NOTICE: This is a public document, which means the document as submitted will be available to the public upon request. We can provide you with samples of court forms that are available.• We can provide you with guidance on how to fill out forms. A finding that an insurer is in a hazardous financial condition constitutes grounds for liquidation pursuant to N.J.S.A. C-8 and N.J.S.A. C-6f. DC-430 File with a verified complaint to request the court to issue a summons if you do not have an attorney. Affidavit of Personal Service DC-149R. In order to file a complaint with DCR, you must first submit an intake form. Get expert advice on filing a verified complaint form in New Jersey, including landlordtenant disputes and pursuing owed amounts. Department of Finance to write such coverage in the State of New York. New applicants should review the sample of a completed SF-424.