Certificate of Service

CERTIFICATE OF SERVICE

State of Connecticut — Superior Court

SECTION 1: COURT HEADER AND CASE CAPTION

SUPERIOR COURT OF CONNECTICUT
JUDICIAL DISTRICT OF [________________________________] AT [________________________________]
────────────────────────────────────────────────────────

[________________________________],
      Plaintiff,

v.                                             Docket No. [________________________________]

[________________________________],
      Defendant.

SECTION 2: DOCUMENT(S) SERVED

The following document(s) were served:

SECTION 3: CERTIFICATE STATEMENT

Pursuant to Connecticut Practice Book §§ 10-12 and 10-15, I, [________________________________], certify that on [__/__/____] a copy of the above-listed document(s) was served on each person identified below.

SECTION 4: PARTIES / COUNSEL SERVED

Recipient 1

Name: [________________________________]
Capacity: ☐ Attorney for Plaintiff ☐ Attorney for Defendant ☐ Self-Represented Party ☐ Other: [________________]
Firm/Organization: [________________________________]
Address: [________________________________]
City, State, ZIP: [________________________________]
Email: [________________________________]
Juris No. (if Connecticut attorney): [____________________]

Method of Service:

☐ Connecticut Judicial Branch E-Filing (electronic delivery to registered user) — Transmitted through the Connecticut e-filing system. Registered users automatically receive service notification.
(E-Filing Confirmation No.: [________________________________])

☐ Electronic Mail (Practice Book § 10-13 — agreement required) — Sent to: [________________________________]
(Agreement to accept electronic service filed with court under § 10-13. Email sent at [____:____] [AM/PM] ET.)

☐ First-Class Mail — Envelope mailed, postage prepaid, at:
Location: [________________________________], Connecticut
Time: [____:____] [AM/PM]

☐ Certified / Registered Mail — Cert./Reg. No.: [________________________________]

☐ Facsimile (Practice Book § 10-17 — consent required) — Fax No.: [________________________________]
Time transmitted: [____:____] [AM/PM]
Fax confirmation received: ☐ Yes ☐ No

☐ Hand Delivery / In-Person — Delivered at:
Location: [________________________________]
Time: [____:____] [AM/PM]
Delivered by: [________________________________]

☐ Courier Service — Via: [________________________________]
Tracking No.: [________________________________]

Recipient 2

Name: [________________________________]
Capacity: ☐ Attorney for Plaintiff ☐ Attorney for Defendant ☐ Self-Represented Party ☐ Other: [________________]
Firm/Organization: [________________________________]
Address: [________________________________]
City, State, ZIP: [________________________________]
Email: [________________________________]
Juris No.: [____________________]

Method of Service:

☐ Connecticut e-filing — Conf. No.: [________________________________]
☐ Email (agreement on file) — Sent to: [________________________________] at [____:____] [AM/PM]
☐ First-Class Mail — Mailed at [________________________________], Connecticut
☐ Certified Mail — No.: [________________________________]
☐ Facsimile — Fax No.: [________________________________] at [____:____] [AM/PM]
☐ Hand Delivery — At [________________________________] at [____:____] [AM/PM]

Recipient 3 (if applicable)

Name: [________________________________]
Capacity: ☐ Attorney for Plaintiff ☐ Attorney for Defendant ☐ Self-Represented Party ☐ Other: [________________]
Address / Email: [________________________________]
Juris No.: [____________________]

Method of Service:

☐ Connecticut e-filing — Conf. No.: [________________________________]
☐ Email — Sent to: [________________________________]
☐ First-Class Mail — Mailed at [________________________________]
☐ Hand Delivery
☐ Facsimile — Fax No.: [________________________________]
☐ Other: [________________________________]

Add additional recipients as needed.

SECTION 5: CONNECTICUT ELECTRONIC SERVICE (PRACTICE BOOK § 10-13)

Connecticut Electronic Service Agreement:

Under Connecticut Practice Book § 10-13, a party who wishes to accept service of documents electronically must file a notice with the court, which must include:

☐ The party's (or counsel's) email address
☐ Consent to receive documents electronically at that email address
☐ A statement that the party may revoke this consent by filing a notice with the court

Agreement Status:

☐ The recipient has filed an agreement with the court to accept electronic service per § 10-13, using email address: [________________________________]
☐ The recipient has not filed an agreement — electronic service was NOT used for this recipient
☐ Electronic service was made through the Connecticut Judicial Branch e-filing system (registered user service is automatic)

E-Filing System Confirmation:

• Confirmation No.: [________________________________]
• Date/Time: [__/__/____] at [____:____] [AM/PM] ET
• Filing Status: ☐ Accepted ☐ Pending ☐ Rejected (describe: [________________])

SECTION 6: ELECTRONIC SERVICE NOTICE (FORM JD-ES-286)

Connecticut Judicial Branch Form JD-ES-286 (Electronic Service Notice) is used when parties agree to accept electronic service under Practice Book § 10-13:

☐ Form JD-ES-286 was filed by the recipient on [__/__/____] (on file in this case)
☐ Form JD-ES-286 has not been filed; traditional service was used

Note: The Electronic Service Notice (JD-ES-286) must be filed with the court before a party can be served electronically under § 10-13. If no form is on file, you must serve by traditional means (mail, hand delivery, or fax with consent).

SECTION 7: SELF-REPRESENTED PARTY SERVICE

(Complete if any party is self-represented.)

☐ A self-represented party was served. Details:

Party Name: [________________________________]
Mailing Address: [________________________________]
City, State, ZIP: [________________________________]

Method:
☐ First-Class Mail — Mailed at [________________________________], Connecticut on [__/__/____]
☐ Certified Mail — No.: [________________________________]
☐ Hand Delivery — At [________________________________] on [__/__/____]
☐ Email — Email: [________________________________] (Form JD-ES-286 on file since [__/__/____])

Note: Self-represented parties who have not filed Form JD-ES-286 or consented to electronic service must be served by traditional means.

Special Dockets: In Housing Court and Family Court, confirm whether additional local standing orders apply to service on self-represented parties.

SECTION 8: MULTIPLE-PARTY SERVICE TABLE

SECTION 9: DATE AND TIME OF SERVICE

Date of Service: [__/__/____]
Time of Service / Transmission: [____:____] [AM/PM] Eastern Time (ET — EST/EDT)
City/Location of Mailing or Delivery: [________________________________], Connecticut

SECTION 10: TIME COMPUTATION (PRACTICE BOOK § 4-2)

Connecticut Time Computation Rules:

Under Connecticut Practice Book § 4-2, when computing a time period:

• The day of the act or event (service) is excluded.
• The last day is included unless it is a Saturday, Sunday, or legal holiday.
• If the last day is a Saturday, Sunday, or legal holiday, the deadline extends to the next business day.

Mail Presumption (Practice Book § 10-14):
When a document is sent by mail, it is presumed to be received two days after mailing (or the following Monday if sent on Saturday). Practice Book § 10-14 does not add days to a response period the way federal Rule 6(d) or many state rules do. Verify the current rule and applicable case law regarding whether a mail extension applies to your specific deadline.

Note: Connecticut's time rules differ from the federal mail rule. Consult Practice Book § 4-2 and § 10-14 carefully for the specific proceeding at issue.

SECTION 11: FACSIMILE SERVICE (PRACTICE BOOK § 10-17)

Fax service is permitted under Practice Book § 10-17 with consent:

☐ Fax service was used. Details:

• Recipient's fax number: [________________________________]
• Time of transmission: [____:____] [AM/PM] ET
• Fax confirmation report received: ☐ Yes ☐ No
• Consent to fax service was obtained: ☐ Yes (date: [__/__/____]) ☐ No (if no, fax service was not used)

Consent to fax service must be confirmed before using this method. Do not fax serve without prior consent.

SECTION 12: DECLARATION

I declare under the penalties of false statement that the foregoing is true and correct.

Date: [__/__/____]

_____________________________________________
[________________________________]
Juris No. [____________________]
[________________________________] (Law Firm)
[________________________________] (Street Address)
[________________________________], Connecticut [________] (City, ZIP)
Telephone: ([____]) [____]-[________]
Email: [________________________________]
Attorney for [________________________________] / Self-Represented [Party]

SECTION 13: E-FILING INSTRUCTIONS (CONNECTICUT JUDICIAL BRANCH)

Connecticut E-Filing System:

The Connecticut Judicial Branch operates an electronic filing system (e-Services) for Superior Court matters. Attorneys are required to e-file in most civil matters (certain exceptions apply for self-represented parties and specific case types).

How E-Filing Service Works:

1. Attorney logs into the Connecticut Judicial Branch e-Services system.
2. Attorney submits the filing electronically.
3. The system processes the filing and sends notifications to registered parties.
4. For parties who have filed Form JD-ES-286 (Electronic Service Notice), the notification constitutes service.
5. For parties who have not filed JD-ES-286, manual service must be completed.

Juris Number:
Connecticut attorneys are identified by their Juris Number (a unique number assigned to each attorney and law firm). Include the Juris Number in all filings and certificates of service.

SECTION 14: JUDICIAL DISTRICT AND LOCATION NOTES

Connecticut Judicial Districts:
Connecticut Superior Court is organized into Judicial Districts (J.D.) for civil matters and Geographical Areas (G.A.) for criminal matters:

• Judicial District of Hartford at Hartford
• Judicial District of New Haven at New Haven
• Judicial District of Fairfield at Bridgeport
• Judicial District of Stamford-Norwalk at Stamford
• Judicial District of Waterbury at Waterbury
• Judicial District of New Britain at New Britain
• Judicial District of Litchfield at Litchfield
• Judicial District of Middlesex at Middletown
• Judicial District of New London at New London
• Judicial District of Tolland at Rockville
• Judicial District of Windham at Putnam
• Judicial District of Ansonia-Milford at Derby

Complex Litigation Docket:
Some cases are assigned to the Complex Litigation Docket in Hartford or Waterbury. These dockets may have additional requirements for service and filings. Check the docket's standing orders.

SECTION 15: PRACTITIONER NOTES

Juris Number Requirement:
Connecticut requires attorneys to include their Juris Number on all court filings. The Juris Number identifies the attorney and the law firm. Ensure this is included on the certificate of service.

Practice Book § 10-13 — Opt-In Electronic Service:
Unlike states where e-service is automatic for all attorneys, Connecticut uses an opt-in system under Practice Book § 10-13. A party must file Form JD-ES-286 with the court to consent to electronic service. If an attorney or party has not filed this form, you cannot serve them electronically (other than through the e-filing system for registered users). Check the court's case management system to see who has filed JD-ES-286.

Housing Court and Family Court:
These dockets have specific procedures and often involve self-represented parties. Check local standing orders. In Housing matters, special rules govern service and time computation. In Family matters (divorce, custody), confirm applicable rules for service of motions and other papers.

Redaction — Practice Book Privacy Policy:
Connecticut courts require redaction of personal identifying information from court filings. Do not include social security numbers, financial account numbers, or children's full names in the certificate of service.

Penalties of False Statement:
Note the Connecticut certification language: "I declare under the penalties of false statement" — not "under penalty of perjury." This is Connecticut-specific language. Do not substitute federal or other states' perjury language.

This template was prepared for use in Connecticut state court practice. It is not a substitute for independent legal research and attorney judgment. Verify all citations and procedures against the current Connecticut Practice Book.