CHECKLIST PETITION FOR INVOLUNTARY TERMINATION OF PARENTAL RIGHTS 23 Pa. C.S.A. §2511 To be filed simultaneously with the Petition for Involuntary Termination of Parental Rights: _____ Order for Appointment of Counsel for Child – 23 Pa. C.S.A. §2313 _____ Signed Motion for Appointment of Counsel for Child To be attached to the Petition in the order they appear: _____ Preliminary Decree – Rule 15.1A(4) ____ Citation – Rule 15.4A(1) _____ Final Decree _____ Important Notice – 23 Pa. C.S.A. § 2513(b) _____ Petition for Involuntary Termination of Parental Rights [Agency] or [Individual] ____ Attorney caption ____ Signed ____ Petitioner is Adopting Parent, Intermediary, Other Birth Parent, Attorney, Guardian Ad Litem representing child ____ Joinder of a parent of a petitioner, if an individual, who is under the age of 18 unless excused by the court ____ Proof(s) of Notice – to be filed at or before the hearing _____ Original Long Form Birth Certificate – Rule 15.2(b)(2) _____ Out of County Decrees – Certified _____ Foreign Decrees – Translated _____ Report of Intention to Adopt or Petition for Adoption filed _____ If Agency Termination Petition, Consent by Agency to accept custody of child _____ Notice(s) Pursuant to 23 Pa.C.S.A. §2513(b) ____ at least ten (10) days notice by personal service, OR ____ Registered Mail, OR ____ By such means as the Court may require (See, Pa.R.C.P. 430) American LegalNet, Inc. www.USCourtForms.com