Form JD-CR-123 "Application to Restrict or to Remove Restriction on Dissemination of Sex Offender Registration Information" - Connecticut

What Is Form JD-CR-123?

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 August 1, 2002;
  • 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-CR-123 by clicking the link below or browse more documents and templates provided by the Connecticut Superior Court.

ADVERTISEMENT
ADVERTISEMENT

Download Form JD-CR-123 "Application to Restrict or to Remove Restriction on Dissemination of Sex Offender Registration Information" - Connecticut

1269 times
Rate (4.4 / 5) 63 votes
APPLICATION TO RESTRICT OR
CONNECTICUT JUDICIAL BRANCH
TO REMOVE RESTRICTION ON
SUPERIOR COURT
DISSEMINATION OF SEX OFFENDER
www.jud.ct.gov
REGISTRATION INFORMATION
JD-CR-123 Rev. 8-02
C.G.S. §§ 54-255, 54-258
INSTRUCTIONS TO APPLICANT
INSTRUCTIONS TO CLERK
1. Original and 1 copy to clerk of court.
1. Do not accept this Application if the Applicant fails to submit a
2. Forward a copy to the prosecuting attorney for the offense for which restriction on
completed JD-VS-3, Notice of Application.
dissemination of registration information is sought.
2. Get original court file and set down for hearing.
3. Complete the form below with information for the case in which the defendant was
3. Give notice to prosecutor and applicant.
convicted or found not guilty by reason of mental disease or defect and for which
4. If application is granted, send copy to Department
restriction or removal of restriction and dissemination of registration information is sought.
of Public Safety and to the agency having custody of the offender
4. If application is to remove restriction on dissemination, send copy to prosecuting
(DOC if incarcerated, PSRB if committed, CSSD if probation), if any.
attorney and defendant.
5. You must complete and attach form JD-VS-3, Notice of Application.
TO: The Superior Court of the State of Connecticut
IN RE: (Name of Defendant)
DATE OF BIRTH (If known)
DOCKET NO.
ADDRESS OF DEFENDANT (Number, Street, Town and Apt. No )
DATE SENTENCED
COURT SENTENCED AT (J.D. or G.A )
ADDRESS OF SENTENCING COURT (Number, street and town)
FROM (Name of Applicant)
ADDRESS OF APPLICANT (Number, street and town)
APPLICATION TO RESTRICT DISSEMINATION OF REGISTRATION INFORMATION
I, the undersigned Applicant, hereby request the court to order the Department of Public Safety to restrict the dissemination of registration
information to law enforcement purposes only and to not make such information available for public access, in accordance with
Connecticut General Statutes §§ 54-255 and 54-258, and state as follows:
("X" one):
1. I was convicted or found not guilty by reason of mental disease or defect of a violation of
Connecticut General Statute § 53a-71(a)(1) (Sexual assault in the second degree by engaging in sexual intercourse with another
person and such other person is thirteen years of age or older but under sixteen years of age and the actor is more than two years
older than such person) between October 1, 1988 and June 30,1999 and I was under the age of nineteen years at the time of the
offense.
Connecticut General Statute § 53a-73a(a)(2) (Sexual assault in the fourth degree by subjecting another person to sexual contact
without such other person's consent) between October 1, 1988 and June 30,1999.
A criminal offense against a victim who is a minor, a nonviolent sexual offense or a sexually violent offense, as those terms are
defined in Connecticut General Statute § 54-250, between October 1, 1988 and June 30,1999, where the victim of such offense
was, at the time of the offense, under eighteen years of age and related to me within any of the degrees of kindred specified in
Connecticut General Statute §46b-21. Publication of the registration information would likely reveal the identity of the victim within
the community where the victim resides.
Connecticut General Statute § 53a-70b (sexual assault in spousal or cohabiting relationship) between October 1, 1988 and June
30, 1999. Publication of the registration information would likely reveal the identity of the victim within the community where the
victim resides.
A crime between October 1, 1988 and September 30,1998, which requires registration under Connecticut General Statute
sections 54-250 to 54-259, inclusive, and (1) served no jail or prison time as a result of such conviction or finding of not guilty by
reason of mental disease or defect, (2) have not been subsequently convicted or found not guilty by reason of mental disease or
defect of any crime which would require registration under Connecticut General Statute sections 54-250 to 54-259, inclusive, and
(3) have registered with the Department of Public Safety in accordance with Connecticut General Statute sections 54-250 to
54-259, inclusive.
2. Dissemination of registration information to the public is not required for public safety for the following reason(s) (specify):.
3. I have notified the Office of Victim Services and the Department of Correction of this application. A completed form JD-VS-3,
Notice of Application, is attached as proof of notice to the Office of Victim Services and to the Department of Correction.
SIGNED (Applicant)
DATE SIGNED
I have read the above and understand it.
X
I agree with the foregoing statements.
CONSENTED TO BY (Parent or Guardian)
SIGNED (Attorney for Applicant)
DATE SIGNED
(PAGE 1 OF 2)
PRINT
RESET
APPLICATION TO RESTRICT OR
CONNECTICUT JUDICIAL BRANCH
TO REMOVE RESTRICTION ON
SUPERIOR COURT
DISSEMINATION OF SEX OFFENDER
www.jud.ct.gov
REGISTRATION INFORMATION
JD-CR-123 Rev. 8-02
C.G.S. §§ 54-255, 54-258
INSTRUCTIONS TO APPLICANT
INSTRUCTIONS TO CLERK
1. Original and 1 copy to clerk of court.
1. Do not accept this Application if the Applicant fails to submit a
2. Forward a copy to the prosecuting attorney for the offense for which restriction on
completed JD-VS-3, Notice of Application.
dissemination of registration information is sought.
2. Get original court file and set down for hearing.
3. Complete the form below with information for the case in which the defendant was
3. Give notice to prosecutor and applicant.
convicted or found not guilty by reason of mental disease or defect and for which
4. If application is granted, send copy to Department
restriction or removal of restriction and dissemination of registration information is sought.
of Public Safety and to the agency having custody of the offender
4. If application is to remove restriction on dissemination, send copy to prosecuting
(DOC if incarcerated, PSRB if committed, CSSD if probation), if any.
attorney and defendant.
5. You must complete and attach form JD-VS-3, Notice of Application.
TO: The Superior Court of the State of Connecticut
IN RE: (Name of Defendant)
DATE OF BIRTH (If known)
DOCKET NO.
ADDRESS OF DEFENDANT (Number, Street, Town and Apt. No )
DATE SENTENCED
COURT SENTENCED AT (J.D. or G.A )
ADDRESS OF SENTENCING COURT (Number, street and town)
FROM (Name of Applicant)
ADDRESS OF APPLICANT (Number, street and town)
APPLICATION TO RESTRICT DISSEMINATION OF REGISTRATION INFORMATION
I, the undersigned Applicant, hereby request the court to order the Department of Public Safety to restrict the dissemination of registration
information to law enforcement purposes only and to not make such information available for public access, in accordance with
Connecticut General Statutes §§ 54-255 and 54-258, and state as follows:
("X" one):
1. I was convicted or found not guilty by reason of mental disease or defect of a violation of
Connecticut General Statute § 53a-71(a)(1) (Sexual assault in the second degree by engaging in sexual intercourse with another
person and such other person is thirteen years of age or older but under sixteen years of age and the actor is more than two years
older than such person) between October 1, 1988 and June 30,1999 and I was under the age of nineteen years at the time of the
offense.
Connecticut General Statute § 53a-73a(a)(2) (Sexual assault in the fourth degree by subjecting another person to sexual contact
without such other person's consent) between October 1, 1988 and June 30,1999.
A criminal offense against a victim who is a minor, a nonviolent sexual offense or a sexually violent offense, as those terms are
defined in Connecticut General Statute § 54-250, between October 1, 1988 and June 30,1999, where the victim of such offense
was, at the time of the offense, under eighteen years of age and related to me within any of the degrees of kindred specified in
Connecticut General Statute §46b-21. Publication of the registration information would likely reveal the identity of the victim within
the community where the victim resides.
Connecticut General Statute § 53a-70b (sexual assault in spousal or cohabiting relationship) between October 1, 1988 and June
30, 1999. Publication of the registration information would likely reveal the identity of the victim within the community where the
victim resides.
A crime between October 1, 1988 and September 30,1998, which requires registration under Connecticut General Statute
sections 54-250 to 54-259, inclusive, and (1) served no jail or prison time as a result of such conviction or finding of not guilty by
reason of mental disease or defect, (2) have not been subsequently convicted or found not guilty by reason of mental disease or
defect of any crime which would require registration under Connecticut General Statute sections 54-250 to 54-259, inclusive, and
(3) have registered with the Department of Public Safety in accordance with Connecticut General Statute sections 54-250 to
54-259, inclusive.
2. Dissemination of registration information to the public is not required for public safety for the following reason(s) (specify):.
3. I have notified the Office of Victim Services and the Department of Correction of this application. A completed form JD-VS-3,
Notice of Application, is attached as proof of notice to the Office of Victim Services and to the Department of Correction.
SIGNED (Applicant)
DATE SIGNED
I have read the above and understand it.
X
I agree with the foregoing statements.
CONSENTED TO BY (Parent or Guardian)
SIGNED (Attorney for Applicant)
DATE SIGNED
(PAGE 1 OF 2)
PRINT
RESET
ORDER OF THE COURT
The foregoing application is DENIED.
The court, having found that dissemination of registration information is not required for public safety, and that the
criteria set forth in the above application have been met, hereby GRANTS the foregoing application and orders the
Department of Public Safety to restrict the dissemination of the registration information to law enforcement purposes
only and to not make such information available for public access.
SIGNED (Judge, Assistant Clerk)
DATE SIGNED
APPLICATION TO REMOVE RESTRICTION ON DISSEMINATION OF REGISTRATION INFORMATION
I, the undersigned Applicant, hereby request the court to order the removal of the restriction on the Department of Public
Safety's dissemination of registration information to law enforcement purposes only and prohibiting making such
information available for public access, and state as follows:
1. The above-named defendant was convicted or found not guilty by reason of mental disease or defect of a violation of:
("X" one)
Connecticut General Statute § 53a-70b (sexual assault in spousal or cohabiting relationship)
A criminal offense against a victim who is a minor, a nonviolent sexual offense or a sexually violent offense, as those
terms are defined in Connecticut General Statute § 54-250, where the victim of such offense was, at the time of the
offense, under eighteen years of age and related to the defendant within any of the degrees of kindred specified in
Connecticut General Statute § 46b-21.
2. ("X" one of the following and complete the requested information)
Public safety requires that the Defendant's registration information be made available to the public because
(specify:)
OR
The following change in circumstances makes publication of the registration information no longer likely to reveal the
identity of the victim within the community where the victim resides (specify):
3. I have notified the Office of Victim Services and the Department of Correction of this application. A completed form
JD-VS-3, Notice of Application, is attached as proof of notice to the Office of Victim Services and the Department
of Correction.
SIGNED (Applicant)
DATE SIGNED
I have read the above and understand it.
X
I agree with the foregoing statements.
ORDER OF COURT
The court, having considered the application and any information or statements provided, including any provided by the
victim, hereby DENIES the foregoing application.
The Court, having found that public safety requires that the Defendant's registration information be made available to
the public or that a change in circumstances makes publication of the registration information no longer likely to reveal
the identity of the victim within the community where the victim resides, and having considered any information or
statements provided by the victim, hereby GRANTS the foregoing application and orders that the Department of Public
Safety remove the restriction on the dissemination of the registration information to law enforcement purposes only and
remove the prohibition on making such information available for public access.
SIGNED (Judge, Assistant Clerk)
DATE SIGNED
JD-CR-123 (Page 2 of 2) Rev. 8-02
(PAGE 2 OF 2)
PRINT
RESET
Page of 2