At (Town)
Case type: Major F
Minor:
(Select Below)
SUMMONS
FAMILY ACTIONS
JD-FM-3 Rev. 10-18
C.G.S. § 52-45a; P.A. 18-14
P.B. §§ 8-1, 10-13, 25a-3
STATE OF CONNECTICUT
SUPERIOR COURT
www.jud.ct.gov
TO: ANY PROPER OFFICER
By Authority of the State of Connecticut, you are hereby commanded to make due and legal
service of this Summons, attached Complaint, Notice of Automatic Orders, and blank Appearance.
PTY No.
P-01
D-01
Notice To The Defendant Named Above
1. You are being sued.
2. This paper is a Summons in a lawsuit.
3. The Complaint attached to these papers states the claims that the Plaintiff is making against you in this lawsuit.
4. To respond to this Summons, or to be informed of further proceedings, you or your attorney must file a form called an "Appearance" with the
Clerk of the above-named Court at the above Court address on or before the second day after the above Return Date. The Return Date is the
date your case is officially in court. It is not a date you have to come to court unless another notice says that you have to be in court that day.
5. The "Appearance" form may be obtained at the Court address above or at www.jud.ct.gov/webforms/.
6. In cases of dissolution or legal separation, if you or your attorney do not file a written Appearance form (JD-CL-12) by
(30 days after the return date), the plaintiff can ask the Court to enter judgment against you for the relief requested in the complaint without
further notice to you.
7. Once this has been filed with the Court, you may check its status at www.jud.ct.gov.
8. If you have questions about the Summons, Complaint, Notice of Automatic Court Orders (JD-FM-158) or Appearance (JD-CL-12), you should
talk to an attorney quickly. The Clerk of Court is not allowed to give advice on legal questions.
Signed (Comm. of Superior Court or Ass't Clerk sign and "X" proper box)
For The Plaintiff
Please enter the appearance of:
Signed (Plaintiff, if self-represented party, or attorney for plaintiff)
FOR COURT USE
File date
Docket number
Signed (Plaintiff, if self-represented party)
I certify I have read and
understand the above.
If this summons is signed by a clerk:
a. The signing has been done so that the Plaintiff will not be denied access to the courts.
b. It is the responsibility of the Plaintiff to see that service is made in the manner provided by law.
c. The clerk is not permitted to give any legal advice in connection with any lawsuit.
d. The clerk signing this summons at the request of the Plaintiff is not responsible in any way for any errors
or omissions in the Summons, any allegations contained in the Complaint, or the service of the
Summons or Complaint.
* See Form JD-FM-165
Judicial District of
Return date (Month, day, year)
Address of Court (Number, street, city)
Case management date*
Plaintiff's name (Last, first, middle initial)
Defendant's name (Last, first, middle initial)
Date
Comm. of Superior Court
Assistant Clerk
Name of person signing at left
Plaintiff, if self-represented party, or attorney for plaintiff
Juris number (If attorney or law firm)
Mailing address (Number, street, town, zip code)
Telephone number (Area code first)
Date signed
E-mail address for delivery of papers under Section 10-13 (if agreed to)
NoYes
The attorney or law firm appearing for the plaintiff, or the plaintiff if
self-represented, agrees to accept papers (service) electronically in
this case under Section 10-13 of the Connecticut Practice Book.
This appearance shall also be entered on behalf of the plaintiff for any matters in this case involving Title IV-D Child Support.
(To be completed only when an attorney or law firm represents the plaintiff - "X" this box if it applies in this case).
Plaintiff's address (Number, street, town, zip code)
Defendant's address (If known) (Number, street, town, zip code)
("X" proper box)
Instructions
1. Type or print legibly; sign summons.
2. Attach the original summons to the original complaint, Notice of Automatic Court Orders (JD-FM-158) and a blank
Appearance form(JD-CL-12).
3. Attach a copy of the summons, a copy of the Notice of Automatic Court Orders, and a copy of the blank Appearance
form to each copy of the complaint.
4. After service has been made by proper officer, file original papers and officer's return with the clerk of the court at
least six days before the return date.
5. DO NOT use this Summons for the following case types: Change of Name (F 30), Custody Application (F 40), Relief
from Physical Abuse (F 65), Foreign Matrimonial/Foreign Paternity Judgments (F 70), Visitation Petition/Application
(F 71), Uniform Child Custody Jurisdiction and Enforcement Act (F 72), Paternity Petition (F 80), Support Petition
(F 85), or Agreement to Support (F 86).
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.
00 Dissolution of Marriage
50 Civil Union - Dissolution,
10 Legal Separation
20 Annulment
90 All Other
Legal Separation, Annulment
