SES Direct E-mail Request

<!doctype HTML PUBLIC "-//W3C//DTD HTML 4.01 Transitional//EN" "http://www.w3.org/TR/html4/loose.dtd"> <html lang="en"> <head> <meta http-equiv="Content-Language" content="en-us"> <meta name="GENERATOR" content="Microsoft FrontPage 12.0"> <meta name="ProgId" content="FrontPage.Editor.Document"> <title>SES Direct E-mail Request</title> <meta name="copyright" content="Copyright � 2003, State of Connecticut"> <meta name="rating" content="General"> <meta name="robots" content="noindex"> </head> <body bgcolor="#FFFFFF" topmargin="0" marginheight="0" marginwidth="10"> <form method="post" action="../scripts/SesEmailRequest.asp"> <table border="0" cellpadding="0" cellspacing="0" style="border-collapse: collapse" bordercolor="#111111" width="100%"> <tr> <td bgcolor="#1F3776" height="3"><map name="FPMap1"> <area alt="History of the Connecticut Judicial Seal" coords="512, 36, 32" shape="circle" href="../sealhistory2.htm"> <area href="../index.html" shape="default" alt="Home"> <area href="../index.html" coords="0, 0, 10000, 10000" shape="rect" alt="Home"> </map> <img border="0" src="../imgs/longjudbanner770left-nobot.jpg" align="left" alt="Banner" hspace="0" usemap="#FPMap1" width="555" height="72"><a href="../index.html"><img border="0" src="../imgs/longjudbanner770right-nobot.jpg" align="right" hspace="0" alt="Banner" width="195" height="72"></a></td> </tr> <tr> <td bgcolor="#CFC0A7"></td> </tr> <tr> <td height="2" bgcolor="#7a5a5b"></td> </tr> </table> </div> <div align="left"> <table border="0" cellpadding="4" width="100%" style="BORDER-COLLAPSE: collapse" bordercolor="#111111"> <tr> <td width="4" bgcolor="#dddddd"> </td> <td width="831" height="30" bgcolor="#dddddd" align="left"> Support Enforcement Services Direct E-mail Request </td> </tr> <tr> <td width="4" height="10" align="right" valign="top"></td> <td width="831" height="10" valign="center" align="left"></td> </tr> <tr> <td width="4" align="right" valign="top"> </td> <td width="831" valign="center" align="left"> Your First Name*: </td> </tr> <tr> <td width="4" align="right" valign="top"> </td> <td width="831" valign="center" align="left"> <input maxLength="255" size="44" name="firstName" style="LEFT: 7px; TOP: 7px" value="">  </td> </tr> <tr> <td width="4" align="right" valign="top"> </td> <td width="831" valign="center" align="left"> Your Last Name*: </td> </tr> <tr> <td width="4" align="right" valign="top"> </td> <td width="831" valign="center" align="left"> <input style="LEFT: 6px; TOP: 6px" maxLength="255" size="44" name="lastName" value=""> </td> </tr> <tr> <td width="4" align="right" valign="top"> </td> <td width="831" valign="center" align="left"> SES File Number: </td> </tr> <tr> <td width="4" align="right" valign="top"> </td> <td width="831" valign="center" align="left"> <input maxlength="10" style="LEFT: 8px; TOP: 7px" size="12" name="SesFileNumber" value="">  Example Format: 12345678-9 or 12345678 </td> </tr> <tr> <td width="4" align="right" valign="top"> </td> <td width="831" align="left"> Name of the child support case (e.g. Lisa Smith vs. Dave Smith) or if you have a general inquiry, type your name*:  Max. 100 characters. </td> </tr> <tr> <td width="4" align="right" valign="top"> </td> <td width="831" valign="center" align="left"> <textarea name="CaseNames" rows="3" cols="60"></textarea> </td> </tr> <tr> <td width="4" align="right" valign="top"> </td> <td width="831" valign="center" align="left"> Type your question below and include information that may help us identify your case*:  Max. 1,000 characters. </td> </tr> <tr> <td width="4" align="right" valign="top"> </td> <td width="831" valign="center" align="left"> <textarea style="LEFT: 9px; TOP: 7px;" name="Question" rows="5" cols="60"></textarea> </td> </tr> <tr> <td width="4" align="right" valign="top"> </td> <td width="831" valign="center" align="left"> How would you like us to respond to you?     <select NAME="ResponsType" SIZE="1"> <option VALUE="Mail" SELECTED> Mail</option> <option VALUE="Telephone" > Telephone</option> <option VALUE="Fax" > Fax</option> <option VALUE="E-mail" > E-mail</option> </select> (If by mail, telephone, fax or e-mail, please include your address, telephone number, fax number or e-mail in the text box above) </td> </tr> <tr> <td width="4" align="right" valign="top"> </td> <td width="831" valign="center" align="left"> SES office you want to contact *:   <select NAME="SesContactOffice" SIZE="1"> <option VALUE SELECTED> --Select a Location--</option> <option VALUE="csipru@jud.ct.gov" > General Inquiries & Questions </option> <option VALUE="cs.bridgeport@jud.ct.gov" > Bridgeport</option> <option VALUE="cs.hartford@jud.ct.gov" > Hartford</option> <option VALUE="CS.Middletown@jud.ct.gov" > Middletown</option> <option VALUE="cs.newbritain@jud.ct.gov" > New Britain</option> <option VALUE="cs.newhaven@jud.ct.gov" > New Haven</option> <option VALUE="cs.norwich@jud.ct.gov" > Norwich</option> <option VALUE="cs.putnam@jud.ct.gov" > Putnam</option> <option VALUE="cs.rockville@jud.ct.gov" > Rockville</option> <option VALUE="cs.stamford@jud.ct.gov" > Stamford</option> <option VALUE="cs.torrington@jud.ct.gov" > Torrington</option> <option VALUE="cs.waterbury@jud.ct.gov" > Waterbury</option> <option VALUE="cs.administration@jud.ct.gov" > Administration</option> <option VALUE="cs.autoenf@jud.ct.gov" > CPU - Automated Enforcement</option> <option VALUE="cs.medical@jud.ct.gov" > CPU - Medical Enforcement</option> <option VALUE="cs.review@jud.ct.gov" > CPU - Modifications</option> </select> </td> </tr> <tr> <td width="4" align="right" valign="top"> </td> <td width="831" valign="center" align="left"> * Required information, which must be completed before the e-mail can be submitted. ** If you have chosen e-mail as the way to receive your response, please know that our responding e-mail could possibly be intercepted by a third party not authorized to view your information. The following confidentiality statement will be attached with our responding e-mail: Confidential information - This e-mail message contains confidential information belonging to the State of Connecticut, which is protected by law. The information is intended for the individual or entity to which this message is addressed. If you are not the intended recipient, you are hereby notified that any disclosure, copying, distribution or any other use of the content is strictly prohibited. If you have received this message in error, please notify us by telephone immediately at (860) 569-6233 and delete this e-mail message. </tr> <tr> <td width="4" align="right" valign="top"> </td> <td width="831" valign="center" align="center"> <input type="submit" value="Send E-mail" name="B1">  <a href="../attorneys.htm">Attorneys</a> | <a href="../jud2.htm">Case Look-up</a> | <a href="../courts.htm">Courts</a> | <a href="../Directories.htm">Directories</a> | <a href="../EdResources.htm"> Educational Resources</a> | <a href="http://www.jud.ct.gov/external/super/E-Services/efile/">E-Services</a> | <a href="../espanol.htm">Español</a> | <a href="../faq/Default.htm">FAQs</a> | <a href="../jury/">Juror Information</a> | <a href="../external/Media/">Media</a> | <a href="../opinions.htm"> Opinions</a> | <a href="../opportunities.htm">Opportunities</a> | <a href="../selfhelp.htm">Self-Help</a> | <a href="http://www.jud.ct.gov/"> Home</a> <a href="../legalterms.htm">Common Legal Words</a> | <a href="../contactus.htm">Contact Us</a> | <a href="../sitemap.htm">Site Map</a> | <a href="../policies.htm">Website Policies and Disclaimers</a> Copyright © 2016, State of Connecticut Judicial Branch   </td> </tr> </table> </div> </form> </body> </html>

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SES Direct E-mail Request