Connecticut Divorce Complaint Form
In the case of wanting to file for a divorce in the State of Connecticut, the following form has to be completed and submitted.
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No children were born to either the plaintiff or defendant after the date of this marriage. There are no children of this marriage under the age of 23. The following children are either: (a) the biological and/or adoptive children of both of the parties, or (b) have been born to one of the parties on or after the date of the marriage and are claimed to be children of the marriage. (List only children who have not yet reached the age of 23.)The following children were born on or after the date of the marriage to the ("X" all that apply) plaintiff defendant and are not children of the other party to this marriage. (List only children who have not yet reached the age of 23.) 1. Plaintiff's birth name (If different from above) Judicial District of At (Town) Return date (Month, day, year) Plaintiff's name (Last, First, Middle Initial) DIVORCE COMPLAINT (DISSOLUTION OF MARRIAGE) JD-FM-159 Rev. 11-09 C.G.S. §§ 46b-40, 46b-56c, 46b-84, Public Act 09-13, P.B. § 25-2, et seq. Name of child (First, Middle Initial, Last) defendant moved to Connecticut. Defendant's name (Last, First, Middle Initial) 4. Town and State, or Country where marriage took place Date of birth (Month, day, year) (Continued...) 5. ("X" all that apply) 6. A divorce is being sought because: ("X" all that apply) 3. a. Date of marriage "X" and complete all that apply for items 6-13. Attach additional sheets if needed. Name of child (First, Middle Initial, Last) Date of birth (Month, day, year) Complaint: Complete this form. Attach a completed Summons (JD-FM-3) and Notice of Automatic Court Orders (JD-FM-158). Amended Complaint. Cross Complaint: Complete this form and attach to the Answer (JD-FM-160) unless it is already filed. Docket number This marriage has broken down irretrievably. Other (must be reason(s) listed in Connecticut General Statutes § 46b-40(c)): 7. 8. 9. CROSS COMPLAINT CODE ONLY CRSCMP 10. STATE OF CONNECTICUT SUPERIOR COURT www.jud.ct.gov before the filing of this divorce complaint or before the divorce will become final. defendant lived in Connecticut at the time of the marriage, moved away, and The ("X" one) plaintiff defendant has lived in Connecticut for at least twelve months immediately The ("X" one) plaintiff then returned to Connecticut, planning to live here permanently. The marriage broke down after the ("X" one) plaintiff 2. Defendant's birth name (If different from above) 3. b. Date of civil union that merged into marriage by subsequent ceremony or by operation of law If yes, send a copy of the Summons, Complaint, Notice of Automatic Court Orders and any other documents filed with this Complaint to the City Clerk of the town providing assistance and file the Certification of Notice (JD-FM-175) with the court clerk. The ("X" all that apply) plaintiff defendant is pregnant with a child due to be born on The other parent of this unborn child is the plaintiff or defendant The ("X" all that apply) plaintiff defendant or any of the child(ren) listed above have received from the State of Connecticut: If yes, you must send a copy of the Summons, Complaint, Notice of Automatic Court Orders and any other documents filed with this Complaint to the Assistant Attorney General, 55 Elm Street, Hartford, CT 06106, and file the Certification of Notice (JD-FM-175) with the court clerk. not the plaintiff not the defendant. Yes (State city or town : Child's name The Court is asked to order: ("X" all that apply) A divorce (dissolution of marriage). A fair division of property and debts. Alimony. Child Support. Signature JD-FM-159 (Back) Rev. 11-09 Name of person or agency awarded custody Yes No Do not know Name change to: Sole custody. Child's name Child's name If there is a court order regarding custody or support for any child listed above, name the child(ren) below and specify the person or agency awarded custody or ordered to pay support: . And anything else the Court deems fair. No Do not know. Signed (Attorney or self-represented party) *If necessary, attach additional sheet with name of each party and the address at which the copy was mailed or delivered to. I certify that I mailed or delivered a copy to all counsel and self-represented parties of record on: ) unknown Print name of person signing Address Date signed Telephone (Area code first) Date copies mailed or delivered Name of each party copy was mailed or delivered to* Address at which copy was mailed or delivered* Joint legal custody. An order regarding the post-majority educational support of the child(ren). • If this is a Complaint, attach a copy of the Automatic Court Orders before serving a copy on the Defendant. • If this is an Amended Complaint or a Cross Complaint, you must mail or deliver a copy to anyone who has filed an appearance and you must complete the certific\ ation below. 13. 11. 12. 14. Juris number (If applicable) (date) Name of person ordered to pay support Name of person or agency awarded custody Name of person ordered to pay support Name of person or agency awarded custody Name of person ordered to pay support A parenting responsibility plan which includes a plan for the parental decisionmaking regarding the minor child(ren). AND The ("X" all that apply) plaintiff defendant or any of the child(ren) listed above has received financial support from a city or town in Connecticut. ("X" one) Regarding Parental Decisionmaking Responsibility: Regarding Physical Custody:Primary residence with: Visitation. A parenting responsibility plan which includes a plan for the schedule of physical care of the minor child(ren). financial support ("X" one) HUSKY Health Insurance ("X" one) Yes No Do not know
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