Form JD-CR-73 "Application for Waiver of Fees, Costs and Expenses and Appointment of Counsel on Appeal" - Connecticut

What Is Form JD-CR-73?

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 January 1, 2019;
  • 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-73 by clicking the link below or browse more documents and templates provided by the Connecticut Superior Court.

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Download Form JD-CR-73 "Application for Waiver of Fees, Costs and Expenses and Appointment of Counsel on Appeal" - Connecticut

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APPLICATION FOR WAIVER OF
FOR COURT USE ONLY
STATE OF CONNECTICUT
FEES, COSTS AND EXPENSES AND
SUPERIOR COURT
APPOINTMENT OF COUNSEL ON APPEAL
www.jud.ct.gov
JD-CR-73 Rev. 1-19
C.G.S. § 52-259b; P.B. §§ 60-9, 63-1, 63-6, 63-7, 80-1
Appeal From Judgment of Conviction Notice -
Appeal From Decision in Habeas Corpus Notice -
Unless the court extends the time limit, this application
Unless the court extends the time limit, this application
must be completed, signed and filed with the clerk of
must be completed, signed and filed with the clerk of the
the Superior Court named below within twenty (20)
Superior Court named below within twenty (20) days from
the date the notice was issued of the ruling on your request
days from the Date of Judgment. (Show date below.)
for certification to appeal. (Show date below.)
Date of Judgment
Date notice issued (Granting your request for certification)
Instructions q
To Applicant: Fill out this form and make 2 copies. File the original and 1 copy with the clerk. Keep 1 copy for your records.
Notice: You must sign this form under oath.
To Clerk: Stamp form on filing. File original as a pending matter and give 1 copy to the Public Defender's Office.
Judicial Authority is to assign for hearing within 20 days after filing. Forward written notice of hearing to
(1) trial counsel or applicant, if self-represented, (2) Public Defender's Office to which application was sent,
and (3) Chief of Legal Services, Public Defender's Office.
Name and address of court
Docket number
Name of case
1. I cannot pay the fees, costs and expenses of an appeal (I am indigent), and I cannot afford to hire an attorney.
2. The grounds on which I propose to appeal are:
(If more space is needed, attach an affidavit (a sworn statement) saying the grounds on which you propose to appeal.)
3. The facts about my financial status are:
(If more space is needed, attach an affidavit (a sworn statement) saying the facts about your financial status.)
THEREFORE, I ask that the court (1) waive the payment by me of (not require that I pay) the fees specified by statute,
taxable costs, and the furnishing of security for costs upon appeal, if security has been ordered under Section 60-9 of the
Connecticut Practice Book; (2) appoint counsel to represent me in my appeal without expense to me and permit the
withdrawal of the trial attorney's appearance, if any; and (3) order that the necessary expenses of prosecuting the appeal be
paid by the State, Sections 63-6 and 63-7 of the Connecticut Practice Book.
Applicant's signature
Subscribed and sworn to before me on
Signed (Notary Public/Commissioner of the Superior Court)
(Date)
Page 1 of 2
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APPLICATION FOR WAIVER OF
FOR COURT USE ONLY
STATE OF CONNECTICUT
FEES, COSTS AND EXPENSES AND
SUPERIOR COURT
APPOINTMENT OF COUNSEL ON APPEAL
www.jud.ct.gov
JD-CR-73 Rev. 1-19
C.G.S. § 52-259b; P.B. §§ 60-9, 63-1, 63-6, 63-7, 80-1
Appeal From Judgment of Conviction Notice -
Appeal From Decision in Habeas Corpus Notice -
Unless the court extends the time limit, this application
Unless the court extends the time limit, this application
must be completed, signed and filed with the clerk of
must be completed, signed and filed with the clerk of the
the Superior Court named below within twenty (20)
Superior Court named below within twenty (20) days from
the date the notice was issued of the ruling on your request
days from the Date of Judgment. (Show date below.)
for certification to appeal. (Show date below.)
Date of Judgment
Date notice issued (Granting your request for certification)
Instructions q
To Applicant: Fill out this form and make 2 copies. File the original and 1 copy with the clerk. Keep 1 copy for your records.
Notice: You must sign this form under oath.
To Clerk: Stamp form on filing. File original as a pending matter and give 1 copy to the Public Defender's Office.
Judicial Authority is to assign for hearing within 20 days after filing. Forward written notice of hearing to
(1) trial counsel or applicant, if self-represented, (2) Public Defender's Office to which application was sent,
and (3) Chief of Legal Services, Public Defender's Office.
Name and address of court
Docket number
Name of case
1. I cannot pay the fees, costs and expenses of an appeal (I am indigent), and I cannot afford to hire an attorney.
2. The grounds on which I propose to appeal are:
(If more space is needed, attach an affidavit (a sworn statement) saying the grounds on which you propose to appeal.)
3. The facts about my financial status are:
(If more space is needed, attach an affidavit (a sworn statement) saying the facts about your financial status.)
THEREFORE, I ask that the court (1) waive the payment by me of (not require that I pay) the fees specified by statute,
taxable costs, and the furnishing of security for costs upon appeal, if security has been ordered under Section 60-9 of the
Connecticut Practice Book; (2) appoint counsel to represent me in my appeal without expense to me and permit the
withdrawal of the trial attorney's appearance, if any; and (3) order that the necessary expenses of prosecuting the appeal be
paid by the State, Sections 63-6 and 63-7 of the Connecticut Practice Book.
Applicant's signature
Subscribed and sworn to before me on
Signed (Notary Public/Commissioner of the Superior Court)
(Date)
Page 1 of 2
Print Form
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Docket number
Name of case
ORDER
The court, having found the applicant
Indigent
Not Indigent, hereby orders the application:
Granted as follows:
1. The following fees are waived:
Appellate filing fee (Supreme or Appellate Court)
Cost of the transcript for filing appeal.
Other (Specify):
2. Taxable costs are
Waived
Not Waived
3. Security for costs is
Waived
Not Waived
Shall
Shall not be paid by the State.
4. Necessary expenses of prosecuting the appeal
If necessary expenses are paid by the State, attorneys in private practice representing the applicant
shall obtain the approval of the judicial authority who presided at the trial before incurring any expense
in excess of $100, including the expense of obtaining a transcript. The judicial authority shall authorize
a transcript at State expense only of the portions or proceedings or testimony which may be pertinent
to the issues on appeal.
All fees and costs are waived and the State shall pay all necessary expenses. See paragraph 4 for
5.
limits on necessary expenses.
Name of Counsel, If Appointed
6. Counsel
Is
Is not appointed.
7. Permission for the withdrawal of the trial attorney's appearance is
Granted
Denied.
(The judicial authority must be satisfied that trial counsel has cooperated fully with appellate counsel
in the preparation of the defendant's appeal prior to granting permission.)
Denied.
Denied. The application for the payment of fees, costs and expenses of an appeal is DENIED because the applicant
has repeatedly filed actions with respect to the same or similar matters, such filings establish an extended pattern of
frivolous filings that have been without merit, the application sought is in connection with an action before the court
that is consistent with the applicant's previous pattern of frivolous filings, and the granting of such application would
constitute a flagrant misuse of Judicial Branch resources.
By the Court (Print or type name of judge)
On (Date)
Signed (Judge, Asst. Clerk)
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.
JD-CR-73 Rev. 1-19
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