APPLICATION FOR ISSUANCE OF SUBPOENA JUVENILE MATTERS JD-JM-150 Rev. 12-15 C.G.S. § 46b-120; P.B. §§ 7-19; 32a-2(c) STATE OF CONNECTICUT SUPERIOR COURT JUVENILE MATTERS www.jud.ct.gov 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 AISBPPP *AISBPPP* Court location (Address) Docket number Case type Name of juvenile Child Protection Delinquency Family With Service Needs Emancipation Other Application I am a self-represented party in this matter and seek to compel the attendance of the individual(s) listed below to testify in this case. I believe that the testimony is necessary and request a judge review this application ex parte and, if the judge determines that the issuance of the subpoena(s) is(are) warranted, direct the clerk of the court to issue the subpoena(s). I understand that I am responsible for arranging for service of the subpoena(s) and that I am responsible for any expenses incurred unless the court determines that I am financially unable to pay. Name(s) and address(es) of individual(s) for whom subpoena(s) requested Name of individual Address (Number, street, and town) 1. Reason why testimony from individual is necessary Items which individual must bring to court Name of individual Address (Number, street, and town) 2. Reason why testimony from individual is necessary Items which individual must bring to court Name of individual Address (Number, street, and town) 3. Reason why testimony from individual is necessary Items which individual must bring to court Proceedings for which subpoena(s) requested ("X" appropriate box) Trial scheduled for (Date) Before Judge (If known) Contested motion/Application hearing scheduled for (Date) Short Calendar matter scheduled for (Date) Preliminary hearing scheduled for (Date) Signed (Self-represented applicant) Before Judge (If known) Other (Specify) Print name Telephone number (Area code first) Date signed Order After review and consideration of this application under sections 7-19 and 32a-2(c) of the Connecticut Practice Book, the application is: granted. denied. The clerk of this court is directed to issue the subpoena(s): As requested above. As requested above, except: As to the following individuals only: By the Court Signed (Judge) Date of Order Page 1 of 2 (Continued on next page) American LegalNet, Inc. www.FormsWorkFlow.com Request for Hearing on Denied Application I request a court hearing on the Application for Issuance of Subpoena denied on Signed (Applicant) Date . Date signed HEARING TO BE HELD AT THE COURT LOCATION SHOWN ON THE DATE AND TIME SHOWN BELOW: Hearing on (Date) At (Time) Signed (Assistant Clerk) Order After Hearing The application is: Denied. Granted as follows: By the Court (Print or type name of Judge) On (Date) Signed (Judge, Ass't Clerk) Date signed JD-JM-150 Rev. 12-15 Page 2 of 2 American LegalNet, Inc. www.FormsWorkFlow.com