMMERCIAL
OTHER MATTERS
STATUS OF ACTION OR PROCEEDING
Answer YES or NO for every question and enter additional information where indicated.
If yes, date filed:
If yes, date served:
If yes, judgment date:
Has a summons and complaint or summons with notice been filed?
Has a summons and complaint or summons with notice been served?
Is this action/proceeding being filed post-judgment?
YES
NO
☐
☒
☐
☒
☐
☒
☐
Certificate of Incorporation/Dissolution [see NOTE in COMMERCIAL section]
☐
Emergency Medical Treatment
☐
Habeas Corpus
☐
Local Court Appeal
☐
Mechanic's Lien
☐
Name Change/Sex Designation Change
☐
Pistol Permit Revocation Hearing
☐
Sale or Finance of Religious/Not-for-Profit Property
☐
Other (specify):
☐
Business Entity (includes corporations, partnerships, LLCs, LLPs, etc.)
☐
Contract
☐
Insurance (where insurance company is a party, except arbitration)
☐
UCC (includes sales and negotiable instruments)
☐
Other Commercial (specify):
NOTE: For Commercial Division assignment requests pursuant to 22 NYCRR 202.70(d),
complete and attach the COMMERCIAL DIVISION RJI ADDENDUM (UCS-840C).
MATRIMONIAL
☐
Contested
NOTE: If there are children under the age of 18, complete and attach the
MATRIMONIAL RJI Addendum (UCS-840M).
TORTS
☐
Condemnation
☐
Mortgage Foreclosure (specify): ☐Residential
Commercial
☐
Property Address:
NOTE: For Mortgage Foreclosure actions involving a one to four-family, owner-
occupied residential property or owner-occupied condominium, complete and
attach the FORECLOSURE RJI ADDENDUM (UCS-840F).
Tax Certiorari (specify):
☐
Block:
Lot:
Tax Foreclosure
☐
☐
Other Real Property (specify):
For Uncontested Matrimonial actions, use the Uncontested Divorce RJI (UD-13).
Specify how many properties the application includes:
☐
☐
☐
☐
☐
☐
☐
☐
Asbestos
Environmental (specify):
Medical, Dental or Podiatric Malpractice
Motor Vehicle
Products Liability (specify):
Other Negligence (specify):
Other Professional Malpractice (specify):
Other Tort (specify):
☐
Partition
NOTE: Complete and attach the PARTITION RJI ADDENDUM (UCS-840P).
☐
CPLR Article 75 - Arbitration [see NOTE in COMMERCIAL section]
☒
CPLR Article 78 - Proceeding against a Body or Officer
☐
Election Law
☐
MHL Article 9.60 - Kendra's Law
☐
Child-Parent Security Act (specify):
☐
MHL Article 10 - Sex Offender Confinement (specify):
☐
MHL Article 81 (Guardianship)
☐
Other Mental Hygiene (specify):
Other Special Proceeding (specify):
☐
☐
Extreme Risk Protection Order
Initial
Review
☐
☐
☐Assisted Reproduction ☐Surrogacy Agreement
Section:
Check one box only and enter additional information where indicated.
NATURE OF JUDICIAL INTERVENTION
☐
☐
☐
☐
☒
☐
☐
☐
☐
☐
☐
☐
Infant's Compromise
Note of Issue/Certificate of Readiness
Notice of Medical, Dental or Podiatric Malpractice
Notice of Motion
Notice of Petition
Order to Show Cause
Other Ex Parte Application
Waiver of Court Costs, Fees and Expenses
Request for Preliminary Conference
Residential Mortgage Foreclosure Settlement Conference
Writ of Habeas Corpus
Other (specify):
Date Issue Joined:
Relief Requested:
Relief Requested:
Relief Requested:
Relief Requested:
Article 78 (Body or Officer)
Return Date:
Return Date:
05/15/2026
Return Date:
Extreme Risk Protection Order Application
☐
☐
Partition Settlement Conference
CI2026-07233
Index # : EF2026-0292
FILED: TOMPKINS COUNTY CLERK 03/30/2026 01:47 PM
INDEX NO. EF2026-0292
NYSCEF DOC. NO. 9
RECEIVED NYSCEF: 03/30/2026
1 of 2
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Case Title
Index/Case Number
Court
Judge (if assigned)
Relationship to instant case
RELATED CASES
List any related actions. For Matrimonial cases, list any related criminal or Family Court cases. If none, leave blank.
If additional space is required, complete and attach the RJI Addendum (UCS-840A).
PARTIES
For parties without an attorney, check the "Un-Rep" box and enter the party's address, phone number and email in the space
provided. If additional space is required, complete and attach the RJI Addendum (UCS-840A).
Un-
Rep
List parties in same order as listed in the
caption and indicate roles (e.g., plaintiff,
defendant, 3rd party plaintiff, etc.)
For represented parties, provide attorney's name, firm name, address, phone
and email. For unrepresented parties, provide party's address, phone and
email.
For each defendant,
indicate if issue has
been joined.
For each defendant,
indicate insurance
carrier, if applicable.
Parties
Attorneys and Unrepresented Litigants
Issue Joined
Insurance Carriers
Name: Doe, John
☐
ALAN SASH, BUSHELL, SOVAK, KANE & SASH LLP, 274
MADISON AVE RM 1500 , NEW YORK, NY 10016,
[email protected]
Role(s): Plaintiff/Petitioner
☐ YES ☒ NO
Name: Cornell University
☐
Office of the General Counsel , 118 Sage Hall, Ithaca, NY
14850, 607-255-5124, [email protected]
Role(s): Defendant/Respondent
☐ YES ☒ NO
Name:
☐
Role(s):
☐ YES ☐ NO
Name:
☐
Role(s):
☐ YES ☐ NO
Name:
☐
Role(s):
☐ YES ☐ NO
Name:
☐
Role(s):
☐ YES ☐ NO
Name:
☐
Role(s):
☐ YES ☐ NO
Name:
☐
Role(s):
☐ YES ☐ NO
Name:
☐
Role(s):
☐ YES ☐ NO
Name:
☐
Role(s):
☐ YES ☐ NO
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 IN THIS
ACTION OR PROCEEDING.
Attorney Registration Number
Print Name
Signature
Dated:
03/30/2026
2932143
ALAN EDWARD SASH
ALAN EDWARD SASH
This form was generated by NYSCEF
CI2026-07233
Index #: EF2026-0292
FILED: TOMPKINS COUNTY CLERK 03/30/2026 01:47 PM
INDEX NO. EF2026-0292
NYSCEF DOC. NO. 9
RECEIVED NYSCEF: 03/30/2026
2 of 2
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