Form JD-JM-194 "Guardian Ad Litem Request for in Court Judicial Review" - Connecticut

What Is Form JD-JM-194?

This is a legal form that was released by the Connecticut Judicial Branch - 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 April 1, 2012;
  • The latest edition provided by the Connecticut Judicial Branch;
  • 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-194 by clicking the link below or browse more documents and templates provided by the Connecticut Judicial Branch.

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Download Form JD-JM-194 "Guardian Ad Litem Request for in Court Judicial Review" - Connecticut

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GUARDIAN AD LITEM REQUEST
STATE OF CONNECTICUT
FOR IN-COURT JUDICIAL REVIEW
JUDICIAL BRANCH
JD-JM-194 New 4-12
www.jud.ct.gov
Instruction to preparer:
The Judicial Branch of the State of Connecticut complies with the
Fill out this form and file it with the court.
Americans with Disabilities Act (ADA). If you need a reasonable
Instruction to clerk:
accommodation in accordance with the ADA, contact a court clerk
Schedule the in-court judicial review and notify all appearing attorneys and
or an ADA contact person listed at www.jud.ct.gov/ADA/.
self-represented parties in the case.
Juvenile District at
Docket number
Name of child or children
Mother's name (Last, first)
Father's name (Last, first)
As court-appointed guardian ad litem for the minor child or children in this matter, I request an in-
court judicial review be scheduled by the court with all parties and counsel present.
I represent to the court that:
This is an urgent matter affecting the child or the children:
Regarding the safety of the child or the children.
Regarding compliance with existing court orders.
This is not an urgent matter but requires the court's attention.
This matter is on appeal. I am requesting the appointment of an attorney under Section 67-13 of
the Connecticut Practice Book.
Print name of person signing at left
Date signed
Signed (Guardian Ad Litem for the minor child or children)
Certification
I certify that a copy of this document was mailed or delivered on (date)
to all attorneys and self-represented parties of
record.
Name and address of each party and attorney that copy was mailed or delivered to*
*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
Signed (Guardian Ad Litem)
Mailing address
Telephone number
Print Form
Reset Form
GUARDIAN AD LITEM REQUEST
STATE OF CONNECTICUT
FOR IN-COURT JUDICIAL REVIEW
JUDICIAL BRANCH
JD-JM-194 New 4-12
www.jud.ct.gov
Instruction to preparer:
The Judicial Branch of the State of Connecticut complies with the
Fill out this form and file it with the court.
Americans with Disabilities Act (ADA). If you need a reasonable
Instruction to clerk:
accommodation in accordance with the ADA, contact a court clerk
Schedule the in-court judicial review and notify all appearing attorneys and
or an ADA contact person listed at www.jud.ct.gov/ADA/.
self-represented parties in the case.
Juvenile District at
Docket number
Name of child or children
Mother's name (Last, first)
Father's name (Last, first)
As court-appointed guardian ad litem for the minor child or children in this matter, I request an in-
court judicial review be scheduled by the court with all parties and counsel present.
I represent to the court that:
This is an urgent matter affecting the child or the children:
Regarding the safety of the child or the children.
Regarding compliance with existing court orders.
This is not an urgent matter but requires the court's attention.
This matter is on appeal. I am requesting the appointment of an attorney under Section 67-13 of
the Connecticut Practice Book.
Print name of person signing at left
Date signed
Signed (Guardian Ad Litem for the minor child or children)
Certification
I certify that a copy of this document was mailed or delivered on (date)
to all attorneys and self-represented parties of
record.
Name and address of each party and attorney that copy was mailed or delivered to*
*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
Signed (Guardian Ad Litem)
Mailing address
Telephone number
Print Form
Reset Form