New Jersey Judiciary
Supplemental Plea Form for Drug Offenses
Revised Form Promulgated by Directive # 14-08 (10/08/2008), CN 11000-English
The following additional questions need to be answered only if you are pleading guilty pursuant to an
offense under N.J.S.A. 2C:35-1 et seq. or N.J.S.A. 2C:36-1 et seq.
1. Have you and the Prosecutor entered into any agreement to provide for
a lesser sentence or period of parole ineligibility than would otherwise
be required? (If yes, be sure to include in questions 12 and 13 above).
[Yes] [No]
2. Do you understand that if you plead guilty:
a. You will be required to forfeit your driver’s license for a period of
time from 6 to 24 months, unless the court finds compelling
circumstances warranting an exception?
[Yes] [No]
b. You will be required to pay a forensic laboratory fee of $50 for each
offense for which you plead guilty? [Yes] [No]
c. You will be required to pay a mandatory drug enforcement and
demand reduction (D.E.D.R.) penalty as listed below for each
offense for which you plead guilty?
[Yes] [No]
The mandatory penalties are as follows:
(1) $3,000 in the case of a 1st degree crime
(2) $2,000 in the case of a 2nd degree crime
(3) $1,000 in the case of a 3rd degree crime
(4) $ 750 in the case of a 4th degree crime
(5) $ 500 in the case of a disorderly persons or petty
disorderly persons offense
TOTAL D.E.D.R. Penalty $
Date: Defendant:
Defense Attorney:
Prosecutor:
