Pennsylvania > Local County > Lackawanna > Court Of Common Pleas > Court Administrators Office

Petition For Emergency Special Relief (Family Court) - Pennsylvania

Petition For Emergency Special Relief (Family Court) Form. This is a Pennsylvania form and can be used in Court Administrators Office Court Of Common Pleas Lackawanna Local County .
 Fillable pdf Last Modified 10/19/2011
Get this form for FREE as a print-only pdf

___________________________________ Name ___________________________________ Address ___________________________________ : : : : : IN THE COURT OF COMMON PLEAS : ___________________________________ : OF LACKAWANNA COUNTY Phone Number : Plaintiff(s) : FAMILY DIVISION vs. : : 20______ FC ________ ___________________________________ : Name : ___________________________________ : Address : ___________________________________ : : ___________________________________ : Phone Number : Defendant(s) : ::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::: ORDER AND NOW, this ______ day of __________________, 20_____, upon consideration of the foregoing Petition for Emergency Relief, it is Ordered and Decreed that: _______ _______ _______ Temporary physical custody is granted to the petitioner until further Order of Court. Emergency relief is denied. Emergency relief is denied, Court Administrator is to set Conciliation Conference. Hearing/Conference is to be held on the _______ day of _________________________, 20______, at ________ .M. before __________________________________________ at the Lackawanna County Family Center, 200 Adams Avenue, Scranton, PA. _____ 2nd Floor, Courtroom No. _______ _____ 1st Floor, Court Administrator's Office ­ Family Court Division BY THE COURT: ________________________, J. American LegalNet, Inc. www.FormsWorkFlow.com _______________________________ : IN THE COURT OF COMMON PLEAS Plaintiff(s) : : OF LACKAWANNA COUNTY vs. : : FAMILY COURT : _______________________________ : 20_______ FC _________ Defendant(s) : : ::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::: PETITION FOR EMERGENCY SPECIAL RELIEF AND NOW, comes the petitioner, ____________________________, filling the following petition for Special Relief. Petitioner's relationship to the minor child(ren) _______________________________________________. 1. _______________________________________________________________________________ ___________________________________________________________________________________ __________________________________________________________________________________. 2. _______________________________________________________________________________ ___________________________________________________________________________________ __________________________________________________________________________________. 3. _______________________________________________________________________________ ___________________________________________________________________________________ __________________________________________________________________________________. 4. _______________________________________________________________________________ ___________________________________________________________________________________ __________________________________________________________________________________. 5. _______________________________________________________________________________ __________________________________________________________________________________. American LegalNet, Inc. www.FormsWorkFlow.com WHEREFORE, the petitioner ___________________________________, respectfully request that this Court issue an Order granting primary physical custody of the child/children until further Order of Court. Respectfully Submitted, __________________________ Date: _______________________ American LegalNet, Inc. www.FormsWorkFlow.com : IN THE COURT OF COMMON PLEAS : : OF LACKAWANNA COUNTY : vs. : FAMILY COURT : ______________________________ : 20_____ FC _________ Defendant(s) : : ::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::: VERIFICATION _____________________________ Plaintiff(s) I, _____________________, the petitioner, do hereby affirm that the facts set forth in the foregoing Petition for Special Relief are true and correct to the best of my knowledge, information and belief. I affirm that there are no outstanding custody matters concerning the minor child(ren) in any other jurisdiction. I understand that false statements made herein are subject to the penalties of 18 Pa.C.S.A. Section 4904 relating to unsworn falsification to authorities. ______________________________ Petitioner _______________________ Date American LegalNet, Inc. www.FormsWorkFlow.com
Link/Embed this Document
URL
Embed


Popular Searches

  1. default
  2. lien
  3. cover sheet
  4. continuance
  5. name change
  6. writ of garnishment
  7. settlement
  8. modification of child support
  9. claim of exemption
  10. statement of claim

Bookmark and Share