Forms ; Summons extra caption. PDF ; Complaint sample.Instructions: Fill in the name of each party to the action or proceeding, one name per line. These forms have been placed on a computer disk, which accompanies this Guide, so that the inclusion of the critical language in a short form decision (the. This is a civil action seeking declaratory relief. Petitioner desires a judicial determination and declaration which is necessary and appropriate at this time. Declaration sought to determine the insurance issues and appropriate relief. This Guide to Statutes and Rules Relating to Hearings provides information to those who are respondents in a hearing and their attorneys. Declaratory statements are an agency's opinion as to the applicability of a statutory provision, or of any rule or order of the agency. New York and Connecticut are "persons" as defined in the applicable provision of the Act, 42 U.S.C. § 7602(e). 10.