Entry Of Appearance As A Self-Represented Party printable pdf download

_____________________________

: IN THE COURT OF COMMON PLEAS

Plaintiff

: OF ERIE COUNTY PENNSYLVANIA

______________________________

: DOCKET NO. ____________________

Defendant

ENTRY OF APPEARANCE AS A SELF-REPRESENTED PARTY

Please complete each section by marking the boxes and providing all applicable information.

Section 1

In the above captioned matter I am the (choose one)

Plaintiff

Defendant

I have chosen not to be represented by an attorney for the following action (choose one)

Custody

Divorce

Support

Protection from Abuse

Paternity Case

Section 2 (choose one)

This is a new case in which I will be representing myself and have chosen not to hire an attorney.

This is not a new case and Attorney ___________________________ previously represented me. I have

chosen not to be represented by said attorney and request the attorney of record be removed as my counsel. (If

you choose this option, you must check one of the following boxes)

 The Withdrawal of Appearance signed by Attorney ______________ is attached.

 I will send a copy of this notice to Attorney ________________, who previously represented me.

Section 3

My entire Address for the purpose of receiving all future pleadings and other legal notices is:

This is my home address

This is not my home address

_________________________

________________________

___________________

Number and Street or P.O Box

City, State

Zip Code

_________________________

________________________

___________________

Telephone number

Fax number (optional)

Email address (optional)

I UNDERSTAND I MUST FILE A NEW FORM EVERY TIME MY ADDRESS OR TELEPHONE

NUMBER IS CHANGED AND MUST PROVIDE A COPY OF THIS FORM TO THE COURT

OFFICE ADMINISTERING MY CASE (i.e Domestic Relations Office, Custody Office or PFA Office)

ALL ATTORNEYS OF RECORD AND SELF-REPRESENTED PARTIES INVOLVED IN THIS

CASE. I FURTHER UNDERSTAND THAT IF I PROVIDE A FAX NUMBER OR E-MAIL ADDRESS

ABOVE THAT I AM AGREEING TO ACCEPT SERVICE OF PLEADINGS AND NOTICES VIA

ONE OF THOSE ELECTRONIC MEANS, RATHER THAN PAPER COPY.

I understand that by deciding to represent myself, the Court will hold me to standards of knowledge

regarding the statutory law, evidence law, Local and State Rules of Procedure and applicable case law

and that I must be fully prepared to meet those responsibilities.

I verify that the statements made in this Entry of Appearance as a Self-Represented Party are true and

correct. I understand that if I make false statements herein, that I am subject to the penalties of 18

Pa.C.S. §4904 relating to unsworn falsification to authorities.

___________________________

_______________________________________

Date

Signature

After filling out this form, you must file it with the Prothonotary in Room 120 of the Erie County

Courthouse. You must also give a copy to all other self-represented parties and all attorneys of record.

Entry Of Appearance As A Self-Represented Party

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