You are here

Legal Forms

Reviewed June 2020

Getting the forms

You will need a PDF reader installed on your computer to open some of the forms on this page. Get the latest version of Adobe Acrobat Reader for free.

If you have trouble getting any forms, save the form to your computer first.

To save form: right click the link and pick

  • "save link as.."
  • "save file as"
  • "download linked file" or
  • "download linked file as".
Produced by Massachusetts Law Reform Institute
Reviewed June 2020

Asking for a 209A restraining order

mass access forms icon Fill out a 209A application on your phone or computer. Answer questions and get all the forms you need that you can email to yourself, an advocate, save as part of your safety plan, send to the court.

Or get the paper forms

209A Restraining Order Application (5 forms)

  1. Complaint for Protection from Abuse (G.L. c. 209A) Page 1
  2. Complaint for Protection from Abuse (G.L. c. 209A) Page 2 (required if you have minor children)
  3. Affidavit
  4. Plaintiff Confidential Information Form
  5. Defendant Information Form
  • Page 1 is the Instructions to the Plaintiff. You are the "plaintiff." This form tells you how to fill out the other form.
  • Page 2 is the Complaint. 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 3 is the 2nd page of the Complaint. Use this form if you have children under age 18. You use this form to ask for orders about custody, contact with your children, visitation, or child support.
  • Page 4 is the Affidavit. 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. See Writing your 209A 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 the abusive person said or did like, "They told me they would get their 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
  • Page 5 is the Plaintiff Confidential Information Form. 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.
  • Page 6 is 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
  • Affidavit Disclosing Care or Custody Proceeding Involving a Child This form asks about other family court cases that involve your child. The form tells the court if there are already any court orders about your child. It also tells the court if you are asking the judge to make decisions about your child in the 209A order judge. See sample Affidavit Disclosing Care or Custody Proceedings.

See a Sample 209A Abuse Prevention Order - page 1 and page 2. If the order is granted, the court will type up your order on this form. It is signed by a judge

Other forms you may also need in a 209A restraining order case

pdf icon Plaintiff’s Affidavit in Support of Request for Child Support Order

You can ask the court to order the defendant to pay child support. This form allows you to fill out basic information about both parents' expenses and income to ask for child support. See a sample Plaintiff's Affidavit in Support of Request for a Child Support Order.

PDF icon 209A Affidavit Seeking Child Support

PDF icon Defendant's Affidavit in Connection with Request for a Child Support Order: This form is for the defendant to fill out basic information about their work, income and expenses, if the plaintiff asks for child support. See a sample Defendant's Affidavit in Connection with Request for a Child Support Order.

pdf icon Motion for Impoundment
Use this form to ask the court to keep any information in your application a secret from the defendant, the defendant's lawyer, prosecutor, and court staff. 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 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.

PDF icon Request for Access to Plaintiff Confidential Information Form: Only certain kinds of people like a prosecutor or a domestic violence counselor can use this form to ask to see the plaintiff's confidential information. See a sample Request for Access to Plaintiff's Confidential Information.

pdf icon Translation of Affidavit Use this form if you file an affidavit that is not written in English. The person who translates your affidavit writes the English translation on this form. The translator also signs and prints their 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.”

pdf icon Petition Filed Pursuant to G.L. c. 209A, § 11 Relative To Domesticated Animal(s) Use this form if your pets need protection from abuse.

PDF icon Plaintiff's Motion to Modify or Terminate Abuse Prevention Order Fill out this form to change or end an abuse prevention order. Also see How do I change or end my 209A Restraining Order?

PDF icon Defendant's Motion to Modify or Terminate Abuse Prevention Order Fill out this form if you are a defendant and you need to change or end an abuse prevention order. 

PDF icon Affidavit for Filing Out-of-State Protective Order Use this form to get your protective order from outside Massachusetts enforced in Massachusetts. Also see Protective Orders from Another State.

PDF icon Sample 209A Complaint form seeking protection at school

PDF icon Sample 209A Order providing protection at school

PDF icon Sample District Court 209A Child Support Order

Child Support

PDF icon Child Support Guidelines

PDF icon Child Support Guidelines Worksheet

PDF icon Child Support Guidelines Chart

PDF icon Joint Petition/Motion to Change a Judgment/Temporary Order
 

Samples

PDF icon Complaint for Modification - Child Support - sample This is a copy of the Probate and Family Court Complaint for Modification Form. It has been filled out for an increase in child support case.

PDF icon Complaint for Contempt - Child Support - sample This is a copy of the Probate and Family Court Complaint for Contempt Form. It has been filled out for a non-payment of child support case.

PDF icon Motion for Temporary Support and Proposed Order - sample This sample shows how you might fill in the Probate and Family Court's Motion Form and a Proposed Order Form. This one asks the court to order a parent to pay temporary child support, provide health care coverage, and pay 50% of their children's uninsured medical and dental expenses.

Department of Revenue Child Support Enforcement

Department of Revenue Child Support Enforcement Application for Services
You can apply for DOR/CSE services online, or get a paper application from their website.

PDF icon Offer in Settlement Application Use this form to ask DOR/CSE to accept less child support than you owe.

PDF icon Request for Equitable Adjustment Application Use this form to ask DOR/CSE to adjust the amount of past due child support they say you owe.

Samples

PDF icon Failure to Pay Child Support May Result in License Suspension Notice An example of the warning notice you might get from Child Support Enforcement if you do not pay the child support you owe.

PDF icon Notice to Suspend An example of the notice DOR/CSE sends to a licensing agency if you do not pay your child support. The notice tells the agency you have not paid child support and the agency must take away your license.

PDF icon Final Determination of Delinquency An example of the notice Child Support Enforcement sends you after they have told the licensing agency to take away your license.

 

Court Fees

Affidavit of Indigency Affidavit of Indigency If you cannot afford court fees and costs, ask the court to have the state pay them.

Affidavit of Indigency Supplement to Affidavit of Indigency

Affidavit of Indigency Sample Affidavit of Indigency to see how you might fill out an Affidavit of Indigency if you need to complete the Supplement.

Reviewed June 2020

Divorce Separation Annulment

PDF icon Certification Vital Statistics Divorce or Annulment Statistical Form to be filed with all Complaints for Divorce or Annulment.

Annulment

PDF icon Complaint for Annulment

Divorce

PDF icon Complaint for Divorce

PDF icon Joint Petition for Divorce under G.L. c.208, Section 1A Use when both spouses want a divorce claiming irretrievable breakdown of the marriage.

PDF icon Complaint for Divorce under G.L. c.208, Section 1B Use when one spouse wants a divorce claiming irretrievable breakdown of the marriage.

PDF icon Court Order for Attorney Fee

PDF icon Defendant's Motion for Attorney Fee

PDF icon Plaintiff's Motion for Attorney Fee

Divorce Samples

Word icon Divorce answer - sample

PDF icon Complaint for Divorce - sample This form of complaint is used for "fault" divorces where the parties do not file a joint petition.

PDF icon Complaint for 1B Divorce (Irretrievable Breakdown) - Sample This form of complaint is used for for "no fault" divorces ("1B" divorces) where the parties do not file a joint petition.

PDF icon Joint Petition for Divorce - sample This court form is used when both spouses participate in seeking a joint "no fault" divorce, called a "1A" divorce. They also file a notarized separation agreement and a sworn affidavit that the marriage has irretrievably broken down.

Separation

PDF icon Complaint for Separate Support if you want to stay married and you need a custody order, and support or health insurance for your child, and/or support or health insurance for yourself.

PDF icon Complaint for Support of Spouse or Child

PDF icon Complaint for Support - Custody - Visitation where the parents are not married to each other.

Support

Support Samples

PDF icon Complaint for Support - sample If you are married you can use this form of complaint to seek a suitable amount of support for yourself and the children, as well as health insurance benefits.

PDF icon Complaint for Separate Support - sample This form of complaint has provisions for establishing that you are living apart from your spouse for justifiable cause and for custody and support.

PDF icon Complaint for Support Custody Visitation - Sample where the parents are not married to each other

Financial Statements

See How to Fill Out a Financial Statement

PDF icon Financial Statement short form

PDF icon Financial Statement Schedule A

PDF icon Financial Statement Schedule B

PDF icon Request for Financial Statement

RTF icon Request for Financial Statement

Samples

PDF icon  Financial Statement sample  This is the Probate and Family Court's Financial Statement Form. It is filled out for a parent with custody of two children. The other parent would have to fill out a form, too.

PDF icon Request Financial Statement sample

This is a Request for a Financial Statement Form, with an accompanying letter. You can type up your own identical form with your own Certificate of Service, and mail it to the other parent with a blank Financial Statement Form. 

Both parties in Probate and Family Court cases that deals with financial issues are required to give their financial statement to other party within 45 days of service of the summons. If a hearing is scheduled before the 45 days passes, the parties must exchange financial forms two days before the hearing. File a copy of the financial statement with the court. 

PDF icon Motion to Compel Financial Statement and Proposed Order - sample  This is an example of a Motion you can file to ask the Court to make the other party file a financial statement if you are having difficulty getting them to do so. You must also file a Proposed Order; an example is included.

Guardianship

Financial

PDF icon Fiduciary Bond

Medical and Educational Decisions

Word icon Caregiver education and health care authorization affidavit also called Caregiver Authorization Affidavit

Word icon Temporary Agent Appointment also called Temporary Agent Affidavit

Parents' Right to a Lawyer

PDF icon APPLICATION FOR APPOINTMENT OF COUNSEL For Parent of Minor Child Guardianship of Minor The Probate and Family Court form parents use to ask for a court-appointed lawyer in guardianship cases.

Removing a Guardian

PDF icon Petition for Removal of Guardian of Minor

PDF icon Sample Petition for Removal of Guardian of Minor Look at this form to see how Susan Smith asks the court to end the guardianship of her daughter, Sarah. On the form she asks the court to return Sarah to her and she shows on her petition that her case has "merit."

Changing a Guardianship

PDF icon General Probate Petition

PDF icon Sample General Probate Petition Look at this form to see how Goodluck Fisherman asks the court to change the guardianship of his daughter, Martha. On the form he asks the court to allow Martha to spend weekends with him and he shows on his petition that his case has "merit."

See more Guardian of a Minor court forms on the Trial Court's website.

Probate and Family Court

Subpoenas

A subpoena is a written, notarized demand which makes a person come to court to testify or to order a person deliver evidence to court. 

PDF icon Subpoena form for witness to testify in Court. You can take the blank form, fill it out with your own information, and bring it to a notary. It will be an official subpoena once it is notarized. The affidavit of service is a certification that tells the court the subpoena has been properly served.

PDF iconSubpoena form for documents You can take the blank form, fill it out with your own information, and bring it to a notary. It will be an official subpoena once it is notarized. The affidavit of service is a certification that tells the court the subpoena has been properly served.

PDF icon Subpoena sample The example is filled out to subpoena the other party's wage records.

PDF icon Subpoena letter sample to request employer's records

PDF icon Subpoena - blank form, sample, and affidavit of service . The example is filled out to subpoena the father's wage records.

Visitation

PDF icon Complaint for Modification and Answer - Visitation - sample  These are samples of a Probate and Family Court Complaint for Modification form and an Answer to a Complaint for Modification.

PDF icon Complaint for Contempt - Visitation - samples  These are samples of a Probate and Family Court Complaint for Contempt form and an Answer to a Complaint for Contempt.

PDF icon Motion for Visitation - sample forms Here are several samples of forms that are used in motions for visitation: A Motion for Specific Visitation Schedule and a Proposed Order (filled out for a case in which a parent wants the court to issue a very specific visitation with a third party to pick up and drop off). A Supplemental Order - Visitation Issues (an example of a Probate and Family Court form which can be used to propose a specific visitation order for the judge to approve. It give an idea of the options the judge has in ordering visitation. The form may look different from court to court). Agreement of Parties and Temporary Order (an example of a Probate and Family Court form that can be used for writing up an agreement on visitation and other issues. The agreement becomes a temporary order of the court. This form may look different from court to court.).

PDF icon A Motion for Specific Visitation Schedule and a Proposed Order filled out for a case in which a parent wants the court to issue a very specific visitation with a third party to pick up and drop off.

PDF icon A Supplemental Order - Visitation Issues- sample is an example of a Probate and Family Court form which can be used to propose a specific visitation order for the judge to approve. It gives an idea of the options the judge has in ordering visitation. The form may look different from court to court).

PDF icon Agreement of Parties and Temporary Order - sample forms is an example of a Probate and Family Court forms that can be used for writing up an agreement on visitation and other issues. The agreement becomes a temporary order of the court. This form may look different from court to court.

PDF icon Motion to Suspend Visitation - sample This is an example of a motion you would file if you needed to stop visitation. You must also file a Proposed Order, and a sample is included.

Supervised Visitation

Word icon Motion for Visitation at a Supervised Visitation Center

Word icon Motion for Visitation Supervised by an Individual

Word icon Proposed Order for Visitation Supervised by an Individual

Word icon Affidavit in Support of Motion for Supervised Visitation

Produced by Massachusetts Law Reform Institute
Reviewed August 2010

Confidentiality

Keeping your address unknown/hidden

Motion for Impoundment and Affidavit

PDF icon Motion to Impound Plaintiff's Address, supporting affidavit, proposed order - sample  This is an example of a Probate and Family Court Motion to Impound (remove) your address from all court papers so that your abuser cannot find out from court papers where you are living. The second page shows an example of a supporting affidavit. The supporting affidavit can be handwritten.

PDF icon Plaintiff Confidential Information Form for Abuse Prevention Cases (209A) and Harassment Prevention Cases (258E)

DTA Welfare forms

PDF icon TAFDC Denial Notice With Appeal Form (2 Pages) Sample This is an example of the kind of notice the Department of Transitional Assistance will send to you if they are going to deny your application. On the back of the notice, you will see an example of a filled out appeal request.

Word icon DTA Tracking Worksheet Use this chart to help your application for TAFDC, EAEDC, SNAP/Food Stamps, or Emergency Assistance go smoothly. Keep it in a folder with copies of all of your papers. Every time you talk to someone at DTA write down the date, who you talked to and what was said.

Who to call for help

Find Legal Aid

You may be able to get free legal help from your local legal aid program. Or email a question about your own legal problem to a lawyer.

Ask a Law Librarian

If it's
Monday-Friday
between
9am and 4pm