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Get CT JD-FM-183 2017-2024

R yourselves and give the original to the court clerk. Judicial District of Docket number At (Town ) Plaintiff's name (Last, first, middle initial) Name of child (Last, First, Middle Initial) Defendant's name (Last, first, middle initial) Date of birth Name of child (Last, First, Middle Initial) Date of birth The parties agree that: 1. The custody of the child(ren) shall be as follows: Legal Custody: Primary Residence: 2. As to visitation with the child(ren): Who will pick up/drop off.

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