Fillable Jud Jc Counsel Certification Form %28JV 121%29 (Commonwealth of Massachusetts)

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Jud Jc Counsel Certification Form %28JV 121%29 (Commonwealth of Massachusetts)

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JV-121 (Rev. 03/04/2019)
COUNSEL CERTIFICATION FORM
DISPUTE RESOLUTION SERVICES
DOCKET NUMBER
Trial Court of Massachusetts
Juvenile Court Department
CASE NAME
DIVISION
I am attorney-of-record for:
in the above entitled matter.
In accordance with Rule 5 of the Supreme Judicial Court Uniform Rules on Dispute Resolution (SJC
Rule 1:18) which states in part:
"...Attorneys shall: provide their clients with this information about court-connected dispute
resolution services; discuss with their clients the advantages and disadvantages of the
various methods of dispute resolution; and certify their compliance with this requirement on
the civil cover sheet or its equivalent."
INSTRUCTIONS
All counsel of record shall file this document in accordance with Juvenile Court Rules.
Care and Protection cases: This document shall be prepared before or at the pretrial conference.
I hereby certify that I have complied with this requirement.
(Signature of Attorney-of-Record)
(Print Name)
(BBO No.)
(Date)
Plaintiff Petitioner
Respondent Child/Defendant Child (CP, CRA,GU cases)
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Jud Jc Counsel Certification Form %28JV 121%29 (Commonwealth of Massachusetts)

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Completed 27 July 2020

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