Chester Cnty. C.P. Rule 1915.11.A(b)(2)(ii) Form

Form 14 See CCRCP 1915.11.A(b)(2)(ii)(a): form req’d by CCRCP 1915.11.A.(b)(2)

Plaintiff

: IN THE COURT OF COMMON PLEAS

: CHESTER COUNTY, PENNSYLVANIA

vs: NO.

: ACTION-LAW

Defendant: IN CUSTODY

ORDER FOR APPEARANCE

WHEREAS, a Custody Conciliation Conference in this matter has been scheduled for the

_________ day of __________________, 20 ___ at ___________ ____m. before a Chester County

Custody Conciliator in the Custody Conciliation Room at the Justice Center, 201 West Market Street,

5th floor, West Chester, Pennsylvania, and,

WHEREAS, ________________________________, who is a party to these proceedings has

requested the presence at the Conciliation Conference of the children named below who are the subject of

these proceedings and are ten (10) years of age or older,

IT IS HEREBY ORDERED that the following minor children shall attend the aforesaid

Conciliation Conference:

Name ___________________________ Date of Birth ____________________

Name ___________________________ Date of Birth ____________________

Name ___________________________ Date of Birth ____________________

BY THE COURT:

Date: _______________ _____________________________________

J.

See CCRCP 1915.11.A(b)(2)(ii)(a): form req’d by CCRCP 1915.11.A.(b)(2)

1. Has the child or children been interviewed by a conciliator or Judge? If yes, please provide all

of the dates.

2. Have the parties/children participated in any court ordered evaluations or therapy within the

last six months. If yes, when was it ordered? Will a report from the therapist/evaluator be provided at

the conciliation conference?

3. Please provide a statement as to why the child’s appearance is necessary. If the request is for

more than one child to appear, please highlight why each child is necessary.