Notice To Self-Represented Parties (Page 2 of 2) in pdf

APPEARANCE

STATE OF CONNECTICUT

JD-CL-12 Rev. 7/10

SUPERIOR COURT

P.B. §§ 3-1 thru 3-6, 3-8, 10-13, 25A-2

NOTICE TO SELF-REPRESENTED PARTIES (PRO SE)

A self-represented party is a person who represents himself or herself. You

must let the Clerk's Office know if you change your address by filling out this form.

Instructions — See Back/Page 2

Note: If you are a self-represented party and you filed an appearance before and you are filing this only to let

Docket number

the court know that you have changed your address, check the box below:

I am filing this appearance only to let the court know that I have changed my

Return date

address. My new address is below.

Scheduled court date

(Criminal/Motor Vehicle

Name of case

(Plaintiff vs. Defendant)

Matters)

Address of court (Number, street, town, zip code)

Judicial

Housing

Geographic

Small

District

Session

Area

Claims

Please Enter the Appearance of

Name of self-represented party (See "Notice to Self-Represented Parties" at top), or name of official, firm, professional corporation, or

Juris number of attorney or firm

individual attorney

Mailing Address (Number, street) (Notice to attorneys and law firms - The address to which papers will be mailed from the court

Post office box

Telephone number (Area code first)

is the one registered or affiliated with your juris number. That address cannot be changed in this form.)

City/town

State

Zip code

Fax number (Area code first)

E-mail address

in the case named above for:

("x" one of the following parties; if this is a Family Matters case, indicate the scope of your appearance)

The Plaintiff (includes the person suing another person).

All Plaintiffs.

The following Plaintiff(s) only:

The Defendant (includes the person being sued or charged with a crime).

The Defendant for the purpose of the bail hearing only (in criminal and motor vehicle cases only).

All Defendants.

The following Defendant(s) only:

Other (Specify):

This is a Family Matters case and my appearance is for: ("x" one or both)

matters in the Family Division of the Superior Court

Title IV-D Child Support matters

Note: If other counsel or a self-represented party have already filed an appearance for the party or parties "x'd" above, put

an "x" in 1 of these 2 boxes:

This appearance is in place of the appearance of the attorney or

firm or self-represented party on file (P.B. Sec. 3-8)

(Name and Juris Number)

This appearance is in addition to an appearance already on file.

and, I agree to accept papers (service) electronically in this case under Practice Book Section 10-13

Yes

Signed (Individual attorney or self-represented party)

Name of person signing at left (Print or type)

Date signed

For Court use only

Certification

This certification has to be filled out only in eviction cases; for "in place of" appearances; in

criminal cases; and in small claims matters.

I certify that I mailed or delivered a copy of this Appearance form to:

All counsel and self-represented parties of record as listed below and on any additional

sheet(s). (For evictions (P.B. Sec. 3-5(a)), criminal actions (P.B. Sec. 3-5(c)) and small

claims matters)

Counsel or the party whose appearance is to be replaced as listed below and on

additional sheet(s). (For appearances in place of another attorney or firm (P.B. Sec. 3-8))

Signed (Individual attorney or self-represented party)

Date copies mailed or delivered

Name of each party copy was mailed or delivered to *

Address which copy was mailed or delivered to

APPEARANCE

* If necessary, attach an additional sheet or sheets with the name of each party and the address which the copy was mailed or delivered to.

Notice To Self-Represented Parties Page 2

Related Articles

Related forms

Related Categories