What is this affidavit used for?

It formalizes a person’s military-service status so recipients can apply statutory protections or administrative handling. Use the affidavit when a court, lender, landlord, or agency requests a sworn attestation of service status.

Who must sign the affidavit?

The declarant—typically the service member or the person with direct knowledge—must sign under penalty of perjury. If prepared by counsel or an agent, the declarant’s signature remains required unless the recipient permits otherwise.

Is notarization always required?

Notarization is commonly required but not universal. Check the requesting entity’s rules; some courts or agencies accept electronically authenticated signatures, while others insist on in-person or RON notarization.

Can I use an electronic signature?

Electronic signatures are legally valid under the ESIGN Act (15 U.S.C. ch. 96) and UETA where adopted, provided authentication, intent, and record retention meet legal standards; confirm the recipient accepts e-signatures.

What supporting documents should I include?

Attach government ID and, when available, military orders or DD-214. If the recipient requests certified records, obtain them from the appropriate Department of Defense or Veterans Affairs office.

How do I correct an error after signing?

If minor, follow recipient instructions—often a signed amendment or corrected affidavit is accepted. For substantive errors, prepare a new affidavit, have it notarized if required, and provide an explanation and dated replacement to the recipient.

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Connecticut Affidavit Concerning Military Service

Connecticut Affidavit Concerning Military Service

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AFFIDAVIT CONCERNING
MILITARY SERVICE

JD-FM-178 Rev. 11-11

P.B. § 17-21

STATE OF CONNECTICUT
SUPERIOR COURT

Court Use Only

AE

Instructions

Anyone who knows the military status of the defendant may complete the form below. You must swear that your statement is true and sign it in front of a court clerk, a notary public, or an attorney who will also sign and date the affidavit. Make one copy for yourself and give the original to the court clerk.

Explanation: A military service affidavit is required in every case where the defendant has not filed an Appearance form with the court clerk's office by the time of the court hearing. The purpose is to protect men and women serving in the U.S. military from getting a court judgment against them without first receiving notice of the lawsuit and a chance to defend the case. The affidavit gives the court the necessary facts to find that the defendant is not in the U.S military.

Judicial District of

At (Town)

Plaintiff's name (Last, first, middle initial)

Return date (Month, day, year)

Docket number

Defendant's name (Last, first, middle initial)

I certify that the following is true (check all that apply and complete):

1. The defendant is in the U.S. Military.

2. The defendant is not in the U.S. Military. I know this because:

the defendant is working at

the defendant currently lives at

the defendant is years old.

other (state reasons)

3. I do not know whether the defendant is in the U.S. military service.

Signature

Print name

Signed and sworn to before me (Assistant Clerk/Notary Public/Commissioner of Superior Court)

At (Town, State)

Date signed

ADA NOTICE

The Judicial Branch of the State of Connecticut complies with the Americans with Disabilities Act (ADA). If you need a reasonable accommodation in accordance with the ADA, contact a court clerk or an ADA contact person listed at www.jud.ct.gov/ADA.

What the Connecticut Affidavit Concerning Military Service Is and When It’s Used

The Connecticut Affidavit Concerning Military Service is a sworn written statement used to confirm whether an individual is currently serving in the U.S. military or is a military service member who may be entitled to special procedures or protections. Typical recipients include courts, lenders, landlords, and state agencies that require a formal attestation of service status to apply statutory protections, postpone actions, or update administrative records. The affidavit is completed by the declarant, signed under penalty of perjury, and commonly notarized or otherwise authenticated before submission to the requesting party.

Why this affidavit matters for legal and administrative processes

A clear military-service affidavit clarifies eligibility for protections, prevents improper default actions, and creates a record for administrative processing.

Who commonly completes and relies on this affidavit

The affidavit is used by several distinct groups who need reliable verification of military service.

Courts and clerks who require sworn statements before entering judgments or modifying case schedules.
Lenders and mortgage servicers verifying service status for relief or modification programs.
Landlords, property managers, and state agencies that apply special notice rules or protections.

Each user group applies the affidavit differently—some for procedural stays, others to satisfy statutory notice requirements—so include the recipient’s requested detail when completing the form.

Step-by-step: Completing the Connecticut Affidavit Concerning Military Service

Follow these steps in order to prepare a complete, verifiable affidavit that meets common recipient requirements.

01

Gather documents: Collect government ID and military orders or DD-214 if available.
02

Complete fields: Enter names, dates, and service status using the specified formats.
03

Sign and notarize: Sign under penalty of perjury; notarize if the recipient requires authentication.
04

Submit and retain: Send to the requesting party and keep a dated copy for your records.

How the affidavit travels from completion to acceptance

Documents typically move through preparation, verification, and retention stages; knowing each step reduces processing friction.

Prepare affidavit: Complete required fields and attach supporting documents.
Authenticate: Notarize or apply approved electronic signature authentication.
Deliver to recipient: Provide to court, lender, landlord, or agency as requested.
Record retention: Retain copies per applicable retention requirements.

Digital submission and platform considerations

Many organizations accept electronically completed affidavits if authentication and record retention meet legal standards such as ESIGN and UETA.

File formats: PDF/A or PDF is preferred
Authentication: Email, SMS code, or RON
Integrations: Supports common cloud storage

Verify recipient acceptance rules for e-submissions—some courts or agencies require in-person notarization or specific RON procedures; follow those instructions exactly to avoid rejection.

Configuring an electronic workflow for this affidavit

Common eSubmission workflows require specific fields, signer authentication, and retention settings—configure these before sending.

Field	Configuration
Signer Order	Single signer; recipient can be CC'd
Authentication Method	Email link or SMS code; RON for notary
Notary Field	Optional RON or physical notary checkbox
Retention Settings	Enable PDF/A archival and audit trail

Key penalties and legal risks to avoid

Perjury: Criminal penalties for false statements

Rejection: Form may be rejected for inaccuracies

Delay: Processing delays for missing verification

Civil Liability: Potential private-party disputes

Administrative Sanctions: Sanctions for improper filings

Lost Protections: Failure to attest may forfeit special relief

Common preparation errors and how they affect outcomes

Using an informal name or nickname instead of legal name leads to verification failures and may delay acceptance.
Omitting dates or entering inconsistent date formats prevents record matching with military databases and can cause rejection.
Failing to notarize when required causes administrative rejection and may require resubmission with additional costs.
Submitting without supporting documentation (orders, DD-214) when requested increases processing time and invites additional scrutiny.

Representative eSignature vendor comparison for affidavit workflows

Compare basic pricing and feature availability for common eSignature vendors. signNow is listed first per comparative format; features and plan limits vary by vendor and plan.

	signNow	DocuSign	Adobe Sign	PandaDoc	HelloSign
Starting Price	$8/user/mo	$15/user/mo	$14/user/mo	$19/user/mo	$15/user/mo
Free Trial	7-day trial	Varies by vendor	Varies by vendor	Varies by vendor	Varies by vendor
Bulk Send	Yes	Yes	Yes	Yes	No
Audit Trail	Yes	Yes	Yes	Yes	Yes
HIPAA Compliant	Yes	Yes	Yes	No	No
Envelope Cap	No cap	100 envelopes/user/year	Varies by plan	Varies by plan	Varies by plan

Roles who sign or review this affidavit

Lender Officer

Loan officers and servicers verify military status to apply applicable protections or delay enforcement actions; they need clear, dated affidavits and may request supporting military records for validation.

Service Member

The declarant completes and signs the affidavit under penalty of perjury. Service members should provide accurate dates, attach supporting documents, and follow notarization requirements if the recipient mandates them.

Security and compliance considerations for electronic affidavits

Encryption: TLS 1.2/1.3 in transit; AES-256 at rest

Audit Trail: Timestamped, IP-based action history

HIPAA Support: BAA available where needed

Standards: SOC 2 Type II and ISO 27001

Regulatory: Supports ESIGN and UETA compliance

21 CFR: Capabilities aligned with 21 CFR Part 11

Timing considerations and common deadlines

No single federal deadline governs all affidavits; timing depends on the recipient’s procedural rules and any statutory triggers.

Upon Request:

Provide the affidavit when a court, lender, or agency requests verification

Before Default Judgment:

Submit affidavit to halt or delay judgment processes when required

Real Estate Recording:

Submit prior to final recording if the recipient requires service verification

Benefit Applications:

Attach affidavit when applying for veteran or military-related benefits if requested

Local Court Deadlines:

Follow court-specific filing deadlines and notice periods

Frequently asked questions and practical answers

Answers to common questions about completion, notarization, e-signatures, corrections, and evidence to attach for the Connecticut Affidavit Concerning Military Service.

Need help? Contact support

What is this affidavit used for?
It formalizes a person’s military-service status so recipients can apply statutory protections or administrative handling. Use the affidavit when a court, lender, landlord, or agency requests a sworn attestation of service status.
Who must sign the affidavit?
The declarant—typically the service member or the person with direct knowledge—must sign under penalty of perjury. If prepared by counsel or an agent, the declarant’s signature remains required unless the recipient permits otherwise.
Is notarization always required?
Notarization is commonly required but not universal. Check the requesting entity’s rules; some courts or agencies accept electronically authenticated signatures, while others insist on in-person or RON notarization.
Can I use an electronic signature?
Electronic signatures are legally valid under the ESIGN Act (15 U.S.C. ch. 96) and UETA where adopted, provided authentication, intent, and record retention meet legal standards; confirm the recipient accepts e-signatures.
What supporting documents should I include?
Attach government ID and, when available, military orders or DD-214. If the recipient requests certified records, obtain them from the appropriate Department of Defense or Veterans Affairs office.
How do I correct an error after signing?
If minor, follow recipient instructions—often a signed amendment or corrected affidavit is accepted. For substantive errors, prepare a new affidavit, have it notarized if required, and provide an explanation and dated replacement to the recipient.

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