Form JD-CV-146 "Motion for Extension of Civil Protection Order" - Connecticut

What Is Form JD-CV-146?

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-CV-146 by clicking the link below or browse more documents and templates provided by the Connecticut Superior Court.

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Download Form JD-CV-146 "Motion for Extension of Civil Protection Order" - Connecticut

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MOTION FOR EXTENSION OF
STATE OF CONNECTICUT
CIVIL PROTECTION ORDER
SUPERIOR COURT
JD-CV-146 Rev. 10-17
www.jud.ct.gov
C.G.S. §§ 6-32, 46b-16a, 51-5c(a), 6-32(b), 53a-223c, 53a-107
Instructions to Person Filing Motion (Applicant):
1. Fill out on-line, or print clearly in ink, or use a typewriter.
2. If the applicant is under 18 years of age, the Motion for Extension must be signed and filed by an
ADA NOTICE
adult representative, also known as a "next friend." The next friend may be a parent, guardian or
other responsible adult.
The
Judicial
Branch
of
the
State
3. Give to clerk to set a hearing date; the clerk will return to you an original and a copy for service on
of Connecticut complies with the Americans
with Disabilities Act (ADA). If you need a
the respondent.
reasonable accommodation in accordance
4. Give to State Marshal or proper officer for service. Be sure original is returned to court after service.
with the ADA, contact a court clerk or an ADA
Instructions to Clerk:
contact person listed at www.jud.ct.gov/ADA.
Assign a hearing date prior to the expiration date of the original Civil Protection Order.
Judicial District of
Court location (number, street, town, zip code)
Docket number
Name of applicant (Last, first, middle initial)
Date of birth (mm/dd/yyyy)
Sex (M/F)
Race
Address to which mail is to be sent (Number, street)* (See NOTE below)
(Town)
(State)
(Zip Code)
Home/residence address* (See NOTE below)
Same as mailing address
(Town)
(State)
(Zip Code)
Work address* (See NOTE below)
(Town)
(State)
(Zip Code)
Name of next friend (Last, first, middle initial) (If applicant is a minor)
Next friend address (town, state, Zip)* (See NOTE below)
*NOTE: All addresses provided in this application will be included on papers that are in the court file and will be provided to the respondent. The
applicant's address or addresses will determine which law enforcement agencies are notified if a Civil Protection Order is granted. If you attest
that disclosure of your location information would jeopardize you or your children's health, safety or liberty, you may request that your location
information not be disclosed by completing a Request of Nondisclosure of Location Information - Civil Protection Order (form JD-CV-163).
Information About The Respondent
Name of respondent (Person the application is filed against) (Last, first, middle initial)
Date of birth (mm/dd/yyyy)
Sex (M/F)
Race
Address of respondent (Number, street)
(Town)
(State)
(Zip Code)
Respondent's telephone number
Other identifiers (Examples include height, weight and approximate age)
If yes, how do you know the respondent
Do you know the respondent?
Yes
No
Is the respondent a member of your family or household?
Yes
No
A member of
• Your spouse or a person you have a civil union with
• Someone you have cohabited with as an intimate partner
your family or
(romantic, spousal, or sexual relationship while living together)
• Your former spouse or a person you had a civil union with
household is
• The parent of your child
• A person related to you by blood or marriage
defined as:
• Your parent
• A person you reside or resided with
• Your child
• A person you have (or recently had) a dating relationship with
*NOTE: If the respondent in your case is a family or household member, you do not qualify for a Civil Protection Order and you
should NOT continue to fill out this form. However, if the respondent is a family or household member you may qualify for an
Order of Relief from Abuse under section 46b-15 of the Connecticut General Statutes. For more information, see Civil Protection
Order Information Form (form JD-CV-148), and Restraining Orders: How to Apply for Relief from Abuse (form JDP-FM-142).
"X" here if a Criminal Protective Order or Family Restraining Order exists affecting any party to this Application.
(Enter docket number and court location)
Docket number
Court location
Optional to applicant (If you choose to answer, "X" the appropriate boxes below)
1. Does the respondent hold a permit to carry a pistol or revolver? ……………………
Yes
No
Unknown
2. Does the respondent hold an eligibility certificate for a pistol or revolver, a long gun
eligibility certificate, or an ammunition certificate? ………………………………………
Yes
No
Unknown
3. Does the respondent possess one or more firearms? …………………………………
Yes
No
Unknown
4. Does the respondent possess ammunition? ……………………………………………
Yes
No
Unknown
If you think you need more security when you are in court for your Civil Protection Order hearing, contact the Clerk's Office or the
Court Service Center in the court where your hearing is scheduled.
Page 1 of 2 (continued on page 2)
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MOTION FOR EXTENSION OF
STATE OF CONNECTICUT
CIVIL PROTECTION ORDER
SUPERIOR COURT
JD-CV-146 Rev. 10-17
www.jud.ct.gov
C.G.S. §§ 6-32, 46b-16a, 51-5c(a), 6-32(b), 53a-223c, 53a-107
Instructions to Person Filing Motion (Applicant):
1. Fill out on-line, or print clearly in ink, or use a typewriter.
2. If the applicant is under 18 years of age, the Motion for Extension must be signed and filed by an
ADA NOTICE
adult representative, also known as a "next friend." The next friend may be a parent, guardian or
other responsible adult.
The
Judicial
Branch
of
the
State
3. Give to clerk to set a hearing date; the clerk will return to you an original and a copy for service on
of Connecticut complies with the Americans
with Disabilities Act (ADA). If you need a
the respondent.
reasonable accommodation in accordance
4. Give to State Marshal or proper officer for service. Be sure original is returned to court after service.
with the ADA, contact a court clerk or an ADA
Instructions to Clerk:
contact person listed at www.jud.ct.gov/ADA.
Assign a hearing date prior to the expiration date of the original Civil Protection Order.
Judicial District of
Court location (number, street, town, zip code)
Docket number
Name of applicant (Last, first, middle initial)
Date of birth (mm/dd/yyyy)
Sex (M/F)
Race
Address to which mail is to be sent (Number, street)* (See NOTE below)
(Town)
(State)
(Zip Code)
Home/residence address* (See NOTE below)
Same as mailing address
(Town)
(State)
(Zip Code)
Work address* (See NOTE below)
(Town)
(State)
(Zip Code)
Name of next friend (Last, first, middle initial) (If applicant is a minor)
Next friend address (town, state, Zip)* (See NOTE below)
*NOTE: All addresses provided in this application will be included on papers that are in the court file and will be provided to the respondent. The
applicant's address or addresses will determine which law enforcement agencies are notified if a Civil Protection Order is granted. If you attest
that disclosure of your location information would jeopardize you or your children's health, safety or liberty, you may request that your location
information not be disclosed by completing a Request of Nondisclosure of Location Information - Civil Protection Order (form JD-CV-163).
Information About The Respondent
Name of respondent (Person the application is filed against) (Last, first, middle initial)
Date of birth (mm/dd/yyyy)
Sex (M/F)
Race
Address of respondent (Number, street)
(Town)
(State)
(Zip Code)
Respondent's telephone number
Other identifiers (Examples include height, weight and approximate age)
If yes, how do you know the respondent
Do you know the respondent?
Yes
No
Is the respondent a member of your family or household?
Yes
No
A member of
• Your spouse or a person you have a civil union with
• Someone you have cohabited with as an intimate partner
your family or
(romantic, spousal, or sexual relationship while living together)
• Your former spouse or a person you had a civil union with
household is
• The parent of your child
• A person related to you by blood or marriage
defined as:
• Your parent
• A person you reside or resided with
• Your child
• A person you have (or recently had) a dating relationship with
*NOTE: If the respondent in your case is a family or household member, you do not qualify for a Civil Protection Order and you
should NOT continue to fill out this form. However, if the respondent is a family or household member you may qualify for an
Order of Relief from Abuse under section 46b-15 of the Connecticut General Statutes. For more information, see Civil Protection
Order Information Form (form JD-CV-148), and Restraining Orders: How to Apply for Relief from Abuse (form JDP-FM-142).
"X" here if a Criminal Protective Order or Family Restraining Order exists affecting any party to this Application.
(Enter docket number and court location)
Docket number
Court location
Optional to applicant (If you choose to answer, "X" the appropriate boxes below)
1. Does the respondent hold a permit to carry a pistol or revolver? ……………………
Yes
No
Unknown
2. Does the respondent hold an eligibility certificate for a pistol or revolver, a long gun
eligibility certificate, or an ammunition certificate? ………………………………………
Yes
No
Unknown
3. Does the respondent possess one or more firearms? …………………………………
Yes
No
Unknown
4. Does the respondent possess ammunition? ……………………………………………
Yes
No
Unknown
If you think you need more security when you are in court for your Civil Protection Order hearing, contact the Clerk's Office or the
Court Service Center in the court where your hearing is scheduled.
Page 1 of 2 (continued on page 2)
Print Form
Reset Form
Name of applicant
Name of respondent
Docket number
MOTION FOR EXTENSION OF CIVIL PROTECTION ORDER
Date (mm/dd/yyyy)
1. A Civil Protection Order was entered on
against the respondent.
2. The facts and circumstances that were the basis for that order still exist.
3. I continue to need the protection of this order because:
4. There is no Criminal Protective Order or Family Restraining Order currently in effect against the respondent arising from
those facts and circumstances.
5. The respondent is not a member of my family or household as defined in the Instructions and lnformation About the
respondent sections of this form. See sections 46b-15 and 46b-38 of the Connecticut General Statutes or the Civil
Protection Order Information Form (form JD-CV-148), for more information.
Therefore, I move for an extension of the Civil Protection Order.
Date signed
Signed (Applicant or next friend, if applicant is a minor)
Subscribed and
Signed (Clerk, Notary, Commissioner of the Superior Court)
sworn to before me
For Court Use Only
Hearing date
Court location (Number, street, town, zip code and courtroom, if applicable)
Time of hearing
.m.
To Any Proper Officer:
By authority of the State of Connecticut you are hereby commanded to serve a true and attested copy of the Motion for
Extension of Civil Protection Order upon the respondent according to law not less than five (5) days before the Hearing
Date Shown above. The cost of such service upon the respondent shall be paid for by the Judicial Branch of the State of
Connecticut in accordance with section 6-32, 46b-16a, and 52-261(a) of the Connecticut General Statutes.
Date signed
Signed (Assistant Clerk)
By Order of the Court
Return Of Service
To Officer Executing Service:
Type or print legibly in the spaces below, then promptly return this and all accompanying papers to the clerk of the court at
the court location above before the date of the hearing.
Date of service
Time of service
a.m.
Service executed
p.m.
By leaving in the hands of or upon the respondent named above.
Other (Specify in detail and attach additional documentation as needed)
Unable to serve (Comments)
Name of officer (Last, first)
Agency or office
Officer's telephone
Signature of officer
Date signed
Under penalty of false statement
To any proper officer: Electronically record that service of process was executed in the Judicial Branch’s service tracking
system. If you are unable to electronically record that service of process was or was not executed in the Judicial Branch's
service tracking system, complete the return of service section above and send a copy to the Court Operations Unit by e-mail
at justice.support@jud.ct.gov or fax at 860-610-0480, and return the original papers to the clerk of the court.
JD-CV-146 Rev. 10-17
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