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Home > Courts > Trial Court Departments > District

District Court Forms


*  Indicates that information can be typed directly into the form and printed
** Indicates that information can be typed directly into the form and printed AND the completed form can be saved to a computer

Available Forms
Attorneys
Attorney Information Change Form (MassCourts, BasCOT & WMS) pdf
Appearance of Counsel pdf *
Notice of Limited Appearance pdf **
Abuse or Harassment Prevention Orders
Affidavit Disclosing Care or Custody Proceeding Involving a Child (G.L. c. 209A) pdf
Foreign Language Versions of "Am I Eligible for a Restraining Order" Handout
Complaint for Protection from Abuse (G.L. c. 209A) (page 1) pdf
Complaint for Protection from Abuse (G.L. c. 209A) (page 2) pdf
Complaint for Protection from Harassment (G.L. c. 258E) pdf
Defendant Information Form (G.L. c. 209A or 258E) pdf
Plaintiff Confidential Information Form (G.L. c. 209A or 258E) pdf
Request for Access to Plaintiff Confidential Information (G.L. c. 209A or 258E) pdf
Motion for Impoundment (G.L. c. 209A or 258E) pdf
Affidavit for Filing Out-of-State Protective Order (G.L. c. 209A or 258E) pdf
Instructions for Police Departments After Court Hours (G.L. c. 209A) pdf
Instructions for Police Departments After Court Hours (G.L. c. 258E) pdf
Summons to Defendant (G.L. c. 209A or 258E) pdf
Plaintiff's Affidavit in Support of Request for a Child Support Order (G.L. c. 209A) pdf
Defendant's Affidavit in Connection with Request for a Child Support Order (G.L. c. 209A) pdf
Plaintiff's Motion to Modify or Terminate Abuse Prevention Order (G.L. c. 209A) pdf
Defendant's Motion to Modify or Terminate Abuse Prevention Order (G.L. c. 209A) pdf
Translation of Affidavit (G.L. c. 209A or 258E) pdf
Civil
Appearance of Counsel pdf *
General Purpose Motion pdf *
Notice of Limited Appearance pdf **
Satisfaction of Judgment pdf
Satisfaction of Judgment on Counterclaim pdf
Military Affidavit pdf *
Notice of Voluntary Dismissal pdf *
Notice of Withdrawal of Appearance pdf *
Request for Default pdf *
Request for Default Judgment pdf *
Statement of Damages Cover Sheet pdf *
Stipulation of Dismissal pdf *
Springfield District Court Civil CMC Pilot pdf *
Trustee Summons pdf **
Worcester District Court Civil CMC Pilot pdf *
Criminal
Assignment of Cash Bail pdf
Consent to Filing Criminal Charge pdf
Defense Certificate of Discovery Compliance pdf
General Purpose Motion pdf *
Motion to Seal Record (G.L. c. 276, § 100C) pdf
Petition for Forfeiture (G.L. c. 90 §24W) pdf
Pretrial Conference Report pdf
Prosecution Certificate of Discovery Compliance pdf
Statement of Facts (DC-CR-34) pdf
Tender of Plea or Admission pdf
Waiver of Counsel with Spanish Translation pdf
Mental Health
Application for 3-Day Commitment (G.L. c. 123, ยง 12[e]) pdf *
Petition for Commitment (G.L. c. 123 §35) pdf *
Request for Emergency Hearing (G.L. c. 123 §§ 12[b]) pdf *
Miscellaneous
Application for Utility Company Administrative Warrant (G.L. c. 164 § 116) pdf
Dispute Resolution Program Report pdf **
    
Instructions for Completing the Dispute Resolution Program Report pdf
Motor Vehicle
Petition for Review of License Suspension for Breath Test Refusal pdf
Noncriminal Citations
Municipal Notice of Violation (G.L. c. 40, § 21D) pdf
Municipal Notice of Violation (G.L. c. 40, § 21D and c. 40U, § 14) pdf
Small Claims
Verification of Defendant’s Address
Small Claims Answer
Small Claims Counterclaim
Financial Statement of Judgment Debtor
Agreement for Judgment and Payment Order
Appearance of Substitute Counsel pdf
Defendant's Claim of Appeal
Acknowledgement of Satisfaction of Judgment
Acknowledgement of Satisfaction of Judgment on Counterclaim
Summary Process
Summary Process Complaint rev 09-01-05 pdf

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Last Updated on April 2, 2013 12:20 PM