MOTION TO APPROVE ARBITRATION AGREEMENT IN FAMILY CASES
JD-FM-200 New 10-06 C.G.S. ยง 46b-66
STATE OF CONNECTICUT SUPERIOR COURT
www.jud.ct.gov
INSTRUCTIONS Complete this form and attach the agreement to arbitrate which must be signed by both parties and the individual who has agreed to be the arbitrator.
JUDICIAL DISTRICT OF PLAINTIFF'S NAME (Last, First, Middle Initial)
AT (Town)
RETURN DATE (Mo., day, yr ) PLAINTIFF'S ADDRESS (No., street, town, state and zip code) DEFENDANT'S ADDRESS (No., street, town, state and zip code)
DOCKET NO.
DEFENDANT'S NAME (Last, First, Middle Initial)
The DEFENDANT requests that the court approve the attached Agreement to Arbitrate, PLAINTIFF which does not include issues related to child support, visitation and custody. The arbitrator selected is: whose qualifications are:
SIGNED (Attorney or pro se party)
PRINT NAME OF PERSON SIGNING
DATE SIGNED
TELEPHONE NO. (Area code first)
X
ADDRESS OF PERSON SIGNING (No., street, town, state and zip code)
I hereby certify that a copy was mailed/delivered to all counsel and pro se parties of record on:
NAME OF EACH PARTY SERVED *
DATE
SIGNED (Attorney or pro se party) ADDRESS AT WHICH SERVICE WAS MADE
* If necessary, attach additional sheet with names of each party served and the address at which service was made.
FINDINGS AND ORDER (To be completed by the Court)
AWARD TO BE MADE BY (Date)
THE MOTION IS GRANTED. The court, having made a thorough inquiry concerning the above motion, is satisfied that all of the following have been shown: (A) each party entered into the Agreement to Arbitrate voluntarily and without coercion; (B) such Agreement is fair and equitable under the circumstances and (C) such Agreement does not include issues related to child support, visitation and custody. THE MOTION IS HEREBY GRANTED and it is ordered that arbitration pursuant to the Agreement may proceed, that the arbitration award made pursuant to the Agreement shall not include issues related to child support, visitation and custody, and that said award shall be made by the date shown above.
THE MOTION IS DENIED. The court, having made a thorough inquiry concerning the above motion, is not satisfied that all of the following have been shown: (A) each party entered into the Agreement to Arbitrate voluntarily and without coercion; (B) such Agreement is fair and equitable under the circumstances and (C) such Agreement does not include issues related to child support, visitation and custody. THE MOTION IS HEREBY DENIED.
BY THE COURT (Name of Judge)
SIGNED (Judge/Asst. Clerk)
PRINT NAME OF PERSON SIGNING
DATE OF ORDER
,J.
PRINT
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