REVISED: 8/4/14 COURT OF COMMON PLEAS OF SCHUYLKILL COUNTY TWENTY-FIRST JUDICIAL DISTRICT OF PENNSYLVANIA : ___________________________ : Case No. ___________ Plaintiff : vs : File No. ____________ : ___________________________ : Our Docket No. __________ Defendant : A copy of the conflict scheduling notice must be attached to the continuance request. APPLICATION FOR CONTINUANCE Divorce _____ Support ______ Custody _______ ( )Pre-Hearing Conference Scheduled for _______________(date) at ________(time) ( )Hearing ( ) Conference Below are listed ALL counsel and pro se litigants in the above-captioned case and whether or not they oppose this application. (Failure to notify and list ALL counsel and pro se litigants on this application will result in an automatic denial of the application.): COUNSEL/PRO SE LITIGANTS OPPOSED/UNOPPOSED CONTACT TELEPHONE NUMBER This is the (first/______) application for continuance by the requesting party. The opposing party has had ____ prior continuances. Application is hereby made by ___________________ for__________________ in the above matter to continue the Conference/Hearing in the above captioned case for the following reason(s): Date:_________________________ _____________________________ Applicant Counsel certifies that the parties have been advised of this continuance request. --------------------------------------------------------------------------------------------------------------------( ) Application is approved and the case is continued to ___________________ at _________ ( ) Application is denied. Report as directed. Reason for denial: _______________________________________________________ ______________________________________________________________________ Date: _____________________ _____________________________ Custody Conciliation Officer Master/Conference/Hearing Officer ( ) CONTINUANCE COST ASSESSMENT Reason for assessment: __________________________________________________ -------------------------------------------------------------------------------------------------------------------________________________ PRESIDENT JUDGE APPEAL OF DENIED APPLICATION ( ) Appeal is granted, case continued. ( ) Appeal is denied. Report as directed. By the Court, Date: ________________________ ________________________ American LegalNet, Inc. www.FormsWorkFlow.com