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father,\nRespondent\nor □ ___ of the child(ren), and resides at\nState the Relationship (for example, grandparent)", "label_source": "parent_text", "label_ref": "p2.1", "text_offset": 50, "text_span": 3 }, "reading_order": 3 }, { "id": "p2.1.5", "order": 6, "type": "form_field", "bbox": { "l": 82.7278, "t": 681.792, "r": 97.1165, "b": 666.492 }, "text": "", "attrs": { "field_kind": "checkbox", "pdf_field_name": "Other(PCCOForm)", "source": "acroform", "label": "3. ___ is the □ mother, □ father,\nRespondent\nor □ ___ of the child(ren), and resides at\nState the Relationship (for example, grandparent)", "label_source": "parent_text", "label_ref": "p2.1", "text_offset": 48, "text_span": 1 }, "reading_order": 4 }, { "id": "p2.1.6", "order": 7, "type": "form_field", "bbox": { "l": 72, "t": 658.32, "r": 534, "b": 631.8 }, "text": "", "attrs": { "field_kind": "text", "pdf_field_name": "Address(PCCOForm)", "source": "acroform", "label": "3. ___ is the □ mother, □ father,\nRespondent\nor □ ___ of the child(ren), and resides at\nState the Relationship (for example, grandparent)", "label_source": "parent_text", "label_ref": "p2.1" }, "reading_order": 5 } ], "reading_order": 0 }, { "id": "p2.2", "order": 8, "type": "text", "bbox": { "l": 249.36, "t": 630.48, "r": 405.12, "b": 619.92 }, "text": "Address, including City, State, Zip and County", "reading_order": 1 }, { "id": "p2.3", "order": 9, "type": "text", "bbox": { "l": 68.88, "t": 609.12, "r": 539.52, "b": 491.28 }, "text": "4. 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A true and correct copy of the Order of Court is attached.", "label_source": "parent_text", "label_ref": "p2.3" }, "reading_order": 1 }, { "id": "p2.3.3", "order": 12, "type": "form_field", "bbox": { "l": 321.36, "t": 589.32, "r": 471.36, "b": 562.8 }, "text": "", "attrs": { "field_kind": "text", "pdf_field_name": "Name of State(PCCOForm)", "source": "acroform", "label": "4. An Order of Court was entered on ___, in the Court of Common Pleas of Date of Order\n\n___ County, in the State of ___, granting me Name of County\n\nName of State\n□ legal custody, □ physical custody, or □ other, of the child(ren). 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A true and correct copy of the Order of Court is attached.", "label_source": "parent_text", "label_ref": "p2.3", "text_offset": 163, "text_span": 1 }, "reading_order": 3 }, { "id": "p2.3.5", "order": 14, "type": "form_field", "bbox": { "l": 148.572, "t": 533.556, "r": 161.844, "b": 519 }, "text": "", "attrs": { "field_kind": "checkbox", "pdf_field_name": "Physical Custody(PCCOForm)", "source": "acroform", "label": "4. An Order of Court was entered on ___, in the Court of Common Pleas of Date of Order\n\n___ County, in the State of ___, granting me Name of County\n\nName of State\n□ legal custody, □ physical custody, or □ other, of the child(ren). A true and correct copy of the Order of Court is attached.", "label_source": "parent_text", "label_ref": "p2.3", "text_offset": 180, "text_span": 1 }, "reading_order": 4 }, { "id": "p2.3.6", "order": 15, "type": "form_field", "bbox": { "l": 258.504, "t": 533.184, "r": 271.032, "b": 518.628 }, "text": "", "attrs": { "field_kind": "checkbox", "pdf_field_name": "Other2(PCCOForm)", "source": "acroform", "label": "4. An Order of Court was entered on ___, in the Court of Common Pleas of Date of Order\n\n___ County, in the State of ___, granting me Name of County\n\nName of State\n□ legal custody, □ physical custody, or □ other, of the child(ren). A true and correct copy of the Order of Court is attached.", "label_source": "parent_text", "label_ref": "p2.3", "text_offset": 203, "text_span": 1 }, "reading_order": 5 } ], "reading_order": 2 }, { "id": "p2.4", "order": 16, "type": "text", "bbox": { "l": 70.56, "t": 477.6, "r": 540.24, "b": 462.96 }, "text": "5. The Respondent has violated the Order in the following way:", "reading_order": 3 }, { "id": "p2.5", "order": 17, "type": "figure", "bbox": { "l": 70.8, "t": 461.28, "r": 540.72, "b": 359.76 }, "text": "", "attrs": { "block_label": "image" }, "children": [ { "id": "p2.5.1", "order": 18, "type": "text", "bbox": { "l": 71.04, "t": 375.12, "r": 538.32, "b": 360.24 }, "text": "
\"Image\"
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Request for Emergency Order", "reading_order": 8 }, { "id": "p2.10", "order": 27, "type": "text", "bbox": { "l": 104.4, "t": 197.04, "r": 484.08, "b": 183.12 }, "text": "The following emergency situation requires immediate attention by the Court.", "reading_order": 9 }, { "id": "p2.11", "order": 28, "type": "text", "bbox": { "l": 70.08, "t": 169.68, "r": 539.52, "b": 154.32 }, "text": "Describe this situation in detail:", "reading_order": 10 }, { "id": "p2.12", "order": 29, "type": "text", "bbox": { "l": 70.08, "t": 154.32, "r": 539.52, "b": 65.76 }, "text": "晉書", "reading_order": 11 }, { "id": "p2.13", "order": 30, "type": "form_field", "bbox": { "l": 72.3209, "t": 155.223, "r": 539.761, "b": 66.9981 }, "text": "", "attrs": { "field_kind": "text", "pdf_field_name": "Situation(PCCOForm)", "source": "acroform" }, "reading_order": 12 } ] }, { "document_id": 10285, "page": 3, "width": 612, "height": 792, "rotation": 0, "pipeline_version": "paddleocr-vl-1.6+paul-48", "width_pt": 612, "height_pt": 792, "engine": "paddleocr_vl", "source_run_id": 10396, "item_count": 26, "counts_by_type": { "figure": 1, "form_field": 10, "heading": 1, "list_item": 1, "text": 13 }, "build_ms": 2, "items": [ { "id": "p3.1", "order": 1, "type": "list_item", "bbox": { "l": 69.36, "t": 719.76, "r": 268.56, "b": 705.12 }, "text": "Emergency Contact Information:", "marker": "9.", "reading_order": 0 }, { "id": "p3.2", "order": 2, "type": "text", "bbox": { "l": 141.6, "t": 694.32, "r": 451.2, "b": 679.44 }, "text": "Plaintiff: _____", "children": [ { "id": "p3.2.1", "order": 3, "type": "form_field", "bbox": { "l": 252, "t": 702.24, "r": 450, "b": 682.32 }, "text": "", "attrs": { "field_kind": "text", "pdf_field_name": "Emergency Contact Information(PCCOForm)", "source": "acroform", "label": "Plaintiff: _____", "label_source": "parent_text", "label_ref": "p3.2", "text_offset": 11, "text_span": 5 }, "reading_order": 0 } ], "reading_order": 1 }, { "id": "p3.3", "order": 4, "type": "text", "bbox": { "l": 142.08, "t": 673.68, "r": 451.92, "b": 658.08 }, "text": "Telephone Number: ___", "children": [ { "id": "p3.3.1", "order": 5, "type": "form_field", "bbox": { "l": 252, "t": 681.48, "r": 450.12, "b": 661.68 }, "text": "", "attrs": { "field_kind": "text", "pdf_field_name": "Telephone Number(PCCOForm)", "source": "acroform", "label": "Telephone Number: ___", "label_source": "parent_text", "label_ref": "p3.3", "text_offset": 18, "text_span": 3 }, "reading_order": 0 } ], "reading_order": 2 }, { "id": "p3.4", "order": 6, "type": "text", "bbox": { "l": 142.32, "t": 631.92, "r": 451.68, "b": 617.28 }, "text": "Defendant number 1: _____", "children": [ { "id": "p3.4.1", "order": 7, "type": "form_field", "bbox": { "l": 252, "t": 640.2, "r": 450, "b": 620.28 }, "text": "", "attrs": { "field_kind": "text", "pdf_field_name": "Defendant number 1(PCCOForm)", "source": "acroform", "label": "Defendant number 1: _____", "label_source": "parent_text", "label_ref": "p3.4", "text_offset": 20, "text_span": 5 }, "reading_order": 0 }, { "id": "p3.4.2", "order": 8, "type": "form_field", "bbox": { "l": 252, "t": 619.44, "r": 450.12, "b": 599.52 }, "text": "", "attrs": { "field_kind": "text", "pdf_field_name": "Telephone Number_2(PCCOForm)", "source": "acroform", "label": "Defendant number 1: _____", "label_source": "parent_text", "label_ref": "p3.4", "text_offset": 20, "text_span": 5 }, "reading_order": 1 } ], "reading_order": 3 }, { "id": "p3.5", "order": 9, "type": "text", "bbox": { "l": 142.56, "t": 611.28, "r": 451.92, "b": 595.92 }, "text": "Telephone Number: ___", "reading_order": 4 }, { "id": "p3.6", "order": 10, "type": "text", "bbox": { "l": 142.08, "t": 570, "r": 451.92, "b": 555.84 }, "text": "Defendant number 2: ___", "children": [ { "id": "p3.6.1", "order": 11, "type": "form_field", "bbox": { "l": 252, "t": 578.16, "r": 450, "b": 558.24 }, "text": "", "attrs": { "field_kind": "text", "pdf_field_name": "Defendant number 2(PCCOForm)", "source": "acroform", "label": "Defendant number 2: ___", "label_source": "parent_text", "label_ref": "p3.6", "text_offset": 20, "text_span": 3 }, "reading_order": 0 } ], "reading_order": 5 }, { "id": "p3.7", "order": 12, "type": "text", "bbox": { "l": 142.56, "t": 549.6, "r": 452.16, "b": 534.96 }, "text": "Telephone Number: ___", "children": [ { "id": "p3.7.1", "order": 13, "type": "form_field", "bbox": { "l": 252, "t": 557.4, "r": 450.12, "b": 537.48 }, "text": "", "attrs": { "field_kind": "text", "pdf_field_name": "Telephone Number_3(PCCOForm)", "source": "acroform", "label": "Telephone Number: ___", "label_source": "parent_text", "label_ref": "p3.7", "text_offset": 18, "text_span": 3 }, "reading_order": 0 } ], "reading_order": 6 }, { "id": "p3.8", "order": 14, "type": "text", "bbox": { "l": 70.08, "t": 519.84, "r": 513.84, "b": 490.56 }, "text": "10. Petitioner has attached the Criminal Record / Abuse History Verification form required pursuant to Pa.R.C.P. 1915.3-2.", "reading_order": 7 }, { "id": "p3.9", "order": 15, "type": "text", "bbox": { "l": 105.84, "t": 482.88, "r": 456.24, "b": 468.48 }, "text": "FOR THESE REASONS, I request the Court to issue an Order finding", "reading_order": 8 }, { "id": "p3.10", "order": 16, "type": "text", "bbox": { "l": 72.96, "t": 454.56, "r": 537.6, "b": 426.96 }, "text": "in contempt, enforce custody, and order any other\nRespondent's Name", "children": [ { "id": "p3.10.1", "order": 17, "type": "form_field", "bbox": { "l": 72, "t": 463.08, "r": 294.12, "b": 443.16 }, "text": "", "attrs": { "field_kind": "text", "label": "Respondent’s Name3(PCCOForm)", "pdf_field_name": "Respondents Name3(PCCOForm)", "source": "acroform" }, "reading_order": 0 } ], "reading_order": 9 }, { "id": "p3.11", "order": 18, "type": "text", "bbox": { "l": 69.84, "t": 424.8, "r": 395.52, "b": 410.4 }, "text": "appropriate relief relating to custody with the child(ren), including:", "reading_order": 10 }, { "id": "p3.12", "order": 19, "type": "figure", "bbox": { "l": 70.56, "t": 406.56, "r": 540.24, "b": 274.8 }, "text": "", "attrs": { "block_label": "image" }, "children": [ { "id": "p3.12.1", "order": 20, "type": "form_field", "bbox": { "l": 72.3209, "t": 403.936, "r": 539.761, "b": 276.052 }, "text": "", "attrs": { "field_kind": "text", "pdf_field_name": "ReliefSought(PCCOForm)", "source": "acroform" }, "reading_order": 0 } ], "reading_order": 11 }, { "id": "p3.13", "order": 21, "type": "heading", "bbox": { "l": 258.48, "t": 243.36, "r": 352.8, "b": 230.16 }, "text": "VERIFICATION", "attrs": { "block_label": "paragraph_title" }, "level": 3, "reading_order": 12 }, { "id": "p3.14", "order": 22, "type": "text", "bbox": { "l": 69.12, "t": 222.96, "r": 503.52, "b": 180.48 }, "text": "I verify that the statements made in the foregoing document are true and correct. I understand that false statements herein are made subject to the penalties of perjury of 18 Pa.C.S. § 4904 relating to unsworn falsification to authorities.", "reading_order": 13 }, { "id": "p3.15", "order": 23, "type": "text", "bbox": { "l": 69.6, "t": 152.64, "r": 216.24, "b": 138.96 }, "text": "Date: _____", "children": [ { "id": "p3.15.1", "order": 24, "type": "form_field", "bbox": { "l": 101.04, "t": 161.88, "r": 215.04, "b": 141.96 }, "text": "", "attrs": { "field_kind": "text", "pdf_field_name": "Date4(PCCOForm)", "source": "acroform", "label": "Date: _____", "label_source": "parent_text", "label_ref": "p3.15", "text_offset": 6, "text_span": 5 }, "reading_order": 0 } ], "reading_order": 14 }, { "id": "p3.16", "order": 25, "type": "text", "bbox": { "l": 285.84, "t": 149.52, "r": 522.96, "b": 137.76 }, "text": "Signature", "children": [ { "id": "p3.16.1", "order": 26, "type": "form_field", "bbox": { "l": 288.0119, "t": 153.9133, "r": 521.9998, "b": 140.6243 }, "text": "", "attrs": { "field_kind": "text", "source": "blank_line", "label": "Signature", "label_source": "parent_text", "label_ref": "p3.16" }, "reading_order": 0 } ], "reading_order": 15 } ] } ] }