Probate and Family Court Department
The Trial Court
Commonwealth of Massachusetts
UNIFORM COUNSEL CERTIFICATION FORM
CCF (4/07)
C.G.F
Case Caption:
I am the attorney-of-record for:
In accordance with Rule 5 of the Supreme Judicial Court Uniform Rules on Dispute Resolution (SJC Rule 1:18) which
states in part:
plaintiff defendant petitioner respondent in the above-entitled matter.
"...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."
I hereby certify that I have complied with this requirement.
(Signature of Attorney-of-Record)
(Print name)
B.B.O. #
Date
Division
Docket No.