Affidavit of Public Assistance (JV-024)

Jurisdiction: Country: The United States | Province or State: Massachusetts

What is a Affidavit of Public Assistance (JV-024)?

An Affidavit of Public Assistance (JV-024) is a sworn statement. You use it to tell the court whether you, your child, or someone in your care receives public benefits. It focuses on benefits like cash aid, food aid, medical coverage, housing support, or disability benefits. The court uses this information to make fair orders and to meet legal notice rules.

This affidavit is common in juvenile, family, guardianship, and adoption matters. It can also appear in paternity, child support, and certain probate cases. The court wants to know if public funds are supporting a child or household. That knowledge can affect child support, reimbursement, and fee decisions.

You typically use this form if you are a parent, guardian, or caregiver. You may also use it if you are an adult child in a support case, or a relative seeking guardianship. In some cases, a petitioner in adoption or a legal custodian will file it. If you receive public benefits for yourself or a child, the court may request this affidavit.

You may need this form for several reasons. The court may need to know if child support rights are assigned to the state. This happens when a household gets certain cash benefits. The court may also need the affidavit to set proper child support. It ensures the order does not harm eligibility for benefits. The affidavit can also help the court decide on fee waivers or appointing counsel. It lets the court confirm your financial situation with official details.

Typical scenarios include a custody case where one parent gets cash aid for the child. The court needs to know if the state has a right to collect support. Another example is a guardianship petition filed by a grandparent. The grandparent may receive food and medical assistance on behalf of the child. The court will use this information when assigning financial duties. A third scenario is an adoption proceeding. The court and involved agencies need to verify any public assistance tied to the child. That helps with subsidy decisions and compliance with federal rules. In a paternity case, the affidavit helps the court coordinate with the child support agency. It ensures any existing benefits and rights assignments are clear.

The key point is simple. The affidavit places your benefits information on the record in a formal, sworn way. The court and any involved state agency can rely on it. You get a cleaner process and fewer delays, because the facts are clear from the start.

When Would You Use a Affidavit of Public Assistance (JV-024)?

You use this affidavit when the court needs to confirm whether public assistance exists in your case. If you are asking for child support, you may need it. The court must know if the state has a right to some or all support. That happens in many cash benefit situations. Your affidavit tells the court which programs are in play and when they started.

If you are the parent who receives benefits for a child, the court often requires the affidavit early. This is common at temporary orders and first hearings. The affidavit helps set a realistic support number. It also avoids support orders that conflict with program rules. If your child receives disability benefits, the court may handle support differently. Your affidavit flags that issue.

If you are a guardian or caregiver seeking legal guardianship, the court may ask for it. You confirm whether the child’s needs are being met with public funds. The court can then decide which relatives or parents contribute and how much. If you are a relative caregiver seeking custody, the affidavit supports your financial picture. It helps show what support the child already has and what is still needed.

If you are a parent in a divorce or separation case with children, your financial disclosures may include this affidavit. You may need to show if any household member receives food aid or medical coverage. That helps the court set support and allocate uninsured medical expenses. It also informs the court about likely premium costs and coverage gaps.

If you are an adult child in a support extension case, the affidavit can still apply. If you receive certain disability benefits, the court may consider that in setting support past age 18. Your affidavit becomes a key part of the record.

If you are involved in an adoption, the court or agency may ask for the affidavit. It helps verify the child’s assistance status before final orders. That can influence subsidy arrangements and medical coverage planning. Your affidavit ensures that everyone understands what benefits exist and who manages them.

You also use the affidavit when you request a fee waiver tied to public assistance. Many courts recognize certain benefits as proof of financial hardship. Your affidavit confirms that status. The court then can act on fee requests or appointment of counsel.

In short, you use JV-024 whenever public assistance affects support, reimbursement, or fees. Parents, guardians, caregivers, and petitioners are typical users. The same applies if a child’s disability or medical benefits influence the case.

Legal Characteristics of the Affidavit of Public Assistance (JV-024)

JV-024 is a sworn affidavit. It becomes legally binding when you sign it under penalty of perjury. Some courts require notarization. Others accept your declaration under penalty of perjury. Follow the signature instructions on the form. If it calls for a notary, plan ahead. Bring acceptable photo ID and sign in the notary’s presence.

The affidavit is enforceable because you make factual statements under oath. The court can rely on your statements to issue orders. If your statements are false, you face consequences. Those can include sanctions, fines, or perjury charges. The court can also revisit orders that relied on incorrect facts. This is why accuracy matters. Only state facts you know first-hand, and attach proof when possible.

The form’s enforceability rests on several factors. Your identity must be clear. The case information must match the court’s docket. Your statements must be clear, complete, and within your personal knowledge. If you estimate amounts or dates, say so. If you do not know a detail, say you do not know. Do not guess. The court prefers accurate limits over inaccurate details.

There are key legal considerations. Your affidavit may include sensitive personal data. Courts often require redaction of full Social Security numbers. Use only the last four digits if the form allows. If the court has a confidential coversheet process, follow it. Never put a child’s full SSN in the public record. Keep benefit account numbers and case IDs confidential unless the form asks for them. If the form requires them, use the proper confidentiality method.

Your affidavit may trigger notice to a state child support agency. That can happen when cash aid is involved. In those cases, support rights may be assigned to the state. The court may direct payments to the agency rather than to you. Your affidavit allows that coordination. It helps the court comply with federal and state rules.

Public assistance can interact with child support in complex ways. Some benefits are means-tested and can be affected by support payments. Others are not means-tested and do not change with support. Your affidavit gives the court the facts it needs. The court can then craft orders that work with program rules.

Finally, remember that your affidavit speaks as of the date you sign it. If your benefits change, you may need to update the court. Reach out to the clerk or your counsel when changes occur. Timely updates reduce the risk of incorrect orders and enforcement issues.

How to Fill Out a Affidavit of Public Assistance (JV-024)

Follow these steps to complete JV-024 accurately and avoid delays.

Step 1: Gather your information

• Your full legal name and contact information.
• The court’s name, division, and address from your case papers.
• The case name and docket or case number.
• Names and dates of birth for each child in the case.
• A list of all public benefits received for you or the child.
• Start dates, current status, and amounts for each benefit.
• Any official letters or notices showing eligibility or payments.
• Any known child support case or account information.
• The relationship between you and the child (parent, guardian, caregiver).
• Your identification for notarization if required.

Make photocopies of supporting documents. Do not give the court your originals.

Step 2: Complete the case header

• Enter the court name and division as listed on your case papers.
• Fill in the docket or case number exactly.
• Write the case name as it appears in your filings. For example, “Doe v. Doe.”
• List the judge’s name if the form requests it.
• Identify your role in the case. For example, “Mother,” “Father,” “Guardian,” or “Petitioner.”

Check that the header matches other documents in the case.

Step 3: Identify the parties and the child

• Enter your full legal name and current mailing address.
• Provide a phone number and email, if requested.
• Identify the other party or parties by name and role.
• List each child’s name and date of birth. Use initials if the form requires it.
• State your relationship to each child.

Keep child identifiers consistent with other filings.

Step 4: Describe the public assistance

• Check each type of assistance that applies. Typical categories include cash aid, food aid, medical coverage, housing support, child care assistance, and disability benefits.
• For each program, write the start date and current status. For example, “active,” “pending,” or “ended.”
• List the monthly amount or benefit value, if known. If the amount varies, give an average and note that it varies.
• If the benefit is for the child, say so. If it is for you, say so. If both receive benefits, list both.
• If you do not know the exact amount, write “unknown.” Then explain what you do know, such as the approval date.

Do not guess at amounts or dates. Attach the most recent notice or statement as proof if you have it.

Step 5: Explain any assignment of support rights

• If you receive cash aid for the child, the state may have a right to collect support. Indicate whether you signed any assignment. If you did not sign one but you receive cash aid, note that you understand this may be automatic under program rules.
• If you do not receive cash aid, say “no assignment known.”
• If a state child support agency is already collecting support, include that. If you have an account or case identifier, include it only if the form requests it. Use confidentiality rules if provided.

This section helps the court direct payments correctly.

Step 6: Provide child support details, if any

• State whether there is a current child support order. Include the date and the monthly amount.
• List arrears if known. If you do not know, write “unknown.”
• Identify who pays and who receives support.
• If the state is the payee, say so.

Attach a copy of the most recent order if the form requests it.

Step 7: Add context that affects benefits

• Note any recent changes in income, employment, or household size.
• Mention any pending applications or appeals for benefits.
• Identify any special medical needs or disability benefits for the child.
• State any upcoming changes that the court should know about.

Keep the statements factual and short. Do not argue your case in this section.

Step 8: Attach supporting documents

• Include copies of award letters, notices, or statements that confirm benefits.
• Include proof of application or appeals if relevant to a pending decision.
• Include the first page of any child support order if requested.
• Redact full Social Security numbers and account numbers. Leave only the last four digits if the court allows.

Label each attachment. For example, “Attachment A: Cash Aid Notice dated [date].”

Step 9: Review for accuracy and completeness

• Confirm names, dates, and amounts.
• Ensure every requested field is filled or marked “unknown.”
• Check that the case number and court division are correct.
• Verify that confidential information is redacted or placed on the proper confidential sheet.

Accuracy prevents delays and avoids the need for amended filings.

Step 10: Sign under penalty of perjury (and notarize if required)

• Read the declaration at the end of the form. It explains that your statements are under penalty of perjury.
• Sign and date where indicated.
• If the form requires notarization, do not sign until you are in front of a notary. Bring government-issued photo ID. The notary will complete their section.
• If the form allows an unsworn declaration, sign as instructed. Your signature still carries penalty of perjury.

Your signature makes the affidavit legally enforceable.

Step 11: Make copies

• Make at least two copies of the signed affidavit and attachments.
• Keep one copy for your records.
• Use one copy for service on the other party or parties if required.

Retain proof of what you filed and served.

Step 12: File with the court

• File the original with the clerk’s office in your case.
• Ask the clerk to stamp your copy as “filed” for your records.
• If your case is e-filed, follow the court’s e-filing procedures. Upload attachments in the correct format. Use any confidentiality cover sheets as required.

Filing on time helps the court prepare for your hearing.

Step 13: Serve the other party if required

• Some courts require service of financial affidavits on the other party. Affirm whether service is required in your case.
• If service is required, use an approved service method. Typical methods include hand delivery or mail. Confirm what your court accepts.
• Complete any proof of service form if required. File it with the court.

Proper service avoids challenges and delays.

Step 14: Prepare for the hearing

• Bring your filed copy and attachments to the hearing.
• Bring any updated benefit notices that you received after filing.
• Be ready to explain entries briefly. Stick to facts. Do not speculate.
• If your benefits changed after filing, tell the court at the start of your hearing.

Clear, concise answers help the judge rely on your affidavit.

Tips for common situations

If your benefit award is pending, say it is pending. Attach proof of your application. The court may wait for a decision or set a temporary order. If your benefits ended, list the end date and reason if known. Attach the termination notice.

If the child receives disability benefits, say so. Indicate whether the benefit is paid to a representative payee. This helps the court address support and reimbursements accurately. If you receive medical coverage for the child, note any premiums or copays you pay. That can affect support or allocation of medical costs.

If you fear disclosure of sensitive information, use the court’s confidentiality tools. Ask the clerk how to file sensitive data under seal or on a confidential sheet. Do not omit required data without using the proper process.

If you discover an error after filing, prepare an amended affidavit. Correct the mistake and refile. Serve the amended version if service is required. Tell the court at the hearing that you filed a corrected affidavit.

Final check before submission

• The case caption is correct and complete.
• Each benefit is listed with status and dates.
• Assignments of support rights are disclosed if applicable.
• Child support orders and arrears are stated or marked “unknown.”
• Attachments are labeled and redacted where needed.
• The affidavit is signed, and notarized if required.
• Copies are made, and filing and service steps are complete.

When you follow these steps, you give the court a clear, reliable record. You also protect your interests and reduce the chance of avoidable issues. The affidavit is short, but it carries weight. Treat it like testimony. Keep it factual, current, and complete.

5. Legal Terms You Might Encounter

Affidavit. An affidavit is a signed statement of facts. You swear the facts are true. On the Affidavit of Public Assistance (JV-024), you confirm whether you or the child receive public benefits.

Public assistance. Public assistance means government benefits that help with basic needs. These benefits can include cash, food, or medical coverage. On this form, you list each program that applies to you or the child.

Means-tested benefits. Means-tested benefits depend on income and resources. Examples can include cash aid, food assistance, and medical programs. This form asks specifically about these kinds of benefits.

Household. Household means people who live together and share expenses. Some programs base eligibility on the household. On the form, you may need to show who in your household receives benefits.

Declarant. The declarant is the person who signs the affidavit. That is you if you complete JV-024. You take responsibility for the accuracy of the information.

Penalty of perjury. This phrase means you swear your statements are true. Lying can lead to fines or criminal charges. When you sign JV-024, you sign under penalty of perjury.

Case caption and case number. The case caption is the case title. It names the parties and the child, if any. The case number identifies your specific case. Enter both on JV-024 so the court files it correctly.

Minor or child. Many cases involve a child under 18. The form may ask which child receives benefits. Use the child’s legal name and date of birth.

Agency case number. Agencies assign a number to your benefits case. This number may appear on your notices or card. JV-024 may ask for these numbers to confirm benefits.

Service or notice. Service means delivering a copy of the form to others. Some courts require you to notify a public agency when benefits are involved. JV-024 helps the court decide who must receive notice.

Supporting documents. Supporting documents are proof of your statements. They can include benefit notices or award letters. The court may request them along with JV-024.

Notary acknowledgment. A notary verifies your identity and witness to your signature. Some courts need notarization. Others accept a signed declaration. Check your court’s rule before you sign JV-024.

6. FAQs

Do you need to list every benefit you receive?

Yes. List each benefit you or the child receives. Include program names and case numbers if you have them. If you are unsure, check your latest approval notices.

Do you need to attach proof to the affidavit?

Many courts do not require proof with the form. Some do. Keep recent notices, cards, or award letters ready. The clerk or judge may request them. Bring copies, not originals.

Do you need a notary for this form?

Some courts accept your signature without a notary. Other courts require notarization. Ask the clerk or check your local instructions before you sign. Do not sign twice.

Do you file the affidavit if benefits already ended?

Yes, if the form is requested in your case. Use the most current status. Write when benefits ended. If benefits restart later, file an updated affidavit.

Do you list benefits received by a household member?

List benefits received by you or the child named in the case. If the form asks about the household, include the requested details. Follow the instructions on the page.

Do you automatically get a fee waiver with this affidavit?

Not always. This form alerts the court to public benefits in the case. A fee waiver usually requires a separate form. Ask the clerk which fee form to use.

Do you have to share the affidavit with the other party?

Courts often require service on other parties. Some situations also require notice to a public agency. Ask the clerk who must receive a copy. Keep a record of service.

Can you correct the affidavit after filing it?

Yes. File an amended affidavit if your information changes. Mark it as amended. Clearly explain what changed. Serve the amended version on anyone who received the original.

7. Checklist: Before, During, and After the Affidavit of Public Assistance (JV-024)

Before signing

• Confirm the exact case title and case number.
• Note the court name, division, and location.
• List each benefit you or the child currently receives.
• Gather recent notices for each program listed.
• Identify agency case numbers for each program.
• Write start dates and end dates, if any.
• Confirm the child’s legal name and date of birth.
• Verify your current address, phone, and email.
• Ask whether a notary is required for your court.
• Ask whether supporting documents must be attached.
• Bring photo ID if you will use a notary.
• Arrange an interpreter if you need language help.
• Set aside time to review for accuracy.

During signing

• Use the correct case caption from your filings.
• Print names clearly and use legal names only.
• Check the box that matches your benefit status.
• List each program by its full name.
• Add agency case numbers and contact details, if asked.
• Enter start dates and end dates, if they apply.
• Mark “none” if a section does not apply.
• Do not leave required sections blank.
• Review the penalty of perjury statement carefully.
• Sign and date in the correct signature area.
• Include the city and state of signing, if asked.
• Use blue or black ink only.
• Avoid white-out or heavy cross-outs.
• Attach copies of proof if required.
• Make two copies for your records and service.

After signing

• File the original with the court clerk.
• Verify any filing deadline for your case.
• Ask the clerk if electronic filing is allowed.
• Serve copies on the other party, if required.
• Serve any public agency, if required.
• Keep a stamped copy with your case file.
• Add a calendar reminder to confirm acceptance.
• Monitor mail for court notices and orders.
• Update the form if your benefits change.
• Store the affidavit in a safe place.
• Protect any sensitive numbers from disclosure.
• Shred extra copies you do not need.

8. Common Mistakes to Avoid

• Leaving boxes blank. Don’t forget to answer each required section. The clerk can reject the filing. You may face delays or a continued hearing.

• Listing only one program. Don’t forget to list every program that applies. Missing a program can cause incomplete notice. It can also affect cost and support decisions.

• Guessing dates or case numbers. Don’t estimate. Check your notices or online account. Wrong details can trigger questions or mistrust in court.

• Using nicknames or short names. Don’t abbreviate names of people or programs. Use legal names. Confusion can stall your filing or processing.

• Skipping the signature block. Don’t forget to sign under penalty of perjury. An unsigned affidavit has no legal effect. The clerk will not accept it.

• Failing to serve the right parties. Don’t assume service is optional. Failure to serve can invalidate the filing. It can also delay any hearing.

• Not updating after changes. Don’t let your information go stale. Courts expect current benefit status. An outdated affidavit can mislead the court.

9. What to Do After Filling Out the Form

File the affidavit with the clerk. Confirm the clerk accepts it. Ask for a stamped copy for your records. If the clerk rejects it, ask why. Fix the issues and refile promptly.

Serve a copy on any required party. That can include the other party and a public agency. Use the service method the court allows. Keep a record of when and how you served each person.

Watch for court notices. You may receive a notice about next steps. The court may set a hearing. The judge may request more proof. Bring copies of your benefit notices to any hearing.

Prepare to answer questions. The judge may ask which benefits you receive and when they started. Keep your answers short and accurate. Refer to your notices if needed.

Update the affidavit if your benefits change. Benefits can start, pause, or end. File an amended affidavit if that happens. Mark it as amended. Serve it on anyone who received the original.

Protect sensitive information. Do not include full Social Security numbers. Redact account numbers if they appear on attachments. Ask the clerk how to handle confidential details.

Coordinate with any representative. If you have a lawyer or advocate, share your stamped copy. Tell them about any service you completed. Share any new benefit letters right away.

Organize your records. Keep a folder for this case. Include your affidavit, notices, and proof of service. Track all dates and deadlines. This saves time if questions arise.

Consider related filings. If you need a fee waiver, ask for the correct form. The affidavit does not replace a fee waiver request. Keep both filings consistent.

Set reminders. Mark a date to check your benefit status. Schedule a reminder before hearings. Ongoing accuracy helps you avoid issues in court.