ATTORNEY/FIRM REQUEST FOR EXCLUSION FROM ELECTRONIC FILING OF REQUEST FOR EXEMPTION FROM DOCKET MANAGEMENT PROGRAM DISMISSAL
JD-CL-87 Rev. 12-06
STATE OF CONNECTICUT
INSTRUCTIONS 1. Type or print clearly. 2. File this form with the Court Operations Unit no later than January 12, 2007. 3. Keep a copy of this form for your records.
TO: Court Operations Unit, 225 Spring St., Wethersfield, CT 06109
FROM (Name of attorney/law firm requesting exclusion) ADDRESS OF ATTORNEY/LAW FIRM
Tel. 866 765-4452
JURIS NO. TELEPHONE (with area code)
REASON FOR REQUEST FOR EXCLUSION I hereby request that I/the law firm named above be excluded from the requirement of electronically filing through E-Services the Request for Exemption from Docket Management Program (DMP) Dismissal for the following reason(s):
SIGNED (Attorney making request)
NAME OF ATTORNEY SIGNING AT LEFT
I hereby certify that a copy hereof was mailed/delivered to all counsel and pro se parties of record on:
SIGNED (Attorney making request) TELEPHONE NO. (with area code)
NAME OF EACH PARTY SERVED*
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.
FOR COURT OPERATIONS USE ONLY - DO NOT WRITE BELOW THIS LINE
The request has been considered and is hereby: GRANTED - You may file a request for exemption from the Docket Management Program in hard-copy form. Attach a copy of this form to each Request for Exemption from the Docket Management Program. DENIED - You must file a request for exemption from the Docket Management Program electronically through E-Services.
SIGNED (Judge/Caseflow Management Specialist) DATE SIGNED