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State whether you have been convicted of a family violence crime (C.G.S. § 46b-38a), risk of injury to children (C.G.S. § 53-21),
sexual assault (C.G.S. §§ 53a-70, 53a-70a, 53a-70b, 53a-71, 53a-72a, 53a-72b or 53a-73a), or stalking (C.G.S. §§ 53a-181c, 53a-181d
or 53a-181e.)
Application
Type of Court Case
APPLICATION
FOR ISSUANCE OF SUBPOENA
JD-CL-136 Rev. 1-17
P.B. § 7-19; C.G.S. § 52-161b
Housing
Session
Judicial
District
COURT USE ONLY
AISBPPP
Name(s) and Address(es) of Person or People I am Asking to Subpoena
1.
2.
Geographical
Area
Instructions to Clerk:
If a self-represented applicant in any Civil, Family, Family Support Magistrate or Housing case has
been convicted of a family violence crime or of any of the other statutes listed in the Application section
and is seeking to subpoena the victim of such crime, schedule a hearing and give the applicant notice
of the date, time and location of the hearing. Do not schedule such hearings for Criminal matters.
If yes, are you asking to subpoena the victim of your crime?
At
Docket Number
Name of Case
Civil Housing Family Family Support Magistrate
Yes No
Yes No
Name of person
Address (Number, street, and town)
I believe testimony from this person is necessary because: (Fill in this box)
I want this person ordered to bring the following item(s) to Court:
Name of person
Address (Number, street, and town)
I believe testimony from this person is necessary because (Fill in this box)
I want this person ordered to bring the following item(s) to Court
*AISBPPP*
Criminal/Motor Vehicle
Note to Applicant:
If you submit this application and it is denied in whole or in part, you may submit a Request for Hearing
on Denied Application for Issuance of Subpoena (form JD-CL-137).
I am a self-represented party in the case named above and I want to require the person or people listed below to testify in this case. I think
that the testimony is necessary and ask that the judge or family support magistrate in this case review this application without notice to the
other parties in this case. If this case has not been assigned to a specific judge or family support magistrate, I ask that the administrative
judge or any judge or family support magistrate designated by the administrative judge review my application without notice to the other
parties in this case. If the judge or family support magistrate decides that the subpoena(s) should be issued, I ask the judge or family
support magistrate to have the clerk of the court issue the subpoena(s).
I understand that I have to give any subpoena(s) issued to a state marshal (an individual authorized to serve the person(s) being
subpoenaed) or other authorized person and I must pay the state marshal or other authorized person a fee for serving the subpoena(s)
unless the court determines that I am financially unable to pay for such expenses.
To Applicant:
(Answer the questions below unless the case that you want to subpoena a witness for is a criminal case in which you are
the defendant. If you are the defendant in a criminal case, skip to the next section.)
I believe that the person will testify that (state what you believe the person will say in court):
I believe that the person will testify that (state what you believe the person will say in court):
STATE OF CONNECTICUT
SUPERIOR COURT
JUDICIAL BRANCH
www.jud.ct.gov
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Order
By the Court
Signed (Judge or Family Support Magistrate)
As requested above.
As requested above, except:
As to the following individuals only:
Having conducted a review of this application pursuant to Practice Book Section 7-19, and having considered the nature of the scheduled
proceeding and future opportunities for examination of witnesses, the application is:
granted.
denied.
Having granted the application, the clerk of this court is directed to issue the subpoena(s):
Date of Order
JD-CL-136 Rev. 1-17
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.
Signed (Self-represented Applicant)
u
Type of Proceeding(s) I am Requesting Subpoena(s) For ("X" appropriate box)
Trial/hearing scheduled for (Date) Before Judge (If known)
Pre-judgment remedy hearing scheduled for (Date)
Short Calendar matter scheduled for (Date) Before Judge/Magistrate/Hearing Officer (If known)
Family Support Magistrate hearing scheduled for (Date)
Other (Specify)
Print name
Telephone Number (Area code first)
Date signed
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