BRADFORD COUNTY, PENNSYLVANIA PRO SE CUSTODY PACKET

Transcription

1 BRADFORD COUNTY, PENNSYLVANIA PRO SE CUSTODY PACKET

2 IN THE COURT OF COMMON PLEAS BRADFORD COUNTY,, PENNSYLVANIA Plaintiff vs. NO., Defendant. COMPLAINT FOR (CUSTODY)/(PARTIAL CUSTODY)/(VISITATION) 1. The Plaintiff is, residing at ; telephone number The Defendant is _, residing at ; telephone number The relationship of Plaintiff to the child(ren) is that of. 4. The relationship of Defendant to the child(ren) is that of. 5. Plaintiff seeks (custody)/(partial custody)/(visitation) of the following child(ren) NAME PRESENT RESIDENCE DATE OF BIRTH 6. The child(ren) (was/were) (wasn t/weren t) born out of wedlock.

3 7. The child(ren) (is/are) presently in the custody of who resides at. 8. During the past five years, the child(ren) has/have resided with the following persons at the following addresses (List All Persons) (List All Addresses) (Dates) 9. The mother of the child(ren) is, currently residing at. 10. She is (married)/(divorced)/(single). 11. The father of the child(ren) is _, currently residing at. 12. He is (married)/(divorced)/(single). 13. The Plaintiff currently resides with the following persons Name Relationship 14. The Defendant currently resides with the following persons Name Relationship

4 15. Plaintiff (has) (has not) participated as a party of witness, or in another capacity, in other litigation concerning the custody of the child(ren) in this or another court. The Court, term and number, and its relationship to this action is. 16. Plaintiff (has) (has no) information of a custody proceeding concerning the child(ren) pending in a court of this Commonwealth. The Court, term and number, and its relationship to this action is. 17. Plaintiff (knows) (does not know) of a person not a party to the proceedings who has physical custody of the child(ren) or claims to have custody or visitation rights with respect to the child(ren). The name and address of such person(s) is/are Name Address 18. Plaintiff has been advised of the requirement to attend the seminar titled Education Program for Separated Parents. The parties have previously attended the Education Program for Separated Parents as evidenced by certificates of attendance (attached hereto) (contained in the official court file case number ). 19. The best interest and permanent welfare of the child(ren) will be served by granting the

5 relief requested because (set forth facts showing that the granting of the requested relief will in the best interest and permanent welfare of the child(ren) below). 20. Each parent whose parental rights to the child(ren) have not been terminated and the person who has physical custody of the child(ren) have been named as parties to this action. All other persons, named below, who are known to have or claim to have a right to custody or visitation of the child(ren) will be given notice of the pendency of this action and the right to intervene Name Address Basis of Claim 21. Wherefore, Plaintiff requests the Court to grant (custody)/(partial custody)/(visitation) of the child(ren). Signature

6 IN THE COURT OF COMMON PLEAS BRADFORD COUNTY,, PENNSYLVANIA Plaintiff vs. NO., Defendant. VERIFICATION I verify that the statements made in this Complaint are true and correct. I understand that false statements herein are made subject to the penalties of 18 Pa.C.S relating to unsworn falsification to authorities. Date Signature of Plaintiff

7 IN THE COURT OF COMMON PLEAS BRADFORD COUNTY,, PENNSYLVANIA Plaintiff vs. NO., Defendant. ORDER OF COURT You are ordered to appear in person at the Bradford County Court House, Towanda, Pennsylvania, for a hearing on, at,.m in Court Room No.. If you fail to appear as provided by this Order, an Order for Custody, Partial Custody, or Visitation may be entered against you or the Court may issue a warrant for your arrest. The parties are directed to pre-register with the Court Administrator and attend the Education Program for Separated Parents on one of the two dates listed below Tuesday,, 600 p.m. to 1000 p.m. Saturday,, 830 a.m. to 1230 p.m. The parties have previously attended the Education Program for Separated Parents as evidenced by certificates of attendance (attached hereto) (contained in the official court file case number ). BY THE COURT

8 Date J.