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APPLICATION FOR RELIEF FROM ABUSE STATE OF CONNECTICUT Instructions To Person Filing Application Applicant To Clerk ADA NOTICE SUPERIOR COURT JD-FM-137 Rev. 1-15 C. G.S. 29-28 29-32 29-33 46b-15 52-231a P. A. 14-217 120 www. jud. ct. gov 1. Use a typewriter print clearly in ink or fill out on-line.
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How to fill out an application for relief from:

01
Gather all necessary documents: Before starting the application, make sure you have all the required documents such as identification proof, financial statements, medical records, or any other relevant paperwork.
02
Read the instructions carefully: Take the time to thoroughly read the instructions provided with the application. Understanding the requirements and guidelines will help you submit an accurate and complete application.
03
Provide personal information: Fill out the application by providing your personal information, including your full name, address, contact details, social security number, and any other details requested.
04
Explain the nature of relief sought: Clearly state the specific relief or assistance you are seeking. Be detailed and concise in your description to ensure that the reviewing authority understands your needs.
05
Include supporting documents: Attach any supporting documents that are required or helpful to support your application. This may include financial records, medical reports, proof of income, or any other relevant documents to strengthen your case.
06
Be truthful and complete: Fill out all sections of the application accurately and completely. Avoid any false or misleading information, as it may negatively impact your application.
07
Proofread and review: Take the time to review your application to ensure that all information provided is correct and that there are no errors or omissions. Proofread for any spelling or grammatical mistakes.

Who needs an application for relief from?

01
Individuals facing financial difficulties: People who are experiencing financial hardship, such as unemployment, loss of income, or mounting debts, may need to fill out an application for relief to access financial assistance or assistance programs.
02
Medical patients seeking financial aid: Individuals who require medical treatment or care and are unable to afford the associated costs may need to fill out an application for relief to access medical assistance programs or financial aid.
03
Individuals affected by natural disasters or emergencies: Those who have suffered significant losses or damages due to natural disasters, emergencies, or other unforeseen events may need to fill out an application for relief to access support, such as temporary housing, financial aid, or disaster assistance programs.
Note: The specific circumstances and eligibility requirements for relief applications may vary depending on the jurisdiction and the nature of the relief being sought. It is important to consult the specific guidelines and instructions provided with the application to ensure accurate and complete submission.

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