MASSACHUSETTS APPEALS COURT
CIVIL APPEAL ENTRY FORM
1. You must complete this form to enter a new civil appeal through eFileMA.com.
2. Insert the case information in the form below and save the completed form as a pdf document.
3. For each appellant or cross-appellant, a separate form must be completed in its entirety and submitted
through eFileMA.com together with the $300 entry fee or a motion to waive the fee supported by an
affidavit of indigency.
4. The completed form and fee or motion to waive the fee must be received within fourteen (14) days of your
receipt of the notice of assembly from the clerk of the lower court. See Mass.R.A.P. 10(a)(1).
Case Name*: ___________________________________________________________
Lower Court: ___________________________________________________________
Lower Court Docket Number: ___________________________________________________________
I, ______________________, am entering this appeal pursuant to Mass.R.A.P. 10(a)(1) on behalf of
____________________________________, with the payment of $300 or a motion to waive the fee
supported by an affidavit of indigency.
I further certify under the penalty of perjury that the notice of assembly was received on
______________________.
Certificate of Service: I, __________________________, certify that upon submittal, I have served all parties
who are registered for electronic service through the electronic filing system and will serve all other parties
conventionally.
Next steps: Do not forget to file the DOCKETING STATEMENT within the next fourteen (14) days. The
BRIEF AND APPENDIX are due within forty (40) days.
* Please use the same case name as shown on the notice of assembly.
