JV-157 (11/05/2018)
WAIVER OF TEMPORARY CUSTODY HEARING
ON BEHALF OF CHILD(REN)
G.L. c. 119, § 24 or § 25
DOCKET NUMBER
Trial Court of Massachusetts
Juvenile Court Department
CASE NAME
DIVISION
I, , counsel for the below named child(ren), hereby waive
the temporary custody hearing on behalf of my client(s):
Signature: Date:
I certify that I have explained to my client(s) in an age-appropriate manner, where applicable, that the
waiver of the temporary custody hearing includes the right to be heard and object to the removal of my
client(s) from the home and to object to any custody orders regarding my client(s) that the judge may
make at this proceeding. I have also explained that the waiver includes the right to nominate a temporary
custodian and the right to be heard as to whether or not the Department of Children and Families made
reasonable efforts prior to the removal of my client(s) to prevent or eliminate the need for removal. I
have also explained that the waiver includes the right to appeal any determinations and orders the judge
may make on these issues at this proceeding.