Form JD-FM-97 "Family Violence Education Program Application, Orders and Disposition" - Connecticut

What Is Form JD-FM-97?

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 February 1, 2020;
  • 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-FM-97 by clicking the link below or browse more documents and templates provided by the Connecticut Superior Court.

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Download Form JD-FM-97 "Family Violence Education Program Application, Orders and Disposition" - Connecticut

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FAMILY VIOLENCE EDUCATION PROGRAM
STATE OF CONNECTICUT
APPLICATION, ORDERS AND DISPOSITION
SUPERIOR COURT
JD-FM-97
Rev. 2-20
www.jud.ct.gov
C.G.S. §§ 46b-38a, 46b-38c(h) and (i), 53a-3
Instructions
1. Fill out the Application section of this form, and make 2 copies.
For information on ADA
2. File the original Application with the Clerk of Court with the $100 application fee. If you cannot afford the fee,
accommodations,
you can ask the court to waive the fee by filing an Affidavit of Indigency - Fee Waiver, Criminal form (JD-AP-48).
contact a court clerk or go to:
3. Send 1 copy to the prosecuting attorney. Keep 1 copy for your records.
www.jud.ct.gov/ADA.
TO: The Superior Court of the State of Connecticut
Name and address of defendant (Number, street, town, and zip code)
Docket number
Name and address of court
Crime(s) charged (Name and statute number)
Application
I have been charged with a family violence crime, and I am applying for the Family Violence Education Program.
If the Court grants my application:
1. I agree to the tolling of the statute of limitations in this case. (This gives the state more time to prosecute you in this case if you do not
successfully finish the program.)
2. I agree to waive (give up) my right to a speedy trial in this case.
3. I understand that I will be subject to the $300 program fee. (Choose the check box below that applies to you.)
I will pay the $300 program fee.
OR
I cannot afford the program fee, and ask the court to waive the fee.
(You must file an Affidavit of Indigency - Fee Waiver, Criminal form (JD-AP-48) with the Clerk if you choose this check box.)
I understand that the Court cannot allow me into the Family Violence Education Program if:
1. I have been convicted of any “family violence crime” that happened on or after October 1, 1986. (“Family violence crime” is defined in
Section 46b-38a of the Connecticut General Statutes.)
2. I have used the Family Violence Education Program for any other case before.
3. I have used the Accelerated Rehabilitation program for any “family violence crime” that happened on or after October 1, 1986.
(The Accelerated Rehabilitation program is allowed under Section 54-56e of the Connecticut General Statutes.)
4. I am charged with a class A, B, or C felony in this case.
5. I am charged with an unclassified felony for which the punishment could be a term of imprisonment of more than 10 years in this case.
If I am charged with one of the offenses listed below, I also understand that the Court can only allow me into the Family Violence Education
Program it finds good cause (a good reason). (Choose the check box next to any offense below if it applies to you.)
I am charged with a class D felony in this case.
I am charged with an unclassified offense for which the punishment could be a term of imprisonment of more than 5 years in this case.
I am charged with an offense in this case that caused the “serious physical injury” of another person.
(“Serious physical injury” is defined in Section 53a-3 of the Connecticut General Statutes.)
If you chose any check box above, you must explain to the court in writing why you think there is good cause to allow you into
the program. You must attach your written explanation to this Application before you file it with the Clerk of Court.
Dismissal Application
If the Court grants my Application and I complete the Family Violence Education program, I also ask the Court to dismiss this case if it finds
that I have successfully completed the education program and that I have followed all of the conditions that the Court set during the Family
Violence Education Program.
By signing this form, I am saying that I have read this whole Application, or that I have had this whole Application read to me, and
I understand it. I ask the court to allow me into the Family Violence Education Program.
Date signed
Date Signed
Signed (Defendant)
If Minor, Consented to By (Parent or Guardian)
For Court Use Only
Date Victim Notified (Use form JD-FM-96)
Date of Family Violence Intervention Unit Report
Date Filed
Affidavit of inability to pay or indigency
Yes
No
To
Continuances
(If Any)
To
Print Form
Reset Form
Page 1 of 2
FAMILY VIOLENCE EDUCATION PROGRAM
STATE OF CONNECTICUT
APPLICATION, ORDERS AND DISPOSITION
SUPERIOR COURT
JD-FM-97
Rev. 2-20
www.jud.ct.gov
C.G.S. §§ 46b-38a, 46b-38c(h) and (i), 53a-3
Instructions
1. Fill out the Application section of this form, and make 2 copies.
For information on ADA
2. File the original Application with the Clerk of Court with the $100 application fee. If you cannot afford the fee,
accommodations,
you can ask the court to waive the fee by filing an Affidavit of Indigency - Fee Waiver, Criminal form (JD-AP-48).
contact a court clerk or go to:
3. Send 1 copy to the prosecuting attorney. Keep 1 copy for your records.
www.jud.ct.gov/ADA.
TO: The Superior Court of the State of Connecticut
Name and address of defendant (Number, street, town, and zip code)
Docket number
Name and address of court
Crime(s) charged (Name and statute number)
Application
I have been charged with a family violence crime, and I am applying for the Family Violence Education Program.
If the Court grants my application:
1. I agree to the tolling of the statute of limitations in this case. (This gives the state more time to prosecute you in this case if you do not
successfully finish the program.)
2. I agree to waive (give up) my right to a speedy trial in this case.
3. I understand that I will be subject to the $300 program fee. (Choose the check box below that applies to you.)
I will pay the $300 program fee.
OR
I cannot afford the program fee, and ask the court to waive the fee.
(You must file an Affidavit of Indigency - Fee Waiver, Criminal form (JD-AP-48) with the Clerk if you choose this check box.)
I understand that the Court cannot allow me into the Family Violence Education Program if:
1. I have been convicted of any “family violence crime” that happened on or after October 1, 1986. (“Family violence crime” is defined in
Section 46b-38a of the Connecticut General Statutes.)
2. I have used the Family Violence Education Program for any other case before.
3. I have used the Accelerated Rehabilitation program for any “family violence crime” that happened on or after October 1, 1986.
(The Accelerated Rehabilitation program is allowed under Section 54-56e of the Connecticut General Statutes.)
4. I am charged with a class A, B, or C felony in this case.
5. I am charged with an unclassified felony for which the punishment could be a term of imprisonment of more than 10 years in this case.
If I am charged with one of the offenses listed below, I also understand that the Court can only allow me into the Family Violence Education
Program it finds good cause (a good reason). (Choose the check box next to any offense below if it applies to you.)
I am charged with a class D felony in this case.
I am charged with an unclassified offense for which the punishment could be a term of imprisonment of more than 5 years in this case.
I am charged with an offense in this case that caused the “serious physical injury” of another person.
(“Serious physical injury” is defined in Section 53a-3 of the Connecticut General Statutes.)
If you chose any check box above, you must explain to the court in writing why you think there is good cause to allow you into
the program. You must attach your written explanation to this Application before you file it with the Clerk of Court.
Dismissal Application
If the Court grants my Application and I complete the Family Violence Education program, I also ask the Court to dismiss this case if it finds
that I have successfully completed the education program and that I have followed all of the conditions that the Court set during the Family
Violence Education Program.
By signing this form, I am saying that I have read this whole Application, or that I have had this whole Application read to me, and
I understand it. I ask the court to allow me into the Family Violence Education Program.
Date signed
Date Signed
Signed (Defendant)
If Minor, Consented to By (Parent or Guardian)
For Court Use Only
Date Victim Notified (Use form JD-FM-96)
Date of Family Violence Intervention Unit Report
Date Filed
Affidavit of inability to pay or indigency
Yes
No
To
Continuances
(If Any)
To
Print Form
Reset Form
Page 1 of 2
Oath (Optional with the Court)
The defendant appeared before the undersigned individual, designated by the clerk and duly authorized to administer oaths,
and confirmed, and swore that the statements made in the application and, if applicable, any statements attached to the
application containing the reasons why the defendant believes good cause exists for the court to allow them into the program
even though they are charged with a class D felony, an unclassified offense for which the punishment could be a term of
imprisonment of more than 5 years, or an offense that caused serious physical injury to another person.
Signed (Assistant Clerk/Duly Authorized person)
Print name
Date
First Order of Court
The application is denied.
The defendant is referred to the Family Violence Intervention Unit, and this case is continued to the Court Hearing Date
and Time listed below and pending the submission of the report of the Family Violence Intervention Unit to the court.
Court Hearing Date and Time
Signed (Judge/Assistant Clerk)
Date Signed
Second Order of Court
THE COURT, having considered the application, the report of the Family Violence Intervention Unit, and the statement(s), if
any, of the victim(s) finds:
That the defendant is eligible for the Family Violence Education Program.
That the defendant is charged with a class D felony, an unclassified offense for which the punishment could be a
term of imprisonment of more than 5 years, or an offense that caused serious physical injury to another person,
and that good cause exists to allow the defendant into the program.
That the defendant is NOT eligible for the Family Violence Education Program.
The court orders:
The application is DENIED.
The application is GRANTED, and the defendant is released to the custody of the Family Violence Intervention Unit for
the period of __________________ (specify period). The following conditions are also imposed:
The court denies the application for waiver of fee.
FEE PAID
Clerk's Initials
Date
The defendant is ordered to pay the clerk the applicable program fee.
The court waives the fee, having found that the defendant is indigent or unable to pay.
Case continued to (Date and Time)
Signed (Judge/Assistant Clerk)
Date
Disposition (Complete One Side Only)
Program not successfully completed
Program successfully completed
and charges dismissed
Conditions not complied with
Date
Date
Signed (Judge/Assistant Clerk)
Signed (Judge/Assistant Clerk)
JD-FM-97 Rev. 2-20
Print Form
Reset Form
Page 2 of 2
Page of 2