JV-165 (11/05/2018)
AGREEMENT TO CONTINUE
TEMPORARY CUSTODY HEARING
ON BEHALF OF CHILD(REN)
G.L. c. 119, § 24
DOCKET NUMBER
Trial Court of Massachusetts
Juvenile Court Department
CASE NAME
DIVISION
I, , counsel for the below named child(ren), have informed
my client(s) of his/her/their right to a hearing pursuant to G.L. c. 119, § 24 to determine whether temporary
custody of my client(s) to the Department of Children and Families should continue beyond 72 hours. I
hereby agree, on behalf of my client(s) to continue the order placing the child(ren) in the temporary custody
of the Department of Children and Families beyond 72 hours for the purposes of continuing the temporary
custody hearing
CERTIFICATE OF COUNSEL
I certify that I have explained to my client(s) in an age-appropriate manner, where applicable, the purpose(s)
of the continuance of the temporary custody hearing.
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 my client(s) from the home to prevent or eliminate the need for
removal.
Other:
Name of Child(ren)
