Agreement Form {JD-FM-231}

AGREEMENT FORM JD-FM-231 New 9-14 STATE OF CONNECTICUT Court Use Only SUPERIOR COURT www.jud.ct.gov AGREMNT *AGREMNT* Instructions: Complete form, make copies for yourself and give the original to the Court Clerk. Judicial District of 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. Address of court Date ordered Name of case Docket number This agreement applies to the following motions: (number or name) Matter continued to Select Pendente Lite Dissolution Post Judgment Dissolution Never Married Final Judgment Temporary Restraining Order Hearing Agreement of the parties Monetary orders comply with the Child Support and Arrearage Guidelines: If the orders differ from the guidelines, state the reason(s) for the deviation: Yes No We hereby certify that the above conforms with the agreement of the parties. Signed (Plaintiff/Plaintiff's attorney) Date Signed (Defendant/Defendant's attorney) Date Signed (Guardian ad Litem/Attorney for the Minor Child) Date Approved and so ordered (Judge/Family Support Magistrate) Date American LegalNet, Inc. www.FormsWorkFlow.com