Note: This form must be downloaded to your device in order to be filled out properly. It must be opened in Adobe Acrobat Reader.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. Withdrawals and agreements to discontinue must be on the record before the Administrative Law Judge if either occurs when a hearing has already commenced. The amendments to Rule 9A are effective as to all motions served on or after November 1, 2018 (Applicable to civil actions) • Release of Lis Pendens – MGL c. A sample notice is attached hereto. NOTE: This is not the Notice of Withdrawal form which is used in a G.L. C. 185 § 52 proceeding. 3. To officially withdraw from a class, complete the Course Withdrawal form and submit it to the Registrar office within the Course Withdrawal Period listed above.