REQUEST FOR CRIMINAL COMPLAINT FOR STATE SANITARY CODE VIOLATIONS To any Justice or Clerk-Magistrate of the Housing Court: _________________________________________________________________ on behalf of the Commonwealth, on oath complains that: _________________________________________________________________ was and is the owner of residential premises located at ________________________________________________________________; On ____________________________, 200___, a representative of the ____________________________________________________Program inspected the said premises and determined that the dwelling did not comply with the provisions of Article II of the State Sanitary Code, 105 C.M.R., §410.000; On _____________________________, 200___, pursuant to §410.832 833 of the Code, the defendant was served with a written order to comply; On _____________________________, 200___, and from day to day thereafter the defendant has failed to comply with the order, each such day being a separate offense and a separate and distinct count of this Complaint; all in violation of State Sanitary Code, 105 C.M.R., §410.910-920, and the public health law, Gen.L. c. 111, §127A, and the defendant did so willfully, intentionally, recklessly or repeatedly.
Assigned for hearing on _____________________,200__, at _________ o'clock. On hearing (Complainant)(Defendant)(both parties)(neither party), I find no probable cause for the Complaint. Process shall not issue. On hearing (Complainant)(Defendant)(both parties)(neither party), and Complainant having sworn or affirmed that the Complaint is true upon information and belief, I find probable cause, and order summons to issue returnable _______________________________. ______________________ Date: ___________________________________ Clerk-Magistrate