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Get Ct Jd-fm-125 2006-2025
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How to fill out the CT JD-FM-125 online
The CT JD-FM-125 form is an essential document used in Connecticut for ordering the maintenance of health insurance for minor children. This guide will provide you with step-by-step instructions to help you navigate and complete this form online with ease.
Follow the steps to successfully complete the CT JD-FM-125
- Click the ‘Get Form’ button to access the CT JD-FM-125 form and open it in an editor.
- Begin by filling in the 'Name and Address of Court' section with the relevant court information along with the docket number.
- Enter the names of the plaintiff and defendant in the designated fields.
- Specify the date of the order and select the type of case from the options provided such as Dissolution or Legal Separation.
- In the 'Custodial Parent or Custodian' section, identify the person maintaining the primary residence for the child(ren).
- Detail the health insurance coverage by indicating the type of coverage (e.g., medical, dental, hospitalization) and availability through employment or other plans.
- List the names and dates of birth of the children to be covered by insurance in the specified fields.
- Include any specific conditions related to the health insurance coverage as required.
- Indicate the effective date for health insurance coverage.
- Provide certification or verification details regarding the insurance coverage to the relevant party and specify the due date for this submission.
- Ensure the signature of the custodial parent or custodian is included to authorize processing with the insurer.
- After completing all sections, review the form for accuracy, make necessary edits, and save changes.
- Finally, download, print, or share the completed form as required.
Start filling out your CT JD-FM-125 form online today for efficient processing.
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