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Form No.	Name Of Form	Category	Status	Date	Download
Juvenile Forms

JD-JM-009A (Effective July 1, 2018)	Application for Order of Detention	Juvenile	Rev.	07/18	JM009A_18.pdf
JD-JM-012	Erasure of Record, Petition/Order	Juvenile	Rev.	10/15	JM012.pdf
JD-JM-012S	Erasure of Record, Petition/Order - Spanish	Juvenile	Rev.	10/15	JM012S.pdf
JD-JM-013	Appearance, Juvenile Matters	Juvenile	Rev.	08/16	JM013.pdf
JD-JM-013P	Appearance, Juvenile Matters - Polish	Juvenile	Rev.	08/16	JM013P.pdf
JD-JM-013PT	Appearance, Juvenile Matters - Portuguese	Juvenile	Rev.	08/16	JM013PT.pdf
JD-JM-013S	Appearance, Juvenile Matters - Spanish	Juvenile	Rev.	08/16	JM013S.pdf
JD-JM-029	Juvenile Delinquency Waiver of Child/Parent Statement of Responsibility	Juvenile	Rev.	03/10	jm029.pdf
JD-JM-029P	Juvenile Delinquency Waiver of Child/Parent Statement of Responsibility - Polish	Juvenile	Rev.	03/10	JM029P.pdf
JD-JM-029S	Juvenile Delinquency Waiver of Child/Parent Statement of Responsibility - Spanish	Juvenile	Rev.	03/10	JM029S.pdf
JD-JM-030	Custody Affidavit	Juvenile	Rev.	10/12	jm030.pdf
JD-JM-031	Order, Termination of Parental Rights and Appointment of Statutory Parent/Guardian	Juvenile	Rev.	04/18	JM031.pdf
JD-JM-031A	Order, Co-Termination of Parental Rights and Appointment of Statutory Parent/Guardian	Juvenile	Rev.	04/18	JM031A.pdf
JD-JM-034	Application and Writ, Habeas Corpus	Juvenile	Rev.	03/16	JM034.pdf
JD-JM-040	Notice/Summons and Order For Hearing - Termination of Parental Rights	Juvenile	Rev.	06/16	JM040.pdf
JD-JM-040P	Notice/Summons and Order For Hearing - Termination of Parental Rights - Polish	Juvenile	Rev.	06/16	JM040P.pdf
JD-JM-040PT	Notice/Summons and Order For Hearing - Termination of Parental Rights - Portuguese	Juvenile	Rev.	06/16	JM040PT.pdf
JD-JM-040S	Notice/Summons and Order For Hearing - Termination of Parental Rights - Spanish	Juvenile	Rev.	06/16	JM040S.pdf
JD-JM-057	Police Referral Summary	Juvenile	Rev.	08/19	JM057.pdf
JD-JM-058	Motion/Order of Temporary Custody/Order to Appear	Juvenile	Rev.	12/15	JM058.pdf
JD-JM-058A	Notice of Temporary Custody/Order to Appear	Juvenile	Rev.	12/15	JM058A.pdf
JD-JM-058S	Motion/Order of Temporary Custody/Order to Appear - Spanish	Juvenile	New	09/09	JM058S.pdf
JD-JM-060	Affidavit/Consent to Termination of Parental Rights	Juvenile	Rev.	07/11	jm060.pdf
JD-JM-061	Order of Notice	Juvenile	Rev.	10/11	jm061.pdf
JD-JM-061A	Unidentified Person/Termination of Parental Rights/Order of Notice	Juvenile	Rev.	10/11	jm061A.pdf
JD-JM-061F	Order of Notice - French	Juvenile	New	10/11	JM061F.pdf
JD-JM-061P	Order of Notice - Polish	Juvenile	Rev.	10/11	JM061P.pdf
JD-JM-061PT	Order of Notice - Portuguese	Juvenile	Rev.	10/11	JM061PT.pdf
JD-JM-061S	Order of Notice - Spanish	Juvenile	Rev.	10/11	JM061S.pdf
JD-JM-065	Adjudicatory/Dispositional Orders	Juvenile	Rev.	04/12	jm065.pdf
JD-JM-065P	Adjudicatory/Dispositional Orders - Polish	Juvenile	New	04/12	JM065P.pdf
JD-JM-065S	Adjudicatory/Dispositional Orders - Spanish	Juvenile	New	04/12	JM065S.pdf
JD-JM-070	Order/Summons	Juvenile	Rev.	07/12	JM070.pdf
JD-JM-070S	Order/Summons - Spanish	Juvenile	Rev.	07/12	JM070S.pdf
JD-JM-076	Revocation of Order of Commitment/Guardianship Custody/Temporary Custody and Subsequent Order of Custody/Temporary Custody Guardianship/Protective Supervision	Juvenile	Rev.	04/12	jm076.pdf
JD-JM-090	Petition For Emancipation	Juvenile	Rev.	07/11	jm090.pdf
JD-JM-098	Petition: Neglected, Uncared-For, Abused Child/Youth	Juvenile	Rev.	12/15	JM098.pdf
JD-JM-098S	Petition: Neglected, Uncared-For, Abused Child/Youth - Spanish	Juvenile	New	11/14	JM098S.pdf
JD-JM-100	Notice of Appointment of Guardian Ad Litem Child Youth	Juvenile	Rev.	07/12	jm100.pdf
JD-JM-102	Plea of Nolo Contendere	Juvenile	Rev.	07/12	JM102.pdf
JD-JM-106	Specific Steps	Juvenile	Rev.	01/11	JM106.pdf
JD-JM-106S	Specific Steps (Spanish)	Juvenile	Rev.	03/11	JM106S.pdf
JD-JM-110	Delinquency Petition/Information	Juvenile	Rev.	03/10	jm110.pdf
JD-JM-114	Application For Appointment of Counsel/Waiver of Fees/Payment of Costs - Juvenile	Juvenile	Rev.	01/19	JM114.pdf
JD-JM-114A	Request for Hearing, Denied Application For Counsel or Waiver of Fees — Juvenile	Juvenile	Rev.	11/11	jm114A.pdf
JD-JM-114P	Application For Appointment of Counsel/Waiver of Fees/Payment of Costs - Juvenile - Polish	Juvenile	Rev.	01/19	JM114P.pdf
JD-JM-114PT	Application For Appointment of Counsel/Waiver of Fees/Payment of Costs - Juvenile - Portuguese	Juvenile	Rev.	01/19	JM114PT.pdf
JD-JM-114S	Application For Appointment of Counsel/Waiver of Fees/Payment of Costs - Juvenile - Spanish	Juvenile	Rev.	01/19	JM114S.pdf
JD-JM-120	Complaint, Non-School Family With Service Needs	Juvenile	Rev.	04/12	jm120.pdf
JD-JM-120A	Family With Service Needs, Parental Notice	Juvenile	Rev.	08/17	JM120A.pdf
JD-JM-123	Order of Temporary Custody, FWSN	Juvenile	Rev.	08/11	jm123.pdf
JD-JM-129	Permanency Plan, Order and Review	Juvenile	Rev.	01/20	JM129.pdf
JD-JM-134	School Violence Prevention Program, Motion, Order, Disposition	Juvenile	Rev.	10/17	JM134.pdf
JD-JM-135	Application for Take Into Custody Order	Juvenile	Rev.	06/19	JM135.pdf
JD-JM-135S	Application for Take Into Custody Order - Spanish	Juvenile	Rev.	06/19	JM135S.pdf
JD-JM-140	Motion for Continuance, Juvenile Matters	Juvenile	Rev.	01/18	JM140.pdf
JD-JM-141	Motion for Intervention in Juvenile Matters	Juvenile	Rev.	10/12	jm141.pdf
JD-JM-149	Order of Temporary Custody	Juvenile	Rev.	12/08	jm149.pdf
JD-JM-150	Application For Issuance of Subpoena, Juvenile Matters	Juvenile	Rev.	12/15	JM150.pdf
JD-JM-172	Affidavit Concerning Military Service — Juvenile Matters	Juvenile	New	12/08	jm172.pdf
JD-JM-176 (Effective July 1, 2018)	Juvenile Arrest Warrant Application	Juvenile	Rev.	07/18	JM176_18.pdf
JD-JM-178	Order To Provide Educational Records and Receipt	Juvenile	Rev.	07/12	jm178.pdf
JD-JM-181	Summary Guide To Juvenile Court Jurisdiction	Juvenile	Rev.	09/19	JM181.pdf
JD-JM-185	Juvenile Matters Request By Victim To Test Child For AIDS/HIV	Juvenile	New	10/10	jm185.pdf
JD-JM-187	Juvenile Matters Victim's Designation of Receiver For Child's HIV/AIDS Test Results	Juvenile	New	10/10	jm187.pdf
JD-JM-190 (Effective July 1, 2018)	Order To Detain — Probable Cause Determination Request	Juvenile	Rev.	07/18	JM190_18.pdf
JD-JM-192	Interstate Compact For Juveniles - Take Into Custody Application and Order - Delinquent Child	Juvenile	Rev.	06/19	JM192.pdf
JD-JM-193	Interstate Compact For Juveniles - Take Into Custody Application and Order - Non-Delinquent Runaway	Juvenile	Rev.	06/19	JM193.pdf
JD-JM-194	Guardian Ad Litem Request For In-Court Judicial Review	Juvenile	New	04/12	jm194.pdf
JD-JM-195	Adoption Petition	Juvenile	New	10/12	jm195.pdf
JD-JM-196	Adoption Data Sheet	Juvenile	New	10/12	jm196.pdf
JD-JM-197	Adoption Agreement	Juvenile	New	10/12	jm197.pdf
JD-JM-203	Motion Permanent Legal Guardianship	Juvenile	New	10/12	JM203.pdf
JD-JM-216	Fire Starting Behavior Treatment Program Motion, Order and Disposition	Juvenile	Rev.	08/19	JM216.pdf
JD-JM-217	Motor Vehicle Theft or Misuse Services Program Motion, Order, Disposition	Juvenile	New	10/19	JM217.pdf

Forms Found : 75

Important Notices (Expand to view)[+]

ADA notice :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.

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Civil Forms grouped by Subject[+]

Family Forms grouped by Case Type[+]

State Agency Forms[+]

Form Number	Name of form	State Agency
CCSG-1	Worksheet for the Connecticut Child Support and Arrearage Guidelines	Commission for Child Support Guidelines
CO-17	Invoice/Voucher for Goods or Services	Office of the State Comptroller
SMC-1	Restraining Order / Civil Protection Order Service Instructions	State Marshal Commission
SMC-2	Restraining Order / Civil Protection Order Service Respondent Profile	State Marshal Commission

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