Application for a summons DC-430 File with a verified complaint to request the court to issue a summons if you do not have an attorney. Instructions: Fill out this form and return to or email: City of Suffolk.The coverage is designed to protect students against torts and third-party property damage (i.e. A student inadvertently injures a patient, damages equipment,. Note: This form must be downloaded to your device in order to be filled out properly. It must be opened in Adobe Acrobat Reader. These instructions are for use with the Suffolk District Court COMPLAINT FORM (DC-283). Page version of this information is available at the courthouses. Need help with putting decimals in expanded form, word form, or standard form? You're in the right place!