SHORT CALENDAR LIST CLAIM/RECLAIM STATE OF CONNECTICUT SUPERIOR COURT www.jud.ct.gov JD-CL-6 Rev. 6-12 Pr. Bk. Secs. 11-13, 11-16, 11-18, 17-31, 25A-13 Instructions Do not file with original motion. Use only for reclaiming motions or for motions that must be claimed by rule (Connecticut Practice Book section 17-31). Return date Docket number Name of case (Full name of Plaintiff v. Full name of Defendant) Judicial District Housing Session The: Geographical Area Number Plaintiff Address of Court (Number, street, town and zip code) Defendant Support Enforcement Officer Other (Specify) is claiming or reclaiming the following motion(s) for the SHORT CALENDAR LIST: Date of Motion Number of Motion (If known) Title of Motion Certification to all attorneys I certify that a copy of this document was mailed or delivered electronically or non-electronically on (date) and self-represented parties of record and that written consent for electronic delivery was received from all attorneys and self-represented parties receiving electronic delivery. Name and address of each party and attorney that copy was mailed or delivered to* Signed (Signature of filer) For Court Use Only Print or type name of person signing Date signed X Telephone number Mailing address (Number, street, town, state and zip code) *If necessary, attach additional sheet or sheets with name and address which the copy was mailed or delivered to. Superior Court (Other than Family Support Magistrate Matters) Assigned for Trial Family Support Magistrate Matters American LegalNet, Inc. www.FormsWorkFlow.com