CONFIDENTIAL FINANCIAL STATEMENT
All claimants are required by Clients' Security Board Rule 5(a)(2) to complete this form. PLEASE NOTE: All questions on this form must be answered in full or the word "none" inserted. DO NOT LEAVE ANY QUESTIONS UNANSWERED. If additional space is needed for any answer, please use "Additional Writing Space".
This information is confidential and is only available to the members and staff of the Clients' Security Board of the Supreme Judicial Court.
Print out the form, fill it in and mail it with your application to Clients' Security Board of the Supreme Judicial Court of Massachusetts, 99 High Street, 2nd floor, Boston, MA 02110-2320. Call 617-728-8700 or email us if you have any questions regarding this form.