INSTRUCTIONS: CONNECTICUT REQUEST FOR RESCISSION, CANCELLATION OR LIMITATION OF A HEALTH INSURANCE POLICY

To request the rescission, cancellation or limitation of a Connecticut health insurance policy administered by the state's insurance department, the form discussed in this article should be submitted. This document can be obtained from the website of the government of Connecticut.

Connecticut Request For Rescission, Cancellation Or Limitation Of A Health Insurance Policy Step 1: Enter the name of the insurance carrier or health care center on the first blank line.

Connecticut Request For Rescission, Cancellation Or Limitation Of A Health Insurance Policy Step 2: Enter the NAIC number of the insurance carrier or health care center on the second blank line.

Connecticut Request For Rescission, Cancellation Or Limitation Of A Health Insurance Policy Step 3: Enter the address of the insurance carrier or health care center on the third and fourth blank lines.

Connecticut Request For Rescission, Cancellation Or Limitation Of A Health Insurance Policy Step 4: Enter the name of a contact person for the insurance carrier or health care center on the fifth blank line.

Connecticut Request For Rescission, Cancellation Or Limitation Of A Health Insurance Policy Step 5: Enter the telephone number of the insurance carrier or health care center on the sixth blank line.

Connecticut Request For Rescission, Cancellation Or Limitation Of A Health Insurance Policy Step 6: Enter the name of the insured on the seventh blank line.

Connecticut Request For Rescission, Cancellation Or Limitation Of A Health Insurance Policy Step 7: Enter the department name which employs the insured on the eighth blank line.

Connecticut Request For Rescission, Cancellation Or Limitation Of A Health Insurance Policy Step 8: Enter the address of the insured on the ninth blank line.

Connecticut Request For Rescission, Cancellation Or Limitation Of A Health Insurance Policy Step 9: Enter the insurance identification number of the insured on the tenth blank line.

Connecticut Request For Rescission, Cancellation Or Limitation Of A Health Insurance Policy Step 10: Indicate whether this is a group policy or an individual policy by circling the appropriate statement.

Connecticut Request For Rescission, Cancellation Or Limitation Of A Health Insurance Policy Step 11: Enter the insurance policy number on the eleventh blank line.

Connecticut Request For Rescission, Cancellation Or Limitation Of A Health Insurance Policy Step 12: Enter the effective date of the policy on the twelfth blank line.

INSTRUCTIONS: CONNECTICUT POST JUDGMENT REMEDIES INTERROGATORIES (Form JD-CV-23)

In a Connecticut foreclosure or related case, a judgment creditor uses a form JD-CV-23a to require the judgment debtor to answer questions about their financial status. A form JD-CV-23 must be attached to this document, which will be included when the debtor is served with the interrogatories. Both forms can be obtained from the website maintained by the Connecticut Judicial Branch.

Connecticut Post Judgment Remedies Interrogatories JD-CV-23 Step 1: In the first blank box, indicate with a check mark whether filing in a judicial district court, a housing session court or a geographical area court. If the latter, give its number. Enter the location of the court.

Connecticut Post Judgment Remedies Interrogatories JD-CV-23 Step 2: In the second blank box, enter the case docket number.

Connecticut Post Judgment Remedies Interrogatories JD-CV-23 Step 3: In the third blank box, enter the address of the court, including the name and number of the street, the town and the zip code.

Connecticut Post Judgment Remedies Interrogatories JD-CV-23 Step 4: In the fourth blank box, enter the date of judgment.

Connecticut Post Judgment Remedies Interrogatories JD-CV-23 Step 5: In the fifth blank box, enter the original amount of judgment.

Connecticut Post Judgment Remedies Interrogatories JD-CV-23 Step 6: In the sixth blank box, enter the amount due on the judgment.

Connecticut Post Judgment Remedies Interrogatories JD-CV-23 Step 7: In the seventh blank box, enter the name of the creditor. 

Connecticut Post Judgment Remedies Interrogatories JD-CV-23 Step 8: In the eighth blank box, enter the address of the creditor.

Connecticut Post Judgment Remedies Interrogatories JD-CV-23 Step 9: In the ninth blank box, enter the name of the judgment debtor.

Connecticut Post Judgment Remedies Interrogatories JD-CV-23 Step 10: In the tenth blank box, enter the address of the judgment debtor.

Connecticut Post Judgment Remedies Interrogatories JD-CV-23 Step 11: In the eleventh blank box, if applicable, enter the name and address of the person believed to have the assets of the judgment debtor.

Connecticut Post Judgment Remedies Interrogatories JD-CV-23 Step 12: In the twelfth blank box, enter the date on which the interrogatories were served.

Connecticut Post Judgment Remedies Interrogatories JD-CV-23 Step 13: In the thirteenth blank box, enter the name and address of the person to whom the interrogatories should be returned.

INSTRUCTIONS: CONNECTICUT PETITION FOR EXAMINATION OF JUDGMENT DEBTOR AND NOTICE OF HEARING (Form JD-CV-54)

When judgment is recovered against a debtor in a Connecticut case but they fail to make payment in whole or in part, or, when the debtor fails to respond at all within 30 days of service, a form JD-CV-54 may be filed to request that the debtor be forced to appear in court. This document can be obtained from the website of the Connecticut Judicial Branch.

Connecticut Petition For Examination Of Judgment Debtor And Notice Of Hearing JD-CV-54 Step 1: Enter the docket number of the case in the first blank box.

Connecticut Petition For Examination Of Judgment Debtor And Notice Of Hearing JD-CV-54 Step 2: Enter the number and location of your court and indicate what type of court it is with a check mark in the next blank box.

Connecticut Petition For Examination Of Judgment Debtor And Notice Of Hearing JD-CV-54 Step 3: Enter the name and address of all judgment creditors in the next two blank boxes.

Connecticut Petition For Examination Of Judgment Debtor And Notice Of Hearing JD-CV-54 Step 4: Enter the name and address of the judgment debtor in the next two blank boxes.

Connecticut Petition For Examination Of Judgment Debtor And Notice Of Hearing JD-CV-54 Step 5: Enter the date of judgment in the next blank box.

Connecticut Petition For Examination Of Judgment Debtor And Notice Of Hearing JD-CV-54 Step 6: Enter the amount of damages awarded in the next blank box.

Connecticut Petition For Examination Of Judgment Debtor And Notice Of Hearing JD-CV-54 Step 7: Enter the amount of costs awarded in the next blank box.

Connecticut Petition For Examination Of Judgment Debtor And Notice Of Hearing JD-CV-54 Step 8: Enter the total damages and costs awarded in the next blank box.

Connecticut Petition For Examination Of Judgment Debtor And Notice Of Hearing JD-CV-54 Step 9: Enter the name and address of the judgment creditor's attorney, if applicable, in the next blank box.

Connecticut Petition For Examination Of Judgment Debtor And Notice Of Hearing JD-CV-54 Step 10: Check the first statement if seeking aid with an unsatisfied judgment. Check the second statement if the debtor has failed to respond within 30 days of service of postjudgment ineterrogatories. 

Connecticut Petition For Examination Of Judgment Debtor And Notice Of Hearing JD-CV-54 Step 11: Sign and date the form where indicated.

INSTRUCTIONS: CONNECTICUT REQUEST FOR ACTION — ADMINISTRATIVE AND TAX APPEALS — NOT FOR USE IN LAND USE APPEALS (Form JD-CV-114)

A form JD-CV-114 should be filed immediately after you have filed an Appearance or motion in an administrative or tax appeal. This document can be obtained from the website maintained by the Connecticut Judicial Branch.

Connecticut Request For Action — Administrative And Tax Appeals — Not For Use In Land Use Appeals JD-CV-114 Step 1: In the first blank box, enter the name of the judicial district.

Connecticut Request For Action — Administrative And Tax Appeals — Not For Use In Land Use Appeals JD-CV-114 Step 2: In the second blank box, enter the name of the case.

Connecticut Request For Action — Administrative And Tax Appeals — Not For Use In Land Use Appeals JD-CV-114 Step 3: In the third blank box, enter the docket number.

Connecticut Request For Action — Administrative And Tax Appeals — Not For Use In Land Use Appeals JD-CV-114 Step 4: In the fourth blank box, enter the title of the motion you want decided.

Connecticut Request For Action — Administrative And Tax Appeals — Not For Use In Land Use Appeals JD-CV-114 Step 5: In the fifth blank box, enter the date of the motion.

Connecticut Request For Action — Administrative And Tax Appeals — Not For Use In Land Use Appeals JD-CV-114 Step 6: In the sixth blank box, enter the motion entry number.

Connecticut Request For Action — Administrative And Tax Appeals — Not For Use In Land Use Appeals JD-CV-114 Step 7: On line 1, indicate whether you are filing this form because you have filed by checking "Yes" or "No." If "no," answer lines 2 through 5.

Connecticut Request For Action — Administrative And Tax Appeals — Not For Use In Land Use Appeals JD-CV-114 Step 8: Answer the questions on lines 2 through 5 by checking "Yes" or "No" as applicable. If you have already filed an objection, enter the date of the objection and the entry number on line 5 where indicated.

Connecticut Request For Action — Administrative And Tax Appeals — Not For Use In Land Use Appeals JD-CV-114 Step 9: Sign and date the bottom of the page to certify that all counsels and self-represented parties have received a copy of this form.

INSTRUCTIONS: ALASKA POWER OF ATTORNEY

If you wish to appoint someone else to have authority over any part of your life, you must fill out a power of attorney form. Alaska provides an all purpose power of attorney which can be downloaded from the website of the Alaska Legal Services Corporation.

Power of Attorney Step 1: Under Section 1, fill in your name and address as indicated.

Power of Attorney Step 2: Write the name and address of the agent or agents you wish to grant authority.

Power of Attorney Step 3: Section 2 provides a number of options as to the specific powers you wish to grant an agent. If you wish to allow a designated agent complete authority over all 13 categories, you do not have to do anything in this section. If you only wish to grant certain authorities, strike through those lines you do not wish to give them authority over and place your initials alongside them. Any powers not listed there which you wish to grant may be detailed under section O.

Power of Attorney Step 4: In Section 4, indicate whether the document will take effect when it is signed or only if the victim of a disability.

Power of Attorney Step 5: In Section 5, those who have indicated the document will take effect as soon as they have signed should indicate whether the powers granted will remain intact or be revoked in the event of a disability.

Power of Attorney Step 6: If you wish to limit the amount of time this document will have effect, note the end date in Section 6.

Power of Attorney Step 7: Section 7 does not need to completed. It instructs those signing that if they wish to revoke this document they may destroy the original copy of this form and complete a new power of attorney or a revocation of the former power of authority.

Power of Attorney Step 8: In Section 8, indicate whether you have completed a separate Alaska Advance Health Care Directive stipulating what to do if you are hurt, fall ill or otherwise become incapable of making medical care decisions. This document will take precedence over this power of attorney.

Power of Attorney Step 9 : You and your representative should sign and date the document before a notary, who should do the same.