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Get CT JD-FM-111 2014

E 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. Instructions To Person Appealing The Decision (Appellant) 1. Type or print this form neatly and sign the certification section below. 2. Give the reasons for the appeal on this form and, if necessary, on a separate piece of paper (petition) and attach.

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