Fill and Sign the Reasonable Accommodation in Accordance Form

Date signed (WOM) (WOAAD) Signature of Filer(s) Name & Address of Filer(s): WITHDRAWAL JD-CV-41 Rev. 1-18 (WOARD) ; By ; By; By; By Attorney or Self- represented party Attorney or Self- represented party Attorney or Self- represented party Attorney or Self- represented party and the Plaintiff's action is WITHDRAWN AS TO ALL REMAINING DEFENDANTS without costs. (WDACT) only without costs Partial Withdrawal The following pleading(s), motion(s) or other paper(s) in the case named above is or are withdrawn: Dispositive (Complete) Withdrawal (Do not check the following two boxes if any intervening complaints, cross complaints, counterclaims, or third party complaints remain pending in this case. See below for partial withdrawal of action.) STATE OF CONNECTICUT SUPERIOR COURT www.jud.ct.gov For Court Use Only (WDCOMP) (WDINTCO) (WDTHPC) (WAPPCOM) (WOAAP) Name of case (First-named Plaintiff vs. First-named Defendant) Address of court (Number, street, town and zip code) Judicial District Housing Session Party Party Party Party The Plaintiff's action is WITHDRAWN AS TO ALL DEFENDANTS without costs to any party. A judgment has been rendered against the following Defendant(s): Complaint Intervening Complaint Third Party Complaint Apportionment Complaint Plaintiff(s): Complaint against defendant(s): Motion: Other: Return date (For Civil and Housing cases only ) ► Answer date ( For Small Claims cases only ) Docket number Mailing address (Number, street, town, state and zip code) Signed (Signature of filer) ► Certification Print or type name of person signing Telephone number (date) to all attorneys and self-represented parties of record and that written consent for electronic delivery was received from all attorneys and self-represented parties of record who received or will immediately be receiving electronic delivery. I certify that a copy of this document was or will immediately be mailed or delivered electronically or non-electronically on *If necessary, attach additional sheet or sheets with name and address which the copy was or will be mailed or delivered to. Name and address of each party and attorney that copy was or will be mailed or delivered to* Instructions: 1. Complete this form by selecting any applicable withdrawal categories below. 2. File with the clerk. Counts of the complaint: (WDCOUNT) 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. (WDCC) Cross Complaint (cross claim) Counterclaim (WOC) Reset Form Print Form