SUBPOENA/CIVIL STATE OF CONNECTICUT JD-CL-43 Rev. 3-12 C.G.S. § 52-143, 52-144 Pr. Bk. Secs. 7-19, 24-22 SUPERIOR COURT www.jud.ct.gov Instructions: 1. Do Not use this subpoena if the witness is being summoned by the state or by the attorney general or an assistant attorney general or by any public defender or assistant public defender acting in his/her official capacity. Housing Session Geographical Area Number SUBISSU *SUBISSU* Docket Number Name of Case (Full name of Plaintiff v. Full name of Defendant) Judicial District Court Use Only 2. The person being subpoenaed and the items they are ordered to bring as listed below must be identical to the names and items as ordered on the Application for Issuance of Subpoena, form JD-CV-62. Small Claims Area Address of Court (Number, street, town and zip code) To: (Name and address) Date and time you are to come to court Report to Clerk's office Courtroom number Person requesting subpoena Time . m. By Authority of The State of Connecticut, you are commanded to come to the court at the Address of Court above on the Date and Time indicated above or to another day after (within 60 days of the Date indicated above) when the case will be tried; you must come to the court to testify what you know in the case. You Are Further Commanded To Bring With You And Produce: Hereof Fail Not, Under Penalty Of The Law. To any proper officer or indifferent person to serve and return. Signed (Clerk, Commissioner of Superior Court) Name of person requesting subpoena Print or type name Date Phone number (with area code) At Notice To The Person Summoned If you do not come to court on the day and at the time stated, or on the day and at the time which your appearance may have been postponed or continued to by order of an officer of the court, the court may order that you be arrested. Also, if one day's attendance and traveling fees have been paid to you and you do not come to court and testify, without reasonable excuse, you will be fined not more than $25.00 (twenty-five dollars) and pay all damages to the aggrieved party. The party requesting the subpoena is responsible for paying the witness fees. Any questions regarding this subpoena should be directed to the person who requested it. 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 the clerk of the court at the Address of Court shown above. Phone number (with area code): Return Of Service Judicial District of Date ss. Then and there I made service of the within subpoena not less than eighteen hours prior to the time designated for the person summoned to appear, by reading the same in the presence and hearing/leaving a true and attested copy hereof in the hands/at the last usual place of abode of each of the within-named persons, viz: Fees Copy Endorsement Service Travel (Show miles & amount) Attest (Signature of proper officer or indifferent person) Distribution: Original - Return to clerk after making service Title (If applicable) Copy 1 - Witness Total Copy 2 - Court file American LegalNet, Inc. www.FormsWorkFlow.com