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Connecticut General Statutes or a violation of Public Act 16-126 section 1 or section 2 a 1 or 2 and of the alleged violation s or crime s who suffered a serious physical injury as that term is defined by section 53a-3 of the Connecticut this application. Print name Signed Duly authorized person First Order of the Court Select all that apply The application is denied. The court waives the following fee s or portion of fees having found that the defendant is indigent or unable to pay Application...
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