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 HowtoFileforDivorceinMassachusetts–FormsIncluded
The following information explains “How to File for Divorce in Massachusetts” via a 1A No Fault Divorce. In order to file for divorce, you and your spouse need to complete the following court forms: 1. Joint Petition for Divorce 2. Certified copy of civil marriage certificate 3. R‐408‐Certificate of Absolute Divorce or Annulment Statistical Information 4. Separation Agreement (see below) 5. Affidavit of Irretrievable Breakdown 6. Filing Fee of $215 7. Financial Statements ‐ Short form or Long form. For those who make less than $75,000 per year, complete a short form. If you make over $75,000, complete the long form. 8. To file for divorce, you will also need a certified copy of your marriage certificate which you may have or you may obtain from the city or town in which you were married. Couples with children also need to complete the following additional forms: 9. Child Support Guidelines Worksheet 10. Affidavit of Care and Custody 11. Couples with children also need to attend a mandatory parent education program. Read more about the requirement here. The yellow certificate of completion is needed when filing for divorce. All court required forms are attached to this document. Additional forms are available online here and at the Probate and Family Court Department in your county. For help with completing divorce forms, contact Josh Hoch at 800‐348‐4888 x23 or [email protected]. What is a Separation Agreement? A Separation Agreement is a written document that describes the terms of the divorce. Once signed, it becomes the legal document that will be used for a no‐fault divorce in Massachusetts. Parties to a divorce can draft their own Separation Agreement as long as they address topics including: Property, assets, accounts, life insurance, trusts, vehicles, debts and liabilities, alimony, taxes, living situation, inheritance, and health insurance. If children are involved, the Separation Agreement also needs to address a parenting plan, custody, child support, education, religion, and more. For help drafting a Separation Agreement, contact Josh Hoch at 800‐348‐4888 x23 or [email protected]. Once all forms are completed, signed, and the Separation Agreement is notarized, make 3 copies. One set will be filed in court and each spouse should keep a copy. You should now be ready to go to court to file for divorce. One spouse may bring all of the completed paperwork to the Probate and Family Court Department. In exchange for you handing over the completed forms and a filing fee of $215, you and your spouse will 4 FANEUIL HALL ‐ FOURTH FLOOR BOSTON, MA 02109‐1632 www.mwi.org | 800.348.4888 | [email protected] receive a court date. Both of you should attend the court date for a brief hearing where a judge may grant the divorce. 120 days from seeing the judge, the divorce will be final. For more information or for an overview of the court process click here. For many, completing divorce documents is overwhelming. Don’t let this be a reason to delay your divorce. Contact MWI for assistance at 800‐348‐4888 x23. 4 FANEUIL HALL ‐ FOURTH FLOOR BOSTON, MA 02109‐1632 www.mwi.org | 800.348.4888 | [email protected] Commonwealth of Massachusetts
The Trial Court
Probate and Family Court Department
Division
Docket No.
JOINT PETITION FOR DIVORCE PURSUANT TO G.L. c. 208, § 1 A
and
Petitioner A
Petitioner B
(Street address)
(Street address)
(State)
(City/Town)
(Zip)
(City/Town)
(State)
(Zip)
1. Petitioners were lawfully married at
on
and last lived together at
on
2. The minor or dependent child(ren) of this marriage is/are:
(Name of child and date of birth)
(Name of child and date of birth)
(Name of child and date of birth)
(Name of child and date of birth)
3. Petitioners certify that no previous action for divorce, annulment or affirmation of marriage, separate support,
desertion, living apart for justifiable cause, or custody of child(ren) has been brought by either against the other
except:
4. On or about
, an irretrievable breakdown of the marriage under G.L. c. 208, § 1A
occurred and continues to exist.
5. Wherefore, the petitioners request that the Court:
grant a divorce on the ground of irretrievable breakdown
approve the notarized separation agreement executed by the parties
incorporate and merge the agreement executed by the parties
incorporate but not merge said agreement, which shall survive and remain as an independent contract
allow petitioner A to resume the former name of
allow petitioner B to resume the former name of
Date
(Signature of attorney or petitioner A, if pro se)
(Signature of attorney or petitioner B, if pro se)
(Print name)
(Print name)
(Street address)
(Street address)
(City/Town)
(State)
(Zip)
(City/Town)
Tel. No.
Tel. No.
B.B.O. #
B.B.O. #
CJ-D 101A (9/07)
(State)
(Zip)
C.G.F
Docket No.
Division
The Commonwealth of Massachusetts
Department of Public Health
Registry of Vital Records and Statistics
CERTIFICATE OF ABSOLUTE
DIVORCE OR ANNULMENT
(G.L. Chap. 208, Sec. 46)
R-408
Husband-Name
First
Middle
Last
1.
HUSBAND
Usual Residence-Street Address
City, Town, or Location
2a.
2b.
County
State
Date of Birth (mo., day, yr.)
Number of this Marriage (1st, 2nd, specify)
2c.
2d.
3.
4.
Wife-Name
First
Middle
Last
Maiden Name
5a.
WIFE
5b.
Usual Residence-Street Address
City, Town, or Location
6a.
6b.
County
State
Date of Birth (mo., day, yr.)
Number of this Marriage (1st, 2nd, specify)
6c.
6d.
7.
8.
Date of this Marriage (mo., day, yr.)
Number of Children Born Alive of this Marriage
Number of Children under Age 18 in this Family
9.
10a.
10b.
FOR COURT USE ONLY
County of Judgment
Title of Court
11.
11a.
JUDGMENT Date of Judgment Nisi
Type of Judgment -
Date of Judgment Absolute
(mo., day, yr.)
Divorce or Annulment
(mo., day, yr.)
12.
13.
14.
Docket Number
Name of Plaintiff
Cause for which Granted
15.
16.
17.
Signature of Certifying Official
Title of Official
18a.
18b.
Commonwealth of Massachusetts
The Trial Court
Probate and Family Court Department
Division
Docket No.
AFFIDAVIT OF IRRETRIEVABLE BREAKDOWN
Petitioner
V.
Petitioner
Petitioners state that our marriage has suffered an irretrievable breakdown which began on or about
.
(Date)
In particular, our marriage has suffered an irretrievable breakdown because:
Signed under the penalties of perjury.
Date
.
PETITIONER
PETITIONER
(Signature)
(Signature)
(Please Print)
(Please Print)
(Street address)
(Street address)
(City/Town)
(Affid. Irretrievable Breakdown 4/07)
(State)
(Zip)
(City/Town)
(State)
(Zip)
C.G.F.
Commonwealth of Massachusetts
The Trial Court
Probate and Family Court Department
Division
Docket No.
FINANCIAL STATEMENT
(Short Form)
INSTRUCTIONS: if your income equals or exceeds $75,000.00 annually, you must complete the LONG FORM financial
statement, unless otherwise ordered by the court.
Plaintiff/Petitioner
V.
Defendant/Petitioner
1. PERSONAL INFORMATION
Your Name
Address
Social Security No.
(Street address)
Tel. No.
(City/Town)
Date of Birth
Occupation
(State)
(Zip)
No. of children living with you
Employer
Employer's Address
(Street address)
(City/Town)
Tel. No.
(State)
Do you have health insurance coverage?
Yes
(Zip)
No
if yes, name of health insurance provider
2. GROSS WEEKLY INCOME/RECEIPTS FROM ALL SOURCES
a) Base pay from
Salary
$
Wages
b) Overtime
$
c) Part-time job
$
d) Self-employment (attach a completed schedule A)
$
e) Tips
$
f)
Commissions
Bonuses
$
g)
Dividends
Interest
$
h)
Trusts
Annuities
$
i)
Pensions
Retirement funds
$
$
j) Social Security
k)
Disability
Unemployment insurance
Worker's compensation
$
l) Public Assistance (welfare, A.F.D.C. payments)
$
m)
$
Child Support
Alimony (actually received)
n) Rental from income producing property (attach a completed Schedule B)
$
o) Royalties and other rights
$
p) Contributions from household member(s)
$
q) Other (specify)
$
$
r) Total Gross Weekly Income/Receipts (add items a-q)
CJ-D 301 S (7/07)
Page 1 of 4
$
C.G.F.
Commonwealth of Massachusetts
The Trial Court
Probate and Family Court Department
Division
Docket No.
FINANCIAL STATEMENT
(Short Form)
3. ITEMIZED DEDUCTIONS FROM GROSS INCOME
a) Federal income tax deductions (claiming
exemptions)
$
b) State income tax deductions (claiming
exemptions)
$
c) F.I.C.A. and Medicare
$
d) Medical Insurance
$
e) Union Dues
$
f) Total Deductions (a through e)
4. ADJUSTED NET WEEKLY INCOME
$
2(r) minus 3(f)
$
5. OTHER DEDUCTIONS FROM SALARY/WAGES
a) Credit Union
Loan repayment
Savings
$
b) Savings
$
c) Retirement
$
d) Other-Specify (i.e. Child Support, Deferred Compensation or 401K)
e) Total Deductions (a through d)
$
6. NET WEEKLY INCOME
$
4 minus 5(e)
$
7. GROSS YEARLY INCOME FROM PRIOR YEAR
$
(attach copy of all W-2 and 1099 forms for prior year)
Number of Years you have paid into Social Security
8. WEEKLY EXPENSES
a) Rent or Mortage (PIT)
l) Life Insurance
$
b) Homeowners/Tenant Insurance
$
c) Maintenance and Repair
$
d) Heat
$
e) Electricity and/or Gas
$
f) Telephone
$
g) Water/Sewer
$
h) Food
$
i) House Supplies
$
j) Laundry and Cleaning
$
k) Clothing
$
$
$
$
$
$
$
$
m) Medical Insurance
n) Uninsured Medicals
o) Incidentals and Toiletries
p) Motor Vehicle Expenses
q) Motor Vehicle Payment
r) Child Care
s) Other (explain)
$
$
t) Total Weekly Expenses (a through s)
$
9. COUNSEL FEES
a) Retainer amount(s) paid to your attorney(s)
$
b) Legal fees incurred, to date, against retainer(s)
$
c) Anticipated range of total legal expense to litigate this action
CJ-D 301 S (7/07)
Page 2 of 4
$
to $
C.G.F.
Commonwealth of Massachusetts
The Trial Court
Probate and Family Court Department
Division
Docket No.
FINANCIAL STATEMENT
(Short Form)
10. ASSETS (attach additional sheet if necessary)
a) Real Estate
Location
Title held in the name of
Fair Market Value $
= Equity $
- Mortgage $
b) Motor Vehicles
Fair Market Value $
- Motor Vehicle Loan $
= Equity $
Fair Market Value $
- Motor Vehicle Loan $
= Equity $
c) IRA, Keogh, Pension, Profit Sharing, Other Retirement Plans:
Financial Institution or Plan Name and Account Number
$
$
$
d) Tax Deferred Annuity Plan(s)
$
e) Life Insurance: Present Cash Value
$
f) Savings & Checking Accounts, Money Market Accounts, Certificates of Deposit-which are held
individually, jointly, in the name of another person for your benefit, or held by you for the benefit of
your minor child(ren):
Financial Institution or Plan Name and Account Number
$
$
$
g) Other (e.g. stocks, bonds, collections)
$
$
$
h) Total Assets (a through g)
11. LIABILITIES (Do not list expenses shown in item 8 above.)
Creditor
Nature of Debt
Date Incurred
Amount Due
Weekly Payment
a)
$
$
b)
$
$
c)
$
$
d)
$
$
e) Total Liabilities
CJ-D 301 S (7/07)
$
Page 3 of 4
$
C.G.F.
Division
Commonwealth of Massachusetts
The Trial Court
Probate and Family Court Department
Docket No.
FINANCIAL STATEMENT
(Short Form)
CERTIFICATION
I certify under the penalties of perjury that the information stated on this Financial Statement and the attached schedules, if
any, is complete, true, and accurate.
Date
Signature
INSTRUCTIONS: In any case where an attorney is appearing for a party, said attorney
MUST complete the Statement by Attorney.
STATEMENT BY ATTORNEY
I the undersigned attorney, am admitted to practice law in the Commonwealth of Massachusetts--am admitted pro hoc vice for
the purposes of this case-and am an officer of the court. As the attorney for the party on whose behalf this Financial
Statement is submitted, I hereby state to the court that I have no knowledge that any of the information contained herein is
false.
Date
(Signature of attorney)
(Print name)
(Street address)
(City/Town)
(State)
(Zip)
Tel. No.
B.B.O. #
CJ-D 301 S (7/07)
Page 4 of 4
C.G.F.
Commonwealth of Massachusetts
The Trial Court
Probate and Family Court Department
Division
Docket No.
FINANCIAL STATEMENT
(Long Form)
INSTRUCTIONS: If your income is less than $75,000.00 annually, you must complete the SHORT FORM financial
statement, unless otherwise ordered by the court.
vs.
Plaintiff/Petitioner
I.
Defendant/Petitioner
PERSONAL INFORMATION
Your Name
Social Security No.
Address
(Street address)
Tel. No.
(City/Town)
Date of Birth
Occupation
(State)
(Zip)
No. of children living with you
Employer
Employer's Address
(Street address)
(City/Town)
Employer's Phone No.
(State)
Do you have health insurance coverage?
Yes
(Zip)
No
If yes, name of health insurance provider
II.
GROSS WEEKLY INCOME/RECEIPTS FROM ALL SOURCES
a) Base pay from
Salary
$
Wages
b) Overtime
$
c) Part-time job
$
d) Self-employment (attach a completed schedule A)
$
e) Tips
$
f)
Commissions
Bonuses
$
g)
Dividends
Interest
$
h)
Trusts
Annuities
$
Retirement funds
$
i)
Pensions
$
j) Social Security
k)
Disability
Unemployment insurance
Worker's compensation
$
l) Public Assistance (welfare, A.F.D.C. payments)
$
m)
$
Child Support
Alimony (actually received)
n) Rental from income producing property (attach a completed Schedule B)
$
o) Royalties and other rights
$
p) Contributions from household member(s)
$
q) Other (specify)
$
$
r) Total Gross Weekly Income/Receipts (add items a-q)
CJ-D 301 L (4/07)
Page 1 of 9
$
C.G.F.
Commonwealth of Massachusetts
The Trial Court
Probate and Family Court Department
Division
Docket No.
FINANCIAL STATEMENT
(Long Form)
III.
WEEKLY DEDUCTIONS FROM GROSS INCOME
TAX WITHOLDING
$
a) Federal tax witholding/estimated payments
Number of withholding allowances claimed
$
b) State tax witholding/estimated payments
Number of withholding allowances claimed
OTHER DEDUCTIONS
c) F.I.C.A.
$
d) Medicare
$
e) Medical Insurance
$
f) Dental Insurance
$
g) Vision Insurance
$
h) Union Dues
$
i) Child Support
$
j) Spousal Support
$
k) Retirement
$
l) Savings
$
m) Deferred Compensation
$
n) Credit Union (Loan)
$
o) Credit Union (Savings)
$
p) Charitable Contributions
$
q) Life Insurance
$
r) Other (specify)
$
$
$
s) Total Weekly Deductions from Pay (Add items a-r)
IV.
NET WEEKLY INCOME
a) Enter total gross weekly income/receipts from II(r)
$
b) Enter total weekly deductions from pay from III(s)
-$
=$
c) Net Weekly Income
V.
$
$
GROSS INCOME FROM PRIOR YEAR
(attach copy of all W-2 and 1099 forms for prior year)
Number of years you have paid into Social Security
CJ-D 301 L (4/07)
Page 2 of 9
C.G.F.
Commonwealth of Massachusetts
The Trial Court
Probate and Family Court Department
Division
Docket No.
FINANCIAL STATEMENT
(Long Form)
VI.
WEEKLY EXPENSES NOT DEDUCTED FROM PAY
Rent
$
Mortgage (Principal, Interest - Taxes and Insurance, if escrowed)
$
Property taxes and assessments
$
Homeowner/Tenant Insurance
$
Maintenance Fees
$
Condominium Fees
Heat
$
Electricity
$
Propane
$
Natural Gas
$
Telephone
Water
$
Sewer
Food
$
House Supplies
$
Laundry
$
Dry Cleaning
$
Clothing
$
Life insurance
$
Medical insurance
$
Dental insurance
$
Vision insurance
$
Uninsured Medical
$
Uninsured Dental
$
Motor Vehicle Expenses
$
Fuel
$
Insurance
$
Maintenance
$
Loan payment(s)
$
Entertainment
$
Vacation
$
Cable TV
$
Child Support (attach a copy of the order, if issued by a different court)
$
Child(ren)'s Day Care Expense
$
Child(ren)'s Education
$
Education (self)
$
CJ-D 301 L (4/07)
Page 3 of 9
C.G.F.
Commonwealth of Massachusetts
The Trial Court
Probate and Family Court Department
Division
Docket No.
FINANCIAL STATEMENT
(Long Form)
Employment related expenses (which are not reimbursed)
Uniforms
$
Travel
$
Required continuing education
$
Other (specify)
$
Lottery tickets
$
Charitable Contributions
$
Child(ren)'s allowance
$
Extraordinary travel expenses for visitation with child(ren)
$
Other (specify)
$
$
$
$
TOTAL WEEKLY EXPENSES NOT DEDUCTED FROM PAY
VII.
COUNSEL FEES
Retainer amount(s) paid to your attorney(s)
$
Legal fees incurred, to date, against the retainer(s)
$
Anticipated range of total legal expense to litigate this action
$
to $
VIII. ASSETS
INSTRUCTIONS: If additional space is needed for any answer or to disclose additional assets not listed below please
attach additional pages.
A. REAL ESTATE
Real Estate-Primary Residence
Address
(Street address)
(City/Town)
(State)
Title held in the name of
Purchase Price of the Property
$
Year of Purchase
Current Assessed Value of the Property
$
Date of Last Assessment
$
Fair Market Value of the Property
Outstanding 1st mortgage
- $
Outstanding 2nd mortgage or home equity loan
- $
Equity
= $
CJ-D 301 L (4/07)
Page 4 of 9
C.G.F.
Commonwealth of Massachusetts
The Trial Court
Probate and Family Court Department
Division
Docket No.
FINANCIAL STATEMENT
(Long Form)
Real Estate-Vacation or Second Home (including interest in time share)
Address
(Street address)
(City/Town)
(State)
Title held in the name of
$
Purchase Price of the Property
Year of Purchase
Current Assessed Value of the Property
$
Date of Last Assessment
$
Fair Market Value of the Property
Outstanding 1st mortgage
- $
Outstanding 2nd mortgage or home equity loan
- $
Equity
= $
B. MOTOR VEHICLES including cars, trucks, ATV's, snowmobiles, tractors,
motorcycles, boats, recreational vehicles, aircraft, farm machinery etc.
Type
Make
Model
Purchase Price of vehicle $
Year of Purchase
Fair Market Value
$
Outstanding Loan
- $
Equity
= $
Type
Make
Model
Purchase Price of vehicle $
Year of Purchase
Fair Market Value
$
Outstanding Loan
- $
Equity
= $
C. PENSIONS
Institution
Account Number
Listed Beneficiary
Current Balance/Value
Defined Benefit Plan
$
Defined Contribution Plan
$
CJ-D 301 L (4/07)
Page 5 of 9
C.G.F.
Commonwealth of Massachusetts
Division
The Trial Court
Probate and Family Court Department
Docket No.
FINANCIAL STATEMENT
(Long Form)
D. OTHER ASSETS. List assets which are held individually, jointly, in the name of another person for your benefit, or held
by you for the benefit of your minor child(ren).
Institution
Account Number
Current Balance/Value
$
Checking Account(s)
$
$
Savings Account(s)
$
$
Cash on Hand
$
Certificate(s) of Deposit
$
$
Credit Union Account(s)
$
$
Funds Held in Escrow
$
$
Stocks
$
$
Bonds
$
$
Bond Fund(s)
$
$
Notes Held
$
$
Cash in Brokerage
Account(s)
$
$
Money Market Account(s)
CJ-D 301 L (4/07)
Listed Beneficiary
$
Page 6 of 9
C.G.F.
Commonwealth of Massachusetts
Division
The Trial Court
Probate and Family Court Department
Docket No.
FINANCIAL STATEMENT
(Long Form)
Institution
Account Number
Listed Beneficiary
Current Balance/Value
$
U.S. Savings Bond(s)
$
$
IRAs
$
$
Keough
$
$
Profit Sharing
$
$
Deferred Compensation
$
$
Other Retirement Plans
$
Annuity (please specify
$
whether a tax deferred annuity
or a tax sheltered annuity)
$
Life Insurance Cash
Value (please specify whether
$
a term or a whole universal life
insurance policy)
$
$
Judgments/Liens
$
Pending Legacies and/or
Inheritances
$
Jewelry
$
Contents of Safe or Safe
Deposit Box
$
Firearms
$
Collections
$
Tools/Equipment
$
Crops/Livestock
$
Home Furnishings
$
Arts and Antiques
$
Other (please specify):
$
Other (please specify):
$
$
TOTAL ASSETS
CJ-D 301 L (4/07)
Page 7 of 9
C.G.F.
Commonwealth of Massachusetts
Division
The Trial Court
Probate and Family Court Department
Docket No.
FINANCIAL STATEMENT
(Long Form)
IX.
LIABILITIES : List loans, credit card debt, consumer debt, installment debt, etc. which are NOT listed elsewhere.
CREDITOR
NATURE OF DEBT
DATE INCURRED
$
TOTAL LIABILITIES
CJ-D 301 L (4/07)
AMOUNT DUE
Page 8 of 9
WEEKLY PAYMENT
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
C.G.F.
Commonwealth of Massachusetts
The Trial Court
Probate and Family Court Department
Division
Docket No.
FINANCIAL STATEMENT
(Long Form)
CERTIFICATION BY AFFIANT
I certify under the penalties of perjury that the information stated on this Financial Statement and the attached Schedules, if
any, is complete, true, and accurate. I UNDERSTAND THAT WILLFUL MISREPRESENTATION OF ANY OF THE
INFORMATION PROVIDED WILL SUBJECT ME TO SANCTIONS AND MAY RESULT IN CRIMINAL CHARGES BEING
FILED AGAINST ME.
Date
Signature
COMMONWEALTH OF MASSACHUSETTS
County of
Then personally appeared the above
and declared the
foregoing to be true and correct, before me this
day of
Notary Public
My Commission Expires:
INSTRUCTIONS: In any case where an attorney is appearing for a party, said attorney
MUST complete the Statement by Attorney.
STATEMENT BY ATTORNEY
I, the undersigned attorney, am admitted to practice law in the Commonwealth of Massachusetts-am admitted pro hoc vice
for the purposes of this case-and am an officer of the court. As the attorney for the party on whose behalf this Financial
Statement is submitted, I hereby state to the court that I have no knowledge that any of the information contained herein is
false.
Date
(Signature of attorney)
(Print name)
(Street address)
(City/Town)
(State)
(Zip)
Tel. No.
B.B.O. #
CJ-D 301 L (4/07)
Page 9 of 9
C.G.F.
Case Name
Date Prepared
Docket Number
Name of Preparer
CHILD SUPPORT GUIDELINES WORKSHEET
All amounts are $ / week, rounded to the nearest dollar
1. INCOME
Recipient
Payor
a. Gross Weekly income
$
b. Minus Child Care cost paid
$ (
)
$ (
)
c.
$ (
)
$ (
)
d. Minus Dental/Vision insurance cost paid
$ (
)
$ (
)
e. Minus Other Support Obligations paid
$ (
)
$ (
)
f.
Minus Health insurance cost paid
Available income
=
$
$
$
g. Combined Available Income Recipient 1(f) + Payor 1(f)
=
$
2. CHILD SUPPORT CALCULATION
a. Combined amount for one child (See Table A)
b. Adjustment for number of children covered by
this order (See Table B)
c.
x
Number of children
=
Combined support amount 2(a) x 2(b)
d. Recipient's % of combined income Recipient 1(f) ÷ 1(g)
$ (
Payor's proportional weekly support amount 2(c) - 2(e)
g. Weekly support amount as % of Recipient income
2(f) ÷ Recipient 1(f)
$
%
e. Minus Recipient's share of combined support amount 2(c) x 2(d)
f.
.
=
$
=
$
)
%
h. Payor's final weekly support amount
if 2(g) is 10% or more, then enter 2(f) here
Otherwise, enter the lesser of 2(f) OR (10% + 2(g)) x Payor 1(f)
TABLE A:
CHILD SUPPORT OBLIGATION SCHEDULE
All amounts are $ / week, rounded to the nearest dollar
COMBINED
AVAILABLE INCOME
FROM LINE 1(g)
Minimum
Maximum
$→
$100
$101
→
$200
$201
→
$320
$321
→
$500
$501
→
$1,000
$1,001
→
$1,500
$1,501
→
$2,500
$2,501
→
$3,500
$3,501
→
$4,808
CHILD SUPPORT AMOUNT (1 CHILD)
At court discretion, but not less than $80/month
21%
24%
$77
+ 26%
above $320
$124 + 25%
above $500
$249 + 22%
above $1,000
$359 + 19%
above $1,500
$549 + 17%
above $2,500
$719 + 15%
above $3,500
Child Support Guidelines
Child Support Guidelines Chart
TABLE B:
ADJUSTMENT FOR
NUMBER OF CHILDREN
CHILDREN
ADJUSTMENT
1
2
3
4
5
1.00
1.20
1.27
1.32
1.35
AFFIDAVIT DISCLOSING CARE
OR CUSTODY PROCEEDING
Pursuant to Trial Court Rule IV
BMC
________________
Division
TRIAL COURT OF MASSACHUSETTS
DOCKET NUMBER
Name of Case _______________________
District Court
________________
Division
Juvenile Court
________________
Division
Prob & Family Court
________________
Division
Superior Court
________________
Division
Section
1
I, _________________________________________________ hereby declare, to the best of my knowledge,
information, and belief that all information on this form is true and complete:
Section
2
The name(s) of the child(ren) whose care or custody is at issue in this case are:
A. ________________________ B. ___________________________ C. ____________________________
(LAST, FIRST)
(LAST, FIRST)
(LAST, FIRST)
U se only the letter appearing in front of the child’s nam e above when referring to the child in com pleting the rem aining sections.
Section
3
The party filing this affidavit may request certain addresses to be kept confidential if the address is a shelter for battered
persons and their dependent child(ren, or the party filing this affidavit believes that he/she or the child(ren) are in danger
of physical or emotional abuse, or the party is filing an action under G.L. c. 209A. If you believe that this provision
applies to you, check the box at right, complete sections 10 and 11 on the reverse side of this page and DO NOT
complete sections 4 and 5 below.
Section
4
The address(es) of the above-name child(ren) whose care and custody is at issues in this case is/are:
Address(es)
Address\
CHILD A ____________________________________ ______________________________________________________
CHILD B ____________________________________ ______________________________________________________
CHILD C ____________________________________ ______________________________________________________
Section
5
My address is: _______________________________________________________________________________________
Section
6
I 9 have 9 have not participated in and I 9 know 9 do not know of other care or custody proceedings involving the above-names
child(ren) in Massachusetts or in any state or country.
Certified copies of any pleadings or determinations in a care or custody proceeding outside of Massachusetts listed in sections 7 and 8 must
be filed with this affidavit unless already filed with this court or an extension for filing these documents has been granted by this court.
Section
7
The following is a list of all pending or concluded proceedings I have participated in or know if involving the care or custody of
the above named child(dren):
[W]itness [P]arty
Letter of Child
Court
Docket no.
Status
[O]ther [N]one
CHILD _____
__________________________ _____________ _____________________________ [ ]
CHILD _____
__________________________ _____________ _____________________________ [ ]
CHILD _____
__________________________ _____________ _____________________________ [ ]
Section
8
The names and addresses of parties to care or custody proceedings involving any of the above-named child(ren) or thise
claiming a legal right to these child(ren) during the last two years (not including myself) are:
Letter of Child
Name of Party/Claimant
Current (or last known) Address of Party/Claimant
CHILD _____ _______________________________________ _____________________________________________
CHILD _____ _______________________________________ _____________________________________________
CHILD _____ _______________________________________ _____________________________________________
Section
9
If the box at the right is checked, this affidavit discloses the adoption of one or more of the abovenamed child(ren) and I am requesting the court to impound this affidavit. See instructions.
This affidavit must be personally signed by the party listed in section 1 above, unless he/she is under 18 years of age or has been adjudged
incompetent in which case the attorney of record must sign. A revised affidavit must be filed with the court if new information is discovered
subsequent to this filing.
Signed this __________________________ day of ______________________________, 20_______ under the penalties of perjury.
X ___________________________________________________
SIGNATURE OF PARTY OR ATTORNEY OF RECORD FOR JUVENILE/INCOMPETENT
_____________________________________
PRINTED NAME OF PERSON SIGNING
_____________________________________________________________________________________________________________________________________________________________________
ADDRESS OF ATTORNEY OR RECORD FOR JUVENILE/INCOMPETENT
THE PARTY FILING THIS AFFIDAVIT MUST FURNISH A COPY OF IT TO ALL OTHER PARTIES TO THIS ACTION.
O C AJ-1 TCR IV (07/95)
READ BEFORE COMPLETING AFFIDAVIT
A. WHAT IS AN “AFFIDAVIT DISCLOSING CARE OR CUSTODY PROCEEDING”?
It is a document signed under the penalties of perjury which lists information required by Trial Court Rule IV concerning children involved
in a care or custody proceeding.
B. WHO MUST FILE THIS AFFIDAVIT?
The party to a petition (including a modification petition) or complaint involving the care,
custody, visitation, or change of name of a child pursuant to G.L. c. 119 (except delinquency actions under G.L. c. 201, G.L. c. 207, G.L. c.
208, G.L. c. 209, G.L. c. 209A, G.L. c. 209C, G.L. c. 210, or any other provision of law concerning the care or custody of a child must file this
affidavit.
This affidavit must be signed by the party unless the party is under 18 years of age or has been adjudged incompetent in which case the
attorney or record must sign this affidavit on behalf of the juvenile or incompetent party.
C. WHEN MUST THIS AFFIDAVIT BE FILED?
The person filing the petition or complaint must file this affidavit at the time of filing and the other party must file this affidavit with the first
pleading.
This affidavit should be filed upon issuance of a CHINS petition pursuant to G.L. c. 119, not upon application for such a petition.
This affidavit need not be filed if the petition or complaint is for support only.
D. WHERE MUST THIS AFFIDAVIT BE FILED?
The completed affidavit must be filed, in person or by mail, with the Clerk-Magistrate or Register of Probate in the court in which this action
is being brought.
E. WHEN MUST A REVISED AFFIDAVIT BE FILED?
A revised affidavit must be filed with the Clerk-Magistrate or Register of Probate if new information is discovered subsequent to the filing
of ths affidavit.
F. WHAT MUST BE FILED AS PART OF THIS AFFIDAVIT?
Certified copies of each pleading and of any determination entered in a foreign county or in a state other than Massachusetts must be filed
with this affidavit unless these documents are on file with the court in this case, or an extension has been granted by the court for filing these
documents.
INSTRUCTIONS FOR COMPLETING AFFIDAVIT
When completing this affidavit if additional space is needed for any of the sections, attach a separate sheet which includes your name
(printed), the docket number and the sections to which you are referring. You must also sign and date the sheet.
The party filing this affidavit must complete the section entitles “Name of Case” and indicate the Court Department and Division in which the
case is being brought. The docket number should be also be listed, if known.
DO NOT COMPLETE SECTIONS 2, 3, 4, 8 AND 10 IF THIS IS AFFIDAVIT IS BRING FILED WITH A PETITION FOR ADOPTION.
Section 1
You must print your first and last name. If this affidavit is filed by an attorney on behalf of an incompetent person or a
juvenile, the name of the party on which behalf this affidavit is being completed must be listed.
Section 2
List the names of all child(ren) involved in this care or custody proceeding. All future references to the child(ren) listed in
this section should be with the letter in front of the child’s name (e.g. If John Smith is listed next to the letter A, all references
to John Smith will be as Child A).
Section 3
Check the box if this section applies to you. If this box is checked, do not complete Sections 4 and 5. You must complete
Sections 10 and 11 on the reverse side of page 1.
Sections 4 & 5 List the present and all prior addresses during the last two years of the above-named child(ren) and your present address.
If legal custody of a child has been awarded to a social service agency, list the name and address of the agency with legal
custody.
Section 6
Check the appropriate box.
Section 7
List all pending or concluded proceedings which you have participated in or know of involving the care or custody of the
child(ren) named in this affidavit. Indicate the letter of the child; the court in which the case was heard, the docket number,
the person(s) to whom custody was awarded, and the date of the award, and the nature of your participation in the
proceeding by listing “W” for witness, “P” for party, “O” for other or “N” for none. If specific information required in this
section is not known, you or your attorney should contact the court where the case was heard to obtain such information.
In the case of a petition for adoption, list all information except the person(s) to whom custody was awarded, the
date of the award and the nature of your participation. Under the heading “Status of Case”, indicate type of case.
Section 8
List the name(s) and current residential address(es), if known, otherwise the last known address(es) of parties to care or
custody proceedings or persons claiming a legal right to the above named child(ren) during the last two years. Do not
include yourself.
Section 9
Check this box if this affidavit discloses the adoption of a child and you are requesting the court to impound this affidavit.
If this provision is applicable, you should contact the Clerk-Magistrate or Register of Probate for assistance concerning the
appropriate motion to be filed.
Section
COMPLETE ONLY IF YOU CHECKED THE BOX IN SECTION 3.
10 & 11
List the present and all prior addresses during the last two years of the child(ren) listed in Section 2 of this affidavit and your
present address. If legal custody of a child has been awarded to a social service agency, list the name and address of the
agency with legal custody.
Section 12
List the attorneys and guardians ad litem/investigators previously appointed in Section 7.
SignatureThe party listed in Section 1 must date and sign this affidavit except for an incompetent or juvenile, in which case the attorney of
record on behalf of the juvenile or incompetent party must date and sign this affidavit and print his/her name and address. TH S AFFID AV IT M U S T
B E FILE D W ITH TH E C O UR T AN D A C O PY FU R NIS HE D B Y TH E P AR TY FILIN G IT TO ALL O TH ER PAR TIE S TO TH E AC TIO N .
COMMONWEALTH OF MASSACHUSETTS
THE TRIAL COURT
PROBATE AND FAMILY COURT DEPARTMENT
WARE
Parents and Children in Divorce, Child & Family Services, Mary Lane Hospital, 85 South Street, (413)
737-4718, Contact: John Maloney
WATERTOWN
Families Divided, Divorcestep, Watertown High School, 50 Columbia St., (508) 358-7688, Contact:
Michele Diamond, www.divorcestep.com
WEST SPRINGFIELD
Parents & Children in Divorce, Child & Family Service West Springfield Center
425 Union St., Level D, (413) 737-4718, Contact: John Maloney
WESTBOROUGH
Divorce that Works for Children, Parenting Solutions, 6 Colonial Drive, (508) 366-7557,
Contact: Sylvia Sirignano or Glenn Smith
Children Cope with Divorce, Burroughs JCC, 45 Oak Street, (508) 755-3101, Contact: Kristy Fiorillo.
Website: www.jfsworcester.org [2 sessions of 2.5 hours each]
WESTON
Families Divided, Divorcestep, Regis College, Upper Student Union, Alumnae Hall, 235 Wellesley St.,
(508) 358-7688, Contact: Michele Diamond, www.divorcestep.com
WORCESTER
Parents Apart, University of Mass. Medical Center, 55 Lake Avenue North, (508) 793-6336, Contact:
Michele Eberhart
Children Cope with Divorce, Jewish Family Service of Worcester, 646 Salisbury St.,
(508) 755-3101, Contact: Kristy Fiorillo , Website: www.jfsworcester.org [2 sessions of 2.5 hours
each]
Parents Apart, Family Services of Central Massachusetts, 31 Harvard St., (508) 756-4646,
Contact: Intake Department, Website: www.fscm.org
Consider the Children, Divorce Education, Inc., Relationship Institute @ 6 Melville Street, (508) 4354745 or (508) 853-7373, Contact: Diane Ferkler or Samuel Chiancola
STANDING ORDER 4-08
PARENT EDUCATION PROGRAM ATTENDANCE
This court finds that the interests of the minor children of parties appearing before it would be well
served by educating their parents about children’s emotional needs and the effects of divorce on
child behavior and development.
IT IS HEREBY ORDERED THAT:
1.
All parties to a divorce action in which there are minor children, are ordered to attend and
participate in an approved Parent Education Program (hereinafter, program) except as herein
provided. This requirement applies to divorces brought under Ch. 208 sec. 1 (fault divorces); and Ch.
208 secs. 1A and 1B (irretrievable breakdown) and as ordered by a judge of this court in an action to
establish paternity, complaints for modification or contempt or in any case involving visitation,
custody, or support of minor children.
2.
Attendance at an approved program is mandatory for parties to such actions unless waived by
the court. Parties must register with an approved provider within sixty days (60) days of service of
the original complaint upon the original defendant and attend the next available session.
3.
No Pre-trial Conference or Trial will be held by the court until the court receives a certificate of
attendance from an approved program for each party, or waives the requirement. An uncontested
divorce hearing may be scheduled pending attendance if the parties file confirmations of registration
with the court and so long as both parties complete the program prior to the hearing. A Pre-Trial
Conference in a contested case may be similarly scheduled so long as the parties complete the
program prior to the Pre-Trial Conference.
PARENT
EDUCATION
PROGRAMS
Understanding the Effect of
Divorce on Children
4.
The court may waive the attendance requirement upon motion, with notice, for one or both
parties. Waivers will only be granted upon a demonstrable showing of chronic and severe violence
which negates safe parental communication; language barriers; institutionalization or other
unavailability of a party; failure of the other party to complete a program; unavailability of an
approved program in the county in which the original divorce brought under Ch. 208 sec. 1 and Ch.
208 secs. 1A and 1B was filed; or where justice otherwise indicates.
5.
Sanctions for failure to register with an approved program within sixty (60) days of service of
the original complaint upon the original defendant may be imposed by the court.
***Programs Offered in Spanish
BEVERLY
Parent Education and Custody Effectiveness-PEACE, North Shore Counseling Center, 23 Broadway,
(978) 922-2280, Contact: Linda Migdole, Website: www.nsccpsyc.org
FITCHBURG
Reducing the Effects of Divorce, Children’s Aid & Family Service, Fitchburg Fire Dept. 33 North
Street, (978) 534-5218, Contact: Family Counseling Center, Website: www.sevenhills.org
LAWRENCE
Divorce & Its Impact on Children’s Development, Northern Essex Community College,
45 Franklin Street, (978) 745-7808, Contact: Madeline Segal
6.
The parties must attend programs approved by the Chief Justice of the Probate and Family
Court. Attendance at an approved program, wherever held within the Commonwealth, is permissible.
Programs which are not approved by the Chief Justice will not satisfy the attendance requirement.
Program vendors will ensure that parties to an action do not attend the same session of any
program. Lists of approved programs shall be available at all Registries of Probate and at
http://www.state.ma.us/courts/courtsandjudges/courts/probateandfamilycourt/selfhelp.html
7.
A pamphlet entitled Parent Education Programs: Understanding the Effect of Divorce on
Children, which lists the approved program providers shall be given to the plaintiff or his/her
attorney upon the filing of a complaint for divorce involving minor children. The plaintiff or his/her
attorney shall serve a copy of said pamphlet along with the complaint and summons to the person
authorized to make service pursuant to Mass.R.Dom.Rel.P. 4(c).
8.
The parties shall each pay $80.00 to the provider in advance of the program to offset the cost of
materials and facilitators.
9.
A party may pay a reduced fee of $5.00 to the provider if that party has submitted and had
allowed an “Affidavit of Indigency and Request for Waiver, Substitution or State Payment of Fees
and Costs.” This form is prescribed by the Chief Justice of the Supreme Judicial Court pursuant to
G.L. c. 261, § 27B, promulgated March, 2003 and is available at the Registry of the Probate and
Family Court. The party must submit a copy of this form to the provider when registering for a
program at a reduced fee of $5.00.
10. Nothing herein shall be construed to limit the authority of any Probate and Family Court justice
to order parties to attend an approved program in any case involving visitation, custody, or support
of minor children.
11. All information submitted in compliance with the research component of the program shall be
the work product of the Probate and Family Court Administrative Office. The material is for research
purposes only and shall not be discoverable.
April 2008
PROBATE AND FAMILY COURT
ADMINISTRATIVE OFFICE
John Adams Courthouse
One Pemberton Square
Boston, MA 02108
http://www.mass.gov/courts
Paula M. Carey
Chief Justice
R E V IS E D A P R IL 2011
A pproved P rogram P roviders
A ll program s are 2 sessions of 2 ½ hrs each unless noted otherw ise
ACTON
Changing Families, Changing Times, Boundaries Therapy Center, Clubhouse at Nagog Condominiums,
(978) 263-4878 extension 230, Contact: Helen Frey
AGAWAM
Parent Education Program, Behavioral Health Network, Agawam Counseling Center, 30 Southwick St.,
Feeding Hills (413) 786-6410, Contact: Coordinator
ATTLEBORO
Parents Forever, Family Service Assoc., Arbour Fuller Hospital, 200 May St., (508) 677-3822,
Contact: Sue Roque, Website: www.frfsa.org [2 sessions of 3 hours each]
AUBURN
Parents Forever, Pakachoag Church, 203 Pakachoag Street, (508) 798-6699, Contact: Karen Feeney,
Website: www.eastpointservices.com
BEVERLY
**Parent Education and Custody Effectiveness-PEACE, North Shore Counseling Center, 23 Broadway,
(978) 922-2280, Contact: Linda Migdole, Website: www.nsccpsyc.org
BILLERICA
Divorce and Its Impact on Children’s Development, First Parish Church, 7 Concord Road, (978) 745-7808,
Contact: Madeline Segal
BOSTON
Parents Apart, Family Healthy Choices, Massachusetts General Hospital, Yawkey Bldg. Suite 10-660,
Conference Room E, (978) 887-6342, Contact: Steven Nisenbaum, Website:
www.familyhealthychoices.org
BRAINTREE
Parents Apart, Divorce Center, Inc., Braintree Health South Hospital, 250 Pond Street, (888) 434-8787,
Contact: Coordinator, Website: www.divorcecenter.org
FALL RIVER
Parents Forever, Family Service Association, 101 Rock Street, (508) 677-3822, Contact: Sue Roque,
Website: www.frfsa.org [2 sessions of 3 hours each]
FITCHBURG
Reducing the Effects of Divorce, Children’s Aid & Family Service, Fitchburg Fire Dept. 33 North Street,
(978) 345-4147, Contact: Family Counseling Center, Website: www.sevenhills.org
Reducing the Effects of Divorce, Children’s Aid and Family Service, Fitchburg Chamber of Commerce,
1460 John Fitch. Highway, (978) 345-4147, Contact: Family Counseling Center, Website:
www.sevenhills.org
FRAMINGHAM
Consider the Children, Divorce Education, Inc., Mass Bay Community College, 19 Flagg Drive,
(508) 435-4745, Contact: Diane Ferkler or Samuel Chiancola
GARDNER
Reducing the Effects of Divorce, Children’s Aid & Family Service, 7th Day Adventist Church, 100 Colony
Road, (978) 345-4147, Contact: Family Counseling Center, Website: www.sevenhills.org
G R E E N FIE LD
Families in Transition (FIT), Franklin County Bar Association, Franklin Medical Center,164 High St.,
(413) 773-9839, Contact: Katie Schendel, Website: www.franklincountybar.org
HANOVER
Parents Apart, Marvista Psychological Associates, PC, South Shore Vocational High School,
(781) 383-0860, Contact: Selma Ingber or Charles Mundhenk, Website: www.marvistapsych.com
HAVERHILL
Positive Co-Parenting in Difficult Times, Psychotherapy Associates of North Reading, Northern Essex
Community College,100 Elliot St., (978) 664-2566, ext. 5 Contact: Dr. Donna Whipple, Website:
www.panr.net
HYANNIS
*Set A Good Example (SAGE), MSPCC, 206 Breeds Hill Road, (508) 775-0275, Contact: Kirsten
Abrahamson, [2 sessions 5:30 - 8 each
BROCKTON
Parents Apart, Mass Bay Counseling, Massasoit Community College, 1 Massasoit Avenue,
(617) 786-3027, Contact: Amy Crissinger
Parents Apart Mass. Bay Counseling,455 Iyanough Rd. ,VFW Post 2578, (617) 786-3027, Contact: Amy
Crossinger
“Set a Good Example” (SAGE) Northeast Health Services, 231 Main Street, (800) 339-2204,
Contact: Jean Adams or Nelson Cardona (2 sessions, First session 2 hours, Second 3 hours)
LAWRENCE
Divorce & Its Impact on Children’s Development, Northern Essex Community College,
45 Franklin Street, (978) 745-7808, Contact: Madeline Segal
BROOKLINE
For the Sake of the Children, Center for Families in Transition, Brookline PDHQ, 350 Washington Street,
(617) 492-7245 or 857-373-9011, Contact: Robin Zucker, Website: www.cftclass.org. or
Email: [email protected]
Putting Children First, Family Service, Inc., Merrimack College, (978) 683-9505,
Contact: Intake Worker, Website: www.familyserviceinc.com
Parenting Through Divorce: Supporting the Child, Boston Graduate School of Psychoanalysis,
1581 Beacon Street, (617) 277-3915, Contact: William Sharp, Website: www.bgsp.edu
CAMBRIDGE
For the Sake of the Children, Center for Families in Transition, Cambridge College, 1000 Mass. Ave.,
(617) 492-7245 or 857-373-9011, Contact: Robin Zucker, Website: www.cftclass.org or
Email: [email protected]
CHELMSFORD
Moving Forward, Life Transitions, Inc. 10 Billerica Road, (978) 649-6255, Contact: Robert DiMeo, Website:
www.lifetransitionsinc.net
CHICOPEE
Parents Apart, Elm’s College, Berchmans Hall, 291 Springfield Street, (413) 783-2202, Contact: Judith
Haggerty
DANVERS
Parents Apart, Family Healthy Choices, Peabody Inst. Library, 15 Sylvan Street, (978) 887-6342, Contact:
Steven Nisenbaum, Website: www.familyhealthychoices.org
DARTMOUTH
Parents Forever, UMASS Dartmouth, McLean Center, 285 Old Westport Road, No. Dartmouth, (508) 6773822, Contact: Sue Roque, Website: www.frfsa.org
DEDHAM
Parents Apart, Child & Family Psychological Services, Inc., Dedham Community Asssociation, 671 High
Street, (781) 551-0999 ext. 503, Contact: Coordinator, Website: www.cfpsych.org
Focusing on Our Children Divorce Education Services, Dedham Community House, 671 High Street,
(781) 237-5064, Contact: Ann Steele
LEXINGTON
Parents Apart, Lexington Institute, Inc., 3 Militia Drive, (781) 860-0600, Contact Dr. Paul Bombara
LITTLETON
Moving Forward, Life Transitions, Inc., 461 King St., (978) 649-6255 , Contact: Robert DiMeo,
Website: www.lifetransitionsinc.net
LOWELL
Divorce & Its Impact on Children’s Development, Pawtucket Congregational Church, 15 Mammoth Road
(978) 745-7808, Contact: Madeline Segal
LYNN
Divorce and Its Impact on Children’s Development, Lynn Housing Authority and Neighborhood
Community Room, 10 Church Street, (978) 745-7808, Contact: Madeline Segal
MARLBOROUGH
Consider the Children, Divorce Education Inc., Marlborough High School, 431 Bolton Street,
(508) 435-4745, Contact: Diane Ferkler or Samuel Chiancola
MEDFORD
Positive Co-Parenting in Difficult Times, Psychotherapy Associates of North Reading,
Medford High School, 489 Winthrop St., (978) 664-2566, ext. 5 Contact: Dr. Donna Whipple,
Website: www.panr.net
MELROSE
Divorce and Its Impact on Children’s Development, Melrose Highlands, Congregational Church,
355 Franklin St., (978) 745-7808, Contact: Madeline Segal
MILFORD
Consider the Children, Divorce Education, Inc., Milford High School, 31 West Fountain St.,
(508) 435-4745 or (508) 473-4674, Contact: Diane Ferkler or Samuel Chiancola
NEEDHAM
Focusing on Our Children, Divorce Education Services, Deaconess-Glover Hospital,
148 Chestnut St., (781) 237-5064, Contact: Ann Steele
NEWBURYPORT
Parents Apart,.Family Healthy Choices, Nock Middle School, 70 Low Street, (978) 887-6342, Contact:
Steven Nisenbaum, Website: www.familyhealthychoices.org
NORTH READING
Positive Co-Parenting in Difficult Times, Psychotherapy Assoc. of North Reading, E. Little School, 7
Barberry Lane , (978) 664-2566, ext. 5 Contact: Dr. Donna Whipple, Website: www.panr.net
NORTHAMPTON
Parents and Children in Transition (PACT), Hampshire County Bar Association, Hall of Records
Community Room, 33 King St., (413) 586-4597, Contact: Rebecca Ryan
NORTHBRIDGE
Parents Forever, Whitinsville Community Center, 60 Main Street, (508) 798-6699, Contact: Karen Feeney,
Website:www.eastpointservices.com
NORWOOD
Parents Apart, Child & Family Psychological Services, Inc.,Dr. Philip Coakley Middle School in library,
1315 Washington Street,, or Norwood Education Center/Savage Center, 275 Prospect Street, Room
218/219, (781) 551-0999, Contact: Coordinator, Website: www.cfpsych.org
OAK BLUFFS
Parents Apart, 111 Edgartown Road,, (508) 693-7900 ext. 225, Contact: Joanne DeBettencourt, Website:
www.mvcommunityservices.com
PITTSFIELD
Families in Transition, Brien Center for Mental Health and Substance Abuse Services, 333 East Street ,
(413) 629-1061, Contact: Intake Coordinator, Karen Wasileski
PLYMOUTH
Parents Apart, Marvista Psychological Associates, PC, Plymouth North High School, 41 Obery Street,
(781) 383-0860, Contact: Selma Ingber or Charles Mundhenk Website: www.marvistapsych.com
QUINCY
Parents Apart, Mass Bay Counseling, Quincy High School, 52 Coddington St., (617) 786-3027, Contact:
Amy Crissinger
SALEM
Divorce & Its Impact on Children’s Development, St. Peters Church, 24 St. Peter St., (978) 745-7808,
Contact: Madeline Segal
SANDWICH
For the Sake of the Children, Center for Families in Transition, Sandwich Library, 142 Main Street,
(617) 492-7245 or 857-373-9011 Contact: Robin Zucker, www.cftclass.org or
Email: [email protected]
SOUTHBRIDGE
Parents Apart, George B. Wells Human Service Center, Harrington Memorial Hospital, 29 Pine St.,(508)
765-9167, Contact: Coordinator
SPRINGFIELD
Parent Education Program, Behavioral Health Network, Child Guidance Clinic, 110 Maple St.,
(413) 732-7419, Contact: Coordinator
Parents & Children in Divorce, Child and Family Service of Pioneer Valley, Inc., Baystate Health, 3300
Main Street, (413) 737-4718, Contact: John Maloney
Parents in Cooperation, Square One, 947 Main Street, (413)-735-1719, Contact: Barry Krimsky
TAUNTON
*Family Service Association, Taunton Galleria Mall Silver City, Community Room, 2 Galleria Mall Drive,
(508) 677-3822, Contact: Sue Roque, Website: www.frfsa.com [2 sessions of 3 hours each]
WAKEFIELD
Partners for Positive Co-Parenting, Riverside Community Care, 328 Main Street, Suite 304
(781) 246-2010, Contact: Coordinator
WALTHAM
Parents Apart, Divorce Center, Inc., West Suburban Chamber of Commerce, 84 South St., (888) 434-8787,
Contact: Coordinator, Website: www.divorcecenter.org