State Of Connecticut Superior Court Notice To Self-Represented Parties Page 2
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2Clicking on the question marks ( ) will give you information about that section of the form.
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Al hacer clic en el signo de interrogación ( ) obtendrá información sobre esa parte del formulario.
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APPEARANCE
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STATE OF CONNECTICUT
Instructions — See Back/Page 2
JD-CL-12 Rev. 9-13
SUPERIOR COURT
P.B. §§ 3-1 thru 3-6, 3-8, 10-13, 25A-2
ADA Notice — See Back/Page 2
Notice To Self-Represented Parties
A self-represented party is a person who represents himself or herself. If you are a self-
represented party and you filed an appearance before and you have since changed your address,
you must let the court and all attorneys and self-represented parties of record know that you have
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Return date
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changed your address by checking the box below:
I am filing this appearance to let the court and all attorneys and self-represented
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Docket number
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parties of record know that I have changed my address. My new address is below.
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Name of case
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(Full name of Plaintiff vs. Full name of Defendant)
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Address of Court (Number, street, town and zip code)
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Judicial
Housing
Small
Geographic
District
Session
Claims
Area number
Scheduled Court date (Criminal/Motor Vehicle Matters)
Please Enter the Appearance of
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Juris number of attorney or firm
Name of self-represented party (See "Notice to Self-Represented Parties" at top), or name of official, firm, professional corporation, or individual
attorney
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Mailing Address
Post office box
Telephone number (Area code first)
(Number, street) (Notice to attorneys and law firms - The address to which papers will be mailed from the
court 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
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in the case named above for:
("x" one of the following parties; if this is a Family Matters case, also 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 has already filed an appearance for the party or parties "x'd" above, put
an "x" in box 1 or 2 below:
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1.
This appearance is in place of the appearance of the following attorney,
firm or self-represented party on file (P.B. Sec. 3-8):
(Name and Juris Number)
2.
This appearance is in addition to an appearance already on file.
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I agree to accept papers (service) electronically in this case under Practice Book Section 10-13
Yes
No
Name of person signing at left (Print or type)
Date signed
Signed (Individual attorney or self-represented party)
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Certification
I certify that a copy of this document was mailed or delivered electronically or non-electronically on (date)
to all attorneys
and self-represented parties of record and that written consent for electronic delivery was received from all attorneys and self-represented
parties receiving electronic delivery.
For Court Use Only
Name and address of each party and attorney that copy was mailed or delivered to*
Print or type name of person signing
Date signed
Telephone number
Signed (Signature of filer)
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*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.
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