The Legal Innovation & Technology Lab's Form Explorer ^Beta @ Suffolk Law School Last updated 2023-04-02

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Here is the text we could read:

REQUEST FOR REASSIGNMENT
Pursuant to Standing Order 3-17

Name of assigned judge:

Commonwealth of Massachusetts
The Trial Court
Probate and Family Court

Docket No(s).

Case Name(s):

Form Use: This form shall be used to request reassignment of an applicable case to the Fiduciary Litigation Session pursuant
to Standing Order 3-17.This form must be filed in the division where the matter is pending and a copy sent contemporaneously
to: (1) The Administrative Office of the Probate and Family Court, Three Center Plaza, 2nd Floor, Boston, MA 02108; and (2) to
all attorneys and self-represented parties in the matter. All mailings should be designated, "Attn: FLS".

IMPORTANT NOTICE: To contest reassignment to the Fiduciary Litigation Session, a written response must be filed within ten
(10) calendar days of the date of service of the Request for Reassignment in the division where the matter is pending and a
copy sent contemporaneously to : (1) The Administrative Office of the Probate and Family Court, Three Center Plaza, 2nd
Floor, Boston, MA 02108; and (2) to all attorneys and self-represented parties in the matter. All mailings should be designated,
"Attn: FLS".

Name of Plaintiff/Petitioner

Request by assigned judge

First Name

M.I.

Last Name

(Address)

(Apt, Unit, No. etc.)

(City/Town)

(State)

(Zip)

Primary Phone #:

e-mail:

Attorney Information, if any

First Name

M.I.

Last Name

(Address)

(Apt, Unit, No. etc.)

(City/Town)

(State)

(Zip)

Primary Phone #:

e-mail:

BBO #

Other Party(ies)/Interested Person(s):

First Name

M.I.

Last Name

(Address)

(Apt, Unit, No. etc.)

(City/Town)

(State)

(Zip)

Primary Phone #:

e-mail:

If necessary, attach a separate page and include all of the above requested information

Attorney Information, if any

First Name

M.I.

Last Name

(Address)

(Apt, Unit, No. etc.)

(City/Town)

(State)

(Zip)

Primary Phone #:

e-mail:

BBO #

MPC 304 (3/1/23) FLSR

page

If applicable, list any other Probate and Family Court case related to this matter involving the same parties in the same
county. Briefly describe the nature of the case, case name and docket number. Indicate if you request reassignment of
this case to the FLS. NOTE: If a related case is located in another county of the Probate and Family Court, a separate
Request for Reassignment must be filed in the division where the matter is pending.

Nature of the Case

Division

Case Name

Docket #

Indicate if:

If applicable, list any other court case related to this matter involving the same parties. Briefly describe the nature of the
case, name of court and location, case name and docket number. Indicate if you intend to request an interdepartmental
assignment of this case pursuant to Trial Court Rule XII. NOTE: Cases located in another Department of the Trial Court
may NOT be reassigned to the FLS using a Request for Reassignment. Instead, the procedure set forth in Trial Court Rule
XII must be followed. The Rule may be found at www.mass.gov/trial-court-rules/trial-court-rule-xii-interdepartmental-
judicial-assignments

**** Any case requiring or requesting a jury trial will not be assigned to the FLS****

Nature of the Case

Court/Location

Case Name

Docket #

Indicate if:

You request reassignment

of this case to the FLS.

You request reassignment

of this case to the FLS.

You intend to request an

interdepartmental
assignment Pursuant to
Trial Court Rule XII

You intend to request an

interdepartmental
assignment Pursuant to
Trial Court Rule XII

5. Do you know of any reason why a judge of the Fiduciary Litigation Session would be disqualified from this case?

Yes. If yes, explain why.

6. Have the parties attempted or utilized any type of alternative dispute resolution services with a neutral third party?

Yes

Unknown

If yes, indicate the type of alternative dispute resolution attempted, date(s) of participation, and the result.

7. Please state the nature of this case. Your request for reassignment may be determined without a hearing, or a hearing

may be scheduled for purposes of deciding whether reassignment to the Fiduciary Litigation Session is appropriate. Please
describe the complexities in this case to assist in determining eligibility. If necessary, attach one additional page only.

DO NOT attach any other document to this Request for Reassignment. If you want specific pleadings or documents
considered in the review, refer to them by name, date of submission to the current division/court, and docket number.

Parties are PROHIBITED from submitting with this Request for Reassignment any new evidence, motions, or other
pleadings that have not been previously filed with the current division/court.

Parties MUST limit the scope of this Request for Reassignment to only information necessary for a determination of
whether reassignment to the Fiduciary Litigation Session is warranted.

MPC 304 (3/1/23) FLSR

page

8. Certification:

I certify that on this date, I sent a copy of this document and any attachments to:

(1) The Administrative Office of the Probate and Family Court, Three Center Plaza, 2nd Floor, Boston, MA 02108; (2) the
division where the matter is pending; and (3) to all attorneys and self-represented parties in the matter by:

Hand-delivery OR

US Mail OR

E-mail

Date

ASSENTED TO BY:

Signature of Attorney, Self-represented Party, Assigned Judge/Judicial Designee

Signature of Attorney or Self-represented Party

(Court Use Only)

FOR REASSIGNMENT OUT BY THE ASSIGNED JUDGE AFTER THE 10 DAY OBJECTION PERIOD

Approved (Docket code: FLSRA)

Denied (Docket code: FLSRD)

Date must be after the 10 day objection period.

Assigned Judge

MPC 304 (3/1/23) FLSR

page

(Untitled)

This info page is part of the LIT Lab's Form Explorer project. It is not associated with the Massachusetts state courts. To learn more about the project, check out our about page.

Downloads: You can download both the original form (last checked 2023-03) and the machine-processed form with normalized data fields.

About This Form:

Sourced from www.mass.gov (2023-03)
Page(s): 3
Fields(s): 89
Average fields per page: 29
Reading Level: Grade 8
LIST Grouping(s): CO-00-00-00-00, CO-07-00-00-00.

Use our Rate My PDF tool to learn more. Go beyond the above insights and learn more about this or any pdf form at RateMyPDF.com, includes: counts of difficult words used, passive voice decetion, and suggestions for how to make the form more usable.

Identified Data Fields:

We have done our best to automaticly identify and name form fields according to our naming conventions. When possible, we've used names tied to our question library. See e.g., user1_name. If we think we've found a match to a question in our library, it is highlighted in green. Novel names are auto generated. So, you will probably need to edit some of them if you're trying to stick to the convention.

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The Legal Innovation & Technology Lab's Form Explorer ^Beta @ Suffolk Law School Last updated 2023-04-02