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.
__________________________ ______________________________
Date: Complainant:
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
