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Ble accommodation in accordance with the ADA, contact a court clerk or an ADA contact person listed at www.jud.ct.gov/ADA. SUPERIOR COURT www.jud.ct.gov JD-AP-48 Rev. 8-15 C.G.S. 54-56g, 52-259b Instructions to Person Applying for Waiver: Print or type all information and sign affidavit in front of court clerk, notary public, or an attorney. Instructions to Clerk: If application is denied and a hearing is requested, schedule hearing and issue notice of hearing. Name of case Docket numbe.

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