Connecticut > Statewide > Grievance
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 Grievance Statewide . |
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REQUEST FOR EXCLUSION FROM ELECTRONIC SERVICES REQUIREMENTS JD-CL-92 New 6-08 STATE OF CONNECTICUT SUPERIOR COURT JUDICIAL BRANCH www.jud.ct.gov Instructions 1. Type or print clearly. 2. File the exclusion request form with the Statewide Grievance Committee at the below address. 3. Keep a copy of this form for your records. To: Statewide Grievance Committee, 287 Main Street, 2nd Floor, Suite 2, East Hartford, CT 06118-1885 Telephone (860) 568-5157 From (Name of Attorney/Law Firm requesting exclusion) Address of Attorney/Law Firm E-mail address Juris Number Telephone Number (with area code) 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. FILE DATE Signed Name/Title of Person Signing Date American LegalNet, Inc. www.FormsWorkFlow.com
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