3. Factual and Legal Issues for Resolution:
Issues(ConCM)
4. Are you requesting a home study of your house? YES NO
Check Box1(ConCM)
Check Box2(ConCM)
5. Are you requesting a home study of the other party's house? YES NO
Check Box3(ConCM)
Check Box4(ConCM)
6. Are you requesting a custody evaluation? YES NO
Check Box5(ConCM)
Check Box6(ConCM)
7. A proposed resolution of all matters, which may be in the form of a Parenting Plan:
Resolution(ConCM)
CERTIFICATE OF COMPLIANCE
I certify that this filing complies with the provisions of the Case Records Public Access Policy of the Unified Judicial System of Pennsylvania that require filing confidential information and documents differently than non-confidential information and documents.
2023
DATE(ConCM)
Respectfully Submitted,
DATE: ___
Signature
Printed Name City State Zip Code
Printed Name(ConCM)
City(ConCM)
State(ConCM)
Zip Code(ConCM)
Street Address
Street Address/P.O. Box(ConCM)
Telephone Number(ConCM)
Street Address/P.O. Box Telephone Number
Telephone Number