Signed (Signature of filer) uREQUEST FOR ADJUDICATION COMPLEX LITIGATION DOCKET (CLD) JD-CL-77 Rev. 2-18NoYes 2.Has opposing counsel or self-represented party already filed a response to the motion or objection?1.May the motion or objection be granted or sustained by agreement or consent?If yes, provide the date of the response:3.Is oral argument requested?4.Is testimony required?and entry number:6.Are there any other motions or pleadings directly related to the Court's consideration of the motion or objection?If yes, give the title, date, and entry number of the motion(s) or pleading(s):5.Does the matter need immediate action?The Court will only act on or schedule a motion, objection, or request if this request form is filed. This request form should be filed after the time for filing a response to the motion or objection has passed (unless the matter needs immediate action or the parties agree, in which case it may be filed before the time for filing a response has passed).If yes, explain why it is necessary. A telephonic conference may be requested for matters that need immediate action.If yes, how much time will be needed:If no, indicate the agreed date, if any, when the response will be filed: Judicial district Name of case Docket number Title of motion or objection that you want decided Motion or objection entry number Name of the party filing this request STATE OF CONNECTICUT SUPERIOR COURT www.jud.ct.gov 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. COURT USE ONLY RADJCLD *RADJCLD*Instructions 1.Fill out a form for each motion, objection, or request that you want decided.2.File in the CLD location where the case is assigned.3.In all cases that require e-filing, Requests for Adjudication shall be e-filed and thefiler must select "Request for Adjudication Complex Litigation (JD-CL-77)" whennaming the form in e-filing. Telephone number Date signed Print or type name of person signing Mailing address (Number, street, town, state and zip code)*If necessary, attach additional sheet or sheets with name and address which the copy was or will be mailed or delivered to.(date) to all attorneys and self-represented parties of record and that written consent for electronic delivery was received from all attorneys and self-represented parties of record who received or will immediately be receiving electronic delivery. I certify that a copy of this document was or will immediately be mailed or delivered electronically or non-electronically on Name and address of each party and attorney that copy was or will be mailed or delivered to*Certification Date of motion or objection American LegalNet, Inc. www.FormsWorkFlow.com