Motion For Protracted Custody Hearing Page 6

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7. Petitioner anticipates that Respondent will also testify and present witnesses.
8. Other factors which may increase the time needed for a hearing are as follows:(CHECK ALL
THAT APPLY):
Petitioner, Respondent and/or the child(ren) require an interpreter for
__________________________________________________________.
(Fill in language, sign language or other)
The child(ren) need to be interviewed.
The Court has ordered a home investigation which will need to be reviewed.
The Court has ordered psychological evaluations which will need to be
reviewed.
There are allegations of domestic violence, physical abuse or sexual assault
The child(ren) at issue has/have medical, mental health or educational
problems.
There are complex issues to be determined, which include the following:
_________________________________________________________________
_________________________________________________________________
_________________________________________________________________
Other as follows:_________________________________________________
_________________________________________________________________
_________________________________________________________________
WHEREFORE, Petitioner for all the above reasons, requests that this matter be marked as
PROTRACTED and scheduled accordingly.
Date: _________________
_________________________________
Petitioner
I verify that the statements made in this petition are true and correct. I understand that false
statements herein are made subject to the penalties of Pa.C.S.A. § 4904 relating to unsworn
falsification to authorities.
Date:__________________
_________________________________
Petitioner

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