Structure
When navigating the complexities of child custody and visitation in Connecticut, understanding the Connecticut Custody Application form is essential. This form serves as a critical tool for parents seeking legal recognition of their rights regarding their children. It allows individuals to request either custody or visitation, depending on their specific circumstances. Applicants must check the appropriate box at the top of the form and complete the first two pages, ensuring that they attach necessary documents like the Order to Attend Hearing and the Affidavit Concerning Children. It’s important to establish a legal relationship with the child, which can be evidenced through various documents such as birth certificates or court orders. Additionally, if a grandparent or third party wishes to seek visitation, a different form is required. The application requires clear identification of all parties involved, including the child’s other parent and any additional respondents. Applicants must also articulate why Connecticut has jurisdiction over the case, citing factors such as residency or significant connections to the state. Furthermore, the form addresses financial support considerations, ensuring that any relevant assistance from the state is disclosed. By following the outlined instructions and providing the necessary information, parents can effectively present their case to the court, paving the way for a resolution that prioritizes the best interests of the child.
Connecticut Custody Application Example
CUSTODY/VISITATION |
STATE OF CONNECTICUT |
|
APPLICATION — PARENT |
SUPERIOR COURT |
|
|
www.jud.ct.gov |
|
C.G.S. §§ |
|
|
P.B. §§ |
|
|
Custody |
Visitation |
|
Instructions
Court use only
APPLCUS |
APPLVIS |
*APPLCUS* |
*APPLVIS* |
Use for custody |
Use for visitation |
applications |
applications |
|
|
1.Check the “Custody” or “Visitation” box above, and complete pages 1 and 2 of this form. Attach the Order to Attend Hearing (form
2.By the first date that this case appears on a court docket (the first scheduled date for this case), you must file the accompanying document(s) listed in number 1 below that apply to you and that prove an existing legal relationship between the parent(s) and the child or children. You must redact (remove) any personal identifying information, as defined by Section
3.If you are a grandparent or a third party (not a legal parent), and you want to file for visitation with the child or children, use the Verified Petition for Visitation — Grandparents & Third Parties (form
Judicial District of |
|
At (Town) |
|
Docket number |
|
|
|
|
|
Applicant's name (Last, first, middle initial) |
Respondent's name (Last, first, middle initial) |
|||
|
|
|||
Other parent's name (If other parent is not the respondent)(Last, first, middle initial) |
Other parent's address (If other parent is not the respondent) |
|||
|
|
|
|
|
Additional respondent's name |
(If applicable) (Last, first, middle initial) |
|
|
|
1. I am the child or children's
Mother
Father
By the first scheduled date for this case, I will file the applicable accompanying document(s) from this list that prove an existing legal relationship between the parent(s) and the child or children named in this application with any personal identifying information, as defined by Section
•A copy of a birth certificate naming me as one of the parents;
•A copy of a properly executed (finalized) acknowledgement of paternity;
•A court order or decree naming me as a legally responsible parent (including an adoptive parent);
•A gestational agreement giving me parental rights (see Section
•Document(s) showing that the child or children was/were born during my marriage; or
•Any other evidence that I think is sufficient (enough) to convince the court that I am a legal parent of the child or children.
2. The respondent(s) is/are the:
Mother
Father
Grandparent
Other: (Specify)
3.I want: (Select one)
custody of the child (or children) listed below |
|
visitation rights with the child (or children) listed below |
(Attach additional sheets if necessary) |
Child's name (First, middle, last)
Date of birth
Name(s) of parent(s) or guardian(s) (First, middle initial, last)
4. Connecticut has the authority to decide this case and should decide this case because: (Select all that apply)
a.
b.
c.
d.
e.
f.
Connecticut is the home state of the child (or children) at the time of the filing of this case.
The child (or children) has (or have) lived in Connecticut for the past 6 months, or from birth if the child (or children) is (or are) younger than 6 months old.
The child (or children) lived in Connecticut for at least 6 months but was (or were) taken from Connecticut less than 6 months ago by a person claiming custody, and a parent or guardian continues to live here.
The child (or children) and at least one parent have a significant connection to Connecticut, and there is substantial evidence in Connecticut concerning the child's (or children's) present or future care, protection, training, and personal relationships.
The child (or children) is (or are) in Connecticut now and has (or have) been abandoned, or there is an emergency affecting the child's (or children's)
No other state has an interest in hearing this case, and it is in the best interest of the child (or children) for a Connecticut court to hear the case.
Page 1 of 2
Additional Instructions:
•If you are the mother or father and want custody, go to Number 5 below, and continue from there.
•If you are the mother or father and want visitation, go to the Claim For Relief section below, and continue from there.
5.The applicant, respondent, or any child (or children) listed has (or have) received financial support and/or HUSKY from the State of Connecticut:
Financial Support: (Select one)
HUSKY Health Insurance: (Select one)
Yes
Yes
No
No
Do not know
Do not know
If you checked yes for Financial Support and/or HUSKY, send a copy of this Application, Order to Attend Hearing, Notice of Automatic Court Orders, and any other document filed with this application to the Office of the Attorney General, 165 Capitol Avenue, Hartford, CT 06106, and file the Certification of Notice (form
6.The applicant, respondent, or any child (or children) listed has (or have) received financial support from a city or town in Connecticut: (Select one)
Yes (City or town):
No
Do not know
If you checked yes, send a copy of this Application, Order to Attend Hearing, Notice of Automatic Court Orders, and any other document filed with this application to the City or Town Clerk of the city or town providing assistance, and file the Certification of Notice (form
Claim for Relief
For Custody: (The Applicant asks the Court for custody orders) (Select all that apply)
Regarding
Sole legal custody
Joint legal custody
A parenting responsibility plan, which includes a plan for the parental
children)
And
Regarding physical custody:
Primary residence with:
A parental physical access schedule and/or visitation
Regarding child support: (If custody application — includes cash medical, health insurance, unreimbursed medical expenses, and qualifying child care)
Child Support
An order for the educational support of my child (or children) for
For Visitation: (The Applicant asks the Court for visitation orders as follows)
Signature of Applicant or Petitioner
Print name of person signing at left
Date signed
Address
Telephone (Area code first)
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.
Page 2 of 2
Document Specifications
| Fact Name | Description |
|---|---|
| Form Purpose | The Connecticut Custody Application form is used for filing custody or visitation applications in family court. |
| Governing Laws | This form is governed by Connecticut General Statutes §§ 46b-56, 46b-61 and Practice Book §§ 25-3, 25-4, 25-5. |
| Required Attachments | Applicants must attach several documents, including the Order to Attend Hearing and the Affidavit Concerning Children. |
| Filing Deadline | All accompanying documents must be filed by the first scheduled court date for the case. |
| Eligibility for Visitation | Grandparents and third parties can file for visitation using a separate form, the Verified Petition for Visitation. |
Additional PDF Forms
How to Transfer Ownership of a Car to a Family Member in Ct - Section A focuses on documenting the initial possession of the abandoned motor vehicle by the municipality.
Connecticut Realtors - Introduces a financing contingency, allowing the buyer to withdraw if necessary financing is not obtained.
For those needing a reliable resource, our guide on navigating the California Lease Agreement process is invaluable. Access it by following the link to enhance your understanding and ensure a smooth rental transaction: this comprehensive Lease Agreement framework.
Ct Change of Address Form - It acts as a reminder to the public about the importance of keeping official records up to date to avoid potential legal or administrative issues.