Form JD-CL-80 "Request for Nondisclosure of Information in Protection Order Registry" - Connecticut

What Is Form JD-CL-80?

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 December 1, 2016;
  • 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-CL-80 by clicking the link below or browse more documents and templates provided by the Connecticut Superior Court.

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Download Form JD-CL-80 "Request for Nondisclosure of Information in Protection Order Registry" - Connecticut

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REQUEST FOR NONDISCLOSURE
STATE OF CONNECTICUT
OF INFORMATION IN PROTECTION
SUPERIOR COURT
ORDER REGISTRY
www.jud.ct.gov
JD-CL-80 Rev. 12-16
C.G.S. § 51-5c(c)
Instructions to Clerk
1. Enter this request into the Protection Order Registry in the “Additional Disclosure Restrictions” window by checking the box for
“Protected Person has filed a Request for Nondisclosure of Information in the Protection Order Registry, JD-CL-80.”
2. Refer to the Protection Order Registry Policy and Procedures Manual for more information, if necessary.
3. Keep the original for the court file, and send a copy to the Protection Order Registry unit of the Court Operations Division by e-mail
at Justice.Support@jud.ct.gov, or by fax at (860) 610-0480.
INFORMATION FOR PROTECTED PARTY
1. This form is used to ask the Protection Order Registry not to disclose (give out) your name and address, which is kept in
the Protection Order Registry because you are protected by a protective or restraining order, to anyone except to the law
enforcement agencies that are listed below.
2. Please note: Filing this form will keep the Protection Order Registry from giving out your information to anyone except the
law enforcement agencies listed below, including other law enforcement agencies that may need this information if you
make a routine call for assistance (help).
3. If you want to limit the law enforcement agencies that have access to your name and address from the Protection Order
Registry, fill out this form, file the original with the clerk's office at the court where your protective order or restraining order
was issued, and keep a copy for your records.
4. Please also note: Filing this form does not change whether or how the court can disclose any information about you that is
in court files that are open to the public.
5. If you applied for an order for relief from abuse in the family court, and you believe (think) that the disclosure of the
information about your location that is kept in the family court file would jeopardize (put at risk) you and/or your child or
children's health, safety, or liberty (freedom), you can also file a “Request for Nondisclosure of Location Information,” form
JD-FM-188, with the clerk's office at the family court to ask the court to seal your location information in the family court file.
Name of case
Docket number
Protected party's name (First, middle initial, last)
Respondent's/Defendant's name (First, middle initial, last)
I, the protected party listed above, ask that the Protection Order Registry NOT disclose my name and address except to the
law enforcement agencies for:
The town in which I reside (live):
The town in which I am employed (work):
The town in which the respondent/defendant resides (lives):
Signed (Protected Party)
Date signed
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.
Print Form
Reset Form
REQUEST FOR NONDISCLOSURE
STATE OF CONNECTICUT
OF INFORMATION IN PROTECTION
SUPERIOR COURT
ORDER REGISTRY
www.jud.ct.gov
JD-CL-80 Rev. 12-16
C.G.S. § 51-5c(c)
Instructions to Clerk
1. Enter this request into the Protection Order Registry in the “Additional Disclosure Restrictions” window by checking the box for
“Protected Person has filed a Request for Nondisclosure of Information in the Protection Order Registry, JD-CL-80.”
2. Refer to the Protection Order Registry Policy and Procedures Manual for more information, if necessary.
3. Keep the original for the court file, and send a copy to the Protection Order Registry unit of the Court Operations Division by e-mail
at Justice.Support@jud.ct.gov, or by fax at (860) 610-0480.
INFORMATION FOR PROTECTED PARTY
1. This form is used to ask the Protection Order Registry not to disclose (give out) your name and address, which is kept in
the Protection Order Registry because you are protected by a protective or restraining order, to anyone except to the law
enforcement agencies that are listed below.
2. Please note: Filing this form will keep the Protection Order Registry from giving out your information to anyone except the
law enforcement agencies listed below, including other law enforcement agencies that may need this information if you
make a routine call for assistance (help).
3. If you want to limit the law enforcement agencies that have access to your name and address from the Protection Order
Registry, fill out this form, file the original with the clerk's office at the court where your protective order or restraining order
was issued, and keep a copy for your records.
4. Please also note: Filing this form does not change whether or how the court can disclose any information about you that is
in court files that are open to the public.
5. If you applied for an order for relief from abuse in the family court, and you believe (think) that the disclosure of the
information about your location that is kept in the family court file would jeopardize (put at risk) you and/or your child or
children's health, safety, or liberty (freedom), you can also file a “Request for Nondisclosure of Location Information,” form
JD-FM-188, with the clerk's office at the family court to ask the court to seal your location information in the family court file.
Name of case
Docket number
Protected party's name (First, middle initial, last)
Respondent's/Defendant's name (First, middle initial, last)
I, the protected party listed above, ask that the Protection Order Registry NOT disclose my name and address except to the
law enforcement agencies for:
The town in which I reside (live):
The town in which I am employed (work):
The town in which the respondent/defendant resides (lives):
Signed (Protected Party)
Date signed
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.
Print Form
Reset Form