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Forms Checklist - Asking for a 209A restraining order

Produced by Attorney Jeff Wolf for MassLegalHelp
Last Updated December 2016

When you ask for a 209A restraining order, you need to file at least these 3 forms:

  1. Complaint for Protection from Abuse (G.L. c. 209A),
  2. Plaintiff Confidential Information Form, and
  3. Defendant Information Form.

You may also need some other forms.

If you have children under 18, use the Forms Checklist - Asking for 209A restraining order Forms if you have children under 18.

  • Complaint for Protection from Abuse (G.L. c. 209A) Page 1 of 2.
    This is the main form you file to get a restraining order. It is 4 pages.
    • Page 1 is the Complaint – Court Copy. It has checkboxes and spaces for you to fill in with names and basic information about you, your relationship to the defendant, and what you are asking the court to order.
    • Page 2 is the Complaint – Probation Copy.
    • Page 3 is the AFFIDAVIT.
      If you get the form from the court the AFFIDAVIT is on the back of page 1.
      On the AFFIDAVIT:
      1. Tell the judge what happened and why you need a 209A order.
      2. Write down exactly what happened. Do the best you can. Write down the things he said or did like, "He told me he would get his gun and shoot me."
      3. Start with the most recent incident.
      4. Include information about injuries, if children were present or hurt, police involvement, medical treatment, other help you got, or destruction of property.
        See Writing Your Affidavit
      5. When you sign the AFFIDAVIT, you swear that what you said in the AFFIDAVIT and the Complaint is true to the best of your knowledge.
    • Page 4 is Instructions to the Plaintiff You are the "plaintiff." This form tells you how to fill out the other forms.
  • Plaintiff Confidential Information Form
    On this form you write your name, home address, home telephone number, workplace name, address, telephone number, and school. This information is confidential. The defendant, the defendant’s attorney, and the public are not allowed to see it. Only certain authorized persons who ask for this information can see it. But first they must file a Request for Access to Confidential Information form.
  • Defendant Information Form
    The court gives this information to the police so they can find the defendant to deliver the order. Include any information that will help the police find the defendant.

Other forms you may also need

  • Motion for Impoundment
    Use this form
    • if there is anything in your 209A papers that you need to keep from people who are allowed to see it. You might need to keep people who can look at your Plaintiff Confidential Information Form from seeing it.
    • Or if you need to keep other information in your court papers confidential.

    You must explain on the form why it is important to keep this information confidential. Your reasons to keep this information confidential must be more than simply to protect your privacy. The reasons must show that you need the court to keep the information confidential so nobody can use it to harm you.

  • If you are filing an affidavit that is not in English you need
    Translation of Affidavit
    Use this form if your affidavit is not in English. The person who translates your affidavit writes the English translation on this form. The translator also signs and prints his or her name at the bottom of the page, where it says, in English “I have provided a written translation into English, complete and accurate to the best of my ability”.
  • If your pets need protection you need
    Petition Filed Pursuant to G.L. c. 209A, § 11 Relative To Domesticated Animal(s).

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