York Cnty. C.P. Local Rules of Civil Procedure Rule 205.2(b)

All applications requiring action by the Court, and any responses thereto, shall be accompanied by a

cover sheet as the first page of the application. The cover sheet shall be substantially in the form as set

forth after this Rule. The cover sheet shall include the following information:

(1) Identification of the Court;

(2) The complete caption of the case;

(3) Identifying case number;

(4) If a matter in the case has been considered by a judge, the name of the judge shall

appear immediately under the case number. If the case has been assigned to a judge, the judge’s name

shall appear under the case number and under the names of any judges who previously considered any

matter in the case;

(5) The identifying case numbers of any related cases;

(6) The type of action;

(7) The names, addresses and telephone numbers of primary counsel for all represented

parties with identification of the party represented by counsel and all pro se parties;

(8) The title of the pleading being submitted; and

(9) The name of the party submitting the pleading.

Form of Cover Sheet:

[Beginning 3 inches from top of page. See Pa.R.C.P. No. 204.1]

IN THE COURT OF COMMON PLEAS OF YORK COUNTY, PENNSYLVANIA

NAME OF PLAINTIFF(S): [CASE NUMBER]

: [NAME OF PREVIOUS JUDGE]

vs. : [NAME OF ASSIGNED JUDGE]

: [NUMBERS OF RELATED CASES]

NAME OF DEFENDANT(S): [TYPE OF ACTION]

For Plaintiff(s): Name of Attorney

Address of Attorney

Telephone Number of Attorney

Facsimile Number of Attorney

E-mail address of Attorney

For Defendant(s): Name of Attorney

Address of Attorney

Telephone Number of Attorney

Facsimile Number of Attorney

E-mail address of Attorney

TITLE OF DOCUMENT

Submitted by [Name of Party]