[ { "page": 1, "items": [ { "page": 1, "type": "TITLE", "location": { "l": 81.12, "t": 720.48, "r": 528.96, "b": 691.2 }, "text": "IN THE COURT OF COMMON PLEAS FOR ADAMS COUNTY, PENNSYLVANIA\nCIVIL ACTION - LAW", "reading_order": 0, "level": 1 }, { "page": 1, "type": "FORM_FIELD", "location": { "l": 72, "t": 688.32, "r": 270.055, "b": 666.12 }, "text": "Name_6(PCCOForm)", "field_kind": "text", "label": "Name_6(PCCOForm)", "pdf_field_name": "Name_6(PCCOForm)", "pdf_field_type": "Text", "reading_order": 1 }, { "page": 1, "type": "TABLE", "location": { "l": 68.4, "t": 669.6, "r": 274.08, "b": 514.8 }, "text": "
NamePLAINTIFF
vs.
NameDEFENDANT 1 and (if applicable)
NameDEFENDANT 2
", "rows": [ { "row_index": 0, "location": [ 68.4, 630.9, 274.08, 669.6 ], "cells": [ { "location": [ 68.4, 630.9, 171.24, 669.6 ], "text": "Name", "html_text": "Name", "links": [], "cell_header_index": 0, "rowspan": 1, "colspan": 1, "column_header": true, "row_header": false, "placeholder": false, "ref": "#/tables/0" }, { "location": [ 171.24, 630.9, 274.08, 669.6 ], "text": "PLAINTIFF", "html_text": "PLAINTIFF", "links": [], "cell_header_index": 1, "rowspan": 1, "colspan": 1, "column_header": true, "row_header": false, "placeholder": false, "ref": "#/tables/0" } ], "ref": "#/tables/0" }, { "row_index": 1, "location": [ 68.4, 592.2, 274.08, 630.9 ], "cells": [ { "location": [ 68.4, 592.2, 274.08, 630.9 ], "text": "vs.", "html_text": "vs.", "links": [], "cell_header_index": 0, "rowspan": 1, "colspan": 2, "column_header": false, "row_header": false, "placeholder": false, "ref": "#/tables/0" } ], "ref": "#/tables/0" }, { "row_index": 2, "location": [ 68.4, 553.5, 274.08, 592.2 ], "cells": [ { "location": [ 68.4, 553.5, 171.24, 592.2 ], "text": "Name", "html_text": "Name", "links": [], "cell_header_index": 0, "rowspan": 1, "colspan": 1, "column_header": false, "row_header": false, "placeholder": false, "ref": "#/tables/0" }, { "location": [ 171.24, 553.5, 274.08, 592.2 ], "text": "DEFENDANT 1 and (if applicable)", "html_text": "DEFENDANT 1 and (if applicable)", "links": [], "cell_header_index": 1, "rowspan": 1, "colspan": 1, "column_header": false, "row_header": false, "placeholder": false, "ref": "#/tables/0" } ], "ref": "#/tables/0" }, { "row_index": 3, "location": [ 68.4, 514.8, 274.08, 553.5 ], "cells": [ { "location": [ 68.4, 514.8, 171.24, 553.5 ], "text": "Name", "html_text": "Name", "links": [], "cell_header_index": 0, "rowspan": 1, "colspan": 1, "column_header": false, "row_header": false, "placeholder": false, "ref": "#/tables/0" }, { "location": [ 171.24, 514.8, 274.08, 553.5 ], "text": "DEFENDANT 2", "html_text": "DEFENDANT 2", "links": [], "cell_header_index": 1, "rowspan": 1, "colspan": 1, "column_header": false, "row_header": false, "placeholder": false, "ref": "#/tables/0" } ], "ref": "#/tables/0" } ], "n_rows": 4, "n_cols": 2, "ref": "#/tables/0", "reading_order": 2 }, { "page": 1, "type": "FORM_FIELD", "location": { "l": 72, "t": 619.32, "r": 270.055, "b": 597.12 }, "text": "Name_7(PCCOForm)", "field_kind": "text", "label": "Name_7(PCCOForm)", "pdf_field_name": "Name_7(PCCOForm)", "pdf_field_type": "Text", "reading_order": 3 }, { "page": 1, "type": "FORM_FIELD", "location": { "l": 72, "t": 550.32, "r": 268.746, "b": 528.12 }, "text": "Name_8(PCCOForm)", "field_kind": "text", "label": "Name_8(PCCOForm)", "pdf_field_name": "Name_8(PCCOForm)", "pdf_field_type": "Text", "reading_order": 4 }, { "page": 1, "type": "FORM_FIELD", "location": { "l": 382.92, "t": 646.92, "r": 490.92, "b": 624.72 }, "text": "CASE NO_2(PCCOForm)", "field_kind": "text", "label": "CASE NO_2(PCCOForm)", "pdf_field_name": "CASE NO_2(PCCOForm)", "pdf_field_type": "Text", "reading_order": 5 }, { "page": 1, "type": "TEXT", "location": { "l": 321.84, "t": 637.2, "r": 493.44, "b": 621.84 }, "text": "CASE NO. _____", "reading_order": 6 }, { "page": 1, "type": "TEXT", "location": { "l": 321.84, "t": 610.32, "r": 452.64, "b": 594.96 }, "text": "ACTION IN CUSTODY", "reading_order": 7 }, { "page": 1, "type": "TITLE", "location": { "l": 179.76, "t": 498.72, "r": 432, "b": 470.88 }, "text": "PETITION FOR CIVIL CONTEMPT\nFOR DISOBEDIENCE OF CUSTODY ORDER", "reading_order": 8, "level": 2 }, { "page": 1, "type": "TEXT", "location": { "l": 68.64, "t": 457.44, "r": 521.52, "b": 428.4 }, "text": "If you believe the circumstances in your case require the Court’s immediate attention, please check “Yes” in the box below. If not, please check “No”:", "reading_order": 9 }, { "page": 1, "type": "TEXT", "location": { "l": 105.36, "t": 404.64, "r": 340.8, "b": 390 }, "text": "Emergency Order Requested Yes No", "reading_order": 10 }, { "page": 1, "type": "FORM_FIELD", "location": { "l": 278.285, "t": 405.824, "r": 290.704, "b": 393.033 }, "text": "your", "field_kind": "checkbox", "label": "your", "pdf_field_name": "Check Box12(PCCOForm)", "pdf_field_type": "CheckBox", "reading_order": 11 }, { "page": 1, "type": "FORM_FIELD", "location": { "l": 343.019, "t": 405.824, "r": 355.067, "b": 393.033 }, "text": "No □", "field_kind": "checkbox", "label": "No □", "pdf_field_name": "Check Box13(PCCOForm)", "pdf_field_type": "CheckBox", "reading_order": 12 }, { "page": 1, "type": "TEXT", "location": { "l": 69.36, "t": 375.36, "r": 536.64, "b": 346.32 }, "text": "I, ___, representing myself, state that:\nName of Petitioner", "reading_order": 13 }, { "page": 1, "type": "FORM_FIELD", "location": { "l": 81.96, "t": 384.84, "r": 382.08, "b": 362.64 }, "text": "Name of Petitioner(PCCOForm)", "field_kind": "text", "label": "Name of Petitioner(PCCOForm)", "pdf_field_name": "Name of Petitioner(PCCOForm)", "pdf_field_type": "Text", "reading_order": 14 }, { "page": 1, "type": "LIST_ITEM", "location": { "l": 68.64, "t": 337.92, "r": 537.84, "b": 289.68 }, "text": "1. I, ___, Petitioner, currently reside at Name of Petitioner.", "marker": "1.", "list_id": "L1", "level": 0, "reading_order": 15 }, { "page": 1, "type": "FORM_FIELD", "location": { "l": 96.96, "t": 348.12, "r": 391.08, "b": 325.92 }, "text": "Name of Petitioner_2(PCCOForm)", "field_kind": "text", "label": "Name of Petitioner_2(PCCOForm)", "pdf_field_name": "Name of Petitioner_2(PCCOForm)", "pdf_field_type": "Text", "reading_order": 16 }, { "page": 1, "type": "FORM_FIELD", "location": { "l": 72, "t": 315.6, "r": 534, "b": 293.76 }, "text": "Address, including City, State, Zip and County(PCCOForm)", "field_kind": "text", "label": "Address, including City, State, Zip and County(PCCOForm)", "pdf_field_name": "Address including City State Zip and County(PCCOForm)", "pdf_field_type": "Text", "reading_order": 17 }, { "page": 1, "type": "TEXT", "location": { "l": 177.6, "t": 292.08, "r": 332.88, "b": 281.28 }, "text": "Address, including City, State, Zip and County", "reading_order": 18 }, { "page": 1, "type": "TABLE", "location": { "l": 70.08, "t": 266.16, "r": 444.48, "b": 77.76 }, "text": "
2. I am the mother, father, orState the Relationship (for example, grandparent)
Initials of Child 1Child's Year of Birth
Initials of Child 2Child's Year of Birth
Initials of Child 3Child's Year of Birth
Initials of Child 4Child's Year of Birth
Initials of Child 5Child's Year of Birth
", "rows": [ { "row_index": 0, "location": [ 70.08, 234.76, 444.48, 266.16 ], "cells": [ { "location": [ 70.08, 234.76, 257.28, 266.16 ], "text": "2. I am the mother, father, or", "html_text": "2. I am the mother, father, or", "links": [], "cell_header_index": 0, "rowspan": 1, "colspan": 1, "column_header": false, "row_header": true, "placeholder": false, "ref": "#/tables/1" }, { "location": [ 257.28, 234.76, 444.48, 266.16 ], "text": "State the Relationship (for example, grandparent)", "html_text": "State the Relationship (for example, grandparent)", "links": [], "cell_header_index": 1, "rowspan": 1, "colspan": 1, "column_header": false, "row_header": false, "placeholder": false, "ref": "#/tables/1" } ], "ref": "#/tables/1" }, { "row_index": 1, "location": [ 70.08, 203.36, 444.48, 234.76 ], "cells": [ { "location": [ 70.08, 203.36, 257.28, 234.76 ], "text": "Initials of Child 1", "html_text": "Initials of Child 1", "links": [], "cell_header_index": 0, "rowspan": 1, "colspan": 1, "column_header": false, "row_header": true, "placeholder": false, "ref": "#/tables/1" }, { "location": [ 257.28, 203.36, 444.48, 234.76 ], "text": "Child's Year of Birth", "html_text": "Child's Year of Birth", "links": [], "cell_header_index": 1, "rowspan": 1, "colspan": 1, "column_header": false, "row_header": false, "placeholder": false, "ref": "#/tables/1" } ], "ref": "#/tables/1" }, { "row_index": 2, "location": [ 70.08, 171.96, 444.48, 203.36 ], "cells": [ { "location": [ 70.08, 171.96, 257.28, 203.36 ], "text": "Initials of Child 2", "html_text": "Initials of Child 2", "links": [], "cell_header_index": 0, "rowspan": 1, "colspan": 1, "column_header": false, "row_header": true, "placeholder": false, "ref": "#/tables/1" }, { "location": [ 257.28, 171.96, 444.48, 203.36 ], "text": "Child's Year of Birth", "html_text": "Child's Year of Birth", "links": [], "cell_header_index": 1, "rowspan": 1, "colspan": 1, "column_header": false, "row_header": false, "placeholder": false, "ref": "#/tables/1" } ], "ref": "#/tables/1" }, { "row_index": 3, "location": [ 70.08, 140.56, 444.48, 171.96 ], "cells": [ { "location": [ 70.08, 140.56, 257.28, 171.96 ], "text": "Initials of Child 3", "html_text": "Initials of Child 3", "links": [], "cell_header_index": 0, "rowspan": 1, "colspan": 1, "column_header": false, "row_header": true, "placeholder": false, "ref": "#/tables/1" }, { "location": [ 257.28, 140.56, 444.48, 171.96 ], "text": "Child's Year of Birth", "html_text": "Child's Year of Birth", "links": [], "cell_header_index": 1, "rowspan": 1, "colspan": 1, "column_header": false, "row_header": false, "placeholder": false, "ref": "#/tables/1" } ], "ref": "#/tables/1" }, { "row_index": 4, "location": [ 70.08, 109.16, 444.48, 140.56 ], "cells": [ { "location": [ 70.08, 109.16, 257.28, 140.56 ], "text": "Initials of Child 4", "html_text": "Initials of Child 4", "links": [], "cell_header_index": 0, "rowspan": 1, "colspan": 1, "column_header": false, "row_header": true, "placeholder": false, "ref": "#/tables/1" }, { "location": [ 257.28, 109.16, 444.48, 140.56 ], "text": "Child's Year of Birth", "html_text": "Child's Year of Birth", "links": [], "cell_header_index": 1, "rowspan": 1, "colspan": 1, "column_header": false, "row_header": false, "placeholder": false, "ref": "#/tables/1" } ], "ref": "#/tables/1" }, { "row_index": 5, "location": [ 70.08, 77.76, 444.48, 109.16 ], "cells": [ { "location": [ 70.08, 77.76, 257.28, 109.16 ], "text": "Initials of Child 5", "html_text": "Initials of Child 5", "links": [], "cell_header_index": 0, "rowspan": 1, "colspan": 1, "column_header": false, "row_header": true, "placeholder": false, "ref": "#/tables/1" }, { "location": [ 257.28, 77.76, 444.48, 109.16 ], "text": "Child's Year of Birth", "html_text": "Child's Year of Birth", "links": [], "cell_header_index": 1, "rowspan": 1, "colspan": 1, "column_header": false, "row_header": false, "placeholder": false, "ref": "#/tables/1" } ], "ref": "#/tables/1" } ], "n_rows": 6, "n_cols": 2, "ref": "#/tables/1", "reading_order": 19 }, { "page": 1, "type": "FORM_FIELD", "location": { "l": 246.96, "t": 279.12, "r": 457.08, "b": 256.92 }, "text": "State the Relationship (for example, grandparent(PCCOForm)", "field_kind": "text", "label": "State the Relationship (for example, grandparent(PCCOForm)", "pdf_field_name": "State the Relationship for example grandparent(PCCOForm)", "pdf_field_type": "Text", "reading_order": 20 }, { "page": 1, "type": "FORM_FIELD", "location": { "l": 176.718, "t": 267.426, "r": 190.625, "b": 253.891 }, "text": "Address,", "field_kind": "checkbox", "label": "Address,", "pdf_field_name": "Check Box15(PCCOForm)", "pdf_field_type": "CheckBox", "reading_order": 21 }, { "page": 1, "type": "FORM_FIELD", "location": { "l": 233.64, "t": 267.054, "r": 246.803, "b": 253.519 }, "text": "State the Relationship (for example, grandparent)", "field_kind": "checkbox", "label": "State the Relationship (for example, grandparent)", "pdf_field_name": "Check Box16(PCCOForm)", "pdf_field_type": "CheckBox", "reading_order": 22 }, { "page": 1, "type": "FORM_FIELD", "location": { "l": 72, "t": 241.92, "r": 272.04, "b": 219.72 }, "text": "Initials of Child 1(PCCOForm)", "field_kind": "text", "label": "Initials of Child 1(PCCOForm)", "pdf_field_name": "Initials of Child 1(PCCOForm)", "pdf_field_type": "Text", "reading_order": 23 }, { "page": 1, "type": "FORM_FIELD", "location": { "l": 288, "t": 241.92, "r": 420.284, "b": 219.72 }, "text": "Child(PCCOForm)", "field_kind": "text", "label": "Child(PCCOForm)", "pdf_field_name": "Child(PCCOForm)", "pdf_field_type": "Text", "reading_order": 24 }, { "page": 1, "type": "FORM_FIELD", "location": { "l": 72, "t": 209.76, "r": 272.04, "b": 187.56 }, "text": "Initials of Child 2(PCCOForm)", "field_kind": "text", "label": "Initials of Child 2(PCCOForm)", "pdf_field_name": "Initials of Child 2(PCCOForm)", "pdf_field_type": "Text", "reading_order": 25 }, { "page": 1, "type": "FORM_FIELD", "location": { "l": 288, "t": 209.76, "r": 420.284, "b": 187.56 }, "text": "Child_2(PCCOForm)", "field_kind": "text", "label": "Child_2(PCCOForm)", "pdf_field_name": "Child_2(PCCOForm)", "pdf_field_type": "Text", "reading_order": 26 }, { "page": 1, "type": "FORM_FIELD", "location": { "l": 72, "t": 177.6, "r": 272.04, "b": 155.4 }, "text": "Initials of Child 3(PCCOForm)", "field_kind": "text", "label": "Initials of Child 3(PCCOForm)", "pdf_field_name": "Initials of Child 3(PCCOForm)", "pdf_field_type": "Text", "reading_order": 27 }, { "page": 1, "type": "FORM_FIELD", "location": { "l": 288, "t": 177.6, "r": 419.63, "b": 155.4 }, "text": "Child_3(PCCOForm)", "field_kind": "text", "label": "Child_3(PCCOForm)", "pdf_field_name": "Child_3(PCCOForm)", "pdf_field_type": "Text", "reading_order": 28 }, { "page": 1, "type": "FORM_FIELD", "location": { "l": 72, "t": 145.32, "r": 272.04, "b": 123.12 }, "text": "Initials of Child 4(PCCOForm)", "field_kind": "text", "label": "Initials of Child 4(PCCOForm)", "pdf_field_name": "Initials of Child 4(PCCOForm)", "pdf_field_type": "Text", "reading_order": 29 }, { "page": 1, "type": "FORM_FIELD", "location": { "l": 288, "t": 145.32, "r": 420.284, "b": 123.12 }, "text": "Child_4(PCCOForm)", "field_kind": "text", "label": "Child_4(PCCOForm)", "pdf_field_name": "Child_4(PCCOForm)", "pdf_field_type": "Text", "reading_order": 30 }, { "page": 1, "type": "FORM_FIELD", "location": { "l": 72, "t": 113.16, "r": 272.04, "b": 90.96 }, "text": "Initials of Child 5(PCCOForm)", "field_kind": "text", "label": "Initials of Child 5(PCCOForm)", "pdf_field_name": "Initials of Child 5(PCCOForm)", "pdf_field_type": "Text", "reading_order": 31 }, { "page": 1, "type": "FORM_FIELD", "location": { "l": 288, "t": 113.16, "r": 420.284, "b": 90.96 }, "text": "Child_5(PCCOForm)", "field_kind": "text", "label": "Child_5(PCCOForm)", "pdf_field_name": "Child_5(PCCOForm)", "pdf_field_type": "Text", "reading_order": 32 } ] }, { "page": 2, "items": [ { "page": 2, "type": "LIST_ITEM", "location": { "l": 68.4, "t": 718.8, "r": 534.96, "b": 625.44 }, "text": "3. ___ is the □ mother, □ father,\nRespondent\nor □ ___ of the child(ren), and resides at\nState the Relationship (for example, grandparent)", "marker": "3.", "list_id": "L1", "level": 0, "reading_order": 0 }, { "page": 2, "type": "FORM_FIELD", "location": { "l": 84, "t": 734.16, "r": 378.12, "b": 707.64 }, "text": "Respondent(PCCOForm)", "field_kind": "text", "label": "Respondent(PCCOForm)", "pdf_field_name": "Respondent(PCCOForm)", "pdf_field_type": "Text", "reading_order": 1 }, { "page": 2, "type": "FORM_FIELD", "location": { "l": 406.452, "t": 720.168, "r": 419.976, "b": 705.984 }, "text": "Mother(PCCOForm)", "field_kind": "checkbox", "label": "Mother(PCCOForm)", "pdf_field_name": "Mother(PCCOForm)", "pdf_field_type": "CheckBox", "reading_order": 2 }, { "page": 2, "type": "FORM_FIELD", "location": { "l": 456.492, "t": 719.796, "r": 470.136, "b": 705.984 }, "text": "Father(PCCOForm)", "field_kind": "checkbox", "label": "Father(PCCOForm)", "pdf_field_name": "Father(PCCOForm)", "pdf_field_type": "CheckBox", "reading_order": 3 }, { "page": 2, "type": "FORM_FIELD", "location": { "l": 98.28, "t": 695.52, "r": 318.36, "b": 669 }, "text": "State Relationship(PCCOForm)", "field_kind": "text", "label": "State Relationship(PCCOForm)", "pdf_field_name": "State Relationship(PCCOForm)", "pdf_field_type": "Text", "reading_order": 4 }, { "page": 2, "type": "FORM_FIELD", "location": { "l": 82.7278, "t": 681.792, "r": 97.1165, "b": 666.492 }, "text": "Other(PCCOForm)", "field_kind": "checkbox", "label": "Other(PCCOForm)", "pdf_field_name": "Other(PCCOForm)", "pdf_field_type": "CheckBox", "reading_order": 5 }, { "page": 2, "type": "FORM_FIELD", "location": { "l": 72, "t": 658.32, "r": 534, "b": 631.8 }, "text": "Address(PCCOForm)", "field_kind": "text", "label": "Address(PCCOForm)", "pdf_field_name": "Address(PCCOForm)", "pdf_field_type": "Text", "reading_order": 6 }, { "page": 2, "type": "TEXT", "location": { "l": 249.36, "t": 630.48, "r": 405.12, "b": 619.92 }, "text": "Address, including City, State, Zip and County", "reading_order": 7 }, { "page": 2, "type": "LIST_ITEM", "location": { "l": 68.88, "t": 609.12, "r": 539.52, "b": 606.9734 }, "text": "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", "list_id": "L2", "level": 0, "reading_order": 8 }, { "page": 2, "type": "LIST_ITEM", "location": { "l": 71.9995, "t": 606.9734, "r": 539.287, "b": 593.6844 }, "text": "An Order of Court was entered on ____________________, in the Court of Common Pleas of", "marker": "4.", "list_id": "L2", "level": 0, "reading_order": 9 }, { "page": 2, "type": "FORM_FIELD", "location": { "l": 253.92, "t": 621.48, "r": 373.92, "b": 594.96 }, "text": "Date of Order(PCCOForm)", "field_kind": "text", "label": "Date of Order(PCCOForm)", "pdf_field_name": "Date of Order(PCCOForm)", "pdf_field_type": "Text", "reading_order": 10 }, { "page": 2, "type": "FORM_FIELD", "location": { "l": 75, "t": 589.32, "r": 207, "b": 562.8 }, "text": "Name of County(PCCOForm)", "field_kind": "text", "label": "Name of County(PCCOForm)", "pdf_field_name": "Name of County(PCCOForm)", "pdf_field_type": "Text", "reading_order": 11 }, { "page": 2, "type": "FORM_FIELD", "location": { "l": 321.36, "t": 589.32, "r": 471.36, "b": 562.8 }, "text": "Name of State(PCCOForm)", "field_kind": "text", "label": "Name of State(PCCOForm)", "pdf_field_name": "Name of State(PCCOForm)", "pdf_field_type": "Text", "reading_order": 12 }, { "page": 2, "type": "LIST_ITEM", "location": { "l": 71.9999, "t": 533.3541, "r": 530.2301, "b": 492.4651 }, "text": "legal custody, □ physical custody, or □ other, of the child(ren). A true and correct copy of the Order of Court is attached.", "marker": "□", "list_id": "L3", "level": 0, "reading_order": 13 }, { "page": 2, "type": "FORM_FIELD", "location": { "l": 67.5355, "t": 533.928, "r": 82.1763, "b": 518.628 }, "text": "Legal Custody(PCCOForm)", "field_kind": "checkbox", "label": "Legal Custody(PCCOForm)", "pdf_field_name": "Legal Custody(PCCOForm)", "pdf_field_type": "CheckBox", "reading_order": 14 }, { "page": 2, "type": "FORM_FIELD", "location": { "l": 148.572, "t": 533.556, "r": 161.844, "b": 519 }, "text": "Physical Custody(PCCOForm)", "field_kind": "checkbox", "label": "Physical Custody(PCCOForm)", "pdf_field_name": "Physical Custody(PCCOForm)", "pdf_field_type": "CheckBox", "reading_order": 15 }, { "page": 2, "type": "FORM_FIELD", "location": { "l": 258.504, "t": 533.184, "r": 271.032, "b": 518.628 }, "text": "Other2(PCCOForm)", "field_kind": "checkbox", "label": "Other2(PCCOForm)", "pdf_field_name": "Other2(PCCOForm)", "pdf_field_type": "CheckBox", "reading_order": 16 }, { "page": 2, "type": "LIST_ITEM", "location": { "l": 70.56, "t": 477.6, "r": 540.24, "b": 462.96 }, "text": "5. The Respondent has violated the Order in the following way:", "marker": "5.", "list_id": "L4", "level": 0, "reading_order": 17 }, { "page": 2, "type": "FORM_FIELD", "location": { "l": 72.3209, "t": 463.028, "r": 539.761, "b": 361.602 }, "text": "Violation(PCCOForm)", "field_kind": "text", "label": "Violation(PCCOForm)", "pdf_field_name": "Violation(PCCOForm)", "pdf_field_type": "Text", "reading_order": 18 }, { "page": 2, "type": "TEXT", "location": { "l": 71.04, "t": 375.12, "r": 538.32, "b": 360.24 }, "text": "
\"Image\"
\n", "reading_order": 19 }, { "page": 2, "type": "LIST_ITEM", "location": { "l": 68.88, "t": 339.6, "r": 490.32, "b": 325.68 }, "text": "6.I last visited with the child(ren) on _____.", "marker": "6.", "list_id": "L5", "level": 0, "reading_order": 20 }, { "page": 2, "type": "FORM_FIELD", "location": { "l": 252.96, "t": 354.72, "r": 486.96, "b": 328.2 }, "text": "Date(PCCOForm)", "field_kind": "text", "label": "Date(PCCOForm)", "pdf_field_name": "Date(PCCOForm)", "pdf_field_type": "Text", "reading_order": 21 }, { "page": 2, "type": "TEXT", "location": { "l": 286.08, "t": 326.16, "r": 306, "b": 317.28 }, "text": "Date", "reading_order": 22 }, { "page": 2, "type": "LIST_ITEM", "location": { "l": 68.4, "t": 302.88, "r": 540.96, "b": 247.68 }, "text": "7. _____ is now in contempt for failing to obey the Order\nRespondent's Name\ndated ___.\nDate of Order", "marker": "7.", "list_id": "L6", "level": 0, "reading_order": 23 }, { "page": 2, "type": "FORM_FIELD", "location": { "l": 84, "t": 317.88, "r": 306.12, "b": 291.36 }, "text": "RespondentsName(PCCOForm)", "field_kind": "text", "label": "RespondentsName(PCCOForm)", "pdf_field_name": "RespondentsName(PCCOForm)", "pdf_field_type": "Text", "reading_order": 24 }, { "page": 2, "type": "FORM_FIELD", "location": { "l": 101.04, "t": 281.16, "r": 197.04, "b": 259.2 }, "text": "Date of Order2(PCCOForm)", "field_kind": "text", "label": "Date of Order2(PCCOForm)", "pdf_field_name": "Date of Order2(PCCOForm)", "pdf_field_type": "Text", "reading_order": 25 }, { "page": 2, "type": "LIST_ITEM", "location": { "l": 69.36, "t": 224.64, "r": 233.52, "b": 211.2 }, "text": "8. Request for Emergency Order", "marker": "8.", "list_id": "L7", "level": 0, "reading_order": 26 }, { "page": 2, "type": "TEXT", "location": { "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": 27 }, { "page": 2, "type": "TEXT", "location": { "l": 70.08, "t": 169.68, "r": 539.52, "b": 154.32 }, "text": "Describe this situation in detail:", "reading_order": 28 }, { "page": 2, "type": "FORM_FIELD", "location": { "l": 72.3209, "t": 155.223, "r": 539.761, "b": 66.9981 }, "text": "Situation(PCCOForm)", "field_kind": "text", "label": "Situation(PCCOForm)", "pdf_field_name": "Situation(PCCOForm)", "pdf_field_type": "Text", "reading_order": 29 } ] }, { "page": 3, "items": [ { "page": 3, "type": "LIST_ITEM", "location": { "l": 69.36, "t": 719.76, "r": 268.56, "b": 705.12 }, "text": "9. Emergency Contact Information:", "marker": "9.", "list_id": "L7", "level": 0, "reading_order": 0 }, { "page": 3, "type": "TEXT", "location": { "l": 141.6, "t": 694.32, "r": 451.2, "b": 679.44 }, "text": "Plaintiff: _____", "reading_order": 1 }, { "page": 3, "type": "FORM_FIELD", "location": { "l": 252, "t": 702.24, "r": 450, "b": 682.32 }, "text": "Emergency Contact Information(PCCOForm)", "field_kind": "text", "label": "Emergency Contact Information(PCCOForm)", "pdf_field_name": "Emergency Contact Information(PCCOForm)", "pdf_field_type": "Text", "reading_order": 2 }, { "page": 3, "type": "TEXT", "location": { "l": 142.08, "t": 673.68, "r": 451.92, "b": 658.08 }, "text": "Telephone Number: ___", "reading_order": 3 }, { "page": 3, "type": "FORM_FIELD", "location": { "l": 252, "t": 681.48, "r": 450.12, "b": 661.68 }, "text": "Telephone Number(PCCOForm)", "field_kind": "text", "label": "Telephone Number(PCCOForm)", "pdf_field_name": "Telephone Number(PCCOForm)", "pdf_field_type": "Text", "reading_order": 4 }, { "page": 3, "type": "TEXT", "location": { "l": 142.32, "t": 631.92, "r": 451.68, "b": 617.28 }, "text": "Defendant number 1: _____", "reading_order": 5 }, { "page": 3, "type": "FORM_FIELD", "location": { "l": 252, "t": 640.2, "r": 450, "b": 620.28 }, "text": "Defendant number 1(PCCOForm)", "field_kind": "text", "label": "Defendant number 1(PCCOForm)", "pdf_field_name": "Defendant number 1(PCCOForm)", "pdf_field_type": "Text", "reading_order": 6 }, { "page": 3, "type": "TEXT", "location": { "l": 142.56, "t": 611.28, "r": 451.92, "b": 595.92 }, "text": "Telephone Number: ___", "reading_order": 7 }, { "page": 3, "type": "FORM_FIELD", "location": { "l": 252, "t": 619.44, "r": 450.12, "b": 599.52 }, "text": "Telephone Number_2(PCCOForm)", "field_kind": "text", "label": "Telephone Number_2(PCCOForm)", "pdf_field_name": "Telephone Number_2(PCCOForm)", "pdf_field_type": "Text", "reading_order": 8 }, { "page": 3, "type": "TEXT", "location": { "l": 142.08, "t": 570, "r": 451.92, "b": 555.84 }, "text": "Defendant number 2: ___", "reading_order": 9 }, { "page": 3, "type": "FORM_FIELD", "location": { "l": 252, "t": 578.16, "r": 450, "b": 558.24 }, "text": "Defendant number 2(PCCOForm)", "field_kind": "text", "label": "Defendant number 2(PCCOForm)", "pdf_field_name": "Defendant number 2(PCCOForm)", "pdf_field_type": "Text", "reading_order": 10 }, { "page": 3, "type": "TEXT", "location": { "l": 142.56, "t": 549.6, "r": 452.16, "b": 534.96 }, "text": "Telephone Number: ___", "reading_order": 11 }, { "page": 3, "type": "FORM_FIELD", "location": { "l": 252, "t": 557.4, "r": 450.12, "b": 537.48 }, "text": "Telephone Number_3(PCCOForm)", "field_kind": "text", "label": "Telephone Number_3(PCCOForm)", "pdf_field_name": "Telephone Number_3(PCCOForm)", "pdf_field_type": "Text", "reading_order": 12 }, { "page": 3, "type": "LIST_ITEM", "location": { "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.", "marker": "10.", "list_id": "L8", "level": 0, "reading_order": 13 }, { "page": 3, "type": "TEXT", "location": { "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": 14 }, { "page": 3, "type": "TEXT", "location": { "l": 72.96, "t": 454.56, "r": 537.6, "b": 426.96 }, "text": "in contempt, enforce custody, and order any other\nRespondent's Name", "reading_order": 15 }, { "page": 3, "type": "FORM_FIELD", "location": { "l": 72, "t": 463.08, "r": 294.12, "b": 443.16 }, "text": "Respondent’s Name3(PCCOForm)", "field_kind": "text", "label": "Respondent’s Name3(PCCOForm)", "pdf_field_name": "Respondents Name3(PCCOForm)", "pdf_field_type": "Text", "reading_order": 16 }, { "page": 3, "type": "TEXT", "location": { "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": 17 }, { "page": 3, "type": "FORM_FIELD", "location": { "l": 72.3209, "t": 403.936, "r": 539.761, "b": 276.052 }, "text": "ReliefSought(PCCOForm)", "field_kind": "text", "label": "ReliefSought(PCCOForm)", "pdf_field_name": "ReliefSought(PCCOForm)", "pdf_field_type": "Text", "reading_order": 18 }, { "page": 3, "type": "TITLE", "location": { "l": 258.48, "t": 243.36, "r": 352.8, "b": 230.16 }, "text": "VERIFICATION", "reading_order": 19, "level": 2 }, { "page": 3, "type": "TEXT", "location": { "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": 20 }, { "page": 3, "type": "TEXT", "location": { "l": 69.6, "t": 152.64, "r": 216.24, "b": 138.96 }, "text": "Date: _____", "reading_order": 21 }, { "page": 3, "type": "FORM_FIELD", "location": { "l": 101.04, "t": 161.88, "r": 215.04, "b": 141.96 }, "text": "Date4(PCCOForm)", "field_kind": "text", "label": "Date4(PCCOForm)", "pdf_field_name": "Date4(PCCOForm)", "pdf_field_type": "Text", "reading_order": 22 }, { "page": 3, "type": "TEXT", "location": { "l": 285.84, "t": 149.52, "r": 522.96, "b": 137.76 }, "text": "Signature", "reading_order": 23 }, { "page": 3, "type": "TEXT", "location": { "l": 284.64, "t": 141.6, "r": 522.48, "b": 131.04 }, "text": "Signature", "reading_order": 24 } ] } ]