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

Return to the
District Court Main Page