FM175FLAT 2026

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4.2 out of 5

42 votes

The document is a certification form for family cases in Connecticut that requires individuals who have received public assistance to notify the appropriate authorities when filing legal documents such as Summons, Complaints, or Custody Applications. It outlines the steps to be taken, including mailing copies of relevant documents to the Attorney General or Town Clerk, and filing the certification with the court clerk.

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Click ‘Get Form’ to open the FM175FLAT in the editor.
Begin by entering the Judicial District and Town where your case is filed. This information is crucial for proper documentation.
Fill in the Return Date if applicable, ensuring it matches any court requirements.
In the 'Name of Case' section, provide the title of your case, followed by the Docket Number if known.
Check all relevant boxes to certify which documents were mailed or delivered. This includes options like Joint Petition, Summons, and others as applicable.
Indicate the date when these documents were sent out by filling in the appropriate fields.
If public assistance was received, specify whether it was from the Office of the Attorney General or a local City Clerk's office by checking the corresponding box and providing their address.
Finally, print your name, sign, and provide your contact information before saving a copy for your records.

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Versions	Form popularity	Fillable & printable
2019	4.2 Satisfied (42 Votes)
2015	4.3 Satisfied (29 Votes)
2011	4 Satisfied (55 Votes)

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