Here is the text we could read:
DEKLARASYON TI REKLAMASYON
AK AVI POU PWOSÈ
TRIBINAL MINISIPAL
BOSTON
PATI 1
Pou
Tribinal
Itilize
Sèlman
NIMEWO REJIS
FÒM SA A SE PA POU
SOUMÈT NAN TRIBINAL.
SE POU ENFÒMASYON
SÈLMAN.
TRIBINAL ENSTANS
________________________Divizyon
Tribinal Massachusetts
Sesyon Ti Reklamasyon
TRIBINAL LOJMAN
___________________________ Divizyon
NON, ADRÈS, KÒD POSTAL AK TELEFÒN PLEYAN
AVOKA PLEYAN (si genyen)
___________________________________________________________
Non:
___________________________________________________________
PATI 2
___________________________________________________________
Adrès:
___________________________________________________________
___________________________________________________________
___________________________________________________________
NIMEWO TELEFÒN:
NON, ADRÈS, KÒD POSTAL AK TELEFÒN AKIZE
NIMEWO TELEFÒN:
LÒT AKIZE (si genyen)
NIMEWO BBO:
___________________________________________________________
Non:
___________________________________________________________
PATI 3
___________________________________________________________
Adrès:
___________________________________________________________
___________________________________________________________
___________________________________________________________
NIMEWO TELEFÒN:
NIMEWO TELEFÒN:
REKLAMASYON PLEYAN. Akize a dwe $_________ plis frè tribinal $_________ pou rezon ki endike anba la yo:
Bay dat evènman ki se baz reklamasyon ou.
_________________________________________________________________________________________________________
_________________________________________________________________________________________________________
_________________________________________________________________________________________________________
PATI 4
SE POU REZON ENFÒMASYON SÈLMAN.
_________________________________________________________________________________________________________
_________________________________________________________________________________________________________
_________________________________________________________________________________________________________
_________________________________________________________________________________________________________
_________________________________________________________________________________________________________
SIYATI PLEYAN X
DAT
PATI 5
MEDYASYON: Medyasyon reklamasyon sa a ka disponib anvan pwosè a si toulède moun yo dakò pou diskite sou zafè a avèk yon
medyatè, k ap ede moun yo eseye rezoud konfli a sou kondisyon yo fikse dapre yon akò yo fè ansanm. Pleyan an dwe fè tribinal la
konnen si li vle medyasyon; akize a ka dakò pou medyasyon an nan dat pwosè a.
Pleyan an vle fè efò pou rezoud reklamasyon sa a nan medyasyon tribinal la.
DEKLARASYON MILITÈ SOU SÈMAN: Anba menas pou sanksyon pou fo temwayaj, pleyan an endike:
akize ki endike anwo a (yo) se
manm nan fòs lame
x
_________________________
SIYATI PLEYAN
_____
DAT
Pou Tribinal Itilize Sèlman
PLEYAN AN
AK AKIZE
A DWE
VINI NAN
TRIBINAL
SA A NAN
DAT AK LÈ KI
ENDIKE A
GADE LÒT EKSPLIKASYON PADÈYÈ FÒM SA A
PREMYE JIJ
GREFYE OSWA MOUN LI DEZIYEN
_________________ A _________________
DAT LÈ
EKSPLIKASYON POU FÈ YON TI REKLAMASYON - Ou dwe ranpli Pati 1-6 fòm sa a. Gade eksplikasyon yo padèyè fòm nan.
NIMEWO SAL
This document was developed under Grant No. 11-T-162 of the State Justice Institute. The form does not necessarily represent the official position or policies of the State Justice Institute.
AVI POU AKIZE A:
NON AK ADRÈS TRIBINAL LA
Pleyan ki endike anwo a rele ou nan Tribinal Ti Konfli.
Ou gen obligasyon pou vini nan tribinal pou pwosè ti
reklamasyon sa a nan dat ak lè ki endike adwat la.
Si ou vle rezoud reklamasyon sa a anvan dat pwosè a,
DAT AK LÈ PWOSÈ A
ou ta dwe kontakte pleyan an oswa avoka pleyan an.
AVI POU PWOSÈ
PATI 6
akize ki anwo a (yo) pa nan fòs lame, epi li
(yo) ap viv oswa travay nan adrès ki endike
anwo a.
This form is for reference only. Do not submit to the court. Fòm sa a la sèlman pou referans. Pa remèt li nan tribunal la. Statement of Small Claim and Notice of Trial Haitian Creole 08/2012 www.mass.gov/courts/forms
Kreyòl ayisyen
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): 26
- Average fields per page: 26
- Reading Level: Grade 7
- LIST Grouping(s):
GO-00-00-00-00.
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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.
tribinal_lojman was tribinal_lojman (0.97 conf)tribinal_enstans was tribinal_enstans (0.35 conf)sa_la_pou_p_li_nan was f_ò_m_sa_a_la_sèlm_an_pou_referans_p_a_re_m_èt_li_nan_tribunal_la (0.41 conf)non_k_postal_ak_telef_n_pleyan was non__adrès__kòd_postal_ak_telefòn_pleyan (0.39 conf)page_field__1 was page_0_field_4 (0.31 conf)pati__1 was pati_2 (0.39 conf)adr was adrès (0.35 conf)nimewo_telef_n was nimewo_telefòn (0.35 conf)non was non (0.48 conf)non_k_postal_ak_telef_n_akize was non__adrès__kòd_postal_ak_telefòn_akize (0.39 conf)page_field__2 was page_0_field_10 (0.31 conf)pati__2 was pati_3 (0.39 conf)page_field__3 was page_0_field_12 (0.31 conf)page_field__4 was page_0_field_13 (0.31 conf)page_field__5 was page_0_field_14 (0.31 conf)dat_ev_ki_se_baz_ou was bay_dat_evènman_ki_se_baz_reklamasyon_ou (0.49 conf)page_field__6 was page_0_field_16 (0.31 conf)pati__3 was pati_4 (0.39 conf)page_field__7 was page_0_field_18 (0.31 conf)page_field__8 was page_0_field_19 (0.31 conf)page_field__9 was page_0_field_20 (0.31 conf)siyati_pleyan_x was siyati_pleyan_x (0.34 conf)page_field__10 was page_0_field_22 (0.31 conf)page_field__11 was page_0_field_23 (0.31 conf)a was a (0.32 conf)page_field__12 was page_0_field_25 (0.31 conf)
We've done our best to group similar variables togther to avoid overwhelming the user.
Suggested Screen 0:
tribinal_lojmantribinal_enstanssa_la_pou_p_li_nannon_k_postal_ak_telef_n_pleyanpage_field__1pati__1adrnimewo_telef_nnonnon_k_postal_ak_telef_n_akizepage_field__2pati__2page_field__3page_field__4page_field__5dat_ev_ki_se_baz_oupage_field__6pati__3page_field__7page_field__8page_field__9siyati_pleyan_xpage_field__10page_field__11apage_field__12
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