APPEARANCE JUVENILE MATTERS
JD-JM-13 Rev. 2-2002 Pr. Bk. Sec. 3-4 3-2(b); 3-3; 3-4; 3-5(b); 3-6(b); 3-8
STATE OF CONNECTICUT
1. Type or print clearly with ball point pen. 2. File a separate appearance for each child.
JUVENILE MATTERS www.jud.ct.gov
TO: The Superior Court For Juvenile Matters
IN RE: (Name of child/youth) ADDRESS OF COURT (Number, street, town and zip code) DOCKET NO.
PLEASE ENTER THE APPEARANCE OF
NAME OF OFFICIAL, FIRM, PROFESSIONAL CORP., INDIVIDUAL ATTY., OR PRO SE PARTY (See "Notice to Pro Se Parties" at bottom) MAILING ADDRESS (Number, street, P.O. Box) CITY/TOWN STATE ZIP CODE JURIS NO.OF ATTY OR FIRM TELEPHONE NO. FAX NO.
In the above-entitled case as counsel for the:
("X" appropriate box) child father (name): mother parents child and parents other (name and interest, legal status or relationship): TYPE OF CASE ("X" all that apply) Neglect / Uncared-for Termination Probate Transfer Emancipation Delinquency Family w/Service Needs Youth In Crisis Administrative Appeal
Appeal from Probate Decision Other (specify):
Appointment as guardian ad litem for If other counsel or a pro se party have already appeared for the party or parties indicated above, state whether this appearance is: "In-lieu-of" appearance of attorney or firm In addition to appearance already on file.
already on file OR
NOTE: If other court appointed counsel has already appeared for the party or parties indicated above, an "in-lieu-of" appearance must be authorized by the Judicial Authority.
SIGNED (Individual attorney or pro se party) PRINT OR TYPE NAME OF PERSON SIGNING AT LEFT DATE SIGNED
FOR COURT USE ONLY
I hereby certify that a copy of the above was mailed/delivered in accordance with Practice Book Section 3-5(b).
SIGNED (Individual attorney or pro se party) DATE COPY(IES) MAILED/DELIVERED
Notice to Pro Se Parties A pro se party is a person who represents himself or herself. It is your responsibility to inform the Clerk's Office if you have a change of address.