Dauphin Cnty. C.P. Rule 1012 - Self-Represented Party Entry of Appearance No...

RULE 1012 SELF-REPRESENTED PARTY ENTRY OF APPEARANCE – NON

FAMILY LAW CIVIL ACTIONS

1. Each self-represented party in all civil actions other than family law matters shall

file a written Self Represented Party Entry of Appearance in accordance with

Pa.R.C.P. 1012. (for family law matters, see Local Rule 1930.8). A Self

Represented Party Entry of Appearance form is available in the Prothonotary’s

Office and at www.dauphincounty.org/government/Court-Departments/Self-Help-Center.

2. Each self-represented party shall be under a continuing obligation to file an

amended Self-Represented Party Entry of Appearance with the

Prothonotary’s Office updating the self-represented party’s contact information

immediately upon any change.

3. Each self-represented party shall provide a copy of his or her Self Represented

Party Entry of Appearance and any updates to all other parties and attorneys of

record immediately upon filing.

4. The assertion of self-representation shall not delay any stage of the

proceeding, absent good cause shown.

5. The Self-Represented Party Entry of Appearance under this rule shall be

substantially in the following form:

______________________________________________

IN THE COURT OF COMMON PLEAS

PLAINTIFF DAUPHIN COUNTY, PENNSYLVANIA

vs.

NO. ________________ _____________

______________________________________________

DEFENDANT

SELF-REPRESENTED PARTY ENTRY OF APPEARANCE

1. I am the Plaintiff Defendant in the above-captioned case and have chosen to represent myself.

2. My address for the purpose of this case and for serving me with all future pleadings and other legal notices is:

_______________________________________________________. I understand that this address will be the only

address to which notices and pleadings in this case will be sent, and that I am responsible to regularly check my mail

at this address to ensure that I know of important deadlines or scheduled proceedings.

3. My telephone numbe r where I can be reached during normal business hours (8:00 a.m. – 4:30 p.m. Monday – Friday)

is ______________________________________. My Email is ___________________________________.

4. I UNDERSTAND I MUST FILE A NEW FORM EVERY TIME MY ADDRESS OR TELEPHONE NUMBER CHANGES.

5. I certify that I have provid ed a copy of this form to all other attorneys or other self-represented parties at the

following addresses as listed below: (Use reverse side if you need more space)

Name______________________________ Address____________________ ______________________________

Name______________________________ Address____________________ ______________________________

Name______________________________ Address____________________ ______________________________

Name______________________________ Address____________________ ______________________________

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

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

Pennsylvania licensed attorney, and that I must be fully prepared to meet those responsibilities.

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

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

Pa.C.S. § 4904 relating to unsworn falsification to authorities which could result in a fine and/or prison term.

_____________________ _______________________________________ __________________

D a t e S i g n a t u r e ( Y o u r S i gnature)