CERTIFICATE OF CLOSED PLEADINGS
JD-CV-11 Rev. 1-04 P.B. Secs. 14-4, 14-8, 14-9 NAME OF CASE
STATE OF CONNECTICUT SUPERIOR COURT www.jud.ct.gov
ADDRESS OF COURT (No., street, town and zip code)
CERTIFICATION I hereby certify that the pleadings have been closed in the above-entitled case on the issue or issues as to all parties, and I acknowledge that my failure to certify accurately will subject me to sanctions.
NAME AND ADDRESS OF PERSON MAKING CERTIFICATION SIGNATURE
The pleadings being closed, the case will proceed as indicated below:
("X" applicable box(es))
Plaintiff Atty for Pltf. JY HD JY AA CT
Defendant Atty for Def.
COURT USE ONLY
JURY (Claim for Jury Trial (Form JD-CL-53) and the appropriate statutory fee must be filed.) HEARING IN DAMAGES TO THE COURT HEARING IN DAMAGES TO THE JURY (Claim for Jury Trial (Form JD-CL-53) and the appropriate statutory fee must ADMINISTRATIVE APPEALS: ("X" applicable box) ALL OTHER NON-JURY MATTERS (Court Trials) RECORD NON-RECORD
A. Complete this section if case is privileged
1. GROUND OF PRIVILEGE UNDER PR. BK. SEC. 14-9: ("X" applicable box(es)) hearing under the fair employment practices act habeas corpus proceeding; or the labor relations act; motion to dissolve temporary injunction; an action brought by or on behalf of the state, motion for temporary injunction; other than actions upon probate bonds; writ of ne exeat, prohibition or mandamus; application for appointment of receiver; appeal from the employment security board of review; disclosure by garnishee; appeal from probate or from the doings of commissioners action by or against executor, administrator, or trustee appointed by courts of probate; in bankruptcy or insolvency; action brought by receiver of insolvent corporation by order of court; action by or against any person sixty-five years of age hearing to the court in damages on default or case where or older or who reaches such age during there is an issue as to damages after the court has granted the pendency of the action; a summary judgment on the issue of liability; appeal from findings, orders or other actions of the public utilities control authority; case remanded by the equitable action tried to the court wherein the essential claim Supreme Court Appellate Court asserted is for a permanent injunction and any claim for a new trial or case in which a verdict has been set for damages or other relief, legal or equitable, is merely aside, a new trial granted or a mistrial declared. in lieu of, or supplemental to, the claim for injunction; 2. IF PRIVILEGE IS OTHER THAN THOSE SPECIFIED IN PR. BK. SEC. 14-9, STATE GROUND OF CLAIM AND AUTHORITY:
B. Relief Requested - Amount, legal interest or property in demand, exclusive of interest and costs is: ("X" applicable box(es))
$15,000 or more less than $15,000 claiming other relief in addition to or in lieu of money damages
DATE COPY(IES) MAILED OR DELIVERED TELEPHONE NO.
I hereby certify that a copy of the above was mailed/ delivered to all counsel and pro se parties of record on:
SIGNED (Attorney or pro se party)
ADDRESS (No , street, town, and zip code)
NAME OF EACH PARTY SERVED AND ADDRESS AT WHICH SERVICE WAS MADE*
* If necessary, attach additional sheet with name of each party served and the address at which service was made.