Rev. 04/2014Page 1 of 3Form 5
Date Town Meeting Convened:
Form 5 - Additional Information Required for
Charter Amendments Proposed Pursuant to G.L. c. 43B, § 10
Municipal charters may be amended in accordance with the procedures set forth in G.L. c. 43B, § 10 (Home Rule Procedures Act), and this
Form 5 is intended for use in connection with these procedures. Charters may also be amended by a Home Rule Special Act of the Legislature,
in connection with which the approval of the Attorney General is not required. Note that any charter amendment that proposes a change in (1)
the composition, (2) the mode of election or appointment, or (3) the terms of office of: (a) the legislative body, (b) the mayor (i.e. chief
executive officer), (c) the city manager, (d) the board of selectmen, or (e) the town manager, may not be proposed under G.L. c. 43B, § 10, but
only upon the proposal of a Charter Commission in accordance with G.L. c. 43B, §§ 3-9, or by a Special Act.
Please complete the following questions (1, 2A or 2B, 3), and sign. Ensure that you have included all appropriate
attachments (1, 2, 3, and 4).
1. Existing Charter. Please check one.
The service of the town meeting warrant was in accordance with:
A Home Rule Charter adopted under G.L. c. 43B, § 9; or
A Special Act Charter established by Special Act of the Legislature; or
Laws having the force of charter by virtue of section nine of Article LXXXIX
of the Amendments to the Constitution
Include Attachment #1. Check to indicate the following has been included:
Complete copy of existing charter
2A. If the charter amendment was proposed either by the city council or the town meeting pursuant to M.G.L. c.
43B, § 10(a): Indicate the date on which the proposal was approved by a two-thirds vote of the town meeting but (if
a city) the date on which the proposal was approved by the mayor in any municipality that has a mayor as defined in
the last sentence of G.L. c. 43B, § 10(a).
Date Order Approved by the town meeting
Date Order Approved by the mayor (if applicable)
2B. If the charter amendment was proposed upon the suggestion of those identified in G.L. c. 43B, § 10 (b):
a.) Was the proposed amendment one substantially the same as one already considered and voted upon within the
last twelve (12) months?
Note: If "yes," then you must either petition for a Special Act of the Legislature or proceed under G.L. c. 43B, §§ 3-9.
b.) Date the petition was filed with the clerk:
Include Attachment #2. Check to indicate the following has been included:
A copy of the petition
c.) Within three (3) months of the filing date [2B(b)], did the city council or board of selectmen order a public
hearing on the proposed change(s)?