Form JD-AP-183 "Domestic Violence, Victim Notice" - Connecticut

What Is Form JD-AP-183?

This is a legal form that was released by the Connecticut Judicial Branch - 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 May 1, 2019;
  • The latest edition provided by the Connecticut Judicial Branch;
  • 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-AP-183 by clicking the link below or browse more documents and templates provided by the Connecticut Judicial Branch.

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Download Form JD-AP-183 "Domestic Violence, Victim Notice" - Connecticut

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DOMESTIC VIOLENCE
STATE OF CONNECTICUT
VICTIM NOTICE
JUDICIAL BRANCH
COURT SUPPORT SERVICES DIVISION
JD-AP-183 Rev. 5-19
ADULT PROBATION SERVICES
C.G.S. §§ 53a-30 and 54-108
www.jud.ct.gov
Name of probationer
CMIS case number
Docket number(s)
Date
Name and address of victim
The probationer in this case, in which you are a victim, has been sentenced to a term of probation, which is scheduled to end
on
.
The court has imposed conditions of probation that include:
No contact with you.
No threats, violence, or harassment towards you.
Other:
If you are in need of support or assistance with safety planning because of this case or another incident of domestic violence,
the Family Violence Victim Advocate may be able to assist you. The advocate may be reached at:
Telephone number of originating court Family Violence Victim Advocate
If you cannot reach the Family Violence Victim Advocate, please call Connecticut's 24-hour, toll-free domestic violence hotline
at 888-774-2900 (English) or 844-831-9200 (Spanish). All services are free and confidential.
If you feel that the probationer has violated one of the conditions above or if you have any questions or concerns, please
contact the probation officer named below.
If you have any immediate concern about your safety, please contact your local police department.
Name of probation officer
Telephone number
E-mail address
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
DOMESTIC VIOLENCE
STATE OF CONNECTICUT
VICTIM NOTICE
JUDICIAL BRANCH
COURT SUPPORT SERVICES DIVISION
JD-AP-183 Rev. 5-19
ADULT PROBATION SERVICES
C.G.S. §§ 53a-30 and 54-108
www.jud.ct.gov
Name of probationer
CMIS case number
Docket number(s)
Date
Name and address of victim
The probationer in this case, in which you are a victim, has been sentenced to a term of probation, which is scheduled to end
on
.
The court has imposed conditions of probation that include:
No contact with you.
No threats, violence, or harassment towards you.
Other:
If you are in need of support or assistance with safety planning because of this case or another incident of domestic violence,
the Family Violence Victim Advocate may be able to assist you. The advocate may be reached at:
Telephone number of originating court Family Violence Victim Advocate
If you cannot reach the Family Violence Victim Advocate, please call Connecticut's 24-hour, toll-free domestic violence hotline
at 888-774-2900 (English) or 844-831-9200 (Spanish). All services are free and confidential.
If you feel that the probationer has violated one of the conditions above or if you have any questions or concerns, please
contact the probation officer named below.
If you have any immediate concern about your safety, please contact your local police department.
Name of probation officer
Telephone number
E-mail address
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