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Tender Of Plea Or Admission And Waiver Of Rights Form. This is a Massachusetts form and can be use in State District Court Statewide.Prosecutors may incorporate waivers of appeal rights and post-conviction rights into plea agreements. A. Waiver of Appellate Rights . 11. In view of the foregoing and with full knowledge of my rights, I am waiving arraignment and entering. Total. Name Of Agency Of Serving Officer. Court Date. Offense(s). A collection of court forms related to criminal matters. Appeal is limited after entry of a guilty plea in superior court. Pending action shall file a petition requesting leave of Court to do so.