Form JD-CL-122 "Certificate of Completion of Limited Appearance" - Connecticut

What Is Form JD-CL-122?

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, 2016;
  • 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-CL-122 by clicking the link below or browse more documents and templates provided by the Connecticut Superior Court.

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Download Form JD-CL-122 "Certificate of Completion of Limited Appearance" - Connecticut

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CERTIFICATE OF COMPLETION
STATE OF CONNECTICUT
(For Court Use Only)
OF LIMITED APPEARANCE
CERTCOM
SUPERIOR COURT
JD-CL-122 Rev. 2-16
www.jud.ct.gov
*CERTCOM*
P.B. 3-9(c)
Instructions to Attorneys:
ADA NOTICE
1. Fill out the form, including the certification section at the end of the form. File the
The Judicial Branch of the State of Connecticut complies
original paper version of this form with the clerk. Mail or deliver a copy to all
with the Americans with Disabilities Act (ADA). If you need a
attorneys and self-represented parties of record.
reasonable accommodation in accordance with the ADA,
2. Event(s) or Proceeding(s) for which this Certificate of Completion is being filed
contact a court clerk or an ADA contact person listed at
must exactly match the event(s) or proceeding(s) on the Limited Appearance form
www.jud.ct.gov/ADA.
JD-CL-121.
Docket number
-
-
-
- S
Name of Case (Full name of Plaintiff v. Full name of Defendant)
Address of Court (Number, state, town and zip code)
Judicial
Small
Housing
District
Claims
I have completed my representation for
for the following
(Name of party/parties)
event(s) and/or proceeding(s) as defined on the Limited Appearance (form JD-CL-121) filed with the court on
(Date filed)
Proceeding or
Proceeding or
Name of Proceeding or Event
Name of Proceeding or Event
Event Date
Event Date
Family - Hearing on Order for Relief from Abuse
Family - Conciliation Session
Civil Protection Order
Civil - Case Evaluation Conference
Pretrial Conference
Mediation
Status Conference
Other ADR Process Session
Civil - Discovery/Scheduling Order Conference
Foreclosure Mediation Program - Premediation
Trial Management Conference
Foreclosure Mediation Program - Mediation
Family - Special Masters Conference
Trial
Civil - Jury Selection
Pre-Judgment Motion(s) / Hearing(s)
(Provide additional description, if necessary)
Post-Judgment Motion(s) / Hearing(s)
(Provide additional description, if necessary)
Other (Specify):
(Provide additional description, if necessary. Be as specific as possible, for example: entry number(s), file date(s), title(s) of motion(s).)
Name of person signing at left (Print or type)
Juris number
Date signed
Signed (Individual attorney)
Certification
I certify that a copy of this document was or will immediately be mailed or delivered electronically or non-electronically on
(date)
to all attorneys and self-represented parties of record and that written consent for electronic
delivery was received from all attorneys and self-represented parties receiving electronic delivery.
Name and address of each party and attorney that copy was mailed or delivered to*
For Court Use Only
*If necessary, attach additional sheet or sheets with name and address which the copy was mailed or delivered to.
Print or type name of person signing
Date signed
Signed (Signature of filer)
u
Mailing address (Number, street, town, state and zip code)
Telephone number
Print Form
Reset Form
CERTIFICATE OF COMPLETION
STATE OF CONNECTICUT
(For Court Use Only)
OF LIMITED APPEARANCE
CERTCOM
SUPERIOR COURT
JD-CL-122 Rev. 2-16
www.jud.ct.gov
*CERTCOM*
P.B. 3-9(c)
Instructions to Attorneys:
ADA NOTICE
1. Fill out the form, including the certification section at the end of the form. File the
The Judicial Branch of the State of Connecticut complies
original paper version of this form with the clerk. Mail or deliver a copy to all
with the Americans with Disabilities Act (ADA). If you need a
attorneys and self-represented parties of record.
reasonable accommodation in accordance with the ADA,
2. Event(s) or Proceeding(s) for which this Certificate of Completion is being filed
contact a court clerk or an ADA contact person listed at
must exactly match the event(s) or proceeding(s) on the Limited Appearance form
www.jud.ct.gov/ADA.
JD-CL-121.
Docket number
-
-
-
- S
Name of Case (Full name of Plaintiff v. Full name of Defendant)
Address of Court (Number, state, town and zip code)
Judicial
Small
Housing
District
Claims
I have completed my representation for
for the following
(Name of party/parties)
event(s) and/or proceeding(s) as defined on the Limited Appearance (form JD-CL-121) filed with the court on
(Date filed)
Proceeding or
Proceeding or
Name of Proceeding or Event
Name of Proceeding or Event
Event Date
Event Date
Family - Hearing on Order for Relief from Abuse
Family - Conciliation Session
Civil Protection Order
Civil - Case Evaluation Conference
Pretrial Conference
Mediation
Status Conference
Other ADR Process Session
Civil - Discovery/Scheduling Order Conference
Foreclosure Mediation Program - Premediation
Trial Management Conference
Foreclosure Mediation Program - Mediation
Family - Special Masters Conference
Trial
Civil - Jury Selection
Pre-Judgment Motion(s) / Hearing(s)
(Provide additional description, if necessary)
Post-Judgment Motion(s) / Hearing(s)
(Provide additional description, if necessary)
Other (Specify):
(Provide additional description, if necessary. Be as specific as possible, for example: entry number(s), file date(s), title(s) of motion(s).)
Name of person signing at left (Print or type)
Juris number
Date signed
Signed (Individual attorney)
Certification
I certify that a copy of this document was or will immediately be mailed or delivered electronically or non-electronically on
(date)
to all attorneys and self-represented parties of record and that written consent for electronic
delivery was received from all attorneys and self-represented parties receiving electronic delivery.
Name and address of each party and attorney that copy was mailed or delivered to*
For Court Use Only
*If necessary, attach additional sheet or sheets with name and address which the copy was mailed or delivered to.
Print or type name of person signing
Date signed
Signed (Signature of filer)
u
Mailing address (Number, street, town, state and zip code)
Telephone number
Print Form
Reset Form