Every uncontested motion shall be accompanied by a certificate of counsel that such motion is uncontested, substantially in the following form:
(CAPTION)
CERTIFICATION
_________hereby certifies that a copy of the attached petition/motion was served upon the party listed below, in the manner and date set forth, and that the undersigned has received an affirmative response from that party indicating that the petition/motion is not opposed.
Date served: __________ Served upon: _________________________
(name)
Manner of Service: ___________________ ___________________________
(address)
________________________
________________________
(signature)
Sch. Cnty. Pa. 208.2(d)