Connecticut Judicial Branch Superior Court Facsimile Filing Cover Sheet

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FACSIMILE FILING
CONNECTICUT JUDICIAL BRANCH
COVER SHEET
SUPERIOR COURT
INSTRUCTIONS
JD-CL-73 Rev. 5-10
www jud.ct.gov
1. See the back/page 2 for Procedures and Technical Standards for Electronic Filing.
2. Do not fax the back/page 2 of this form to the court.
3. Type or print legibly. One cover sheet must be submitted for each document.
4. The filing party shall keep the signed copy of the pleading, document or other paper while
the action is pending, during any appeal period and during any applicable appellate process.
5. The transmission record of each filing shall be the filing party's confirmation of receipt by the
Court. Please do not call the Clerk's Office to confirm receipt.
TO: The Superior Court named below.
Judicial District at:
Geographical Area No.:
Juvenile Matters at:
Housing Session at:
Child Protection Session at Middletown
Small Claims Area at:
Fax number of above Court
Docket number
(Include prefix: for example, CI, CP, CR, CV, FA, HC, JV, MI, MV, SC, SP)
Title of document faxed
Number of pages
(Unless otherwise directed by the court, documents shall not be more than 20 pages
.)
(including cover sheet)
The filing party assumes the risk of incomplete transmission or other factors that result in the document not
being accepted for filing.
Date
Name (Print or type full name of person to be contacted, if necessary)
From:
I am an attorney or law firm excluded from e-filing:
Yes
No
Juris number:
Telephone number (Include area code)
Fax number (Include area code)
To Be Completed By The Court Only
The document was not filed by the clerk's office for the following reason(s):
The document is not in compliance with procedures and technical standards established by the Office of the
Chief Court Administrator. See the Judicial Branch procedure at
The document is longer than 20 pages.
incomplete.
illegible.
The document is:
The document was not accompanied by the required fax cover sheet.
The document was faxed to the wrong court.
Other
Under the Procedures and Technical Standards for Electronic Filing set up by the Office of the Chief Court Administrator,
the documents will not be returned by the clerk.
Date
From (Print name and title)
The information contained in this facsimile message may be privileged and confidential and is intended only for the use of the individual or
entity named above. If the reader of this is not the intended recipient, you are hereby notified that any dissemination, distribution or copying of
this communication is strictly prohibited. If you receive this communication in error, please notify the sender immediately.
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