Form JD-FM-111 "Appeal From Family Support Magistrate" - Connecticut

What Is Form JD-FM-111?

This is a legal form that was released by the Connecticut Superior Court - a government authority operating within Connecticut. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

  • Released on February 1, 2020;
  • The latest edition provided by the Connecticut Superior Court;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a fillable version of Form JD-FM-111 by clicking the link below or browse more documents and templates provided by the Connecticut Superior Court.

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Download Form JD-FM-111 "Appeal From Family Support Magistrate" - Connecticut

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APPEAL FROM FAMILY
COURT USE ONLY
STATE OF CONNECTICUT
SUPPORT MAGISTRATE
APFFSM
SUPERIOR COURT
JD-FM-111 Rev. 2-20
www.jud.ct.gov
C.G.S. § 46b-231(n), P.B. §§ 25a-5, 25a-29
*APFFSM*
For information on ADA accommodations,
Instructions to person appealing the decision (Appellant)
contact a court clerk or go to: www.jud.ct.gov/ADA.
1. Type or print this form neatly and sign the certification section below.
2. Give the reasons for the appeal on this form and, if necessary, on a separate piece of paper with
Instructions to Clerk
the title of Petition and attach that petition to this form.
1. Provide a copy of the filed appeal form and all sheets that are
3. Mail or deliver a copy of this form and all sheets that are attached, if any, to each party in the
attached, if any, to the Family Support Magistrate whose decision is
case, and mail one copy, by certified mail, to the following address: OFFICE OF ATTORNEY
being appealed.
GENERAL, CHILD SUPPORT DEPARTMENT, 165 CAPITOL AVENUE, HARTFORD, CT 06106.
2. Provide a copy of the Superior Court Judge's verbal or written
4. Give this form, and all sheets that are attached, if any, to the clerk of the court for the Judicial
decision on the appeal to the Family Support Magistrate.
District where the magistrate's decision was made WITHIN 14 DAYS OF:
3. Code this appeal into the court file using the docket legend above. If
a. the date the final decision of the magistrate was given to the clerk, or
this appeal is from a Uniform Interstate Child Support Act (UIFSA)
b. if a rehearing was asked for, and a decision was made on that request, the date the
matter and the file is maintained by Support Enforcement Services,
notice of the decision on the request was given to the clerk, whichever is later.
create a Judicial District court file using the F87 case type.
Name of case
Docket number
Name and address of Court
Name of magistrate who made decision
Date magistrate's decision was filed with (given to) the Court
Date decision on request for rehearing was filed with the Court (If a request was filed)
Attorney for plaintiff (Include Juris number) or name of
Attorney for respondent (Include Juris number) or name of
self-represented party
self-represented party
Attorneys or self-represented (pro se)
u
party or parties at magistrate hearing
Transcript
Explain why a transcript is not necessary (if applicable):
Has been ordered
Not necessary
No
Yes
- If yes, attach statement pursuant to section 46b-231(n)(5) of the Connecticut General Statutes
Additional evidence requested
Notice
When a Family Support Magistrate decision is appealed, the support order remains in effect until the appeal is decided. When the appeal
is decided, the decision may change the original support order or the original support order may remain in effect without any changes.
Any order made by the court as a result of this appeal may be made effective beginning on the date the original order was made.
Petition
The reasons for this appeal are:*
*If necessary, attach additional sheet(s).
Telephone number
Juris number of attorney
Signed (Attorney or self-represented party)
Appeal by:
Name of person signing above
Mailing address
Certification
I certify that a copy of this document was or will immediately be mailed or delivered electronically or non-electronically on
to all attorneys and self-represented parties of record and that written consent for electronic delivery was
(date)
received from all attorneys and self-represented parties of record who received or will immediately be receiving electronic delivery.
Name and address of each party and attorney that copy was or will be mailed or delivered to*
*If necessary, attach additional sheet or sheets with name and address which the copy was or will be mailed or delivered to.
Mailing address (Number, street, town, state and zip code)
Telephone number
Signed (Attorney or self-represented party)
Court Use Only
u
File date
Print or type name and mailing address of person signing
I further certify that a copy was mailed, by certified mail, to the Office of the Attorney General,
Child Support Department, 165 Capitol Avenue, Hartford, CT 06106.
Print Form
Reset Form
APPEAL FROM FAMILY
COURT USE ONLY
STATE OF CONNECTICUT
SUPPORT MAGISTRATE
APFFSM
SUPERIOR COURT
JD-FM-111 Rev. 2-20
www.jud.ct.gov
C.G.S. § 46b-231(n), P.B. §§ 25a-5, 25a-29
*APFFSM*
For information on ADA accommodations,
Instructions to person appealing the decision (Appellant)
contact a court clerk or go to: www.jud.ct.gov/ADA.
1. Type or print this form neatly and sign the certification section below.
2. Give the reasons for the appeal on this form and, if necessary, on a separate piece of paper with
Instructions to Clerk
the title of Petition and attach that petition to this form.
1. Provide a copy of the filed appeal form and all sheets that are
3. Mail or deliver a copy of this form and all sheets that are attached, if any, to each party in the
attached, if any, to the Family Support Magistrate whose decision is
case, and mail one copy, by certified mail, to the following address: OFFICE OF ATTORNEY
being appealed.
GENERAL, CHILD SUPPORT DEPARTMENT, 165 CAPITOL AVENUE, HARTFORD, CT 06106.
2. Provide a copy of the Superior Court Judge's verbal or written
4. Give this form, and all sheets that are attached, if any, to the clerk of the court for the Judicial
decision on the appeal to the Family Support Magistrate.
District where the magistrate's decision was made WITHIN 14 DAYS OF:
3. Code this appeal into the court file using the docket legend above. If
a. the date the final decision of the magistrate was given to the clerk, or
this appeal is from a Uniform Interstate Child Support Act (UIFSA)
b. if a rehearing was asked for, and a decision was made on that request, the date the
matter and the file is maintained by Support Enforcement Services,
notice of the decision on the request was given to the clerk, whichever is later.
create a Judicial District court file using the F87 case type.
Name of case
Docket number
Name and address of Court
Name of magistrate who made decision
Date magistrate's decision was filed with (given to) the Court
Date decision on request for rehearing was filed with the Court (If a request was filed)
Attorney for plaintiff (Include Juris number) or name of
Attorney for respondent (Include Juris number) or name of
self-represented party
self-represented party
Attorneys or self-represented (pro se)
u
party or parties at magistrate hearing
Transcript
Explain why a transcript is not necessary (if applicable):
Has been ordered
Not necessary
No
Yes
- If yes, attach statement pursuant to section 46b-231(n)(5) of the Connecticut General Statutes
Additional evidence requested
Notice
When a Family Support Magistrate decision is appealed, the support order remains in effect until the appeal is decided. When the appeal
is decided, the decision may change the original support order or the original support order may remain in effect without any changes.
Any order made by the court as a result of this appeal may be made effective beginning on the date the original order was made.
Petition
The reasons for this appeal are:*
*If necessary, attach additional sheet(s).
Telephone number
Juris number of attorney
Signed (Attorney or self-represented party)
Appeal by:
Name of person signing above
Mailing address
Certification
I certify that a copy of this document was or will immediately be mailed or delivered electronically or non-electronically on
to all attorneys and self-represented parties of record and that written consent for electronic delivery was
(date)
received from all attorneys and self-represented parties of record who received or will immediately be receiving electronic delivery.
Name and address of each party and attorney that copy was or will be mailed or delivered to*
*If necessary, attach additional sheet or sheets with name and address which the copy was or will be mailed or delivered to.
Mailing address (Number, street, town, state and zip code)
Telephone number
Signed (Attorney or self-represented party)
Court Use Only
u
File date
Print or type name and mailing address of person signing
I further certify that a copy was mailed, by certified mail, to the Office of the Attorney General,
Child Support Department, 165 Capitol Avenue, Hartford, CT 06106.
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