Looking for a Connecticut Superior Court Forms And Templates? Download it for free!

Instructions To Person Applying for Program

FAMILY VIOLENCE EDUCATION PROGRAM

1. Fill out the Application section and make 2 copies.

APPLICATION, ORDERS AND DISPOSITION

2. Send the Original to the Clerk of Court and one copy to the

JD-FM-97

Rev. 8-17

Prosecuting Attorney.

C.G.S. §§ 46b-38c(h) and (i), 46b-38a, 53a-3

3. A $100 application fee, or an application for waiver of the

fee (form JD-AP-48), must be filed with this application.

TO: The Superior Court of the State of Connecticut

4. Keep a copy for your records.

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

Application

the ADA, contact a court clerk or an ADA contact person listed at /ADA.

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)

I am applying for the Family Violence Education Program.

If my application is granted, I agree to:

1. I have not already been convicted of a "family violence crime," as

1. Giving the state more time to prosecute me (the tolling of any

defined by the General Statutes, which happened on or after

statute of limitations and the waiver of the right to a speedy trial)

October 1, 1986. (See section 46b-38a of the Connecticut General

for the crime(s) with which I am charged; and

Statutes for the definition of "family violence crime.")

2. Pay to the court the $300 fee for the Family Violence Education

2. I have not had another case assigned to the Family Violence

Program, except that if I cannot pay this fee, I will file with the

Education Program.

court an affidavit of my inability to pay or indigency.

3. I have not used accelerated rehabilitation under section 54-56e of

If I file an affidavit of my inability to pay or indigency, the

the Connecticut General Statutes for a "family violence crime" that

court may waive the program fee if it finds that I am unable

happened on or after October 1, 1986.

to pay or that I am indigent.

4. I am not charged with a class A, class B, or class C felony, or an

unclassified felony for which the punishment could be a term of

("X" one)

I plan on claiming that I am unable to pay or

imprisonment of more than ten (10) years.

that I am indigent.

5. ("X"

if this applies to you)

I plan to pay the program fee.

I am charged with a class D felony, an unclassified offense for

which a punishment could be a term of imprisonment of more than

Dismissal Application

five (5) years, or an offense that involved the infliction of serious

I also ask that, if this application for the Family Violence Education

physical injury. (See section 53a-3 for the definition of "serious

Program is granted, and if I successfully finish the program and

physical injury.") If this box is checked, you must explain in

follow all of the conditions set by the court, the court dismiss the

writing why you think there is good cause to grant you this

charges against me.

program. You must attach your explanation to this application.

I ask that I be allowed into the Family Violence Education Program under section 46b-38c(h) of the Connecticut General Statutes.

I have read the information above, or I have had the information above read to me, and I understand it. I agree to the statements

above and affirm that they are true under penalty of perjury.

Date Signed

Signed (Defendant)

If Minor, Consented to By (Parent or Guardian)

Notice

Unless good cause is shown, a defendant is not eligible to participate in the Family Violence Education Program if charged with a Class D felony,

an unclassified offense carrying a term of imprisonment of more than five (5) years, or an offense that involved infliction of serious physical injury.

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 date 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

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

Continuances

(If Any)

(continued...)

Family Violence Education Program - Application, Orders, and Disposition

Print Form

Reset Form

Form Jd-Fm-97 - Family Violence Education Program Application, Orders And Disposition

Related Articles

Related forms

Related Categories