RELOCATION OF A PARTY:

Relocation. A parent proposing to change the residence of the child(ren) which significantly impairs the ability of a non-relocating parent to exercise custodial rights shall follow the procedures required by 23 Pa. C.S. §5337 and Pa. R.C.P. No. 1915.17.

□ Complete the Proposed Order of Court which lists the child(ren)'s full name and month/year of birth. The proposed order must list parties' names and addresses on the distribution under the Judge's signature.

□ All parties must sign in the presence of a witness. Notarized agreements are preferred, but not required.

□ In addition to the original, make three (3) copies of the Agreement with proposed order. The order is placed on top of the Agreement for filing.

□ Take the original and three (3) copies with proposed order to file at the Prothonotary's Office on the 1st floor of the Adams County Courthouse.

□ If you are initiating a custody action and the parties have reached an agreement without the need of a custody conference, you must file a custody complaint with criminal affidavits of the parties and pay the appropriate filing fee at the Prothonotary's Office at the same time as submitting the proposed order.

□ If the order is granted, the order will be filed in the Prothonotary's Office and copies of the orders will be mailed to the parties, if self-represented, or counsel for the parties. If self-represented you must provide self-addressed, postage pre-paid envelopes for both parties. If counsel does not have a mailbox in the Prothonotary's Office a self-addressed, postage pre-paid envelope to counsel's office must be provided.

Plaintiff

Case No.