Official Court Webforms


Starting Thursday, June 16, 2022, the Judicial Branch will offer three (3) electronic options for accessing webforms. In addition to offering these options, the Judicial Branch has refreshed the Official Court Webforms page.

Forms are divided into categories. Click a specific link to see all forms in that category or use the search box below to search for a specific form by name, number, or keyword.

Administrative | Administrative_Internal | AdultProbation_Internal | All_Internal | Civil | Civil_Internal | Clerk_Internal | Continuing Legal Education | Criminal | Criminal_Internal | Family | Family_Internal | General | Grievance | Grievance_Internal | Housing | Housing_Internal | Jury Administration_Internal | Juvenile | Juvenile_Internal | Marshal Services_Internal | Other | Polish | Portuguese | Small_Claims | Spanish | Supreme/Appellate | SupremeAppellate_Internal | Victim Services_Internal | Victim_Services
Search Table
Form Results Table
Form No.Name of FormVersionFormPrintDownload
JD-FM-001 Income Withholding For Support Rev. 08/21
JD-FM-001(i) Instructions For Income Withholding For Support Rev. 08/21
JD-FM-003 Summons, Family Actions Rev. 12/21
JD-FM-003P Summons, Family Actions - Polish Rev. 12/21
JD-FM-003PT Summons, Family Actions - Portuguese Rev. 12/21
JD-FM-003S Summons, Family Actions - Spanish Rev. 12/21
JD-FM-006-LONG Financial Affidavit (Long Version) Rev. 02/16
JD-FM-006-SHORT Financial Affidavit (Short Version) (How-to Slidecast) Rev. 02/16
JD-FM-006H-LONG Help Text For Financial Affidavit (Long Version) Rev. 02/16
JD-FM-006H-SHORT Help Text For Financial Affidavit (Short Version) Rev. 02/16
JD-FM-006P LONG Financial Affidavit (Long Version) - Polish Rev. 02/16
JD-FM-006P-SHORT Financial Affidavit (Short Version) - Polish Rev. 02/16
JD-FM-006PT LONG Financial Affidavit (Long Version) - Portuguese Rev. 02/16
JD-FM-006PT-SHORT Financial Affidavit (Short Version) - Portuguese Rev. 02/16
JD-FM-006S LONG Financial Affidavit (Long Version) - Spanish Rev. 02/16
JD-FM-006S-SHORT Financial Affidavit (Short Version) - Spanish Rev. 02/16
JD-FM-068 Notice and Claim Form - Support Income Withholding Rev. 11/12
JD-FM-070 Notice to Nonappearing Obligor of Income Withholding Order Rev. 09/99
JD-FM-071 Advisement of Rights Rev. 12/14
JD-FM-075 Application for Waiver of Fees/Payment of Costs/Appointment of Counsel - Family (How-to Slidecast) Rev. 12/21
JD-FM-075P Application for Waiver of Fees/Payment of Costs/Appointment of Counsel - Family - Polish Rev. 12/21
JD-FM-075PT Application for Waiver of Fees/Payment of Costs/Appointment of Counsel - Family - Portuguese Rev. 12/21
JD-FM-075S Application For Waiver of Fees/Payment of Costs/Appointment of Counsel - Family - Spanish Rev. 12/21
JD-FM-097 Family Violence Education Program, Application, Orders and Disposition Rev. 10/21
JD-FM-097P Family Violence Education Program, Application, Orders and Disposition - Polish Rev. 10/21
JD-FM-097PT Family Violence Education Program, Application, Orders and Disposition - Portuguese Rev. 10/21
JD-FM-097S Family Violence Education Program, Application, Order, Disposition - Spanish Rev. 10/21
JD-FM-102 Individual Case Report, Family Violence Victim Advocate Rev. 12/20
JD-FM-111 Appeal from Family Support Magistrate Rev. 02/20
JD-FM-124 Contempt Proceedings Upon Failure of Payer of Income to Comply With Withholding Order for Support Rev. 09/17
JD-FM-125 Order to Maintain Health Insurance for Minor Child(ren) Rev. 07/16
JD-FM-137 Application for Relief from Abuse Rev. 10/21
JD-FM-137P Application for Relief from Abuse - Polish Rev. 10/21
JD-FM-137PT Application for Relief from Abuse - Portuguese Rev. 10/21
JD-FM-137S Application for Relief from Abuse - Spanish Rev. 10/21
JD-FM-138 Affidavit - Relief From Abuse Rev. 10/21
JD-FM-138P Affidavit - Relief from Abuse - Polish Rev. 10/21
JD-FM-138PT Affidavit - Relief from Abuse - Portuguese Rev. 10/21
JD-FM-138S Affidavit - Relief from Abuse - Spanish Rev. 10/21
JD-FM-149 Parenting Education Program - Order, Certificate and Results Rev. 11/12
JD-FM-150 Case Input Record, Non IV-D Income Withholding Rev. 04/14
JD-FM-154 Affidavit Of Noncompliance With License Suspension Order Rev. 02/06
JD-FM-158 Notice of Automatic Court Orders Rev. 10/21
JD-FM-158P Notice of Automatic Court Orders - Polish Rev. 10/21
JD-FM-158PT Notice of Automatic Court Orders - Portuguese Rev. 10/21
JD-FM-158S Notice of Automatic Court Orders - Spanish Rev. 10/21
JD-FM-159 Divorce Complaint (Dissolution of Marriage) Rev. 12/19
JD-FM-159A Dissolution of Civil Union Complaint Rev. 12/19
JD-FM-159P Divorce Complaint (Dissolution of Marriage) - Polish Rev. 12/19
JD-FM-159PT Divorce Complaint (Dissolution of Marriage) - Portuguese Rev. 12/19
JD-FM-159S Divorce Complaint (Dissolution of Marriage) - Spanish Rev. 12/19
JD-FM-160 Dissolution Answer Rev. 06/14
JD-FM-161 Custody/Visitation Application - Parent Rev. 12/21
JD-FM-161P Custody/Visitation Application - Parent (Polish) Rev. 12/21
JD-FM-161PT Custody/Visitation Application - Parent (Portuguese) Rev. 12/21
JD-FM-161S Custody/Visitation Application - Parent (Spanish) Rev. 12/21
JD-FM-162 Order to Show Cause and Notice to the Respondent Rev. 10/21
JD-FM-162P Order to Show Cause and Notice to the Respondent - Polish Rev. 10/21
JD-FM-162PT Order to Show Cause and Notice to the Respondent - Portuguese Rev. 10/21
JD-FM-162S Order to Show Cause and Notice to the Respondent - Spanish Rev. 10/21
JD-FM-163 Case Management Agreement/Order Rev. 01/20
JD-FM-164 Affidavit Concerning Children Rev. 01/22
JD-FM-164A Addendum to Affidavit Concerning Children Rev. 11/14
JD-FM-164AS Addendum to Affidavit Concerning Children - Spanish New 11/14
JD-FM-164P Affidavit Concerning Children - Polish Rev. 01/22
JD-FM-164PT Affidavit Concerning Children - Portuguese Rev. 01/22
JD-FM-164S Affidavit Concerning Children - Spanish Rev. 01/22
JD-FM-165 Case Management Dates - 2022 Return Dates Rev. 11/21
JD-FM-167 Motion for Order of Notice in Family Cases Rev. 12/21
JD-FM-168 Order of Notice in Family Cases Rev. 12/21
JD-FM-169 Motion for Additional Order of Notice in Family Cases Rev. 12/21
JD-FM-172 Dissolution/Legal Separation Agreement Rev. 05/21
JD-FM-172P Dissolution/Legal Separation Agreement - Polish Rev. 05/21
JD-FM-172PT Dissolution/Legal Separation Agreement - Portuguese Rev. 05/21
JD-FM-172S Dissolution/Legal Separation Agreement - Spanish Rev. 05/21
JD-FM-173 Motion for Contempt/Contempt Citation Rev. 07/21
JD-FM-173P Motion for Contempt/Contempt Citation - Polish Rev. 07/21
JD-FM-173PT Motion for Contempt/Contempt Citation - Portuguese Rev. 07/21
JD-FM-173S Motion for Contempt/Contempt Citation - Spanish Rev. 07/21
JD-FM-174 Motion for Modification Rev. 03/20
JD-FM-175 Certification of Notice in Family Cases (Public Assistance) Rev. 12/19
JD-FM-176 Motion for Orders Before Judgment (Pendente Lite) in Family Cases Rev. 02/20
JD-FM-177 Dissolution of Marriage (Divorce) Judgment Rev. 10/18
JD-FM-178 Affidavit Concerning Military Service Rev. 11/11
JD-FM-184 Custody/Visitation Judgment Rev. 03/14
JD-FM-185 Motion for Intervention in Family Matters Rev. 08/17
JD-FM-187 Answer, Parentage Petition Rev. 01/22
JD-FM-188 Request for Nondisclosure of Location Information Rev. 04/15
JD-FM-199 Proposed Parental Responsibility Plan Rev. 03/14
JD-FM-200 Motion to Approve Arbitration Agreement in Family Cases Rev. 06/21
JD-FM-201 Application and Writ, Habeas Corpus Ad Testificandum Rev. 01/22
JD-FM-202 Request For Leave Rev. 08/07
JD-FM-206 Motion to Open Judgment (Family Matters) Rev. 01/22
JD-FM-210 Notice of Automatic Orders - Petition for Child Support Rev. 01/12
JD-FM-219 Guardian Ad Litem, Request for Status Conference New 02/12
JD-FM-221 Verified Petition for Visitation - Grandparents and Third Parties Rev. 12/21
JD-FM-222 Application for Emergency Ex Parte Order of Custody Rev. 12/21
JD-FM-222P Application for Emergency Ex Parte Order of Custody - Polish Rev. 12/21
JD-FM-222PT Application for Emergency Ex Parte Order of Custody - Portuguese Rev. 12/21
JD-FM-222S Application for Emergency Ex Parte Order of Custody - Spanish Rev. 12/21
JD-FM-225 Affidavit of Expenses of Counsel or Guardian Ad Litem for Minor Child or Children New 10/14
JD-FM-231 Agreement Form New 09/14
JD-FM-232 Periodic Review Worksheet - Fees Charged by Counsel or Guardian Ad Litem New 12/21
JD-FM-233 Supplemental Affidavit and Request for Orders of Maintenance Rev. 01/15
JD-FM-237 Legal Separation Complaint Rev. 01/20
JD-FM-240 Annulment Complaint Rev. 01/20
JD-FM-242 Joint Petition - Nonadversarial Divorce (Dissolution of Marriage) Rev. 01/20
JD-FM-242P Joint Petition - Nonadversarial Divorce (Dissolution of Marriage) - Polish Rev. 01/20
JD-FM-242PT Joint Petition - Nonadversarial Divorce (Dissolution of Marriage) - Portuguese Rev. 01/20
JD-FM-242S Joint Petition - Nonadversarial Divorce (Dissolution of Marriage) - Spanish Rev. 01/20
JD-FM-243 Agreement - Nonadversarial Divorce New 10/15
JD-FM-244 Notice of Changed Condition - Nonadversarial Divorce Rev. 10/18
JD-FM-245 Notice of Revocation - Nonadversarial Divorce New 10/15
JD-FM-247 Motion to Waive Statutory Time Period By Agreement of the Parties - Divorce or Legal Separation Rev. 10/18
JD-FM-249 Certification of Waiver of Service of Process - Divorce, Legal Separation, Annulment Rev. 10/17
JD-FM-256 Request for Additional Time for Service of Ex Parte Restraining Order New 10/16
JD-FM-257 How to Apply for a Restraining Order Under Section 46b-15 Rev. 10/21
JD-FM-257P How to Apply for a Restraining Order Under Section 46b-15 - Polish Rev. 10/21
JD-FM-257PT How to Apply for a Restraining Order Under Section 46b-15 - Portuguese Rev. 10/21
JD-FM-260 (Effective January 1, 2017) Notice of Automatic Court Orders - Nonadversarial Divorce New 01/17
JD-FM-260P Notice of Automatic Court Orders - Nonadversarial Divorce - Polish New 01/17
JD-FM-260S Notice of Automatic Court Orders - Nonadversarial Divorce - Spanish Rev. 01/17
JD-FM-262 Motion for Telephonic Hearing - Family Support Magistrate Matters New 04/18
JD-FM-263 Request for Approval of Temporary Agreement without Court Appearance Rev. 11/21
JD-FM-272 Motion to Waive Statutory Time Period Upon Defendant's Failure to Appear and Affidavit - Divorce or Legal Separation Rev. 12/19
JD-FM-272P Motion to Waive Statutory Time Period Upon Defendant's Failure to Appear and Affidavit - Divorce or Legal Separation - Polish Rev. 12/19
JD-FM-272PT Motion to Waive Statutory Time Period Upon Defendant's Failure to Appear and Affidavit - Divorce or Legal Separation - Portuguese Rev. 12/19
JD-FM-272S Motion to Waive Statutory Time Period Upon Defendant's Failure to Appear and Affidavit - Divorce or Legal Separation - Spanish Rev. 12/19
JD-FM-276 Complaint Against Guardian Ad Litem/Attorney for Minor Child New 09/19
JD-FM-276A Instructions for Filling Out the Complaint Against Guardian Ad Litem/Attorney for Minor Child New 09/19
JD-FM-278 Notice of Mediation or Collaborative Divorce New 11/19
JD-FM-279 Affidavit in Support of Request to Enter Final Custody/Visitation Judgment Rev. 06/21
JD-FM-280 Affidavit in Support of Request for Approval of Final Agreement on Motion(s) Rev. 06/21
JD-FM-281 Affidavit in Support of Request for Entry of Judgment of Dissolution of Marriage or Legal Separation Rev. 06/21
JD-FM-282 Request for Approval of Final Agreement Without Court Appearance New 06/22
JD-FM-284 Custody Agreement and Parenting Plan Rev. 09/21
JD-FM-289 Response to Request for Earlier Hearing on Motion(s) New 08/20
JD-FM-292 Caseflow Request/Request for Earlier Hearing on Motion(s) New 09/21
JD-FM-294 Notice to Custodial Parent of Motion to Modify Support Order, Objection - SSI New 03/22
JD-FM-295 Request for Remote Testimony New 10/21
JD-FM-295P Request for Remote Testimony - Polish New 10/21
JD-FM-295PT Request for Remote Testimony - Portuguese New 10/21
JD-FM-295S Request for Remote Testimony - Spanish New 10/21
Forms Found : 143

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.

Important Notice : If you save forms on your computer, the version you save may not be the most current version and may not satisfy current Practice Book or statutory requirements. It is recommended that you periodically compare the “Rev.” date (revision date) on the version of the form you saved with the revision date of the form in the list below to ensure that you are using the latest version.

QR Codes on Judicial Branch Forms:QR“QR” (or “quick response”) codes store information in the form of a two-dimensional square barcode. QR codes may direct QR code imageusers to a mobile website, video or information page. The use of QR codes has become increasingly popular in the U.S. with the widely adopted use of smartphones capable of reading and processing this information directly from a user’s mobile device. The Judicial Branch has implemented this technology by encoding website URLs into some of its forms.Utilizing a QR Code reader application, users can quickly display content from a computer on their smart phone by clicking the QR Code icon and scanning the code. A QR reader application is needed to detect the QR code. You can download a QR reader application through your mobile device’s marketplace or store. The Judicial Branch does not endorse or recommend a specific QR code reader. Many QR reader apps are available.

Form Number Name of form State Agency
CCSG-1 Worksheet for the Connecticut Child Support and Arrearage Guidelines Commission for Child Support Guidelines
CO-17 Invoice/Voucher for Goods or Services Office of the State Comptroller
SMC-1 Restraining Order / Civil Protection Order Service Instructions State Marshal Commission
SMC-2 Restraining Order / Civil Protection Order Service Respondent Profile State Marshal Commission