O.C.I.S. SERVICE REQUEST CANCELLATION
PRINT OR TYPE CLEARLY Date of Service Case Name Language COURT
Docket #
Cancelled by: Telephone Email:
Comments:
OCIS FAX LINE: 617-367-9293
Reminder: This is a Cancellation Notice. A rescheduled matter becomes a New Service Request. Please fill out a new request form.
DO NOT WRITE IN THIS SPACE
Received at OCIS on: (Please Stamp)
OCIS/2000