Form JD-FM-172 "Affidavit Concerning Military Service - Juvenile Matters" - Connecticut

What Is Form JD-FM-172?

This is a legal form that was released by the Connecticut Superior Court - a government authority operating within Connecticut. Check the official instructions before completing and submitting the form.

Form Details:

  • Released on December 1, 2008;
  • 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;

Download a fillable version of Form JD-FM-172 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-172 "Affidavit Concerning Military Service - Juvenile Matters" - Connecticut

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AFFIDAVIT CONCERNING MILITARY
STATE OF CONNECTICUT
SERVICE — JUVENILE MATTERS
SUPERIOR COURT
JD-JM-172 New 12-08
JUVENILE MATTERS
P.B. § 17-21
www.jud.ct.gov
Instructions to Petitioner
(1) This form must be filed in every juvenile matters case in which there is a nonappearing respondent in
addition to any other required affidavits.
(2) Complete the form, swear that your statement is true and sign it in front of a notary public or a
commissioner of the Superior Court.
(3) File the original with the clerk and keep a copy for yourself.
Explanation: The purpose of this affidavit is to protect men and women serving in the U.S. Military from
getting a court judgment against them without first receiving notice of the action and having an opportunity to
respond. The affidavit gives the Court the necessary facts to find that the respondent is not in the U.S.
Military.
Address of Court
Telephone Number
Docket Number
Name and Address of Child/Youth
Date of Birth
Name and Address of Mother
Name and Address of Father
Name and Address of Legal Guardian
I certify that the following is true with respect to the respondent
(check all that apply and complete):
the respondent's whereabouts is unknown and a diligent search has been conducted for his/her location.
the respondent is in the U.S. Military.
the respondent is not in the U.S. Military. I know this because:
the respondent is working at:
the respondent currently lives at:
other (state reasons):
A search for military status was conducted on the public website https://www.dmdc.osd.mil/scra/owa/home. A copy
of the report is attached to this affidavit.
Letters were sent on
to the 4 branches of the armed services. Responses are attached or
(Date)
remain pending for the following branches:
Army
Navy
Air Force
Marine Corps
By duly authorized agency representative:
Signature, if not agency:
Signed (Duly authorized representative)
Signed
Print or Type Name of Person Signing Above
Print or Type Name of Person Signing Above
Signed and Sworn to before me (Assistant Clerk/Notary Public/Commissioner of Superior Court)
At (Town, State)
On (Date)
PRINT
RESET
AFFIDAVIT CONCERNING MILITARY
STATE OF CONNECTICUT
SERVICE — JUVENILE MATTERS
SUPERIOR COURT
JD-JM-172 New 12-08
JUVENILE MATTERS
P.B. § 17-21
www.jud.ct.gov
Instructions to Petitioner
(1) This form must be filed in every juvenile matters case in which there is a nonappearing respondent in
addition to any other required affidavits.
(2) Complete the form, swear that your statement is true and sign it in front of a notary public or a
commissioner of the Superior Court.
(3) File the original with the clerk and keep a copy for yourself.
Explanation: The purpose of this affidavit is to protect men and women serving in the U.S. Military from
getting a court judgment against them without first receiving notice of the action and having an opportunity to
respond. The affidavit gives the Court the necessary facts to find that the respondent is not in the U.S.
Military.
Address of Court
Telephone Number
Docket Number
Name and Address of Child/Youth
Date of Birth
Name and Address of Mother
Name and Address of Father
Name and Address of Legal Guardian
I certify that the following is true with respect to the respondent
(check all that apply and complete):
the respondent's whereabouts is unknown and a diligent search has been conducted for his/her location.
the respondent is in the U.S. Military.
the respondent is not in the U.S. Military. I know this because:
the respondent is working at:
the respondent currently lives at:
other (state reasons):
A search for military status was conducted on the public website https://www.dmdc.osd.mil/scra/owa/home. A copy
of the report is attached to this affidavit.
Letters were sent on
to the 4 branches of the armed services. Responses are attached or
(Date)
remain pending for the following branches:
Army
Navy
Air Force
Marine Corps
By duly authorized agency representative:
Signature, if not agency:
Signed (Duly authorized representative)
Signed
Print or Type Name of Person Signing Above
Print or Type Name of Person Signing Above
Signed and Sworn to before me (Assistant Clerk/Notary Public/Commissioner of Superior Court)
At (Town, State)
On (Date)
PRINT
RESET