Daup. Cnty. Pa. 1931

As amended through November 21, 2022

Rule 1931 - Mandatory Prior Court Involvement Statement For All Family Law Matters

1. For the purposes of this section, Family Law Matters include all Divorce, Custody, Protection from Abuse, Support and Paternity actions and all related motions, petitions or other pleadings.

2. All Family Law Matters that require the assignment of a judge must attach a completed Prior Court Involvement Statement to the front of their pleading. The Prior Court Involvement Statement shall be in the following form and is available at www.dauphincounty.org/government/Court-Departments/Self-Help-Center :

__________________________ Plaintiff	IN THE COURT OF COMMON PLEAS DAUPHIN COUNTY, PENNSYLVANIA
v.	NO. ____________
__________________________ Defendan	CIVIL ACTION - LAW

PRIOR COURT INVOLVEMENT STATEMENT

The following lists all cases involving one or more of the same parties and indicates if a prior matter involved a Conference or a Contested Hearing before a Judge or if an agreed order was entered.

Check all that Apply	Action	Docket Number	Judge	Contested Hearing or Pretrial Conference	Agreement Reached and No Hearing Before a Judge Required
[]	Custody
[]	Divorce
[]	Support or APL
[]	Paternity
[]	PFA
[]	This is the first Family Law Matter Filed in Dauphin County involving the above-captioned parties and children.

________________ ___________________

Signature (Your Signature) Date

___________________________________

Name (Print your Name)

CERTIFICATION

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.

____________________ ____________________________________

Date Signature

Daup. Cnty. Pa. 1931

Amended effective 7/1/2018.