JV-161 (11/05/2018)
DEPARTMENT OF CHILDREN AND FAMILIES
CERTIFICATION OF NOTICE
OF HEARING
G.L. c. 119, § 29D
DOCKET NUMBER
Trial Court of Massachusetts
Juvenile Court Department
CASE NAME
DIVISION
I, ,the undersigned representative of the Department of
Children and Families, hereby certify that pursuant to G.L. c. 119, § 29D, the
Signature: Date:
foster parent(s)
pre-adoptive parent(s)
relative(s) (providing care through DCF custody)
was/were notified on of their right to attend and be heard pursuant to G. L. c. 119, §§ 26
and 29B at the hearing scheduled for .
Date
Date
will attend the hearing.
will not attend the hearing.
is/are undecided about attending the hearing.
As of this date, the foster parent(s), pre-adoptive parent(s) or relative(s) (providing care through DCF custody)
Print Name:
Title:
of
Name of Child(ren)