Form DEP-ADJ-REQUEST-002 "Request for Review and/or Copies of Adjudications Files, Recordings, or Transcripts" - Connecticut

What Is Form DEP-ADJ-REQUEST-002?

This is a legal form that was released by the Connecticut Department of Energy and Environmental Protection - 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 January 19, 2012;
  • The latest edition provided by the Connecticut Department of Energy and Environmental Protection;
  • 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 printable version of Form DEP-ADJ-REQUEST-002 by clicking the link below or browse more documents and templates provided by the Connecticut Department of Energy and Environmental Protection.

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Download Form DEP-ADJ-REQUEST-002 "Request for Review and/or Copies of Adjudications Files, Recordings, or Transcripts" - Connecticut

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Request for Review and/or Copies of Adjudications Files,
Recordings, or Transcripts
Completed forms may be submitted in person, via e-mail to (deep.adjudications@ct.gov) or facsimile to (860)-424-
rd
4053, or mailed to Department of Energy and Environmental Protection, Office of Adjudications, 79 Elm Street, 3
floor, Hartford, CT 06106.
Part I: Requester Information
Name:
Mailing Address:
City/Town:
State:
Zip Code:
Affiliation (optional):
Phone:
ext.
Fax:
*E-mail:
*By providing this e-mail address you are agreeing to receive official correspondence from the department, at
this electronic address, concerning the subject form. Please remember to check your security settings to be
sure you can receive e-mails from “ct.gov” addresses. Also, please notify the department if your e-mail
address changes.
Part II: Case Information
1. Name of Case:
2. Application/Order No.
3. Items requested:
Review
Copies
Recordings
Transcripts
Documents
4. Review and/or copies sought (please be specific):
1.
2.
3.
4.
5.
Check here if additional sheets are necessary, and label and attach them to this sheet.
DEP-ADJ-REQUEST-002
1 of 1
Rev. 01/19/12
Request for Review and/or Copies of Adjudications Files,
Recordings, or Transcripts
Completed forms may be submitted in person, via e-mail to (deep.adjudications@ct.gov) or facsimile to (860)-424-
rd
4053, or mailed to Department of Energy and Environmental Protection, Office of Adjudications, 79 Elm Street, 3
floor, Hartford, CT 06106.
Part I: Requester Information
Name:
Mailing Address:
City/Town:
State:
Zip Code:
Affiliation (optional):
Phone:
ext.
Fax:
*E-mail:
*By providing this e-mail address you are agreeing to receive official correspondence from the department, at
this electronic address, concerning the subject form. Please remember to check your security settings to be
sure you can receive e-mails from “ct.gov” addresses. Also, please notify the department if your e-mail
address changes.
Part II: Case Information
1. Name of Case:
2. Application/Order No.
3. Items requested:
Review
Copies
Recordings
Transcripts
Documents
4. Review and/or copies sought (please be specific):
1.
2.
3.
4.
5.
Check here if additional sheets are necessary, and label and attach them to this sheet.
DEP-ADJ-REQUEST-002
1 of 1
Rev. 01/19/12