Official Court Forms of the Connecticut Judicial Branch

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Official Court Webforms

Starting Thursday, June 16, 2022, the Judicial Branch will offer three (3) electronic options for accessing webforms. In addition to offering these options, the Judicial Branch has refreshed the Official Court Webforms page.

Forms are divided into categories. Click a specific link to see all forms in that category or use the search box below to search for a specific form by name, number, or keyword.

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Form No.	Name of Form	Version	Form
JD-JM-009A	Application for Order of Detention	Rev. 01/22	JM009A.pdf
JD-JM-012	Erasure of Record, Petition/Order	Rev. 12/22	JM012.pdf
JD-JM-012P	Erasure of Record, Petition/Order - Polish	Rev. 12/22	JM012P.pdf
JD-JM-012PT	Erasure of Record, Petition/Order - Portuguese	Rev. 12/22	JM012PT.pdf
JD-JM-012S	Erasure of Record, Petition/Order - Spanish	Rev. 12/22	JM012S.pdf
JD-JM-013	Appearance, Juvenile Matters	Rev. 01/22	JM013.pdf
JD-JM-013P	Appearance, Juvenile Matters - Polish	Rev. 01/22	JM013P.pdf
JD-JM-013PT	Appearance, Juvenile Matters - Portuguese	Rev. 01/22	JM013PT.pdf
JD-JM-013S	Appearance, Juvenile Matters - Spanish	Rev. 01/22	JM013S.pdf
JD-JM-029	Juvenile Delinquency Waiver of Child/Parent Statement of Responsibility	Rev. 12/22	JM029.pdf
JD-JM-029P	Juvenile Delinquency Waiver of Child/Parent Statement of Responsibility - Polish	Rev. 12/22	JM029P.pdf
JD-JM-029PT	Juvenile Delinquency Waiver of Child/Parent Statement of Responsibility - Portuguese	Rev. 12/22	JM029PT.pdf
JD-JM-029S	Juvenile Delinquency Waiver of Child/Parent Statement of Responsibility - Spanish	Rev. 12/22	JM029S.pdf
JD-JM-030	Custody Affidavit	Rev. 12/22	JM030.pdf
JD-JM-034	Application and Writ, Habeas Corpus	Rev. 12/22	JM034.pdf
JD-JM-040	Notice/Summons and Order for Hearing - Termination of Parental Rights	Rev. 10/22	JM040.pdf
JD-JM-040P	Notice/Summons and Order for Hearing - Termination of Parental Rights - Polish	Rev. 10/22	JM040P.pdf
JD-JM-040PT	Notice/Summons and Order for Hearing - Termination of Parental Rights - Portuguese	Rev. 10/22	JM040PT.pdf
JD-JM-040S	Notice/Summons and Order for Hearing - Termination of Parental Rights - Spanish	Rev. 10/22	JM040S.pdf
JD-JM-057	Police Referral Summary	Rev. 01/22
JD-JM-058	Motion/Order of Temporary Custody/Order to Appear	Rev. 01/22	JM058.pdf
JD-JM-058A	Notice of Temporary Custody/Order to Appear	Rev. 01/22	JM058A.pdf
JD-JM-058AP	Notice of Temporary Custody/Order to Appear - Polish	Rev. 01/22	JM058AP.pdf
JD-JM-058APT	Notice of Temporary Custody/Order to Appear - Portuguese	Rev. 01/22	JM058APT.pdf
JD-JM-058AS	Notice of Temporary Custody/Order to Appear - Spanish	Rev. 01/22	JM058AS.pdf
JD-JM-058P	Motion/Order of Temporary Custody/Order to Appear - Polish	Rev. 01/22	JM058P.pdf
JD-JM-058PT	Motion/Order of Temporary Custody/Order to Appear - Portuguese	Rev. 01/22	JM058PT.pdf
JD-JM-058S	Motion/Order of Temporary Custody/Order to Appear- Spanish	Rev. 01/22	JM058S.pdf
JD-JM-060	Affidavit/Consent to Termination of Parental Rights	Rev. 12/22	JM060.pdf
JD-JM-060P	Affidavit/Consent to Termination of Parental Rights - Polish	Rev. 12/22	JM060P.pdf
JD-JM-060PT	Affidavit/Consent to Termination of Parental Rights - Portuguese	Rev. 12/22	JM060PT.pdf
JD-JM-060S	Affidavit/Consent to Termination of Parental Rights - Spanish	Rev. 12/22	JM060S.pdf
JD-JM-061	Order of Notice	Rev. 10/22	JM061.pdf
JD-JM-061A	Unidentified Person, Termination of Parental Rights, Order of Notice	Rev. 01/22	JM061A.pdf
JD-JM-061F	Order of Notice - French	Rev. 10/22	JM061F.pdf
JD-JM-061P	Order of Notice - Polish	Rev. 10/22	JM061P.pdf
JD-JM-061PT	Order of Notice - Portuguese	Rev. 10/22	JM061PT.pdf
JD-JM-061S	Order of Notice - Spanish	Rev. 10/22	JM061S.pdf
JD-JM-065	Adjudicatory/Dispositional Orders	Rev. 01/22	JM065.pdf
JD-JM-065P	Adjudicatory/Dispositional Orders - Polish	Rev. 01/22	JM065P.pdf
JD-JM-065PT	Adjudicatory/Dispositional Orders - Portuguese	Rev. 01/22	JM065PT.pdf
JD-JM-065S	Adjudicatory/Dispositional Orders - Spanish	Rev. 01/22	JM065S.pdf
JD-JM-070	Order/Summons	Rev. 09/20	JM070.pdf
JD-JM-070P	Order/Summons - Polish	Rev. 09/20	JM070P.pdf
JD-JM-070PT	Order/Summons - Portuguese	Rev. 09/20	JM070PT.pdf
JD-JM-070S	Order/Summons - Spanish	Rev. 09/20	JM070S.pdf
JD-JM-090	Petition for Emancipation	Rev. 01/22	JM090.pdf
JD-JM-098	Petition: Neglected, Uncared-for, Abused Child/Youth	Rev. 01/22	JM098.pdf
JD-JM-098P	Petition: Neglected, Uncared-for, Abused Child/Youth - Polish	Rev. 01/22	JM098P.pdf
JD-JM-098PT	Petition: Neglected, Uncared-for, Abused Child/Youth - Portuguese	Rev. 01/22	JM098PT.pdf
JD-JM-098S	Petition: Neglected, Uncared-For, Abused Child/Youth - Spanish	Rev. 01/22	JM098S.pdf
JD-JM-102	Plea of Nolo Contendere (No Contest)	Rev. 01/22	JM102.pdf
JD-JM-102P	Plea of Nolo Contendere (No Contest) - Polish	Rev. 01/22	JM102P.pdf
JD-JM-102PT	Plea of Nolo Contendere (No Contest) - Portuguese	Rev. 01/22	JM102PT.pdf
JD-JM-102S	Plea of Nolo Contendere (No Contest) - Spanish	Rev. 01/22	JM102S.pdf
JD-JM-106	Specific Steps	Rev. 01/22	JM106.pdf
JD-JM-106P	Specific Steps - Polish	Rev. 01/22	JM106P.pdf
JD-JM-106PT	Specific Steps - Portuguese	Rev. 01/22	JM106PT.pdf
JD-JM-106S	Specific Steps - Spanish	Rev. 01/22	JM106S.pdf
JD-JM-110	Delinquency Petition/Information	Rev. 12/21
JD-JM-114	Application for Appointment of Counsel/Waiver of Fees/Payment of Costs - Juvenile	Rev. 01/22	JM114.pdf
JD-JM-114A	Request For Hearing, Denied Application For Counsel or Waiver of Fees - Juvenile	Rev. 01/22	JM114A.pdf
JD-JM-114P	Application For Appointment of Counsel/Waiver of Fees/Payment of Costs - Juvenile - Polish	Rev. 01/22	JM114P.pdf
JD-JM-114PT	Application For Appointment of Counsel/Waiver of Fees/Payment of Costs - Juvenile - Portuguese	Rev. 01/22	JM114PT.pdf
JD-JM-114S	Application For Appointment of Counsel/Waiver of Fees/Payment of Costs - Juvenile - Spanish	Rev. 01/22	JM114S.pdf
JD-JM-134	School Violence Prevention Program, Motion, Order, Disposition	Rev. 10/17	JM134.pdf
JD-JM-135	Application for Take Into Custody Order	Rev. 01/22	JM135.pdf
JD-JM-135P	Application for Take Into Custody Order - Polish	Rev. 01/22	JM135P.pdf
JD-JM-135PT	Application for Take Into Custody Order - Portuguese	Rev. 01/22	JM135PT.pdf
JD-JM-135S	Application for Take Into Custody Order - Spanish	Rev. 01/22	JM135S.pdf
JD-JM-140	Motion for Continuance, Juvenile Matters	Rev. 01/22	JM140.pdf
JD-JM-141	Motion for Intervention in Juvenile Matters	Rev. 12/22	JM141.pdf
JD-JM-149	Order of Temporary Custody	Rev. 01/22	JM149.pdf
JD-JM-150	Application For Issuance of Subpoena, Juvenile Matters	Rev. 09/20	JM150.pdf
JD-JM-172	Affidavit Concerning Military Service - Juvenile Matters	Rev. 01/22	JM172.pdf
JD-JM-176	Juvenile Arrest Warrant Application	Rev. 01/22
JD-JM-181	Summary Guide to Juvenile Court Jurisdiction	Rev. 10/21	JM181.pdf
JD-JM-185	Juvenile Matters Request By Victim To Test Child For AIDS/HIV	Rev. 12/22	JM185.pdf
JD-JM-187	Juvenile Matters Victim's Designation of Receiver For Child's HIV/AIDS Test Results	New 10/10	jm187.pdf
JD-JM-190	Order to Detain - Probable Cause Determination Request	Rev. 10/22	JM190.pdf
JD-JM-192	Interstate Compact for Juveniles - Take Into Custody Application and Order - Delinquent Child	Rev. 01/22	JM192.pdf
JD-JM-193	Interstate Compact for Juveniles - Take Into Custody Application and Order - Non-Delinquent Runaway	Rev. 01/22	JM193.pdf
JD-JM-195	Adoption Petition	New 10/12	jm195.pdf
JD-JM-196	Adoption Data Sheet	Rev. 01/22	JM196.pdf
JD-JM-197	Adoption Agreement	New 10/12	jm197.pdf
JD-JM-203	Motion, Permanent Legal Guardianship	Rev. 01/22	JM203.pdf
JD-JM-216	Fire Starting Behavior Treatment Program Motion, Order and Disposition	Rev. 08/19	JM216.pdf
JD-JM-217	Motor Vehicle Theft or Misuse Services Program Motion, Order, Disposition	New 10/19	JM217.pdf
JD-JM-219	Motion/Order for Qualified Residential Treatment Program Review	New 10/22	JM219.pdf

Forms Found : 89

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.

Important Notice : If you save forms on your computer, the version you save may not be the most current version and may not satisfy current Practice Book or statutory requirements. It is recommended that you periodically compare the “Rev.” date (revision date) on the version of the form you saved with the revision date of the form in the list below to ensure that you are using the latest version.

QR Codes on Judicial Branch Forms:“QR” (or “quick response”) codes store information in the form of a two-dimensional square barcode. QR codes may direct QR code imageusers to a mobile website, video or information page. The use of QR codes has become increasingly popular in the U.S. with the widely adopted use of smartphones capable of reading and processing this information directly from a user’s mobile device. The Judicial Branch has implemented this technology by encoding website URLs into some of its forms.Utilizing a QR Code reader application, users can quickly display content from a computer on their smart phone by clicking the QR Code icon and scanning the code. A QR reader application is needed to detect the QR code. You can download a QR reader application through your mobile device’s marketplace or store. The Judicial Branch does not endorse or recommend a specific QR code reader. Many QR reader apps are available.

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

https://www.jud.ct.gov/WebForms/ ; False