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            "text": "CONFIDENTIAL INFORMATION FORM",
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            "text": "Abuse Victim Addendum",
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            "text": "Instructions for Completing the Abuse Victim Addendum: The Abuse Victim Addendum shall accompany a filing where confidential information is being provided by an abuse victim, as defined in this policy, in family court actions (see Pa.R.C.P. No. 1931(a)), as required by law, ordered by the court, or otherwise necessary to effect the disposition of a matter. This addendum, and any additional pages, shall only be provided to the court and shall remain confidential. The best way to protect confidential information is not to provide it to the court. Therefore, only provide confidential information to the court when it is required by law, ordered by the court or is otherwise necessary to effect the disposition of a matter."
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            "text": "Type of Family Court Action",
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            "text": "Divorce, Annulment, Dissolution of Marriage"
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                    "text": "Support",
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                        "colspan": 1
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                    "text": "(full name of abuse victim)",
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                        "colspan": 1
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                                "pdf_field_name": "Docket/Case No. of Protection Order AV Addendum",
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                    "text": "AV Employer's Name & Address:",
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                    "children": [
                        {
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                                "field_kind": "text",
                                "pdf_field_name": "Abuse victim employer name and address AV Addendum",
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                                "colspan": 1,
                                "label": "AV Employer's Name & Address:",
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                    "text": "Alternative Reference:AV 1 Employer's Name & Address",
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                        "row": 3,
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                        "rowspan": 1,
                        "colspan": 1
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                },
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                    "text": "Docket/Case No. of Protection Order",
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                    "text": "Court/County",
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            "text": "Attach additional page(s) if necessary."
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        {
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            "text": "Rev. 7/2018",
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        },
        {
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            "text": "THIS FORM IS CONFIDENTIAL",
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    ],
    "excluded_furniture": {
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