Mass. Dist. Ct. & Mun. Ct. R. 102A
In all civil actions governed by the District/Municipal Courts Rules of Civil Procedure, a party seeking relief in the form of money damages in a complaint, crossclaim, or counterclaim shall state the amount of said money damages claimed on the form prescribed therefor by the Administrative Justice of the District Court Department or the Administrative Justice of the Boston Municipal Court Department, as the case may be. No clerk-magistrate shall accept for filing any complaint, crossclaim, or counterclaim unless it is accompanied by such form. A copy of the form, including the statement as to damages, shall be served on all other parties together with the complaint, crossclaim, or counterclaim.
Form DCM-39. STATEMENT OF DAMAGES
MASSACHUSETTS TRIAL COURT DISTRICT COURT DEPARTMENT
_____ Division
Plaintiff
vs.
Defendant
No.
STATEMENT OF DAMAGES
[] Plaintiff [] Defendant [] Other (specify) in the above-captioned action, hereby asserts that the money damages sought by means of the [] complaint [] crossclaim [] counterclaim to which this statement of damages is attached, amount to ______
Signed:
Attorney (or party, if pro se)
Date:
Mass. Dist. Ct. & Mun. Ct. R. 102A