___________________________________ 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 You, __________________________________ {Plaintiff}{Defendant}, have been sued in Court to {obtain}{modify} custody, partial custody or supervised physical custody of the following children: _____________________________________________________________________________________ You, as a party to this action, are directed to attend the "KIDS FIRST" Seminar on the assigned date listed below: Plaintiff's Class Date: Defendant's Class Date: _____________________________ _____________________________ FAILURE TO REGISTER AND COMPLETE THE PROGRAM WILL BE BROUGHT TO THE ATTENTION OF THE COURT AND MAY RESULT IN FINDING OR CONTEMPT AND THE IMPOSITION OF SANCTIONS. You are ordered to appear in person at the Lackawanna County Family Center, 200 Adams Avenue, Scranton, PA on __________________________________________ at ____________ .M. for a: ______ Conciliation Conference, 1st Floor, Court Administrator's Office � Family Court Division ______ Hearing before the Court, 1st Floor, Court Administrator's Office � Family Court Division If you fail to appear as provided by this Order for custody, partial custody or supervised physical custody may be entered against you or the Court may issue a warrant for your arrest. American LegalNet, Inc. www.FormsWorkFlow.com YOU SHOULD TAKE THIS PAPER TO YOUR LAWYER AT ONCE. IF YOU DO NOT HAVE A LAWYER OR CANNOT AFFORD ONE, GO TO OR TELEPHONE THE OFFICES SET FORTH BELOW TO FIND OUT WHERE YOU CAN GET LEGAL HELP. North Penn Legal Services 33 North Main Street Pittston, PA 18640 570-299-4100 Lawyer Referral Service Lackawanna Bar Association 338 North Washington Avenue Scranton, PA 18503-1502 (570) 969-9161 AMERICANS WITH DISABILITIES ACT OF 1990 The Court of Common Pleas of Lackawanna County is required by law to comply with the American with Disabilities Act of 1990. For information about accessible facilities and reasonable accommodations available to disabled individuals having business before the Court, please contact our office. All arrangements must be made at least 72 hours prior to any hearing or business before the Court. You must attend the scheduled conference or hearing. BY THE COURT: _____________________, J. DATE: _______________________ American LegalNet, Inc. www.FormsWorkFlow.com __________________________________ (Plaintiff(s) : IN THE COURT OF COMMON PLEAS : : OF LACKAWANNA COUNTY vs. : : FAMILY DIVISION : __________________________________ : 20_______ FC _________ Defendant(s) : ::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::: PETITION FOR CUSTODY AND NOW, comes the petitioner, ________________________________, filing the following petition for Custody of ____________________________________________________________. (minor child(ren) Petitioner's relationship to minor child(ren) __________________________________________________. 1. ___________________________________________________________________________ ______________________________________________________________________________________ ______________________________________________________________________________ 2. _____________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ 3. _____________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ 4. _____________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ American LegalNet, Inc. www.FormsWorkFlow.com 5. _____________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ WHEREFORE, the petitioner, __________________________, respectfully requests that this Court issue an Order granting the following relief: _______________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ Respectfully submitted, _______________________________ Date: ______________________ American LegalNet, Inc. www.FormsWorkFlow.com __________________________________ (Plaintiff(s) : IN THE COURT OF COMMON PLEAS : : OF LACKAWANNA COUNTY vs. : : FAMILY DIVISION : __________________________________ : 20_______ FC ________ Defendant(s) : ::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::: VERIFICATION I, ________________________, the petitioner, do hereby affirm that the facts set forth in the foregoing Petition for Custody 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