PANEL CASES STATEOF CONNECTICUT CAS E TYPE CLIENT CODE KEY MONTHLYREPORT SUPERIORCOURT CP ChildProtection C Child DGrandparent P Parent AAunt JD-JM-133ARev.1-2003 www.jud.state.ct.us DL Delinquency FN Family With O Other(specify) UUncle ServiceNeeds G GAL-Child ROtherRelative YC Youthi nC risis B GAL-Parent LLegalGuardian TP Terminationof V Victim FFosterParent ParentalRights MMentor SStepParentINSTRUCTIONS: Provide all information requestedand complete all boxes. COURT LOCATION (JuvenileMattersat) NAMEOFATTORNEYOR FIRM MONTHAND YEAR CASE CLIENTNAME (PANELCASE) CODE CHILDSNAME DOCKETNO. DATE OPENED DATECLOSED TYPE The representations containedhe rein a rem adeu nde r the penaltiesof falsestatement. TOTALS 0 0Date Attorneys Signature