Free JD-JM-70 - Connecticut

ORDER/SUMMONS
JD-JM-70 Rev. 12-08 C.G.S. 46b-128(b), 46b-129(a), 46b-149(d) Pr. Bk. Sec. 29-2, 32a-1(g) Court Location Name of Child

STATE OF CONNECTICUT SUPERIOR COURT JUVENILE MATTERS
www.jud.ct.gov
Telephone Number Address of Child Docket Number Date of Birth

A petition has been filed alleging delinquency family with service needs neglect uncared for dependency termination of parental rights youth in crisis other

By authority of the State of Connecticut, the following persons are hereby summoned to appear before the court on the Hearing Date and at the Court Location shown below by having the Marshal of the appropriate County, a Probation Officer, Court Officer for Juvenile Matters, or any officer authorized by law to serve process leave a true and attested copy of the Order, Summons and Petition (if applicable) on or before (date) usual place of abode of:
Name Name Name Name Name Address Address Address Address Address

with or at their

Date

Time of Hearing

Hearing Date
Number, Street

.m.
Telephone

Court Location
Town, State and Zip Code

If the petition claims delinquency, a family with service needs, or youth in crisis, the child must be accompanied by at least one parent.
By Order of the Court (Signed - Judge/Clerk) Date Signed

Right to Counsel: You have the right to be represented by an attorney and if you want an attorney but cannot pay for one, and if you give proof that you cannot pay, the court will make sure that an attorney is provided for you by the Chief Child Protection Attorney. Your request should be made immediately at the court office where your hearing is to be held. Right to Remain Silent: You have the right to refuse to make any statements; any statements that you make may be introduced in evidence and used against you. ADA Notice
The Judicial Branch of the State of Connecticut complies with the Americans with Disabilities Act (ADA). If you need a reasonable accommodation under the ADA, contact the court clerk at the number listed above.
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STATE OF CONNECTICUT
County of SS.

Return of Service
Name of Person(s) Served

Docket Number

Date of Service

Fees

Then and there, I duly served the foregoing petition, order and summons on the above-named respondent(s), by either (check one): leaving with (for in hand); or leaving at the usual place of abode (for abode) at__________________________________________ The within and foregoing is a true and attested copy of the original petition, order, and summons.
Attest (Signature and title of proper officer)

Copy Endorsement Service Travel Total

STATE OF CONNECTICUT
County of SS. Name of Person(s) Served Date of Service

Fees

Then and there, I duly served the foregoing petition, order and summons on the above-named respondent(s), by either (check one): leaving with (for in hand); or leaving at the usual place of abode (for abode) at__________________________________________ The within and foregoing is a true and attested copy of the original petition, order, and summons.
Attest (Signature and title of proper officer)

Copy Endorsement Service Travel Total

STATE OF CONNECTICUT
County of SS. Name of Person(s) Served Date of Service

Fees

Then and there, I duly served the foregoing petition, order and summons on the above-named respondent(s), by either (check one): leaving with (for in hand); or leaving at the usual place of abode (for abode) at__________________________________________ The within and foregoing is a true and attested copy of the original petition, order, and summons.
Attest (Signature and title of proper officer)

Copy Endorsement Service Travel Total

STATE OF CONNECTICUT
County of SS.

For Mail Service
United States Port Office At (Town) Date of Service

Then and there, by virtue hereof, I made service of the within petition, order and summons by depositing a true and attested copy by United States Post mail, postage prepaid, addressed to __________________________________________________________________, by (check one): restricted delivery, return receipt requested; or first class mail; or certified mail, return receipt requested. The within and foregoing is the original petition, order and summons with my doings thereon endorsed.
Attest (Signature and title of proper officer)

Fees
Copy Endorsement Service Travel Total

JD-JM-70 Rev. 12-08 (Page 2 of 2)

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