Instructions: Petition for Grandparent(s) Visitation court form

Instructions and information to assist you in completing this form.

Petition for Grandparent(s) Visitation form

See G.L. c. 119, Section 39D

File with this petition

  • Affidavit of Care and Custody (form available at the courthouse)
  • If respondent father has been adjudicated in another court, a copy of the judgment/order must be filed.
  • Affidavit describing nature of involvement and relationship between grandparent(s)and grandchild(ren), and description of harm child(ren) will suffer if visitation is not ordered.

No filing fee is required.

Service of petition

Service of petition on respondents is to be made in accordance with Massachusetts Rules of Domestic Relations Procedure Rule 4

Uniform Counsel Certification

Attorneys are required to file a Uniform Counsel Certification.

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