
STATE OF CONNECTICUTREQUEST FOR ACCOMMODATION BY PERSONS WITH DISABILITIESJUDICIAL BRANCHwww.jud.ct.govJDES264 Rev. 419Instructions: Please do not submit this form using EServices. Efiled forms may.
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How to fill out the CT JD-ES-264 online
The CT JD-ES-264 form is a request for accommodation by persons with disabilities within the Judicial Branch of the State of Connecticut. This guide provides clear, step-by-step instructions to help users complete the form accurately and effectively.
Follow the steps to complete your accommodation request.
- Press the 'Get Form' button to access the form and open it in the editing interface.
- In the first section, provide the name of the person requesting the accommodation. Ensure the name is accurate and spelled correctly.
- Enter a telephone number where the person can be reached for follow-up questions or clarifications.
- Input the date(s) when the accommodation is needed. Be specific to ensure timely processing.
- Fill out the address section, including number, street, apartment (if applicable), town, state, and zip code to identify the location of the requestor.
- Include the case name or docket number if known, as this will help associate the request with the correct legal proceedings.
- Specify the location where the accommodation is needed. This could be a courthouse or a specific room within the courthouse.
- Optionally provide an email address for additional communication regarding the request.
- Indicate the person's role in the case: juror, defendant, plaintiff, witness, or other (please specify).
- Select the type of case: civil, criminal, family, juvenile, or other (specify if needed).
- In section I, describe the nature of the disability that necessitates the accommodation.
- In section II, explain how the disability affects a major life activity.
- Section III requires you to suggest the reasonable accommodation that is necessary to assist the individual.
- In section IV, include any special requests or additional comments that may be relevant to the accommodation request.
- Complete the form by entering the date and providing a signature to certify the information given is accurate.
- After filling out the form, you can save the changes, download it for your records, print it for submission, or share it as required.
Complete your accommodation request online today to ensure your needs are met effectively.
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