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Request For Exclusion From Electronic Services Requirements JD-CL-92 - Connecticut
| Request For Exclusion From Electronic Services Requirements Form. This is a Connecticut form and can be used in General Statewide . |
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REQUEST FOR EXCLUSION FROM ELECTRONIC SERVICES REQUIREMENTS JD-CL-92 Rev. 6-10 STATE OF CONNECTICUT SUPERIOR COURT JUDICIAL BRANCH www.jud.ct.gov Instructions 1. Type or print clearly. 2. File the exclusion request form with Superior Court Operations at the address below. 3. Keep a copy of this form for your records. To: E-Services Exclusion Requests Superior Court Operations 90 Washington Street, 3rd Floor Hartford, CT 06106 Telephone (860) 706-5321 Juris Number From (Name of Attorney/Law Firm requesting exclusion) Address of Attorney/Law Firm Telephone Number (with area code) E-mail address Reason for Exclusion Request I request an exclusion from electronic services requirements for me or on behalf of the firm named above for the following reason(s): I do not have Internet access The firm does not have Internet access Other (explanation required) Signed (Attorney making request) Name of Attorney Signing at left Date Juris Number of Attorney Do not write below this line The request is hereby ordered: Granted. Denied. Signed Name/Title of Person Signing Date FILE DATE American LegalNet, Inc. www.FormsWorkFlow.com
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