Form JD-JM-134 "School Violence Prevention Program - Motion, Order, Disposition" - Connecticut

What Is Form JD-JM-134?

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, 2017;
  • 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-134 by clicking the link below or browse more documents and templates provided by the Connecticut Superior Court.

ADVERTISEMENT
ADVERTISEMENT

Download Form JD-JM-134 "School Violence Prevention Program - Motion, Order, Disposition" - Connecticut

Download PDF

Fill PDF online

Rate (4.8 / 5) 44 votes
SCHOOL VIOLENCE
PREVENTION PROGRAM
STATE OF CONNECTICUT
MOTION, ORDER, DISPOSITION
SUPERIOR COURT
www.jud.ct.gov
JD-JM-134 Rev. 10-17
C.G.S. § 46b-133e
P.A. 17-99 § 4
Instructions to Preparer
1. Original to clerk of court.
2. Forward a copy to juvenile prosecutor.
To: The Superior Court of the State of Connecticut
Address of Court
Docket number
From (Name of child)
Sex
Date of birth
Address of child (Number, street, town and apartment number)
Telephone number
Crime charged against the child involving the use or threatened use of physical violence
In violation of General Statute
Date of offense
In or on real property of elementary or secondary school
Offense
location:
At school-sponsored activity as defined in Section 10-233a(h) of the Connecticut General Statutes
Specify name and address of school and description and location of school-sponsored activity
I have been charged with the offense noted above involving the use or threatened use of physical violence in or on the real
property comprising a public or private elementary or secondary school or at a school-sponsored activity. I am applying for
the School Violence Prevention Program. If my application is granted I agree:
1. To take part in a program of anger management and nonviolent conflict resolution consisting of group counseling
sessions and to satisfactorily complete such program.
2. To comply with any orders of the court.
3. That normally, the law requires that I be prosecuted in a certain time period and if I am accepted into this program, the
prosecutor will have more time to prosecute me if I don't finish it successfully (tolling of the statute of limitations).
I request that I be granted the School Violence Prevention Program under Section 46b-133e(a) of the Connecticut General
Statutes.
I have read this entire application, or have had it read to me, and understand it.
Date signed
Date signed
Signed (Child)
Consented and agreed to by (Parent or guardian)
Oath Of Parents Or Guardian
The child's parents or guardian stated under penalties of false statement before me, duly designated by the clerk and
authorized to administer oaths, that to the best of their knowledge and belief they do not possess nor does the child possess
any firearms, dangerous weapons, controlled substances or other property or materials the possession of which is prohibited
by law or in violation of law.
Print name of person signing at left
Date signed
Signed (Duly authorized person)
ADA NOTICE
The Judicial Branch of the State of Connecticut complies with the
Americans with Disabilities Act (ADA). If you need a reasonable
accommodation in accordance with the ADA, contact a court
clerk or an ADA contact person listed at www.jud.ct.gov/ADA.
(Page 1 of 2)
Print Form
Reset Form
SCHOOL VIOLENCE
PREVENTION PROGRAM
STATE OF CONNECTICUT
MOTION, ORDER, DISPOSITION
SUPERIOR COURT
www.jud.ct.gov
JD-JM-134 Rev. 10-17
C.G.S. § 46b-133e
P.A. 17-99 § 4
Instructions to Preparer
1. Original to clerk of court.
2. Forward a copy to juvenile prosecutor.
To: The Superior Court of the State of Connecticut
Address of Court
Docket number
From (Name of child)
Sex
Date of birth
Address of child (Number, street, town and apartment number)
Telephone number
Crime charged against the child involving the use or threatened use of physical violence
In violation of General Statute
Date of offense
In or on real property of elementary or secondary school
Offense
location:
At school-sponsored activity as defined in Section 10-233a(h) of the Connecticut General Statutes
Specify name and address of school and description and location of school-sponsored activity
I have been charged with the offense noted above involving the use or threatened use of physical violence in or on the real
property comprising a public or private elementary or secondary school or at a school-sponsored activity. I am applying for
the School Violence Prevention Program. If my application is granted I agree:
1. To take part in a program of anger management and nonviolent conflict resolution consisting of group counseling
sessions and to satisfactorily complete such program.
2. To comply with any orders of the court.
3. That normally, the law requires that I be prosecuted in a certain time period and if I am accepted into this program, the
prosecutor will have more time to prosecute me if I don't finish it successfully (tolling of the statute of limitations).
I request that I be granted the School Violence Prevention Program under Section 46b-133e(a) of the Connecticut General
Statutes.
I have read this entire application, or have had it read to me, and understand it.
Date signed
Date signed
Signed (Child)
Consented and agreed to by (Parent or guardian)
Oath Of Parents Or Guardian
The child's parents or guardian stated under penalties of false statement before me, duly designated by the clerk and
authorized to administer oaths, that to the best of their knowledge and belief they do not possess nor does the child possess
any firearms, dangerous weapons, controlled substances or other property or materials the possession of which is prohibited
by law or in violation of law.
Print name of person signing at left
Date signed
Signed (Duly authorized person)
ADA NOTICE
The Judicial Branch of the State of Connecticut complies with the
Americans with Disabilities Act (ADA). If you need a reasonable
accommodation in accordance with the ADA, contact a court
clerk or an ADA contact person listed at www.jud.ct.gov/ADA.
(Page 1 of 2)
Print Form
Reset Form
Order Of Court
("x" all that apply)
The Motion is denied.
The motion is granted and the pending delinquency proceeding is suspended for one year. The child shall be placed
under the supervision of a juvenile probation officer for placement in a school violence prevention program. The juvenile
probation officer will monitor compliance with the program and maintain contact with officials of the child's school.
Case continued to (Date and time)
Date signed
Signed (Judge, assistant clerk)
Final Progress Report
The child: ("X" one only).
Has satisfactorily completed the assigned program.
Has not satisfactorily completed the assigned program.
Date signed
Signed (Juvenile Probation Officer)
Disposition
Program satisfactorily completed, complied with other conditions of suspension, one year has elapsed since the child was
in the program and charges are dismissed.
Program not satisfactorily completed, suspension of delinquency proceedings terminated and case to be placed back on
the regular delinquency docket.
Date signed
Signed (Judge, assistant clerk)
JD-JM-134 (Back/page 2)
Rev. 10-17
(Page 2 of 2)
Print Form
Reset Form
Page of 2