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:

(street and no.)

(print or type full name)

1. Plaintiff, , who resides at

a child born out of wedlock
the mother/father of a child born out of wedlock
the guardian/custodian of a child born out of wedlock
the parent/personal representative of the mother/father of a child born out of wedlock
the Department of Children and Families/agency licensed under G. L. c. 28A
the Department of Transitional Assistance/Department of Revenue

(city or town)

(zip code)

(county)

(state)

2. The child as to whom an adjudication of paternity and/or an order for support is sought:

(name)

(date of birth)

(social security number)

(street and no.)

(city or town)

(county)

(state)

(zip code)

3. The Defendant, , who is the mother/father of the above named child

resides at

(street and no.)

(city or town)

(county)

4. a. Date of Adjudication of Paternity of father not applicable
Court

(zip code)

(state)

b. Date of Acknowledgement of Paternity not applicable

. 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 said child. The mother and putative father are not currently married to each
other and have never been married to each other.

c. Is father's name listed on the child's birth certificate? Yes No

COMPLAINT TO ESTABLISH
PARENTAGE AND/OR FOR AN ORDER
OF SUPPORT
G.L. c. 209C

DOCKET NUMBER

Trial Court of Massachusetts
Juvenile Court Department

DIVISION

6. Putative father's date of birth Social Security Number

Mother's date of birth Social Security Number

7. A copy of the child's birth certificate is attached.

WHEREFORE, the plaintiff requests that the Court:
adjudicate the plaintiff/defendant to be the father of said child and amend the birth certificate.
order a suitable amount of support for said child.
order the defendant to maintain/provide health insurance for the benefit of the child.
change the child's last name to the father's last name.

Date:

Signature of Attorney, or Plaintiff, if pro se

Address

Telephone No.

BBO No.

This matter shall be heard in conjunction with the petition filed pursuant to G. L. c. 119, § 24.

JV-022 (Rev. 11/05/2018)

[Case Type: PS (Paternity with or without support), SP (Support only)]

Complaint to Establish Parentage and/or for an Order of Support

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): 1
Fields(s): 39
Average fields per page: 39
Reading Level: Grade 9
LIST Grouping(s): FA-00-00-00-00.

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.

Here are the fields we could identify.

transaction_set_text_field__1 was transaction[0].#pageSet[0].Page1[0].UntitledSubform[0].#subform[3].TextField2[0] (0.57 conf)
transaction_set_text_field__2 was transaction[0].#pageSet[0].Page1[0].UntitledSubform[0].#subform[4].TextField2[1] (0.40 conf)
transaction_page_case was transaction[0].Page1[0].case[0] (0.37 conf)
transaction_page_plaintiff was transaction[0].Page1[0].Plaintiff[0].Plaintiff_Name[0] (0.37 conf)
transaction_plaintiff_address was transaction[0].Page1[0].Plaintiff[0].Plaintiff_Address[0] (0.37 conf)
transaction_check_child_box was transaction[0].Page1[0].CheckBoxes[0].Child_CheckBox1[0] (0.37 conf)
transaction_page_check_box__1 was transaction[0].Page1[0].CheckBoxes[0].Mother_Father_CheckBox1[0] (0.40 conf)
transaction_page_check_boxes_g_u_cust_box was transaction[0].Page1[0].CheckBoxes[0].GU_Cust_CheckBox1[0] (0.38 conf)
transaction_page_check_boxes_box was transaction[0].Page1[0].CheckBoxes[0].Rep_CheckBox1[0] (0.41 conf)
transaction_page_check_dc_box was transaction[0].Page1[0].CheckBoxes[0].DCF_CheckBox1[0] (0.43 conf)
transaction_page_check_dt_box was transaction[0].Page1[0].CheckBoxes[0].DTA_CheckBox1[0] (0.38 conf)
transaction_page_child_name was transaction[0].Page1[0].Child[0].ChildName[0] (0.37 conf)
page_child_address was transaction[0].Page1[0].Child[0].ChildAddress[0] (0.37 conf)
transaction_defendant_address was transaction[0].Page1[0].Defendant[0].Address13[0] (0.35 conf)
transaction_defendant_custody was transaction[0].Page1[0].Defendant[0].Custody[0] (0.35 conf)
defendant_child_address was transaction[0].Page1[0].Defendant[0].ChildAddress[0] (0.37 conf)
transaction_name_yes_check_box was transaction[0].Page1[0].BC_FathersName[0].BC_Yes_CheckBox1[0] (0.39 conf)
transaction_b_c_check_box was transaction[0].Page1[0].BC_FathersName[0].BC_No_CheckBox1[0] (0.39 conf)
transaction_page_yes_check_box was transaction[0].Page1[0].Pat_Adj_Yes_CheckBox1[0] (0.41 conf)
transaction_page_pat_check_box was transaction[0].Page1[0].Pat_Adj_No_CheckBox1[0] (0.41 conf)
transaction_page_paternity_adj was transaction[0].Page1[0].Paternity_Adj[0] (0.46 conf)
transaction_page_ct_paternity_adj was transaction[0].Page1[0].Ct_Paternity_Adj[0] (0.43 conf)
transaction_page_check_box__2 was transaction[0].Page1[0].#subform[5].CheckBox1[0] (0.38 conf)
transaction_page_check_box__3 was transaction[0].Page1[0].#subform[5].CheckBox1[1] (0.38 conf)
transaction_page_check_box__4 was transaction[0].Page1[0].#subform[5].CheckBox1[2] (0.38 conf)
transaction_page_text_field was transaction[0].Page1[0].#subform[5].TextField2[0] (0.41 conf)
transaction_page_check_box__5 was transaction[0].Page1[0].#subform[5].CheckBox1[3] (0.38 conf)
transaction_page_check_box__6 was transaction[0].Page1[0].#subform[5].CheckBox1[4] (0.38 conf)
transaction_page_address__1 was transaction[0].Page1[0].#subform[6].Address11[0] (0.38 conf)
transaction_page_address__2 was transaction[0].Page1[0].#subform[6].Address12[0] (0.38 conf)
transaction_page_address__3 was transaction[0].Page1[0].#subform[6].Address13[0] (0.38 conf)
transaction_page_phone_num was transaction[0].Page1[0].#subform[6].PhoneNum[0] (0.37 conf)
transaction_page_subform_bbo_num was transaction[0].Page1[0].#subform[6].BBONum[0] (0.38 conf)
transaction_page_custody was transaction[0].Page1[0].Custody[0] (0.38 conf)
transaction_page_b_ss_n_pf__1 was transaction[0].Page1[0].DOB_SSN[0].PFA_DOB[0] (0.41 conf)
transaction_page_b_ss_n_pf__2 was transaction[0].Page1[0].DOB_SSN[0].PFA_SSN[0] (0.39 conf)
transaction_page_b_ss_n__1 was transaction[0].Page1[0].DOB_SSN[0].MO_DOB[0] (0.37 conf)
transaction_page_b_ss_n__2 was transaction[0].Page1[0].DOB_SSN[0].MO_SSN[0] (0.36 conf)
transaction_data_drop_list was transaction[0].Page1[0].DataDropDownList[0] (0.36 conf)

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

Complaint to Establish Parentage and/or for an Order of Support

About This Form:

Identified Data Fields:

Create an Interactive Version of this Form:

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