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-AP-048P	Affidavit of Indigency - Fee Waiver, Criminal - Polish	Rev. 08/15	AP048P.pdf
JD-AP-182P	Split Sentence, Domestic Violence, Victim Notice - Polish	Rev. 05/19	AP182P.pdf
JD-AP-183P	Domestic Violence, Victim Notice - Polish	Rev. 05/19	AP183P.pdf
JD-CL-012P	Appearance - Polish	Rev. 12/21	CL012P.pdf
JD-CL-043P	Subpoena - Civil/Housing/Small Claims/Family/Family Support Magistrate/Criminal/Motor Vehicle - Polish	Rev. 10/19	CL043P.pdf
JD-CL-046P	Authorization for Information - Polish	Rev. 07/12	CL046P.pdf
JD-CL-136P	Application for Issuance of Subpoena - Polish	Rev. 01/17	CL136P.pdf
JD-CR-001P	Misdemeanor/M.V. Summons and Complaint (PolishTranslation)	Rev. 10/21	CR001P.pdf
JD-CR-009P	Application for Accelerated Pretrial Rehabilitation - Polish	Rev. 10/22	CR009P.pdf
JD-CR-010P	Notice of Application For Pretrial Rehabilitation - Polish	Rev. 03/16	CR010P.pdf
JD-CR-044RP	Pretrial Alcohol Education Program - Request For Reinstatement - Polish	Rev. 10/16	CR044RP.pdf
JD-CR-073P	Application For Waiver of Fees, Costs and Expenses and Appointment of Counsel On Appeal - Polish	Rev. 01/19	CR073P.pdf
JD-CR-089P	Notice To Victim - Motion For Suspension of Prosecution, Order Of Treatment For Alcohol Or Drug Dependency - Polish	Rev. 01/17	CR089P.pdf
JD-CR-090P	Motion for Suspension of Prosecution and Order of Treatment - Alcohol or Drug Dependency - Polish	Rev. 10/21	CR090P.pdf
JD-CR-126P	Pretrial School Violence Prevention Program Application, Order, Disposition - Polish	Rev. 10/19	CR126P.pdf
JD-CR-153P	Notice of Application For Supervised Diversionary Program - Polish	Rev. 05/11	CR153P.pdf
JD-CR-154P	Application for Supervised Diversionary Program - Polish	Rev. 10/21	CR154P.pdf
JD-CR-171P	Withdrawal of Application for Review of Sentence - Polish	Rev. 04/15	CR171P.pdf
JD-CR-173P	Under 21 Motor Vehicle/Underage Drinking Program Application - Polish	Rev. 10/17	CR173P.pdf
JD-CR-189P	Pretrial Impaired Driving Intervention Program Application - Polish	Rev. 04/22	CR189P.pdf
JD-CR-191P	Pretrial Impaired Driving Intervention Program Request for Reinstatement - Polish	New 04/22	CR191P.pdf
JD-CR-193P	Notice of Application for Pretrial Impaired Driving Intervention Program - Polish	New 04/22	CR193P.pdf
JD-CR-194P	Pretrial Drug Intervention and Community Service Program Application - Polish	New 04/22	CR194P.pdf
JD-CR-196P	Pretrial Drug Intervention and Community Service Program Request for Reinstatement - Polish	New 04/22	CR196P.pdf
JD-CR-198P	Application for Risk Protection Order Investigation, Order, Return - Polish	New 06/22	CR198P.pdf
JD-CR-199P	Affidavit for Risk Protection Order Investigation - Polish	New 06/22	CR199P.pdf
JD-CR-200P	Petition to Terminate Risk Protection Order, Order, Return - Polish	New 06/22	CR200P.pdf
JD-CV-040P	Small Claims Writ and Notice of Suit - Polish	Rev. 07/22	CV040P.pdf
JD-CV-051P	Motion to Open Judgment (Small Claims and Housing Matters) - Polish	Rev. 02/22	CV051P.pdf
JD-CV-107P	Motion To Open Judgment (Civil Matters Other Than Small Claims And Housing Matters) - Polish	Rev. 07/19	CV107P.pdf
JD-CV-120P	Application For Waiver of Fees/Payment of Costs - Civil, Housing, Small Claims, and Appellate - Polish	Rev. 01/19	CV120P.pdf
JD-CV-121P	Instructions to Defendant - Polish	Rev. 02/18	CV121P.pdf
JD-CV-126P	Foreclosure Mediation Notice of Community-Based Resources - Polish	Rev. 10/19	CV126P.pdf
JD-CV-143P	Application for Civil Protection Order - Polish	Rev. 07/21	CV143P.pdf
JD-CV-144P	Affidavit - Civil Protection Order - Polish	Rev. 10/17	CV144P.pdf
JD-CV-146P	Motion for Extension of Civil Protection Order - Polish	Rev. 07/21	CV146P.pdf
JD-CV-148P	Civil Protection Order Information Form - Polish	Rev. 07/21	CV148P.pdf
JD-ES-263P	Grievance/Complaint Filed Under Americans With Disabilities Act (ADA)	Rev. 08/20	ES263P.pdf
JD-ES-264P	Request for Accommodation by Persons with Disabilities - Polish	Rev. 04/19	ES264P.pdf
JD-ES-280P	Grievance/Complaint (Supreme Court or Appellate Court) filed under the Americans with Disabilities Act - Polish	Rev. 11/20	ES280P.pdf
JD-ES-284P	Discrimination Complaint/Federal Grants - Polish	Rev. 12/18	ES284P.pdf
JD-FM-003P	Summons, Family Actions - Polish	Rev. 12/21	FM003P.pdf
JD-FM-006P LONG	Financial Affidavit (Long Version) - Polish	Rev. 02/16	FM006P-LONG.pdf
JD-FM-006P-SHORT	Financial Affidavit (Short Version) - Polish	Rev. 02/16	FM006P-SHORT.pdf
JD-FM-071P	Advisement of Rights - Polish	Rev. 12/14	FM071P.pdf
JD-FM-075P	Application for Waiver of Fees/Payment of Costs/Appointment of Counsel - Family - Polish	Rev. 12/21	FM075P.pdf
JD-FM-097P	Family Violence Education Program, Application, Orders and Disposition - Polish	Rev. 10/21	FM097P.pdf
JD-FM-137P	Application for Relief from Abuse - Polish	Rev. 10/21	FM137P.pdf
JD-FM-138P	Affidavit - Relief from Abuse - Polish	Rev. 10/21	FM138P.pdf
JD-FM-158P	Notice of Automatic Court Orders - Polish	Rev. 10/21	FM158P.pdf
JD-FM-159P	Divorce Complaint (Dissolution of Marriage) - Polish	Rev. 12/19	FM159P.pdf
JD-FM-161P	Custody/Visitation Application - Parent (Polish)	Rev. 12/21	FM161P.pdf
JD-FM-162P	Order to Show Cause and Notice to the Respondent - Polish	Rev. 10/21	FM162P.pdf
JD-FM-164P	Affidavit Concerning Children - Polish	Rev. 01/22	FM164P.pdf
JD-FM-172P	Dissolution/Legal Separation Agreement - Polish	Rev. 05/21	FM172P.pdf
JD-FM-173P	Motion for Contempt/Contempt Citation - Polish	Rev. 07/21	FM173P.pdf
JD-FM-222P	Application For Emergency Ex Parte Order of Custody - Polish	Rev. 11/22	FM222P.pdf
JD-FM-242P	Joint Petition - Nonadversarial Divorce (Dissolution of Marriage) - Polish	Rev. 01/20	FM242P.pdf
JD-FM-257P	How to Apply for a Restraining Order Under Section 46b-15 - Polish	Rev. 10/21	FM257P.pdf
JD-FM-260P	Notice of Automatic Court Orders - Nonadversarial Divorce - Polish	Rev. 10/17	FM260P.pdf
JD-FM-272P	Motion to Waive Statutory Time Period Upon Defendant's Failure to Appear and Affidavit - Divorce or Legal Separation - Polish	Rev. 12/19	FM272P.pdf
JD-FM-281P	Affidavit in Support of Request for Entry of Judgment of Dissolution of Marriage or Legal Separation - Polish	Rev. 06/21	FM281P.pdf
JD-FM-282P	Request for Approval of Final Agreement Without Court Appearance - Polish	Rev. 06/22	FM282P.pdf
JD-FM-295P	Request for Remote Testimony - Polish	New 10/21	FM295P.pdf
JD-GC-006P	Complaint Against Attorney (Grievance Complaint) and Instructions - Polish	Rev. 09/22	GC006P.pdf
JD-GC-015P	Application For Reimbursement - Client Security Fund - Polish	Rev. 09/22	GC015P.pdf
JD-JM-012P	Erasure of Record, Petition/Order - Polish	Rev. 12/22	JM012P.pdf
JD-JM-013P	Appearance, Juvenile Matters - Polish	Rev. 01/22	JM013P.pdf
JD-JM-029P	Juvenile Delinquency Waiver of Child/Parent Statement of Responsibility - Polish	Rev. 12/22	JM029P.pdf
JD-JM-040P	Notice/Summons and Order for Hearing - Termination of Parental Rights - Polish	Rev. 10/22	JM040P.pdf
JD-JM-058AP	Notice of Temporary Custody/Order to Appear - Polish	Rev. 01/22	JM058AP.pdf
JD-JM-058P	Motion/Order of Temporary Custody/Order to Appear - Polish	Rev. 01/22	JM058P.pdf
JD-JM-060P	Affidavit/Consent to Termination of Parental Rights - Polish	Rev. 12/22	JM060P.pdf
JD-JM-061P	Order of Notice - Polish	Rev. 10/22	JM061P.pdf
JD-JM-065P	Adjudicatory/Dispositional Orders - Polish	Rev. 01/22	JM065P.pdf
JD-JM-070P	Order/Summons - Polish	Rev. 09/20	JM070P.pdf
JD-JM-098P	Petition: Neglected, Uncared-for, Abused Child/Youth - Polish	Rev. 01/22	JM098P.pdf
JD-JM-102P	Plea of Nolo Contendere (No Contest) - Polish	Rev. 01/22	JM102P.pdf
JD-JM-106P	Specific Steps - Polish	Rev. 01/22	JM106P.pdf
JD-JM-114P	Application For Appointment of Counsel/Waiver of Fees/Payment of Costs - Juvenile - Polish	Rev. 01/22	JM114P.pdf
JD-JM-135P	Application for Take Into Custody Order - Polish	Rev. 01/22	JM135P.pdf
JD-VS-002P	Notice of Rights and Victim Crisis Services - with Polish on back	Rev. 03/22	VS002P.pdf
JD-VS-003P	Notice of Application Filed Seeking Release or Other Relief - Polish	Rev. 09/22	VS003P.pdf
JD-VS-029P	Frequently Asked Questions: Review of Determination - Polish	Rev. 10/21	VS029P.pdf

Forms Found : 84

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