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Form No.Name of FormVersionFormPrintDownload
JD-AP-018 Out of State Travel Permit, Agreement to Return Rev. 05/07
JD-AP-018M Non-Compact Misdemeanor Travel Permit/Agreement to Return Rev. 06/08
JD-AP-018S Out of State Travel Permit, Agreement to Return - Spanish Rev. 05/07
JD-AP-025 Presentence Investigation/Alternative Incarceration Assessment Report Rev. 05/17
JD-AP-046 Notice To Appear and Complaint - Violation of Probation or Conditional Discharge Rev. 05/19
JD-AP-046P Notice To Appear and Complaint - Violation of Probation or Conditional Discharge - Polish Rev. 05/19
JD-AP-046PT Notice To Appear and Complaint - Violation of Probation or Conditional Discharge - Portuguese Rev. 05/19
JD-AP-046S Notice To Appear and Complaint - Violation of Probation or Conditional Discharge - Spanish Rev. 05/19
JD-AP-049.01 Letter To Report, Stamford Rev. 01/08
JD-AP-049.02 Letter To Report, Bridgeport Rev. 08/14
JD-AP-049.03 Letter To Report, Danbury Rev. 01/00
JD-AP-049.04 Letter To Report, Waterbury Rev. 01/00
JD-AP-049.07 Letter To Report, Meriden Rev. 03/08
JD-AP-049.08 Letter To Report, New Haven Rev. 05/00
JD-AP-049.08A Letter To Report, New Haven Adult Supervision Rev. 09/00
JD-AP-049.09 Letter To Report, Middletown Rev. 09/00
JD-AP-049.09A Letter To Report, Middletown (Court Street) Rev. 03/01
JD-AP-049.10 Letter To Report, New London Rev. 02/00
JD-AP-049.10A Letter To Report, New London (Court) Rev. 06/00
JD-AP-049.11A Letter To Report, Danielson (Intake) Rev. 06/01
JD-AP-049.11D Letter To Report, Danielson (Adult Supervision) Rev. 05/01
JD-AP-049.11W Letter To Report, Willimantic Rev. 06/01
JD-AP-049.12 Letter To Report, Manchester Rev. 07/02
JD-AP-049.13 Letter To Report, Enfield Rev. 01/00
JD-AP-049.14 Letter To Report, Hartford Rev. 01/00
JD-AP-049.15 Letter To Report, New Britain Rev. 01/00
JD-AP-049.17 Letter To Report, Bristol Rev. 05/00
JD-AP-049.18 Letter To Report, Bantam Rev. 01/00
JD-AP-049.20 Letter To Report, Norwalk Rev. 09/13
JD-AP-049.21 Letter To Report, Norwich Rev. 10/99
JD-AP-049.22 Letter To Report, Milford Rev. 01/99
JD-AP-062 Notice of Restitution/Donation Payment Procedure - Spanish on back Rev. 04/21
JD-AP-062P Notice of Restitution/Donation Payment Procedure - Polish Rev. 04/21
JD-AP-062PT Notice of Restitution/Donation Payment Procedure - Portuguese Rev. 04/21
JD-AP-063 Interstate Compact - Probation, Order Of Incarceration And Release Rev. 07/11
JD-AP-110 Conditions of Probation Rev. 07/11
JD-AP-110P Conditions of Probation (Polish) Rev. 07/11
JD-AP-110S Conditions of Probation (Spanish) Rev. 07/11
JD-AP-114 Transfer of Supervision Rev. 01/08
JD-AP-120 Employment History Request Rev. 01/08
JD-AP-137 Firearm Acknowledgment Rev. 10/06
JD-AP-137S Firearm Acknowledgment - Spanish Rev. 10/06
JD-AP-138 Voluntary Agreement To Search - Probationer Or Person Under Probation Supervision Rev. 01/08
JD-AP-139 Voluntary Agreement To Search, Controlling Third Party Rev. 01/08
JD-AP-139P Voluntary Agreement to Search, Controlling Third Party - Polish Rev. 01/08
JD-AP-139PT Voluntary Agreement to Search, Controlling Third Party - Portuguese Rev. 01/08
JD-AP-139S Voluntary Agreement to Search, Controlling Third Party - Spanish Rev. 01/08
JD-AP-140 Adult Probation, Record of Search Rev. 03/07
JD-AP-141 Consent to Record Meeting With CSSD Employee and to Release Information Rev. 10/07
JD-AP-141P Consent to Record Meeting With CSSD Employee and to Release Information - Polish Rev. 10/07
JD-AP-141PT Consent to Record Meeting With CSSD Employee and to Release Information - Portuguese Rev. 10/07
JD-AP-141S Consent to Record Meeting With CSSD Employee and to Release Information - Spanish Rev. 10/07
JD-AP-142 Pre-Trial Intake/Condition Notification Letter Rev. 03/08
JD-AP-143 Warrant Service/Condition Notification Letter Rev. 03/08
JD-AP-144 Warrant Surrender/Supervision Letter Rev. 04/10
JD-AP-144P Warrant Surrender/Supervision Letter - Polish Rev. 04/10
JD-AP-144PT Warrant Surrender/Supervision Letter - Portuguese Rev. 04/10
JD-AP-144S Warrant Surrender/Supervision Letter - Spanish Rev. 04/10
JD-AP-145 Alleged Misconduct By CSSD Employee Report Form Rev. 07/08
JD-AP-146 Notice of Stay Away Order Rev. 08/08
JD-AP-147 Pre-Trial Supervision Progress Report Rev. 08/08
JD-AP-148 Notice of No Contact With Victim Order Rev. 12/13
JD-AP-149 Eligibility Referral/Treatment Plan Supervised Diversionary Program Rev. 05/11
JD-AP-149V Eligibility Referral/Treatment Plan Supervised Diversionary Program For Veterans Rev. 07/14
JD-AP-150 Supervised Diversionary Program Conditions Rev. 09/08
JD-AP-151 Juvenile Probation Flexible Funding Request Form Rev. 10/08
JD-AP-152 Review of Probation Term Rev. 05/09
JD-AP-153 Expedited Inmate Medication Process Rev. 09/09
JD-AP-155 Acknowledgment of Confidentiality Rev. 05/10
JD-AP-156 Violation of Probation, Request For Arrest Under C.G.S. § 53a-32 Rev. 09/10
JD-AP-157 Notice To Person Required To Give A DNA Sample To CSSD, (Spanish on Back) Rev. 10/11
JD-AP-158 Affidavit in Support of Violation of Probation Arrest Under Section 53a-32 of the Connecticut General Statutes Rev. 09/10
JD-AP-159 Probation Warrantless Arrest Detention Order - Interstate Compact Rev. 10/10
JD-AP-160 Probation Warrantless Arrest Detention Order - Interstate Compact Notice of Violation and Rights Rev. 10/10
JD-AP-161 Victim Notice Rev. 05/15
JD-AP-161S Victim Notice - Spanish Rev. 05/15
JD-AP-162 Split Sentence Victim Notice Rev. 01/11
JD-AP-162S Split Sentence Victim Notice - Spanish Rev. 01/11
JD-AP-163 Probation Supervision Progress Report In Response To A New Arrest Rev. 02/11
JD-AP-164 Transfer of Seized Property Rev. 05/11
JD-AP-165 Sentence Modification Application, Motion and Order - Intensive Probation Supervision Rev. 10/12
JD-AP-165A Sentence Modification Community Release Plan Related to Application, Motion and Order, Intensive Probation Supervision Rev. 10/12
JD-AP-166 Bail Ordered Amount and Conditions Rev. 10/19
JD-AP-167 Adult Probation - Notice of Application for Sentence Modification Rev. 10/11
JD-AP-168 Early Release to Intensive Probation Supervision Rev. 03/12
JD-AP-170 Notice to Contact or Report to Probation Officer Rev. 07/12
JD-AP-171 Discharge Plan Rev. 02/15
JD-AP-171S Discharge Plan - Spanish Rev. 02/15
JD-AP-172 Interstate Compact Notice/Waiver of Probable Cause Hearing Rev. 11/11
JD-AP-172S Interstate Compact Notice/Waiver of Probable Cause Hearing (Spanish) Rev. 11/11
JD-AP-173 Interstate Compact Notice of Violation of Conditions of Probation Rev. 11/11
JD-AP-175 Conditions of Supervision - Technical Violation Unit Rev. 12/11
JD-AP-175P Conditions of Supervision - Technical Violation Unit - Polish Rev. 12/11
JD-AP-175PT Conditions of Supervision - Technical Violation Unit - Portuguese Rev. 12/11
JD-AP-175S Conditions of Supervision - Technical Violation Unit - Spanish Rev. 12/11
JD-AP-176 Interstate Compact - Probation, Probable Cause Hearing Rev. 12/11
JD-AP-177 Recommendation for Intensive Pretrial Supervision Rev. 01/13
JD-AP-178 Intensive Pretrial Supervision Progress Report Rev. 03/12
JD-AP-179 Request by Adult Probation Services for Access to Family Violence Case Records Rev. 01/12
JD-AP-180 Request For Extension of Time To Complete Presentence Investigation Report Rev. 12/12
JD-AP-191 Victim Impact Panel Notice - Adult Probation Rev. 12/15
JD-AP-191P Victim Impact Panel Notice - Adult Probation - Polish Rev. 12/15
JD-AP-191PT Victim Impact Panel Notice - Adult Probation - Portuguese Rev. 12/15
JD-AP-191S Victim Impact Panel Notice - Adult Probation - Spanish Rev. 12/15
JD-AP-192 Pardon Eligibility Notice Rev. 02/21
JD-AP-193 Under 21 Motor Vehicle/Underage Drinking Program Notice Rev. 10/16
JD-AP-194 Affidavit Regarding Restitution Obligation Rev. 10/17
JD-AP-195 Notice of Remaining Restitution Obligation Rev. 10/17
JD-AP-196 Case Data Record - Record Check Rev. 11/18
JD-AP-197 Interaction with Federal Immigration Authorities Rev. 10/19
JD-AP-198 Notice to Victim of Arrest for Violation of Probation Rev. 12/20
JD-AP-198P Notice to Victim of Arrest for Violation of Probation - Polish Rev. 12/20
JD-AP-198PT Notice to Victim of Arrest for Violation of Probation - Portuguese Rev. 12/20
JD-AP-199 Restitution/Donation Order Introduction Letter Rev. 12/21
JD-AP-202 Victim Restitution Notice and Request for Information Rev. 12/21
JD-AP-203 Victim Restitution Notice and Second Request for Information Rev. 12/21
JD-AP-204 Victim Restitution Claim Rev. 12/21
JD-AP-205 Victim Notice - No Restitution Owed Rev. 12/21
JD-AP-207 Adult Probation Officer use of Force/Arrest Report Rev. 06/22
JD-AP-208 Victim Impact Panel Notice - Pretrial Services New 04/22
JD-AP-208P Victim Impact Panel Notice - Pretrial Services - Polish New 04/22
JD-AP-208PT Victim Impact Panel Notice - Pretrial Services - Portuguese New 04/22
JD-AP-208S Victim Impact Panel Notice - Pretrial Services - Spanish New 04/22
JD-AP-209 Notice of Placement for Evaluation - Pretrial Impaired Driving Intervention or Drug Intervention and Community Service Program (Spanish on Back) New 04/22
JD-AP-209P Notice of Placement for Evaluation - Pretrial Impaired Driving Intervention or Drug Intervention and Community Service Program - Polish New 04/22
JD-AP-209PT Notice of Placement for Evaluation - Pretrial Impaired Driving Intervention or Drug Intervention and Community Service Program - Portuguese New 04/22
JD-AP-210 Notice of Placement - Pretrial Impaired Driving Intervention Program New 04/22
JD-AP-210P Notice of Placement - Pretrial Impaired Driving Intervention Program - Polish New 04/22
JD-AP-210PT Notice of Placement - Pretrial Impaired Driving Intervention Program - Portuguese New 04/22
JD-AP-211 Notice of Placement - Pretrial Drug Intervention and Community Service Program (Spanish on Back) New 04/22
JD-AP-211P Notice of Placement - Pretrial Drug Intervention and Community Service Program - Polish New 04/22
JD-AP-211PT Notice of Placement - Pretrial Drug Intervention and Community Service Program - Portuguese New 04/22
JD-AP-212 Pretrial Drug Intervention and Community Service Program, Community Service Record New 04/22
JD-AP-213 Pretrial Drug Intervention and Community Service Program, Community Service Completion Report New 04/22
Forms Found : 134

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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