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Order Or Summons Form. This is a Connecticut form and can be use in Juvenile Statewide.
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Tags: Order Or Summons, JD-JM-70, Connecticut Statewide, Juvenile
ORDER/SUMMONS
STATE OF CONNECTICUT
SUPERIOR COURT
JUVENILE MATTERS
JD-JM-70 Rev. 7-12
C.G.S. ยงยง 46b-120; 46b-128(b);
46b-129(a); 46b-149(d)
Pr. Bk. Sec. 29-2, 32a-1(g)
www.jud.ct.gov
Court location
Telephone number
Name of child
Docket number
Address of child
A petition has been filed alleging
delinquency
family with service needs
neglect
uncared for
Date of birth
abused
termination of parental rights
other
By authority of the State of Connecticut, the following persons are summoned to appear before the court on the
Hearing Date and at the Court Location shown below by having the Marshal of the appropriate County, a Probation
Officer, Court Officer for Juvenile Matters, or any officer authorized by law to serve process leave a true and attested
copy of the Order, Summons and Petition (if applicable) on or before (date)
with or at their usual
place of abode of:
Name
Address
Name
Address
Name
Address
Name
Address
Name
Address
Date
Time of Hearing
.m.
Hearing Date T
Number, street
Telephone
Court Location T
Town, state and zip code
If the petition claims delinquency or family with service needs, the child must be accompanied by at least one parent.
By order of the court (Signed - Judge/Clerk)
Date signed
Right to Counsel: You have the right to be represented by an attorney and if you want an attorney but cannot pay for one,
and if you give proof that you cannot pay, the court will make sure that an attorney is provided for you by the Chief Public
Defender. Your request should be made immediately at the court office where your hearing is to be held.
Right to Remain Silent: You have the right to refuse to make any statements; any statements that you make may be
introduced in evidence and used against you.
ADA Notice
The Judicial Branch of the State of Connecticut complies with the Americans with Disabilities
Act (ADA). If you need a reasonable accommodation under the ADA, contact the court clerk
at the number listed above or an ADA contact person listed at www.jud.ct.gov/ADA.
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Return of Service
STATE OF CONNECTICUT
County of
Docket number
Name of person(s) served
Date of service
SS.
Fees
Then and there, I duly served the foregoing petition, order and summons on the above-named
respondent(s), by either (check one):
leaving with (for in hand); or
leaving at the usual place of abode (for abode)
at__________________________________________
The within and foregoing is a true and attested copy of the original petition, order, and summons.
Attest (Signature and title of proper officer)
Copy
Endorsement
Service
Travel
Total
STATE OF CONNECTICUT
County of
Name of person(s) served
Date of service
SS.
Fees
Then and there, I duly served the foregoing petition, order and summons on the above-named
respondent(s), by either (check one):
leaving with (for in hand); or
leaving at the usual place of abode (for abode)
at__________________________________________
The within and foregoing is a true and attested copy of the original petition, order, and summons.
Attest (Signature and title of proper officer)
Copy
Endorsement
Service
Travel
Total
STATE OF CONNECTICUT
County of
Name of person(s) served
Date of service
SS.
Fees
Copy
Then and there, I duly served the foregoing petition, order and summons on the above-named
respondent(s), by either (check one):
leaving with (for in hand); or
leaving at the usual place of abode (for abode)
at__________________________________________
Endorsement
Service
Travel
The within and foregoing is a true and attested copy of the original petition, order, and summons.
Attest (Signature and title of proper officer)
Total
For Mail Service
STATE OF CONNECTICUT
County of
United States Port Office at (Town)
Date of service
SS.
Then and there, by virtue hereof, I made service of the within petition, order and summons by
depositing a true and attested copy by United States Post mail, postage prepaid, addressed to
______________________________________________________________, by (check one):
restricted delivery, return receipt requested; or
first class mail; or
certified mail, return receipt requested.
The within and foregoing is the original petition, order and summons with my doings thereon endorsed.
Attest (Signature and title of proper officer)
JD-JM-70 Rev. 7-12
Fees
Copy
Endorsement
Service
Travel
Total
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