SUMMONS - CIVIL JD-CV-1 Rev. 4-16 C.G.S. §§ 51-346, 51-347, 51-349, 51-350, 52-45a, 52-48, 52-259, P.B. §§ 3-1 through 3-21, 8-1, 10-13 STATE OF CONNECTICUT SUPERIOR COURT www.jud.ct.gov See other side for instructions "X" if amount, legal interest or property in demand, not including interest and costs is less than $2,500. "X" if amount, legal interest or property in demand, not including interest and costs is $2,500 or more. "X" if claiming other relief in addition to or in lieu of money or damages. TO: Any proper officer; BY AUTHORITY OF THE STATE OF CONNECTICUT, you are hereby commanded to make due and legal service of this Summons and attached Complaint. Address of court clerk where writ and other papers shall be filed (Number, street, town and zip code) (C.G.S. §§ 51-346, 51-350) Telephone number of clerk (with area code) Return Date (Must be a Tuesday) ( Judicial District Housing Session G.A. Number: ) At (Town in which writ is returnable) (C.G.S. §§ 51-346, 51-349) Case type code (See list on page 2) Month Day ,2 Year Major: Minor: For the Plaintiff(s) please enter the appearance of: Name and address of attorney, law firm or plaintiff if self-represented (Number, street, town and zip code) Telephone number (with area code) Signature of Plaintiff (If self-represented) Email address for delivery of papers under Section 10-13 (if agreed to) Juris number (to be entered by attorney only) ( ) 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. Yes No Form JD-CV-2 attached for additional parties Number of Plaintiffs: Parties First Plaintiff Additional Plaintiff First Defendant Additional Defendant Additional Defendant Additional Defendant Name: Address: Name: Address: Name: Address: Name: Address: Name: Address: Name: Address: Number of Defendants: Name (Last, First, Middle Initial) and Address of Each party (Number; Street; P.O. Box; Town; State; Zip; Country, if not USA) P-01 P-02 D-01 D-02 D-03 D-04 Notice to Each Defendant 1. YOU ARE BEING SUED. This paper is a Summons in a lawsuit. The complaint attached to these papers states the claims that each plaintiff is making against you in this lawsuit. 2. To be notified 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 not a hearing date. You do not have to come to court on the Return Date unless you receive a separate notice telling you to come to court. 3. If you or your attorney do not file a written "Appearance" form on time, a judgment may be entered against you by default. The "Appearance" form may be obtained at the Court address above or at www.jud.ct.gov under "Court Forms." 4. If you believe that you have insurance that may cover the claim that is being made against you in this lawsuit, you should immediately contact your insurance representative. Other action you may have to take is described in the Connecticut Practice Book which may be found in a superior court law library or on-line at www.jud.ct.gov under "Court Rules." 5. If you have questions about the Summons and Complaint, you should talk to an attorney quickly. The Clerk of Court is not allowed to give advice on legal questions. Signed (Sign and "X" proper box) Commissioner of the Superior Court Assistant Clerk Name of Person Signing at Left Date signed If this Summons is signed by a Clerk: a. The signing has been done so that the Plaintiff(s) will not be denied access to the courts. b. It is the responsibility of the Plaintiff(s) 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(s) 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. For Court Use Only File Date I certify I have read and understand the above: Signed (Self-Represented Plaintiff) Date Docket Number (Page 1 of 2) American LegalNet, Inc. www.FormsWorkFlow.com Instructions 1. Type or print legibly; sign summons. 2. Prepare or photocopy a summons for each defendant. 3. Attach the original summons to the original complaint, and attach a copy of the summons to each copy of the complaint. Also, if there are more than 2 plaintiffs or more than 4 defendants prepare form JD-CV-2 and attach it to the original and all copies of the complaint. 4. After service has been made by a proper officer, file original papers and officer's return with the clerk of court. 5. Do not use this form for the following actions: (a) Family matters (for example divorce, child support, custody, paternity, and visitation matters) (b) Summary Process actions (c) Applications for change of name (d) Probate appeals (e) Administrative appeals (f) Proceedings pertaining to arbitration (g) Any actions or proceedings in which an attachment, garnishment or replevy is sought (h) Entry and Detainer proceedings (i) Housing Code Enforcement actions 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. 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