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Get MA FA-1 2017-2021

AFFIDAVIT On the back of the first white copy of the Complaint form is an affidavit where you should describe the abuse. CHECKLIST OF FORMS COMPLAINT FORM To request an Abuse Prevention Order you must fill out a two-page Complaint form and any other appropriate forms. 1 Section E and P. 2 Sections A and B of the Complaint form regarding prior and pending court actions and in any additional pages attached are true to the best of my knowledge. DATE SIGNED WITNESSED BY PRINTED NAME OF WITNESS I have transcribed the above affidavit for the Plaintiff Signature Print Name TITLE OF WITNESS Court Certified Interpreter Court Screened Interpreter Other Remote Translation Via Telephone/Video PROTECTION FROM ABUSE INSTRUCTIONS TO THE PLAINTIFF Under chapter 209A of Massachusetts General Laws Judges can make Orders to protect people from abuse by family or household members. Also describe any history of abuse with as much of the above detail as possible. On or about If more space is needed attach additional pages and check this box I declare under penalty of perjury that all statements of fact made above including those provided on P. 1 Section E and P. 2 Sections A and B of the Complaint form regarding prior and pending court actions and in any additional pages attached are true to the best of my knowledge. 3a. to order the Defendant to leave and remain away from my residence See Plaintiff Confidential Information Form. If this is an apartment building or other multiple family dwelling check here 4a. to order that my residential address not appear on the order. direct result of the abuse J temporary Order from a Boston Municipal District or Superior Court if there is a prior or pending Order for support from the Probate and Family Court. 7. to order the relief requested on Page 2 of this Complaint pertaining to my minor child or children. 8. DATE SIGNED WITNESSED BY PRINTED NAME OF WITNESS I have transcribed the above affidavit for the Plaintiff Signature Print Name TITLE OF WITNESS Court Certified Interpreter Court Screened Interpreter Other Remote Translation Via Telephone/Video PROTECTION FROM ABUSE INSTRUCTIONS TO THE PLAINTIFF Under chapter 209A of Massachusetts General Laws Judges can make Orders to protect people from abuse by family or household members. These Orders will be recorded and enforced by law enforcement agencies. They are commonly called Abuse Prevention Orders or Restraining Orders or 209A Orders. COMPLAINT FOR PROTECTION FROM ABUSE G*L* c* 209A Page 1 of 2 A BOSTON MUNICIPAL COURT DISTRICT COURT Name of Plaintiff person seeking protection COURT USE ONLY DOCKET NO. PROBATE FAMILY COURT my relationship to Plaintiff has filed this complaint for me. The Defendant is 18 or older. To my knowledge the Defendant possesses the following D guns ammunition firearms identification card and/or license to carry Are there any prior or pending court actions in any state or country involving the Plaintiff and the Defendant for divorce E annulment separate support legal separation or abuse prevention No Yes If Yes give Court type of case date and if available docket no..

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