Official Court Forms of the Connecticut Judicial Branch

quick links

Civil Forms grouped by Subject[+]
Facsimile Filing Cover Sheet
Family Forms grouped by Case Type[+]
Federal Uniform Interstate Family Support Act Forms
Other State Agency Forms[+]
Probate Forms
Publications
Webform Problems >> Contact Us
Recently Updated Forms

Official Court Webforms

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.

Search By :

Form No.	Name Of Form	Category	Status	Date	Download
Family Forms

JD-FM-001	Income Withholding for Support	Family	Rev.	08/21	FM001.pdf
JD-FM-001(i)	Instructions to Complete the Income Withholding for Support	Family	Rev.	08/21	FM001i.pdf
JD-FM-003	Summons, Family Actions	Family	Rev.	12/20	FM003.pdf
JD-FM-003P	Summons, Family Actions - Polish	Family	Rev.	12/20	FM003P.pdf
JD-FM-003PT	Summons, Family Actions - Portuguese	Family	Rev.	12/20	FM003PT.pdf
JD-FM-003S	Summons, Family Actions - Spanish	Family	Rev.	12/20	FM003S.pdf
JD-FM-006-LONG	Financial Affidavit (Long Version)	Family	Rev.	02/16	FM006-LONG.pdf
JD-FM-006-SHORT	Financial Affidavit (Short Version) (How-to Slidecast)	Family	Rev.	02/16	FM006-SHORT.pdf
JD-FM-006H-LONG	Help Text For Financial Affidavit (Long Version)	Family	Rev.	02/16	FM006H-LONG2.pdf
JD-FM-006H-SHORT	Help Text For Financial Affidavit (Short Version)	Family	Rev.	02/16	FM006H-SHORT2.pdf
JD-FM-006P LONG	Financial Affidavit (Long Version) - Polish	Family	Rev.	02/16	FM006P-LONG.pdf
JD-FM-006P-SHORT	Financial Affidavit (Short Version) - Polish	Family	Rev.	02/16	FM006P-SHORT.pdf
JD-FM-006PT LONG	Financial Affidavit (Long Version) - Portuguese	Family	Rev.	02/16	FM006PT-LONG.pdf
JD-FM-006PT-SHORT	Financial Affidavit (Short Version) - Portuguese	Family	Rev.	02/16	FM006PT-SHORT.pdf
JD-FM-006S LONG	Financial Affidavit (Long Version) - Spanish	Family	Rev.	02/16	FM006S-LONG.pdf
JD-FM-006S-SHORT	Financial Affidavit (Short Version) - Spanish	Family	Rev.	02/16	FM006S-SHORT.pdf
JD-FM-068	Notice and Claim Form - Support Income Withholding	Family	Rev.	11/12	fm068.pdf
JD-FM-070	Notice to Nonappearing Obligor of Income Withholding Order	Family	Rev.	09/99	fm070.pdf
JD-FM-071	Advisement of Rights	Family	Rev.	12/14	FM071.pdf
JD-FM-075	Application for Waiver of Fees/Payment of Costs/Appointment of Counsel - Family (How-to Slidecast)	Family	Rev.	09/21	FM075.pdf
JD-FM-097	Family Violence Education Program, Application, Orders and Disposition	Family	Rev.	10/21	FM097.pdf
JD-FM-102	Individual Case Report, Family Violence, Victim Advocate	Family	Rev.	12/20	FM102.pdf
JD-FM-111	Appeal from Family Support Magistrate	Family	Rev.	02/20	FM111.pdf
JD-FM-124	Contempt Proceedings Upon Failure of Payer of Income to Comply With Withholding Order for Support	Family	Rev.	09/17	FM124.pdf
JD-FM-125	Order to Maintain Health Insurance for Minor Child(ren)	Family	Rev.	07/16	FM125.pdf
JD-FM-137	Application for Relief from Abuse	Family	Rev.	10/21	FM137.pdf
JD-FM-137P	Application for Relief from Abuse - Polish	Family	Rev.	10/21	FM137P.pdf
JD-FM-137PT	Application for Relief from Abuse - Portuguese	Family	Rev.	10/21	FM137PT.pdf
JD-FM-137S	Application for Relief from Abuse - Spanish	Family	Rev.	10/21	FM137S.pdf
JD-FM-138	Affidavit - Relief from Abuse	Family	Rev.	10/21	FM138.pdf
JD-FM-138P	Affidavit - Relief From Abuse - Polish	Family	Rev.	10/21	FM138P.pdf
JD-FM-138PT	Affidavit - Relief From Abuse - Portuguese	Family	Rev.	10/21	FM138PT.pdf
JD-FM-138S	Affidavit - Relief From Abuse - Spanish	Family	Rev.	10/21	FM138S.pdf
JD-FM-149	Parenting Education Program	Family	Rev.	11/12	fm149.pdf
JD-FM-150	Case Input Record, Non IV-D Income Withholding	Family	Rev.	04/14	fm150.pdf
JD-FM-154	Affidavit of Noncompliance With License Suspension Order	Family	Rev.	02/06	fm154.pdf
JD-FM-158	Notice of Automatic Court Orders	Family	Rev.	10/21	FM158.pdf
JD-FM-158PT	Notice of Automatic Court Orders - Portuguese	Family	Rev.	10/21	FM158PT.pdf
JD-FM-158S	Notice of Automatic Court Orders - Spanish	Family	Rev.	10/21	FM158S.pdf
JD-FM-159	Divorce Complaint (Dissolution of Marriage)	Family	Rev.	12/19	FM159.pdf
JD-FM-159A	Dissolution of Civil Union Complaint	Family	Rev.	12/19	FM159A.pdf
JD-FM-159P	Divorce Complaint (Dissolution of Marriage) - Polish	Family	Rev.	12/19	FM159P.pdf
JD-FM-159PT	Divorce Complaint (Dissolution of Marriage) - Portuguese	Family	Rev.	12/19	FM159PT.pdf
JD-FM-159S	Divorce Complaint (Dissolution of Marriage) - Spanish	Family	Rev.	12/19	FM159S.pdf
JD-FM-160	Dissolution Answer	Family	Rev.	06/14	fm160.pdf
JD-FM-161	Custody/Visitation Application - Parent	Family	Rev.	01/20	FM161.pdf
JD-FM-161P	Custody/Visitation Application - Parent - Polish	Family	Rev.	01/20	FM161P.pdf
JD-FM-161PT	Custody/Visitation Application - Parent - Portuguese	Family	Rev.	01/20	FM161PT.pdf
JD-FM-161S	Custody/Visitation Application - Parent - Spanish	Family	Rev.	01/20	FM161S.pdf
JD-FM-162	Order to Show Cause and Notice to the Respondent	Family	Rev.	10/21	FM162.pdf
JD-FM-162P	Order to Show Cause and Notice to the Respondent - Polish	Family	Rev.	10/21	FM162P.pdf
JD-FM-162PT	Order to Show Cause and Notice to the Respondent - Portuguese	Family	Rev.	10/21	FM162PT.pdf
JD-FM-162S	Order to Show Cause and Notice to the Respondent - Spanish	Family	Rev.	10/21	FM162S.pdf
JD-FM-163	Case Management Agreement/Order	Family	Rev.	01/20	FM163.pdf
JD-FM-164	Affidavit Concerning Children	Family	Rev.	02/15	FM164.pdf
JD-FM-164A	Addendum to Affidavit Concerning Children	Family	Rev.	11/14	FM164A.pdf
JD-FM-164AS	Addendum to Affidavit Concerning Children - Spanish	Family	New	11/14	FM164AS.pdf
JD-FM-164S	Affidavit Concerning Children - Spanish	Family	New	02/15	FM164S.pdf
JD-FM-165	Case Management Dates - 2021 Return Dates	Family	Rev.	11/20	FM165-2021.pdf
JD-FM-167	Motion for Order of Notice In Family Cases	Family	Rev.	01/20	FM167.pdf
JD-FM-168	Order of Notice in Family Cases	Family	Rev.	01/20	FM168.pdf
JD-FM-169	Motion for Additional Orders of Notice in Family Cases	Family	Rev.	01/20	FM169.pdf
JD-FM-172	Dissolution/Legal Separation Agreement	Family	Rev.	05/21	FM172.pdf
JD-FM-173	Motion for Contempt/Contempt Citation	Family	Rev.	07/21	FM173.pdf
JD-FM-173P	Motion for Contempt/Contempt Citation - Polish	Family	Rev.	07/21	FM173P.pdf
JD-FM-173PT	Motion for Contempt/Contempt Citation - Portuguese	Family	Rev.	07/21	FM173PT.pdf
JD-FM-173S	Motion for Contempt/Contempt Citation - Spanish	Family	Rev.	07/21	FM173S.pdf
JD-FM-174	Motion for Modification	Family	Rev.	03/20	FM174.pdf
JD-FM-175	Certification of Notice in Family Cases (Public Assistance)	Family	Rev.	12/19	FM175.pdf
JD-FM-176	Motion for Orders Before Judgment (Pendente Lite) in Family Cases	Family	Rev.	02/20	FM176.pdf
JD-FM-177	Dissolution of Marriage (Divorce) Judgment	Family	Rev.	10/18	FM177.pdf
JD-FM-178	Affidavit Concerning Military Service	Family	Rev.	11/11	fm178.pdf
JD-FM-184	Custody/Visitation Judgment	Family	Rev.	03/14	fm184.pdf
JD-FM-185	Motion for Intervention in Family Matters	Family	Rev.	08/17	FM185.pdf
JD-FM-187	Answer, Paternity Petition	Family	Rev.	02/00	fm187.pdf
JD-FM-188	Request for Nondisclosure of Location Information	Family	Rev.	04/15	FM188.pdf
JD-FM-199	Proposed Parental Responsibility Plan	Family	Rev.	03/14	fm199.pdf
JD-FM-200	Motion to Approve Arbitration Agreement in Family Cases	Family	Rev.	06/21	FM200.pdf
JD-FM-201	Application and Writ, Habeas Corpus Ad Testificandum	Family	Rev.	02/20	FM201.pdf
JD-FM-202	Request For Leave	Family	Rev.	08/07	fm202.pdf
JD-FM-206	Motion to Open Judgment (Family Matters)	Family	Rev.	02/20	FM206.pdf
JD-FM-210	Notice of Automatic Orders — Petition for Child Support	Family	Rev.	01/12	fm210.pdf
JD-FM-219	Guardian Ad Litem, Request for Status Conference	Family	New	02/12	fm219.pdf
JD-FM-220	Worksheet for the Connecticut Child Support and Arrearage Guidelines (CCSG-1)	Family	Rev.	07/15	FM220.pdf
JD-FM-221	Verified Petition for Visitation - Grandparents & Third Parties	Family	Rev.	01/20	FM221.pdf
JD-FM-222	Application For Emergency Ex Parte Order of Custody	Family	Rev.	09/14	FM222.pdf
JD-FM-222P	Application For Emergency Ex Parte Order of Custody - Polish	Family	Rev.	09/14	FM222P.pdf
JD-FM-222PT	Application For Emergency Ex Parte Order of Custody - Portuguese	Family	Rev.	09/14	FM222PT.pdf
JD-FM-222S	Application For Emergency Ex Parte Order of Custody - Spanish	Family	Rev.	09/14	FM222S.pdf
JD-FM-225	Affidavit of Expenses of Counsel or Guardian Ad Litem for Minor Child or Children	Family	New	10/14	fm225.pdf
JD-FM-231	Agreement Form	Family	New	09/14	fm231.pdf
JD-FM-232	Periodic Review Worksheet - Fees Charged by Counsel or Guardian Ad Litem	Family	New	10/14	FM232.pdf
JD-FM-233	Supplemental Affidavit and Request for Orders of Maintenance	Family	Rev.	01/15	FM233.pdf
JD-FM-237	Legal Separation Complaint	Family	Rev.	01/20	FM237.pdf
JD-FM-240	Annulment Complaint	Family	Rev.	01/20	FM240.pdf
JD-FM-242	Joint Petition - Nonadversarial Divorce (Dissolution of Marriage)	Family	Rev.	01/20	FM242.pdf
JD-FM-242P	Joint Petition - Nonadversarial Divorce (Dissolution of Marriage) - Polish	Family	Rev.	01/20	FM242P.pdf
JD-FM-242PT	Joint Petition - Nonadversarial Divorce (Dissolution of Marriage) - Portuguese	Family	Rev.	01/20	FM242PT.pdf
JD-FM-242S	Joint Petition - Nonadversarial Divorce (Dissolution of Marriage) - Spanish	Family	Rev.	01/20	FM242S.pdf
JD-FM-243	Agreement - Nonadversarial Divorce	Family	New	10/15	FM243.pdf
JD-FM-244	Notice of Changed Condition - Nonadversarial Divorce	Family	Rev.	10/18	FM244.pdf
JD-FM-245	Notice of Revocation - Nonadversarial Divorce	Family	New	10/15	FM245.pdf
JD-FM-247	Motion to Waive Statutory Time Period By Agreement of the Parties - Divorce or Legal Separation	Family	Rev.	10/18	FM247.pdf
JD-FM-249	Certification of Waiver of Service of Process - Divorce, Legal Separation, Annulment	Family	Rev.	10/17	FM249.pdf
JD-FM-256	Request for Additional Time for Service of Ex Parte Restraining Order	Family	New	10/16	FM256.pdf
JD-FM-257	How to Apply for a Restraining Order Under Section 46b-15	Family	Rev.	10/21	FM257.pdf
JD-FM-257P	How to Apply for a Restraining Order Under Section 46b-15 - Polish	Family	Rev.	10/21	FM257P.pdf
JD-FM-257PT	How to Apply for a Restraining Order Under Section 46b-15 - Portuguese	Family	Rev.	10/21	FM257PT.pdf
JD-FM-260 (Effective January 1, 2017)	Notice of Automatic Court Orders - Nonadversarial Divorce	Family	New	01/17	FM260.pdf
JD-FM-260P	Notice of Automatic Court Orders - Nonadversarial Divorce - Polish	Family	New	01/17	FM260P.pdf
JD-FM-260S	Notice of Automatic Court Orders - Nonadversarial Divorce - Spanish	Family	Rev.	01/17	FM260S.pdf
JD-FM-262	Motion for Telephonic Hearing - Family Support Magistrate Matters	Family	New	04/18	FM262.pdf
JD-FM-263	Request for Approval of Temporary Agreement Without Court Appearance	Family	New	11/17	FM263.pdf
JD-FM-272	Motion to Waive Statutory Time Period Upon Defendant's Failure to Appear and Affidavit - Divorce or Legal Separation	Family	Rev.	12/19	FM272.pdf
JD-FM-272P	Motion to Waive Statutory Time Period Upon Defendant's Failure to Appear and Affidavit - Divorce or Legal Separation - Polish	Family	Rev.	12/19	FM272P.pdf
JD-FM-272PT	Motion to Waive Statutory Time Period Upon Defendant's Failure to Appear and Affidavit - Divorce or Legal Separation - Portuguese	Family	Rev.	12/19	FM272PT.pdf
JD-FM-272S	Motion to Waive Statutory Time Period Upon Defendant's Failure to Appear and Affidavit - Divorce or Legal Separation - Spanish	Family	Rev.	12/19	FM272S.pdf
JD-FM-276	Complaint Against Guardian Ad Litem/Attorney for Minor Child	Family	New	09/19	FM276.pdf
JD-FM-276A	Instructions for Filling Out the Complaint Against Guardian Ad Litem/Attorney for Minor Child,	Family	New	09/19	FM276A.pdf
JD-FM-278	Notice of Mediation or Collaborative Divorce	Family	New	11/19	FM278.pdf
JD-FM-279	Affidavit in Support of Request to Enter Final Custody/Visitation Judgment	Family	Rev.	06/21	FM279.pdf
JD-FM-280	Affidavit in Support of Request for Approval of Final Agreement on Motion(s)	Family	Rev.	06/21	FM280.pdf
JD-FM-281	Affidavit in Support of Request for Entry of Judgment of Dissolution of Marriage or Legal Separation	Family	Rev.	06/21	FM281.pdf
JD-FM-282	Request for Approval of Final Agreement Without Court Appearance	Family	New	05/20	FM282.pdf
JD-FM-284	Custody Agreement and Parenting Plan	Family	Rev.	09/21	FM284.pdf
JD-FM-289	Response to Request for Earlier Hearing on Motion(s)	Family	New	08/20	FM289.pdf
JD-FM-292	Caseflow Request/Request for Earlier Hearing on Motion(s)	Family	New	09/21	FM292.pdf
JD-FM-295	Request for Remote Testimony	Family	New	10/21	FM295.pdf
JD-FM-295P	Request for Remote Testimony - Polish	Family	New	10/21	FM295P.pdf
JD-FM-295PT	Request for Remote Testimony - Portuguese	Family	New	10/21	FM295PT.pdf
JD-FM-295S	Request for Remote Testimony - Spanish	Family	New	10/21	FM295S.pdf

Forms Found : 131

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

Information on using PDF Forms[+]

Acrobat® Fillable Webforms

You must have at least the FREE Adobe Reader 8® and Microsoft Internet Explorer 8® to open and take advantage of all of the PDF functions in Judicial Branch forms. Older versions of Adobe Reader® will continue to work, but with fewer functions. If you use certain internet browsers other than Microsoft Internet Explorer 8® or higher, you may get an error message that will not allow the forms to open properly. A common error message begins with “Please wait…” and will not allow you to open the PDF of the form. If you are having trouble opening or using a Judicial Branch form, try opening the form with Adobe Reader 8® or higher and Microsoft Internet Explorer 8® or higher.

Download the FREE Adobe Reader® here. | Click here for how to use Acrobat® Fillable Forms.