Clicking on the question marks ( ) will give you information about that section of the form.
Al hacer clic en el signo de interrogación ( ) obtendrá información sobre esa parte del formulario.
Note: If other counsel or a self-represented party has already filed an appearance for the party or parties "x'd" above, put
an "x" in box 1 or 2 below:
Please Enter the Appearance of
Notice To Self-Represented Parties
A self-represented party is a person who represents himself or herself. If you are a self-
represented party and you filed an appearance before and you have since changed your address,
you must let the court and all attorneys and self-represented parties of record know that you have
changed your address by checking the box below:
I certify that a copy of this document was mailed or delivered electronically or non-electronically on (date)
to all attorneys
*If necessary, attach an additional sheet or sheets with the name of each party and the address which the copy was mailed or delivered to.
STATE OF CONNECTICUT
SUPERIOR COURT
www.jud.ct.gov
in the case named above for:
("x" one of the following parties; if this is a Family Matters case, also indicate the scope of your appearance)
Housing
Session
Judicial
District
APPEARANCE
JD-CL-12 Rev. 9-13
P.B. §§ 3-1 thru 3-6, 3-8, 10-13, 25A-2
Mailing Address (Number, street) (Notice to attorneys and law firms - The address to which papers will be mailed from the
court is the one registered or affiliated with your juris number. That address cannot be changed in this form.)
Telephone number (Area code first)
This appearance is in place of the appearance of the following attorney,
firm or self-represented party on file (P.B. Sec. 3-8):
Certification
Geographic
Area number
and self-represented parties of record and that written consent for electronic delivery was received from all attorneys and self-represented
parties receiving electronic delivery.
I am filing this appearance to let the court and all attorneys and self-represented
parties of record know that I have changed my address. My new address is below.
Post office box
Name of self-represented party (See "Notice to Self-Represented Parties" at top), or name of official, firm, professional corporation, or individual
attorney
Small
Claims
I agree to accept papers (service) electronically in this case under Practice Book Section 10-13
Instructions — See Back/Page 2
ADA Notice — See Back/Page 2
Scheduled Court date (Criminal/Motor Vehicle Matters)
Name of case (Full name of Plaintiff vs. Full name of Defendant)
(Name and Juris Number)
Docket number
Return date
Address of Court (Number, street, town and zip code)
Juris number of attorney or firm
City/town State Zip code
Fax number (Area code first)
E-mail address
Signed (Signature of filer)
u
Signed (Individual attorney or self-represented party)
u
Name of person signing at left (Print or type)
Date signed
Date signed
For Court Use Only
The Plaintiff (includes the person suing another person).
All Plaintiffs.
The following Plaintiff(s) only:
The Defendant (includes the person being sued or charged with a crime).
The Defendant for the purpose of the bail hearing only (in criminal and motor vehicle cases only).
All Defendants.
The following Defendant(s) only:
Other (Specify):
This is a Family Matters case and my appearance is for: ("x" one or both)
matters in the Family Division of the Superior Court Title IV-D Child Support matters
Name and address of each party and attorney that copy was mailed or delivered to*
This appearance is in addition to an appearance already on file.
Yes No
Print or type name of person signing Telephone number
1.
2.