Rule 2:12A-4. Contents of Certification Order

(a) The question of law sought to be answered;

(b) The facts relevant to the question, showing fully the nature of the controversy out of which the question arose. If the parties cannot agree on a statement of facts, the certifying court shall set forth what it believes to be the relevant facts;

(c) A statement acknowledging that the Supreme Court, acting as the receiving court, may reformulate the question; and

(d) The names and addresses of counsel of record and all parties appearing without counsel.