IN THE COURT OF COMMON PLEAS FOR ADAMS COUNTY, PENNSYLVANIA CIVIL ACTION - LAW
Name_1(ConCM)
Name PLAINTIFF vs. Name DEFENDANT 1 and (if applicable) Name DEFENDANT 2 CASE NO. _____
Name_2(ConCM)
Name_3(ConCM)
CASE NO(ConCM)
CASE NO.
ACTION IN CUSTODY
CONCILIATION CONFERENCE MEMORANDUM
And now, comes the undersigned party who submits the following custody conference memorandum pursuant to Adams C.Civ.R. No. 1915.4-3.2(h):
1. Brief factual background, including current custody schedule for the child/ren:
Background(ConCM)
2. Initials and current age of each child:
Child #1:_____
Child 1(ConCM)
Child#3:
Child 3(ConCM)
Child #2:_____ Child#3:_____
Child 2(ConCM)
Child #4:_____
Child 4(ConCM)