NOTICE OF AUTOMATIC ORDERS Petition for Child Support JD-FM-210 Rev. 1-12 P.B. �� 25-5A, 25a-7 STATE OF CONNECTICUT SUPERIOR COURT www.jud.ct.gov Attach this notice to a petition for child support to be served on the respondent (delivered to the respondent by an authorized person). The following automatic orders apply to both parties in this case unless there is already an order of the judicial authority that is different than these orders. The automatic orders apply to the petitioner or the applicant when the attached document is signed. The automatic orders apply to the respondent when a copy of the attached document and this notice are served on the respondent. The automatic orders stay in effect during the case unless the order is changed, modified or terminated by the judicial authority based on a motion of the petitioner or the applicant or a motion of the respondent. Order: The applicant and the respondent must not take each other off any existing medical, hospital, or dental insurance policy and must not let any of those insurance policies lapse (end). The applicant and the respondent must not take children who are involved in the complaint, petition or application off any existing medical, hospital, or dental insurance policy and they must not let any of those policies lapse (end). By Order of the Judicial Authority If you do not follow or obey these orders you may be punished by contempt of court. If you object to these orders or would like to have them changed or modified while your case is pending, you have the right to a hearing by a judicial authority within a reasonable time. 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 listed at www.jud.ct.gov/ADA. Print Form American LegalNet, Inc. www.FormsWorkFlow.com