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Affidavit of Expenses of Counsel or Guardian Ad Litem for Minor Child or Children

This form is needed if there is a court judgment related to a family matter that involves minor children. The form has to be used within 30 days from issuing a final judgment in the case.

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AFFIDAVIT OF EXPENSES OF 
COUNSEL OR GUARDIAN AD 
LITEM FOR MINOR CHILD 
OR CHILDREN 
JD-FM-225  New 10-14 
PA 14-3 as amended by PA 14-207	
STATE OF CONNECTICUT 
JUDICIAL BRANCH 	www.jud.ct.gov	
Instructions 
Not later than 30 days after the entry of a final judgment in a family r\
elations 
matter involving counsel or guardian ad litem for the minor child or chi\
ldren, 
such counsel or guardian ad litem shall file this affidavit with the cou\
rt. 
Name of case (Plaintiff v. Defendant)
Address of court	
AFFEXP
Court Use Only
*AFFEXP*	
Docket number	
Name of counsel or guardian ad litem for minor child or children	
A.  Hourly fee charged
B.  Total number of hours billed
C.  Expenses billed
D.  Total amount charged	per hour
$
hours	
$
$	
Signature 
u	
Print name of person signing	
Date signed	Sworn to before me (Assistant Clerk/Commissioner of Superior Court/Notary Public)  
u	
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.
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