INSTRUCTIONS: CONNECTICUT APPLICATION FOR WAIVER OF FEES (Form JD-CV-120)

To apply for a waiver of payment of fees that normally apply in civil housing small claims court in Connecticut, a form JD-CV-120 should be filed. This document can be obtained from the website of the Judicial Branch of the State of Connecticut.

Connecticut Application For Waiver Of Fees JD-CV-120 Step 1: Enter the name of the case and the docket number, if applicable.

Connecticut Application For Waiver Of Fees JD-CV-120 Step 2: Give the address of the court and indicate with a check mark whether you are giving the judicial district, housing session, geographical area number, or small claims court address.

Connecticut Application For Waiver Of Fees JD-CV-120 Step 3: Enter your name, address and telephone number.

Connecticut Application For Waiver Of Fees JD-CV-120 Step 4: Indicate with a check mark the type of proceeding you are filing concerning.

Connecticut Application For Waiver Of Fees JD-CV-120 Step 5: Indicate with a check mark whether you are filing for a waiver of the entry fee to regular docket or small claims court, the filing fee, the fee for service of process, or another free. If the latter, specify.

Connecticut Application For Waiver Of Fees JD-CV-120 Step 6: Section 1 requires you to enter the number of dependents.

Connecticut Application For Waiver Of Fees JD-CV-120 Step 7: Section 2 requires you to detail your gross monthly income.

Connecticut Application For Waiver Of Fees JD-CV-120 Step 8: Section 3 requires you to detail your monthly expenses, including rent or mortgage payments, real estate taxes, utilities, food, clothing, insurance premiums, medical and dental expenses, transportation costs, child care expenses and other. If the latter specify,

Connecticut Application For Waiver Of Fees JD-CV-120 Step 9: Section 4 requires you to document your assets, including real estate, motor vehicles, other personal property, savings account balances, checking account balances, cash and other assets.

Connecticut Application For Waiver Of Fees JD-CV-120 Step 10: Section 5 requires you to detail your liabilities and debts, such as credit card outstanding balances and loans which are not listed under "Assets."

Connecticut Application For Waiver Of Fees JD-CV-120 Step 11: Sign and complete the top part of the second page in the presence of a clerk court, notary public or commissioner of the Superior Court.