Delaware Cnty. C.P. CommonPleasAdminOrders_AOD AV 1

Court/County

AV Other contact information: Alternative Reference:

AV 1 Other contact information

Attach additional page(s) if necessary.

THIS FORM IS CONFIDENTIALRev. 7/2018

Abuse Victim Addendum

Additional page (if necessary)

Type of Family Court Action

Divorce, Annulment, Dissolution of Marriage Child Custody

Support Paternity Protection from Abuse

This Information Pertains to: Confidential Information: References in Filing:

AV Address: Alternative Reference:

AV Address

-

(full name of abuse victim)

AV Employer's Name & Address: Alternative Reference:

AV Employer's Name & Address

-

Docket/Case No. of Protection Order AV Work Schedule: Alternative Reference:

AV Work Schedule

Court/County AV Other contact information: Alternative Reference:

AV Other contact information

-

Type of Family Court Action

Divorce, Annulment, Dissolution of Marriage Child Custody

Support Paternity Protection from Abuse

This Information Pertains to: Confidential Information: References in Filing:

AV Address: Alternative Reference:

AV Address

(full name of abuse victim)

AV Employer's Name & Address: Alternative Reference:

AV Employer's Name & Address

Docket/Case No. of Protection Order AV Work Schedule: Alternative Reference:

AV Work Schedule

AV Other contact information: Alternative Reference:

Court/County AV Other contact information

-

Rev. 7/2018 THIS FORM IS CONFIDENTIAL

EXHIBIT "B"

CONFIDENTIAL

DOCUMENT FORM

Policy of the Unified Judicial System of PennsylvaniaCase Records Public Access

204 Pa. Code § 213.81

www.pacourts.us/public-records

(Party name as displayed in case caption) Docket/Case No.

Vs.

(Party name as displayed in case caption) Court

This form is associated with the pleading titled dated, , .

Pursuant to the Case Records Public Access Policy of the Unified Judicial System of Pennsylvania, the Confidential Document Form shall

accompany a filing where a confidential document is required by law, ordered by the court, or is otherwise necessary to effect the

disposition of a matter. This form shall be accessible to the public, however the documents attached shall not be publicly accessible,

except as ordered by a court. The documents attached will be available to the parties, counsel of record, the court, and the custodian.

Please only attach documents necessary for the purposes of this case. Complete the entire form and check all that apply. This form and

any additional pages must be served on all unrepresented parties and counsel of record.

Type of Confidential Document Paragraph, page, etc. where the confidential

document is referenced in the filing:

Financial Source Documents

Tax Returns and schedules

W-2 forms and schedules including 1099 forms or similar documents

Wage stubs, earning statements, or other similar documents

Credit card statements

Financial institution statements (e.g., investment/bank statements)

Check registers

Checks or equivalent

Loan application documents

Minors' educational records

Medical/Psychological records

Children and Youth Services' records

Marital Property Inventory and Pre-Trial Statement as provided in Pa.R.C.P. No. 1920.33

Income and Expense Statement as provided in Pa.R.C.P. No. 1910.27(c)

Agreements between the parties as used in 23 Pa.C.S. $3105

I certify that this filing complies with the provisions of the Case Records Public Access Policy of the Unified

Judicial System of Pennsylvania that require filing confidential information and documents differently than non-confidential information and documents.

Signature of Attorney or Unrepresented Party

Name:

Address:

Date

Attorney Number: (if applicable)

Telephone:

Email:

Rev. 7/2018

Instructions for Completing the Confidential Document Form

The following documents are confidential and shall be filed with a court or custodian with the

"Confidential Document Form":

1.

Financial Source Documents as listed on the form

2.

Minors' educational records

3.

Medical/Psychological records are defined as "records relating to the past,

present, or future physical or mental health or condition of an individual"

4.

Children and Youth Services' records

5.

Marital Property Inventory and Pre-Trial Statement as provided in Pa.R.C.P. No.

1920.33

6.

Income and Expense Statement as provided in Pa.R.C.P. No. 1910.27(c)

7.

Agreements between the parties as used in 23 Pa.C.S. § 3105

For each confidential document, list the paragraph, page, etc. where the document is referenced in the

filing. Please note, this form does not need to be filed in types of cases that are sealed or exempted from

public access pursuant to applicable authority (e.g. juvenile, adoption, etc.)

•Please only attach documents necessary for the purposes of this case.

•Complete the entire form and check all that apply.

•This form, and any additional pages, must be served on all unrepresented parties and counsel

of record.

A court or custodian is not required to review or redact any filed document for compliance with the Case

Records Public Access Policy of the Unified Judicial System of Pennsylvania. A party's or attorney's failure

to comply shall not affect access to case records that are otherwise accessible.

If a filed document fails to comply with the above referenced policy, a court of record may, upon motion or its

own initiative, with or without a hearing, order the filed document sealed; a magisterial district court may do

SO upon request or its own initiative. A court of record may impose sanctions, including costs necessary to

prepare a compliant document for filing in accordance with applicable authority.

Rev. 7/2018

EXHIBIT "C"

CERTIFICATE OF COMPLIANCE

I certify that this filing complies with the provisions of the Case Records Public Access

Policy of the Unified Judicial System of Pennsylvania that require filing confidential information

and documents differently than non-confidential information and documents.

Submitted by:

Signature:

Name:

Attorney No. (if applicable):

Rev. 7/2018

EXHIBIT "D"

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IN THE COURT OF COMMON PLEAS OF DELAWARE COUNTY, PENNSYLVANIA

CIVIL ACTION - LAW

Local Rule of Judicial Administration

IN RE: Public Access Policy

Civil Docket No. 17-5120

Criminal Docket No. MD-1545-17

WHEREAS, the Pennsylvania Supreme Court has adopted a new Public Access

Policy (the "Policy") of the Unified Judicial System of Pennsylvania: Case Records of

Appellate and Trial Courts, which applies to all court records, including civil, family, criminal

and. lorphans' court matters; and

WHEREAS, the Policy establishes uniform standards for all appellate and trial courts

in responding to requests from the public for case records; and

WHEREAS, the Policy is built upon the principle that court records are open for

inspection by the public while maintaining appropriate boundaries for the protection of

individuals who come into the court system; and

WHEREAS, the Policy provides access protocols for sensitive information which

might be found in case files, including the following:

1.Certain types of information set forth in Section 7.00 Confidential Information,

such as Social Security Numbers, cannot be included in court filings, but instead

must be identified to the court on a separate form, called a Confidential

Information Form (the "CIF") and attached to the filing. The CIF is not available to

the public. Alternatively, a court may require a party to file two versions of every

document- a redacted and unredacted version. The unredacted version is not

available to the public.

2.Certain documents set forth in Section 8.00 must be filed with a Confidential

Document Form (the "CDF"), such as Financial Documents. While the CDF which

describes the document is available to the public, the underlying document is not.

3.Certain cases are not accessible to the public because there is no method to

ensure that all of the sensitive information contained in the case file can be

redacted before permitting public access.

4.Certain Information is only accessible at the courthouse and not online.

EXHIBIT "E"

REQUEST FOR ACCESS FORM

Case Records Public AccessPolicy of the Unified Judicial System of Pennsylvania

204 Pa. Code § 213.81

www.pacourts.us/public-records

DATE OF REQUEST:

REQUESTOR INFORMATION:

NAME: DAYTIME TELEPHONE NUMBER: ( )

ADDRESS:

EMAIL ADDRESS: FAX NUMBER: ( )

REQUESTING CASE RECORD FROM:

Supreme Court Superior Court Commonwealth Court

Court of Common Pleas Philadelphia Municipal Magisterial District CourtCourt

REQUESTING CASE RECORD FROM:

DESCRIBE INFORMATION REQUESTED: (See instructions on following page)

Official Use Only

Date Received

CHARGE Comments

Tracking Number (if applicable) Total Cost

Rev. 7/2018

REQUEST FOR ACCESS FORM

INSTRUCTIONS FOR OBTAINING A CASE RECORD

1.

A requestor shall identify or describe the record sought with specificity to enable the custodian

to ascertain which record is being requested.

2.

The completed form shall be submitted to the appropriate custodian. Incomplete forms may

result in delayed access to the requested record.

3.

The requestor may be charged reasonable fees for access to court records. Fees for duplication

by photocopying or printing from electronic media or microfilm shall not exceed $0.25 per

page, unless otherwise provided by applicable authority.

4.

Requests will be completed as promptly as possible under the circumstances existing at the

time of the request. If the custodian cannot fulfill the request promptly or at all, the custodian

shall inform the requestor of the specific reason(s) why access to the information is being

delayed or denied.

5.

If a request is denied by the custodian, relief may be sought by filing a motion or application

with the court for which the custodian maintains the records. If a request is denied by a

magisterial district court, relief may be sought by filing an appeal with the president judge of

the judicial district or the president judge's designee. If a request is denied by the Philadelphia

Municipal Court, relief may be sought by filing a motion with the president judge of

Philadelphia Municipal Court or the president judge's designee.

For Court Use Only

Your request was received on / / # In accordance with the Case Records Public Access Policy

of the Unified Judicial System of Pennsylvania, please be advised that:

this request is being returned to you because it does not contain sufficient information to

evaluate your request. No further action will be taken unless you resubmit the request with

additional information.

the information/record does not exist.

the information/record is not a case record as defined by the Policy.

you have failed to properly complete the Request Form.

Other

Signature Date

Rev. 7/2018

EXHIBIT "F"

REQUEST FOR CORRECTION

OF CLERICAL ERRORS

Case Records Public AccessPolicy of the Unified Judicial System of Pennsylvania

204 Pa. Code § 213.81

www.pacourts.us/public-records

Requestor Information:

Name:

Attorney No. (if applicable):

Address: Phone Number:

Email Address:

Fax Number:

I am: A party to the case. An attorney for a party to the case.

Case caption of the case record: Docket number of the case record:

Requestor Information:

Set forth in specificity the information that is alleged to be a clerical error, as defined in the

Case Records Public Access Policy of the Unified Judicial System of Pennsylvania. Attach

additional sheets if necessary.

Set forth in specificity sufficient facts, including supporting documentation, that corroborates

your allegation. Attach additional sheets if necessary.

I, , verify that the facts set forth in this form are true and

correct to the best of my knowledge or information and belief. This statement is subject to the penaltiesof Section 4904 of the Crimes Code (18 Pa.C.S. $ 4904) relating to unsworn falsification to authorities.

Signature of Requestor: Date:

NOTE: A request to correct a clerical error in a case record of the Supreme Court, Superior Court orCommonwealth Court shall be submitted to the prothonotary of the proper appellate court. A request tocorrect a clerical error in a case record of a court of common pleas, magisterial district court, or

Philadelphia Municipal Court shall be submitted to the applicable custodian. You shall provide a copy ofthis completed form to all parties to the case.

Rev. 7/2018

REQUEST FOR CORRECTION

OF CLERICAL ERRORS

For Custodian Use Only

Please be advised that your request was received on / / . In accordance with the Case Records Public

Access Policy of the Unified Judicial System of Pennsylvania, please be advised that:

the request does not contain sufficient information and facts to determine what information is allegedto be in error, and no further action will be taken on the request.

the request does not concern a case record that is covered by this policy, and no further action will be

taken on the request.

a clerical error does exist in the case record and the information in question has been corrected.

a clerical error does not exist in the case record.

the request has been received and an additional period not exceeding 30 business days is necessary tocomplete a review of the request.

Comments:

Signature: Date:

If an additional period of time not exceeding 30 business days was necessary to complete the review of the

request, please be advised that:

this request is being returned to you because it does not contain sufficient information to evaluate

your request. No further action will be taken unless you resubmit the request with additional

information.

this request is being returned to you because it does not concern a case record. No further action will

be taken on this matter.

it was determined a clerical error existed in the case record, and the information has been corrected.

it was determined a clerical error does not exist in the case record.

Comments:

this request is being returned to you because it does not contain sufficient information to evaluate

your request. No further action will be taken unless you resubmit the request with additional

information.

this request is being returned to you because it does not concern a case record. No further action will

be taken on this matter.

it was determined a clerical error existed in the case record, and the information has been corrected.

it was determined a clerical error does not exist in the case record.

Signature: Date:

For Use by Requestor

Unless applicable authority requires otherwise, please follow the following procedure. This procedure cannotbe used to correct alleged inaccuracies in orders and judgments. If you wish to seek review of the decision set

forth above, please complete this section and submit this entire form to the custodian within 10 business daysof the mailing date of the response. The custodian will submit the form to the judge(s) who presided over the

case for review. If the request for review concerns a magisterial district court's decision, it shall be reviewed

by the president judge or his/her designee.

I, , request that a review of the decision set forth above be made.

Signature: Date:

Rev. 7/2018

IN THE COURT OF COMMON PLEAS OF DELAWARE COUNTY, PENNSYLVANIA

ORPHANS' COURT DIVISION

FILE NO: 0068-2018

IN RE: AMENDMENTS TO THE REGISTER OF WILLS and

CLERK OF ORPHANS' COURT DIVISION FEE SCHEDULES

ORDER

AND NOW, this 14th day of March, 2018, upon consideration of the Register of Wills'

application to amend the Fee Schedule of the Register of Wills and Clerk of the Orphans' Court

Division recognizing the most recently implemented use of video conferencing technology for

taking witness testimony during hearings before the Register of Wills,¹ it is hereby ORDERED

and DECREED that the Fee Schedules of the Register of Wills and Clerk of Orphans' Court

Division previously adopted through such orders² SHALL be AMENDED to include a Video

Conference Technology Fee of one hundred twenty-five ($125.00) dollars, EFFECTIVE

APRIL 10, 2018.

Except to the extent amended by that set forth above, the original fee schedule orders

dated January 31, 2007 (Nos. 83 and 84 - 2007), and those subsequent, salient such orders (Nos.

785 and 786 - 2009 and 467 - 2014) SHALL in ALL other material respects remain as past

entered.

CERTIFIED A TRUE AND CORRECT

COPY FROM THE RECORD

Kevin F. Kelly P.J.

CHIEF DEPUTY REGISTER OF WILLS

AND CLERK OF ORPHANS' COURT DIVISION

MAR 20 2018

1 seeking to present witness testimony via video conferencing SHALL make a timely application inAnyone

advance of the hearing detailing with sufficient specificity the underlining basis (E.g. Witness's medical

circumstances) which the Register of Wills on review may in the reasoned exercise of her or his discretion for good

cause allow.

2 Per two (2) orders dated January 31, 2007, the Register of Wills and Clerk of Orphans' Court Division Fees were

adopted by then President Judge Edward J. Zetusky, Jr. See Orders dated January 31, 2007, Nos. 83 and

84 - 2007.

President Judge Joseph P. Cronin, Jr. entered two (2) orders on December 7, 2009, the first directing the Orphans'

Court Computerization Fee to be charged at a rate of fifteen dollars and fifty cents ($15.50), while the second set the

Register of Wills Automation Fee also at fifteen dollars and fifty cents ($15.50). See Orders dated December 7,

2009, Nos. 785 and 786 - 2009.

On July 15, 2014, President Judge Chad F. Kenney amended President Judge Zetusky's January 31, 2007, orders

to reflect the JCS Fee as thirty-five dollars and fifty cents ($35.50), effective August 8, 2014. See Order dated July

15, 2014, No. 467 - 2014.

IN RE: Newspaper Examining Board: NUMBER: 12-5040

:

:

PRESIDENT JUDGE ADMINISTRATIVE ORDER

AND NOW, this 2ⁿᵈ day of March, 2017, it is hereby ORDERED and

DECREED that the following individuals are appointed by this Court to serve on the

Newspaper Examining Board for a period of one (1) year effective March 19, 2017:

Honorable Barry C. Dozor

Gerald C. Montella, Esquire

Angela Martinez, Esquire

CC: Honorable Barry C. Dozor

Gerald C. Montella, esquire

CANy

CHAD F. KENNEY

President Judge

Angela Martinez, Esquire

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IN RE: Mental Health Hearing Examiners: NUMBER: 12-5040

:

:

PRESIDENT JUDGE ADMINISTRATIVE ORDER

AND NOW, this 9th day of January, 2017, it is hereby ORDERED and

DECREED that the following individuals are reappointed by this Court to serve as

Mental Health Examiners for a period of one (1) year at $40.00 per hearing effective

January 1, 2017:

Eugene A. Bonner, Esquire

Michael S. Dugan, Esquire

GABYCHAD Fl KENNEY

President Judge

2017

DELAWARE JUDICIAL OFFICE -9 PELED

JAN

CO.PA. PA. CO. SUPPORT OF PM WF2:26

IN RE: Appointment to the Prison Board: NUMBER: 12-5040

Of Delaware County, Pennsylvania:

:

PRESIDENT JUDGE ADMINISTRATIVE ORDER

AND NOW, this 9th day of January, 2017, it is hereby ORDERED and

DECREED that the following individuals are appointed by this Court to serve on the

Prison Board of Delaware County for one (1) year beginning January 13, 2017 and

expiring on January 13, 2018:

James F. Shields

Thomas Danzi

Edward T. Lawlor, Jr., Esquire

IN THE COURT OF COMMON PLEAS OF DELAWARE COUNTY, PENNSYLVANIA

IN RE: JURISDICTION FOR CASES

BROUGHT BY CSX

RAILROAD POLICE

:

:

:

MD Number: 411-16

Civil - 12-5040

ORDER

AND NOW, this 6th day of January, 2017, it is ORDERED and DECREED

pursuant to Rule 605 of the Rules of Judicial Administration, Rule 112 of the Rules

Governing Standards of Conduct of Magisterial District Judges, and Rules 130, 131,

132 and 133 of the Rules of Criminal Procedure, promulgated by the Supreme Court of

Pennsylvania, that Magisterial District Judge Vincent D. Gallagher, District Court 32-1-

30 shall have concurrent jurisdiction for all cases brought by the CSX Railroad Police.

This Order vacates this Court's Order dated December 29, 2016, titled

incorrectly as "Counseling and Anger Management Program for the City of

Chester."

CARLYINVIDENT 2017JAN-9 2017 JAN FILEDStatements PM 3: 08 PM 08

CERTIFIED A TRUE AND CORRECT

COPY FROM THE RECORD