Affidavit Of Service Petition For Order Re Commission On Human Rights And Opportunity And Notice OF Hearing Download Free Print-Only PDF OR Purchase Interactive PDF Version of this Form
Affidavit Of Service Petition For Order Re Commission On Human Rights And Opportunity And Notice OF Hearing Form. This is a Connecticut form and can be use in Civil Statewide.
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Tags: Affidavit Of Service Petition For Order Re Commission On Human Rights And Opportunity And Notice OF Hearing, JD-CV-69, Connecticut Statewide, Civil
AFFIDAVIT OF SERVICE
PETITION FOR ORDER
RE: COMMISSION ON HUMAN
RIGHTS AND OPPORTUNITIES
AND NOTICE OF HEARING
JD-CV-69 New 6-98
Public Act 98-245, Sec. 8
COURT USE ONLY
STATE OF CONNECTICUT
SUPERIOR COURT
PETIT
INSTRUCTIONS TO PETITIONER
Complete the Affidavit (the Docket Number is the number assigned by the clerk to your original
petition), attach your return receipts and file the Affidavit with the clerk of court within five days of
service being made.
AFFIDAVIT OF SERVICE
PETITION FOR ORDER RE: COMMISSION ON HUMAN RIGHTS AND OPPORTUNITIES AND NOTICE OF HEARING
TO: Superior Court for the Judicial District of Hartford-New Britain
at Hartford, 95 Washington St. Hartford CT 06106
DOCKET NUMBER
NAME OF PETITIONER
ADDRESS OF PETITIONER (No., street, town, zip code)
NAME OF RESPONDENT
ADDRESS OF RESPONDENT (No., street, town, zip code)
NAME(S) OF RESPONDENT(S) (Person(s) named in CHRO complaint)
ADDRESS(ES) OF RESPONDENT(S) (No., street, town, zip code)
If additional respondents are to be named, attach a separate sheet of paper.
CHRO CASE NAME
CHRO CASE NUMBER
PETITION FOR ORDER
I, the undersigned Petitioner in the above referenced Petition for Order RE: Commission on Human Rights and
Opportunities and Notice of Hearing, hereby certify that a copy of the Petition and Notice of Hearing in the above referenced
matter was served on the date and in the manner noted below for each of the defendants, and that I have attached the return
receipts that I have received indicating the delivery of the Petition and Notice of Hearing:
NAME OF RESPONDENT
METHOD OF SERVICE
CERTIFIED/REGISTERED
DATE OF
SERVICE
RETURN RECEIPT
NO.
1.
2.
3.
4.
(If additional Respondents were served, complete a second affidavit)
Dated at
, Connecticut on
INSERT TOWN WHERE SIGNED
INSERT DATE YOU SIGN THE AFFIDAVIT OF SERVICE
SIGNED
PETITIONER/ATTORNEY
Subscribed and sworn to before me at _________________________ this _______ day of__________________, _______.
COMMISSIONER OF THE SUPERIOR COURT/NOTARY PUBLIC
My Commission Expires
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