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COMMONWEALTH OF MASSACHUSETTS
PROBATE AND FAMILY COURT
MOTION FOR TEMPORARY ORDERS
Court:
Docket No.:
Case Name: v.
I, , the
in the above-captioned
matter, hereby respectfully requests
that the Court enter temporary orders
on an ex parte basis pursuant to
Probate and Family Court Rule 9...
1. I am the in this
matter. The minor child(ren):
3. There is an emergency requiring
immediate Court intervention. The
facts supporting this request:
4. The relief I am requesting:
[ ] Check if emergency/ex parte
[ ] Check if custody requested
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Your state: Massachusetts ▼
Emergency type: Substance abuse with child present ▼
What happened: Substance abuse with child present ▼
✓ Substance abuse with child present
Physical abuse / domestic violence
Parent threatening to flee with child
Child abandonment / neglect
Sexual abuse allegations
Other — I'll describe it myself
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COMMONWEALTH OF MASSACHUSETTS
PROBATE AND FAMILY COURT
MOTION FOR TEMPORARY ORDERS
Court: Middlesex Probate & Family Court
Docket No.: 24D-1234-D
Case Name: John Smith v. Jane Smith
I, John Smith, the
Plaintiff in the above-captioned
matter, hereby respectfully requests
that the Court enter temporary orders
on an ex parte basis pursuant to
Probate and Family Court Rule 9...
1. I am the Plaintiff in this
matter. The minor child(ren):
Michael Smith, age 8
3. There is an emergency requiring
immediate Court intervention. The
facts supporting this request:
On March 15, 2026, the other parent
was found passed out from alcohol
while the child was home alone. Police
report #2491 attached as Exhibit A.
4. The relief I am requesting:
Temporary sole custody to Plaintiff
[✓] Check if emergency/ex parte
[✓] Check if custody requested
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4

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