Form JD-JM-141 "Motion for Intervention in Juvenile Matters" - Connecticut

What Is Form JD-JM-141?

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 October 1, 2012;
  • 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-141 by clicking the link below or browse more documents and templates provided by the Connecticut Superior Court.

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Download Form JD-JM-141 "Motion for Intervention in Juvenile Matters" - Connecticut

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CONNECTICUT SUPERIOR COURT
MOTION FOR INTERVENTION IN
Instructions
JUVENILE MATTERS
JUVENILE MATTERS
1. Complete the form below to intervene in an existing
www.jud.ct.gov
case and file it with the Court Clerk.
JD-JM-141 Rev. 10-12
C.G.S. §§ 46b-57; 46b-129(c)(d); 46b-136;
2. You must also file an Appearance form (JD-JM-13).
PB §§ 35a-4; 35a-20;
P.A. 12-1 June 12 Special Session, Secs. 272 and 273
ADA NOTICE
If this motion is granted, you must come to court
The Judicial Branch of the State of Connecticut complies with the Americans with
in person, with or without counsel. Be advised
Disabilities Act (ADA). If you need a reasonable accommodation in accordance with
Notice:
that you will not be assigned an attorney at state
the ADA, contact a court clerk or an ADA contact person listed at www.jud.ct.gov/ADA.
expense unless the Judge determines that the
interests of justice require such an assignment.
Docket number
Address of court
Court date and time
Child's name (First, middle, last)
Date of birth
Name(s) of parent(s) or guardian(s) (First, middle initial, last)
"X" here if additional children are listed on a separate sheet.
Name of person filing this motion (Last, first, middle initial)
Phone number
Address of person filing this motion (Number, street, town, state, zip code)
 1. I am the (State relationship to child or children):
 2. I want to be made a party to this case.
 3. I request the Court's permission to intervene in this case:
as a sibling of a child committed to the Department of Children and Families.
as a person related to the child or youth by blood or marriage.
as an interested third party.
 4.
To be heard concerning visitation with the child or youth.
 5.
Only to request that the Department of Children and Families place the child or youth with me as a foster home placement.
 6.
Only to seek temporary custody of the child or youth.
 7.
Only to seek guardianship of the child or youth.
 8.
Only to take part in the dispositional phase of the case for the following reason other than seeking visitation, temporary
custody or guardianship:
 9.
To request the court to modify its earlier award of guardianship.
10.
To file a motion to reopen and modify the permanent legal guardianship.
Print name of person signing at left
Signature
u
I certify that a copy of this motion was mailed or delivered on
(date) to all counsel and self-represented (pro se)
parties of record.
Print name of person signing at left
Signature
u
Name and address of each party this motion was mailed or delivered to*
*If necessary, attach an additional sheet with name of each party and the address at which the copy was mailed or delivered to. You may use form JD-CV-67.
Order (To be completed by the court)
Granted
Denied
The motion having been presented to, and heard by the court, it is ordered:
The court may terminate your intervenor status if your participation in the case is no longer warranted or necessary.
By the court (Name of Judge)
Signed (Judge/Assistant Clerk)
Print name of person signing at left
Date signed
, J.
Print Form
Reset Form
CONNECTICUT SUPERIOR COURT
MOTION FOR INTERVENTION IN
Instructions
JUVENILE MATTERS
JUVENILE MATTERS
1. Complete the form below to intervene in an existing
www.jud.ct.gov
case and file it with the Court Clerk.
JD-JM-141 Rev. 10-12
C.G.S. §§ 46b-57; 46b-129(c)(d); 46b-136;
2. You must also file an Appearance form (JD-JM-13).
PB §§ 35a-4; 35a-20;
P.A. 12-1 June 12 Special Session, Secs. 272 and 273
ADA NOTICE
If this motion is granted, you must come to court
The Judicial Branch of the State of Connecticut complies with the Americans with
in person, with or without counsel. Be advised
Disabilities Act (ADA). If you need a reasonable accommodation in accordance with
Notice:
that you will not be assigned an attorney at state
the ADA, contact a court clerk or an ADA contact person listed at www.jud.ct.gov/ADA.
expense unless the Judge determines that the
interests of justice require such an assignment.
Docket number
Address of court
Court date and time
Child's name (First, middle, last)
Date of birth
Name(s) of parent(s) or guardian(s) (First, middle initial, last)
"X" here if additional children are listed on a separate sheet.
Name of person filing this motion (Last, first, middle initial)
Phone number
Address of person filing this motion (Number, street, town, state, zip code)
 1. I am the (State relationship to child or children):
 2. I want to be made a party to this case.
 3. I request the Court's permission to intervene in this case:
as a sibling of a child committed to the Department of Children and Families.
as a person related to the child or youth by blood or marriage.
as an interested third party.
 4.
To be heard concerning visitation with the child or youth.
 5.
Only to request that the Department of Children and Families place the child or youth with me as a foster home placement.
 6.
Only to seek temporary custody of the child or youth.
 7.
Only to seek guardianship of the child or youth.
 8.
Only to take part in the dispositional phase of the case for the following reason other than seeking visitation, temporary
custody or guardianship:
 9.
To request the court to modify its earlier award of guardianship.
10.
To file a motion to reopen and modify the permanent legal guardianship.
Print name of person signing at left
Signature
u
I certify that a copy of this motion was mailed or delivered on
(date) to all counsel and self-represented (pro se)
parties of record.
Print name of person signing at left
Signature
u
Name and address of each party this motion was mailed or delivered to*
*If necessary, attach an additional sheet with name of each party and the address at which the copy was mailed or delivered to. You may use form JD-CV-67.
Order (To be completed by the court)
Granted
Denied
The motion having been presented to, and heard by the court, it is ordered:
The court may terminate your intervenor status if your participation in the case is no longer warranted or necessary.
By the court (Name of Judge)
Signed (Judge/Assistant Clerk)
Print name of person signing at left
Date signed
, J.
Print Form
Reset Form