COMMONWEALTH OF MASSACHUSETTS THE TRIAL COURT PROBATE AND FAMILY COURT DEPARTMENT Middlesex Division Docket No: REQUEST FOR TRIAL - PRETRIAL ASSIGNMENT* (*This form SHOULD NOT be used for marking up temporary orders and/or motions.) Please assign for hearing: v. (Plaintiff) (Defendant) TIME REQUIRED: TYPE OF CASE: HEARING AT: Cambridge Concord Satellite UNCONTESTED Marlborough Satellite CONTESTED Merits Support 208, § 34 Custody Visitation Other: The following papers must be on file BEFORE the case may be ASSIGNED FOR HEARING: Marriage Certificate Financial Statement (Supp. Rule 401) Notarized Agreement (1A Divorces) Public Assistance Affidavit (if minor children involved) Summons or Return of Service Statistical Form R408 Affidavits of Both Parties (1A Divorces) Certificates of Completion for Parent Education Program The following papers must be on file BEFORE the case may be HEARD BY THE COURT: State Case Registry Form, if the case involves child support. Uniform Counsel Certification Form, SJC Rule 1:18 (to be completed by ATTORNEYS ONLY) Has this case been pre-tried? Yes No CERTIFICATION I hereby certify that all parties in this matter have completed their discovery. I hereby certify that, in my opinion, this case is ready for trial -- pretrial and a copy of this request has been sent to opposing counsel as of this date. Date: (Signature) (Print Name) (Opposing Counsel/Party) (Address) (Address) (City/Town, State, Zip) (Telephone No:) Kindly Direct this request to: THE TRIAL DEPARTMENT Middlesex Probate and Family Court 208 Cambridge Street East Cambridge, MA 02141 (City/Town, State, Zip) (Telephone No:) American LegalNet, Inc. www.USCourtForms.com