MOTION FOR ADDITIONAL ORDER OF NOTICE IN FAMILY CASES JD-FM-169 Rev. 4-08 P.B. §§ 11-6, 11-7, 25-28 P.A. 05-10 JUDICIAL DISTRICT OF PLAINTIFF'S NAME (Last, first, middle initial) STATE OF CONNECTICUT SUPERIOR COURT www.jud.ct.gov COURT USE ONLY MFSUORN AT (Town) RETURN DATE (Mo, day, yr) DOCKET NO. (If any) DEFENDANT'S NAME (Last, first, middle initial) 1. In this court case I am requesting: (Check all that apply) Divorce (dissolution of marriage) based on (Legal grounds) Dissolution of civil union based on (Legal grounds) Legal separation Custody of children Other (specify) Annulment Visitation with children 2. Notice of this case and of the automatic court orders affecting the party to be notified was attempted according to an Order of Notice. The party to be notified has not filed an Appearance and may not have received actual notice of this court case. 3. I am asking the Court for another Order of Notice that a court case has started, as follows (check one): The party to be notified lives out of state at: (No , street, town, state, zip code) Therefore, I ask the Court's permission to serve the party to be notified by registered or certified mail or by an authorized person in the state where the said party lives or to make such other order of notice as the Court deems reasonable. When served, the party will be subject to automatic court orders which are attached to the complaint; OR The address of the party to be notified is unknown and all reasonable efforts to find him/her have failed. The last known address of said party was: (No., street, town, state, zip code) Therefore, I ask the Court's permission to publish notice of this case in the local newspaper named below or to make such other order of notice as the Court deems reasonable. in (town, state) (Name of newspaper) . (Local newspaper chosen must circulate in the town of the last known address of the party to be notified.) SIGNATURE OF PLAINTIFF OR ATTORNEY ADDRESS (No , street, town or city, state, zip code) PRINTED NAME OF PERSON SIGNING DATE SIGNED TELEPHONE NO. (Area code first) American LegalNet, Inc. www.FormsWorkflow.com