JV-126 (Rev. 04/16/2014) PETITION FOR INSPECTIONOF RECORDS OF ADOPTION G.L. c. 210, 247 5C DOCKET NUMBER Trial Court of MassachusettsJuvenile Court DepartmentNAME AND ADDRESS OF PETITIONER DIVISION NAME OF ADOPTED PERSON TO BE COMPLETED BY PETITIONERTo the Justices of the Juvenile Court:I, , respectfully represent that there is good cause for me toinspect the records of the adoption of the named adopted person as set forth in the affidavit with this petition.WHEREFORE, I request to inspect the records of the said adoption. Date Signature of Petitioner TO BE COMPLETED BY COURTORDERIT IS ORDERED that: the petitioner may inspect and/or copy all papers filed under the docketnumber for this case. Date Signature of Justice American LegalNet, Inc. www.FormsWorkFlow.com