Form JD-JM-58A "Notice of Temporary Custody/Order to Apper" - Connecticut

What Is Form JD-JM-58A?

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 December 1, 2015;
  • 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-JM-58A by clicking the link below or browse more documents and templates provided by the Connecticut Superior Court.

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NOTICE OF TEMPORARY
STATE OF CONNECTICUT
CUSTODY/ORDER TO APPEAR
SUPERIOR COURT
JUVENILE MATTERS
JD-JM-58A
Rev. 12-15
C.G.S. § 46B-129(B); PA 11-51, Sec. 19;
www.jud.ct.gov
P.B. §§ 32a-1(g); 33a-6(e)
Address of court
Telephone number
Fax number
Docket number
Name of child/youth
Address of child/youth
Date of birth
Name, address, and type (if applicable) (mother, father, guardian, putative father)
Date of birth
Indian tribe/reservation
Name, address, and type (if applicable) (mother, father, guardian, putative father)
Date of birth
Indian tribe/reservation
Name, address, and type (if applicable) (mother, father, guardian, putative father)
Date of birth
Indian tribe/reservation
Name, address, and type (if applicable) (mother, father, guardian, putative father)
Date of birth
Indian tribe/reservation
If parent(s) is/are minor(s), name(s) of grandparent(s) or guardian(s)
Address(es) of grandparent(s) or guardian(s)
Notice
1. The attached order is based on allegations that conditions in the home or elsewhere endanger the safety and welfare of
the child or youth;
2. A preliminary hearing will be held on
at
.m.;
(date)
(time)
3. If you do not come to the hearing, the court may take action against you;
4. At the hearing you will have the opportunity to tell the court your position concerning the alleged facts;
5. You have the right to remain silent; any statement that you make may be introduced into evidence against you;
6. You have the right to be represented by an attorney. If you want an attorney but cannot pay for one, the court will make
sure that an attorney is provided to you by the Chief Public Defender if you prove you cannot pay for one;
7. You may apply for an attorney by going in person to the court address listed above and completing the JD-JM-114
Application for Appointment of Counsel/Waiver of Fees form. If you are unable to go to court in person, mail or fax the
completed application form to the court before the court date on the attached order form. It is recommended that you
submit the application form as soon as possible so the attorney can prepare for the hearing.
If you have any questions about the case or appointment of counsel you should go to the court, or contact the clerk's
office or contact the Chief Public Defender as soon as possible.
The court will promptly determine if you are eligible for state-paid representation. If the court determines that you are
eligible for an attorney, the court will promptly notify the Chief Public Defender who will assign an attorney to represent
you.
8. You may request that the Department of Children and Families investigate placing the child or youth with a person related
to the child or youth by blood or marriage who might serve as a licensed foster parent or temporary custodian for the child
or youth.
9. No parent who is the subject of a petition shall be compelled to testify if the testimony might tend to incriminate in any
criminal proceeding or to establish the validity of the facts alleged in the petition.
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.
Print Form
Reset Form
NOTICE OF TEMPORARY
STATE OF CONNECTICUT
CUSTODY/ORDER TO APPEAR
SUPERIOR COURT
JUVENILE MATTERS
JD-JM-58A
Rev. 12-15
C.G.S. § 46B-129(B); PA 11-51, Sec. 19;
www.jud.ct.gov
P.B. §§ 32a-1(g); 33a-6(e)
Address of court
Telephone number
Fax number
Docket number
Name of child/youth
Address of child/youth
Date of birth
Name, address, and type (if applicable) (mother, father, guardian, putative father)
Date of birth
Indian tribe/reservation
Name, address, and type (if applicable) (mother, father, guardian, putative father)
Date of birth
Indian tribe/reservation
Name, address, and type (if applicable) (mother, father, guardian, putative father)
Date of birth
Indian tribe/reservation
Name, address, and type (if applicable) (mother, father, guardian, putative father)
Date of birth
Indian tribe/reservation
If parent(s) is/are minor(s), name(s) of grandparent(s) or guardian(s)
Address(es) of grandparent(s) or guardian(s)
Notice
1. The attached order is based on allegations that conditions in the home or elsewhere endanger the safety and welfare of
the child or youth;
2. A preliminary hearing will be held on
at
.m.;
(date)
(time)
3. If you do not come to the hearing, the court may take action against you;
4. At the hearing you will have the opportunity to tell the court your position concerning the alleged facts;
5. You have the right to remain silent; any statement that you make may be introduced into evidence against you;
6. You have the right to be represented by an attorney. If you want an attorney but cannot pay for one, the court will make
sure that an attorney is provided to you by the Chief Public Defender if you prove you cannot pay for one;
7. You may apply for an attorney by going in person to the court address listed above and completing the JD-JM-114
Application for Appointment of Counsel/Waiver of Fees form. If you are unable to go to court in person, mail or fax the
completed application form to the court before the court date on the attached order form. It is recommended that you
submit the application form as soon as possible so the attorney can prepare for the hearing.
If you have any questions about the case or appointment of counsel you should go to the court, or contact the clerk's
office or contact the Chief Public Defender as soon as possible.
The court will promptly determine if you are eligible for state-paid representation. If the court determines that you are
eligible for an attorney, the court will promptly notify the Chief Public Defender who will assign an attorney to represent
you.
8. You may request that the Department of Children and Families investigate placing the child or youth with a person related
to the child or youth by blood or marriage who might serve as a licensed foster parent or temporary custodian for the child
or youth.
9. No parent who is the subject of a petition shall be compelled to testify if the testimony might tend to incriminate in any
criminal proceeding or to establish the validity of the facts alleged in the petition.
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.
Print Form
Reset Form