AGREEMENT FORM
JD-FM-231 New 9-14
STATE OF CONNECTICUT
SUPERIOR COURT
www.jud.ct.gov
AGREMNT
Court Use Only
*AGREMNT*
Name of case
Address of courtJudicial District of
Docket number
Date ordered
This agreement applies to the following motions: (number or name)
Matter continued to
Agreement of the parties
Select
Pendente Lite Dissolution Post Judgment Dissolution Never Married Final Judgment Temporary Restraining Order Hearing
Monetary orders comply with the Child Support and Arrearage Guidelines:
If the orders differ from the guidelines, state the reason(s) for the deviation:
Yes No
Signed (Plaintiff/Plaintiff's attorney)
Date
We hereby certify that the above conforms with the agreement of the parties.
Date
Signed (Defendant/Defendant's attorney)
Date
Signed (Guardian ad Litem/Attorney for the Minor Child)
Date
Approved and so ordered (Judge/Family Support Magistrate)
Instructions:
Complete form, make copies for yourself
and give the original to the Court Clerk.
ADA NOTICE
The Judicial Branch of the State of Connecticut complies with the Americans with
Disabilities Act (ADA). If you need a reasonable accommodation in accordance with the
ADA, contact a court clerk or an ADA contact person listed at www.jud.ct.gov/ADA.