Fill and Sign the Free Application for Case Referral Complex Litigation Form

(Continued...) a. pleadings closed..................................................... b. discovery completed...............................................c. file sealed (partial/entire)........................................ d. scheduled for trial — if so, when e. pretrial held.............................................................f. trial management conference held......................... STATE OF CONNECTICUT SUPERIOR COURT - CIVIL DIVISION www.jud.ct.gov Instructions 5. List all plaintiffs and their counsel: APPLICATION FOR REFERRAL OF CASE TO THE COMPLEX LITIGATION DOCKET (CLD) JD-CV-39 Rev. 4-13 Pr. Bk. Sec. 23-15, C.G.S. §§ 51-347b, 52-259 6. List all defendants and their counsel: 8. Briefly describe the nature of the case: (products liability, anti-trust, stockholders' action, UCC, etc.) 9. List any cases with which this case is consolidated: (Note: In order to apply for CLD in unconsolidated but related cases, a separate application with fee is required for each case.) 10. Indicate the status of the litigation: a. referral to the CLD................................................................ b. transfer to the CLD location requested on this application... Yes No I submit this application for the Court's consideration. *CLDAPP* COURT USE ONLY (Date) Note: Any objection to the transfer of this case to the CLD must be filed within 15 calendar days after the filing of this application. Attorneys not excluded from efiling must select "Objection to Transfer to Complex Litigation" when naming the objection in e-filing. Attorneys excluded from efiling and self-represented parties must file the objection with the Clerk in the judicial district in which the case is pending and must title it "Objection to Transfer to the Complex Litigation Docket.” 1. Counsel and self-represented parties seeking to have a case referred to the Complex Litigation Docket (CLD) must supply all of the information requested below. (Failure to supply complete and accurate information may disqualify a case.) 2. This application must be accompanied by the appropriate fee (Section 52-259 of the Connecticut General Statutes). 3. Information that does not fit on this form should be attached on a separate sheet, numbered to correspond to the questions on the form. 4. Attorneys not excluded from efiling must e-file this form and select “Complex Litigation Application" when naming the form in e-filing. Attorneys excluded from efiling and self-represented parties must file the original with the appropriate fee with the Clerk in the judicial district in which the case is pending. 7. Indicate whether opposing counsel opposes: Yes No Name and address of applicant Juris number Telephone number 1. Case name (Plaintiff v. Defendant) 2. Docket number 4. Return date of original complaint 3. Judicial District in which case is pending Plaintiff's name Counsel's name and address Counsel's phone # Defendant's name Counsel's phone # Counsel's name and address Case name (Plaintiff v. Defendant) Docket number Judicial District CLDAPP 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. Reset Form Print Form JD-CV-39 (Page 2 of 2) Rev. 4-13g. claimed for jury trial................................................ h. claimed for bench trial............................................ i. class action status sought...................................... 14. Which CLD location is requested? (Enter order of preference.) 13. Why should this case be referred to the CLD ? 12. What is the estimated length of trial (in days)? Yes No Not yet determined 11. Has a request or application to refer this case to the Complex Litigation Docket previously been denied? Yes No Hartford Stamford Waterbury and self-represented parties of record and that written consent for electronic delivery was received from all attorneys and self-represented parties receiving electronic delivery. Signed (Signature of filer) u Certification I certify that a copy of this document was mailed or delivered electronically or non-electronically on (date) to all attorneys *If necessary, attach additional sheet or sheets with name and address which the copy was mailed or delivered to. Name and address of each party and attorney that copy was mailed or delivered to* Print or type name of person signing Date signed Telephone number Mailing address (Number, street, town, state and zip code) Reset Form Print Form