JV-156 (11/05/2018)
AGREEMENT TO CONTINUE
TEMPORARY CUSTODY HEARING
G.L. c. 119, § 24
DOCKET NUMBER
Trial Court of Massachusetts
Juvenile Court Department
CASE NAME
DIVISION
I, , parent, guardian, custodian of
, have been informed of my right to a hearing pursuant
to G.L. c. 119, § 24 to determine whether temporary custody of my child(ren) to the Department of Children and
Families shall continue beyond 72 hours.
I hereby agree to continue the order beyond 72 hours for the purposes of continuing the temporary custody
hearing
Signature: Date:
I am making this decision intelligently and voluntarily.
CERTIFICATE OF COUNSEL
I, the undersigned counsel for the above named parent, guardian, custodian in the case captioned above,
certify that I have discussed the purpose(s) of the continuance of the temporary custody hearing with my
client.
Signature: Date:
to nominate a relative or other individual to be appointed as the temporary custodian of the
child(ren) and to provide for the time necessary to complete a home study of the proposed
nominee.
to be heard as to whether or not the Department of Children and Families made reasonable
efforts prior to removing the child(ren) from me to prevent or eliminate the need for removal.
Other:
