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Policy Manual

Superior Court For Juvenile Matters 

46-3-33
Appendix of Court Related Forms

In This List The following is a numerical list of the forms related to court actions: 

For copies of these forms, see the hard copy Policy Manual.

Form Number

Title of Form

Policy Reference

JD-JM-30 Custody Affidavit 46-3-16
JD-JM-31 Order, Termination of Parental Rights and Appointment of Statutory Parent/Guardian 46-3-21.1
JD-JM-31a Order, Co-Termination of Parental Rights and Appointment of Statutory Parent/Guardian 46-3-21.5
JD-JM-40 Petition for Termination of Parental Rights 46-3-21.1
JD-JM-58 Motion/Order of Temporary Custody/Order to Appear 46-3-19, 46-3-19.3
JD-JM-60 Affidavit/Consent to Termination of Parental Rights 46-3-21.9
JD-JM-61 Order of Notice 46-3-17
JD-JM-61a Notice to Unidentified Person Various
JD-JM-65 Adjudicatory/Dispositional Orders Various
JD-JM-65B Obsolete  
JD-JM-76 Revocation of Order of Commitment/Guardianship Custody/Temporary Custody and Subsequent Order of Custody/Temporary Custody Guardianship/Protective Supervision 46-3-24
JD-JM-77 Obsolete  
JD-JM-98 Petition: Neglected, Uncared-For, Dependent Child/Youth 46-3-10
JD-JM-106 Specific Steps 46-3-19
JD-JM-106s Pasos Specíficos 46-3-19
JD-JM-118 Petition: Family With Service Needs 46-3-31
JD-JM-129 Permanency Plan Order and Review Various
JD-JM-144 Petition: Youth in Crisis 46-3-32
JD-JM-145 Permanency Plan Order and Review Delinquency/Family With Service Needs 46-3-31
DCF-555

DCF-555S

Obsolete  
DCF-1999 Affidavit Seeking Out-of-Home Placement of a Child 46-3-13
DCF-2001 Obsolete  
DCF-2002 Obsolete  
DCF-2003 Obsolete  
DCF-2004 Obsolete  
DCF-2005 Checklist for Filing Neglect Petitions 46-3-10
DCF-2006 Obsolete  
DCF-2007 Obsolete  
DCF-2008 Obsolete  
DCF-2009 Obsolete  
DCF-2010 Motion for Order of Notice 46-3-17
DCF-2011 Motion for Order of Certified Mail, Restricted Delivery 46-3-17
DCF-2012 Checklist for Filing An Order of Temporary Custody With Neglect 46-3-19
DCF-2013 Checklist for Filing An Order of Temporary Custody When Neglect Petitions Were Previously Filed 46-3-19.2
DCF-2014 Obsolete  
DCF-2016 Checklist for Filing Termination of Parental Rights 46-3-21.1
DCF-2017 Obsolete  
DCF-2018 Checklist for Filing Motion to Review Plan for Child for Whom DCF is the Statutory Parent 46-3-25
DCF-2019 Obsolete  
DCF-2020 Obsolete  
DCF-2021 Obsolete  
DCF-2037 Affidavit Regarding Diligent Search for Parent’s Identity and/or Location 46-3-18
DCF-2149 Checklist for Filing Coterminous Petitions - Order of Temporary Custody and Neglect 46-3-21.5
DCF-2151 Obsolete  
DCF-2152 Change of Worker or Parent’s Address 46-3-9, various
DCF-2154 Obsolete  
DCF-2240 Motion to Review Permanency Plan/Maintain Commitment/Revoke Commitment/Transfer of Guardianship 46-3-22
DCF-2241 Motion for Review of Permanency Plan/Extension of Delinquency Commitment/Modification of Delinquency Commitment  46-3-31, 
46-3-32
DCF-2245 Checklist for Diligent Search  46-3-18
DCF-2246 Checklist for Filing a Motion to Review Permanency Plan/FWSN 46-3-22
DCF-2247 Checklist for Filing a Motion to Review Permanency Plan/Maintain Commitment/Revoke Commitment/Transfer of Guardianship 46-3-22

Connecticut Department of Children and Families Effective Date: November 1, 2005  (Revised )