The Commonwealth of Massachusetts
THE ADMINISTRATIVE OFFICE OF THE SUPERIOR COURT
APPLICATION
FOR FEE GENERATING APPOINTMENTS IN SUPERIOR COURT
Name
Address
City State Zip Code
E-Mail
BBO#
Date of Admission
Phone Number Fax Number
I certify that I am admitted to practice before the Supreme Judicial Court and remain in good standing to practice
before the courts of the Commonwealth of Massachusetts, that I have not been convicted of any felony, and that I
have currently in effect professional liability insurance with coverage of $100,000 or more.
I further certify:
that I have at least five years experience as a practicing attorney within the Commonwealth of Massachusetts
and (check the box that is applicable to the list to which you wish to be added)
that I have the required experience and expertise to serve as a master in accordance with Mass. R. Civ. P. 53
and Superior Court Rule 49
that I have the required experience and expertise to serve as a receiver in accordance with Mass. R. Civ. P. 66
and Superior Court Rule 51
that I have experience and have received training as an arbitrator
that I have experience and expertise to serve as a guardian ad litem
I request and will accept appointments in the Superior Court in the following counties (not more than four):
Please mail your application to: Susan K. Marcucci, Regional Coordinator, Superior Court Administrative Office, Three
Pemberton Square, 13th Floor, Boston, MA 02108 or email it to susan.marcucci@jud.state.ma.us.
Date: Signature:
I agree that if I am appointed as a master, receiver, arbitrator, or guardian ad litem, and the court or attorney/party in a
case requests a certificate of my professional liability insurance, that I will provide it within seven days of such request.
I have attached a letter of interest and my resume to this application.
I certify under the penalties of perjury that all of the above information is true.
