E Services Electronic Attorney Registration Exemption Request Download Free Print-Only PDF OR Purchase Interactive PDF Version of this Form
E Services Electronic Attorney Registration Exemption Request Form. This is a Connecticut form and can be use in Grievance Statewide.
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Tags: E Services Electronic Attorney Registration Exemption Request, JD-GC-18, Connecticut Statewide, Grievance
E-SERVICES ELECTRONIC ATTORNEY
REGISTRATION EXEMPTION REQUEST
STATE OF CONNECTICUT
STATEWIDE GRIEVANCE COMMITTEE
JUDICIAL BRANCH
JD-GC-18 New 6-06
Pr. Bk. Sec. 2-27(d),(e)
www.jud.ct.gov
INSTRUCTIONS
1. Type or print clearly.
2. File this form with the Statewide Grievance Committee at the below address
no later than November 1st of the year preceding the year of the annual
registration for which you are requesting an exemption.
3. You must submit a new request for exemption each year.
4. Keep a copy of this form for your records.
TO: Statewide Grievance Committee, 287 Main St., Second Floor, East Hartford, CT 06118-1885 (Tel. 860 568-5157)
NAME OF ATTORNEY
JURIS NUMBER
ADDRESS OF ATTORNEY
TELEPHONE NO. (Include area code)
REASON FOR EXEMPTION REQUEST
I hereby request an exemption from the requirement that I register electronically through E-Services to comply with
the annual attorney registration pursuant to Practice Book § 2-27(d) and (e) for the following reason(s):
I am requesting this exemption for (specify year):
SIGNED (Attorney making request)
DATE SIGNED
X
FOR STATEWIDE GRIEVANCE COMMITTEE USE ONLY - DO NOT WRITE BELOW THIS LINE
The Statewide Grievance Committee has considered this request and it is hereby:
GRANTED. (You will receive a paper copy of your registration form.
You will need to return the form by the date indicated on it in
order to comply with Practice Book § 2-27(d) and (e).)
DENIED.
(You must register electronically through E-Services when
notified by the Statewide Grievance Committee in order to
comply with Practice Book § 2-27(d) and (e).)
SIGNED (Statewide/Assistant Bar Counsel)
FILE DATE
DATE SIGNED
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