26:4-40. Contents of report The report required by sections 26:4-38 and 26:4-39 of this title shall contain the following information: a. Name, address, color, sex, nationality, and the age as nearly as practicable, of the person so infected with a venereal disease; b. Character of the disease; c. Probable source of infection; and d. Whether the case has been previously reported or not; and if it has been reported, when, where, and by whom it was reported.
New Jersey Legal Code