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Appearance Juvenile Matters JD-JM-13 - Connecticut
| Appearance Juvenile Matters Form. This is a Connecticut form and can be used in Juvenile Statewide . |
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APPEARANCE JUVENILE MATTERS JD-JM-13 Rev. 7-11 PA 11-240, Sec. 2 Pr. Bk. Sec. 3-4 3-2(b); 3-3; 3-4; 3-5(b); 3-6(b); 3-8 STATE OF CONNECTICUT SUPERIOR COURT Instructions 1. Type or print clearly with ball point pen. 2. File a separate appearance for each child. JUVENILE MATTERS www.jud.ct.gov To: The Superior Court For Juvenile Matters In re: (Name of child/youth) Address of court (Number, street, town and zip code) Docket number Please Enter the Appearance of Juris number of attorney or firm Telephone number Name of official, firm, professional corporation, individual attorney, or self-represented party (See "Notice to self-represented Parties" at bottom) Mailing address (Number, street, P.O. Box) City/town State Zip code Fax number In the above-entitled case as counsel for the: ("X" appropriate box) child father (name): mother parents child and parents other (name and interest, legal status or relationship): E-mail address Type of case ("X" all that apply) Neglect / Uncared-for / Abuse Termination Probate Transfer Emancipation Appointment as guardian ad litem for Delinquency Family w/Service Needs Youth In Crisis Administrative Appeal Appeal from Probate Decision Other (specify): If other counsel or a self-represented party have already appeared for the party or parties indicated above, state whether this appearance is: In place of the appearance of attorney or firm (Name) already on file or In addition to appearance already on file. NOTE: If other court appointed counsel has already appeared for the party or parties indicated above, an appearance in place of the court appointed counsel must be authorized by the Judicial Authority. Signed (Individual attorney or self-represented party) Print of type name of person signing at left Date signed Certification I certify that a copy of the above was mailed or delivered in accordance with Practice Book Section 3-5(b) of the Connecticut Practice Book. Signed (Individual attorney or self-represented party) Date copy(ies) mailed/delivered For Court Use Only Notice to Self-represented Parties A self-represented party is a person who represents himself or herself. It is your responsibility to inform the Clerk's Office if you have a change of address. The Judicial Branch of the State of Connecticut complies with the Americans with Disabilities Act (ADA). If you need a reasonable accommodation in accordance with the ADA, contact a court clerk or an ADA contact person listed at www.jud.ct.gov/ADA. Appearance Reset Form American LegalNet, Inc. www.FormsWorkFlow.com Print Form
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