Free Support-Custody-Visitation, Complaint for - Massachusetts


File Size: 661.4 kB
Pages: 1
Date: February 19, 2008
File Format: PDF
State: Massachusetts
Category: Family Law
Word Count: 302 Words, 1,869 Characters
Page Size: Letter (8 1/2" x 11")
URL

http://www.mass.gov/courts/courtsandjudges/courts/probateandfamilycourt/documents/cjd109.pdf

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Preview Support-Custody-Visitation, Complaint for
Commonwealth of Massachusetts
Division

The Trial Court Probate and Family Court Department

Docket No.

COMPLAINT FOR SUPPORT-CUSTODY-VISITATION PURSUANT TO G.L. c. 209 C
, Plaintiff 1. Plaintiff, who resides at
(State) (Zip)

V.
(City/Town)

, Defendant

, is father

(Street address)

(County)

the the the the

mother guardian parent

of a child born out of wedlock.

a child born out of wedlock. custodian of a child born out of wedlock. personal representative of the mother father of a child born out of wedlock. agency licensed under G.L. c. 28A

Department of Social Services

the Department of Revenue 2. The child who is the subject of this complaint is: Name who resides at 3. Defendant, who resides at
( State) ( Zip) (Street address) (City/Town)

Date of Birth
(County) ( State) ( Zip)

is the

mother

(Street address)

father

of the above-named child who was born out of wedlock.

(City/Town)

(County)

4. The plaintiff and defendant are not married. 5. The mother of the child was not married at the time of the child's birth and was not married within three hundred days before the birth of the child. 6. The on plaintiff
(date)

defendant

signed a voluntary acknowledgement of paternity , a copy of which is attached to this complaint.

was adjudicated the father

7. Wherefore, plaintiff requests that the Court: order a suitable amount of support for the child. order the grant the grant the plaintiff plaintiff plaintiff defendant to maintain provide health insurance for the benefit of the child. plaintiff and/or the child. prohibit the defendant from imposing any restraint on the personal liberty of the defendant custody of the child. defendant visitation rights with the child.

Date

(Signature of attorney or plaintiff, if pro se) (Print name)

(Street address)

(City/Town)

(State)

(Zip)

Tel. No.
CJ-D 109 (10/07)

B.B.O. #

C.G.F