Insurance complaint form please type or print it is our goal to assist you in resolving your complaint as quickly as possible. Complaint for a civil case alleging breach of contract. I further certify that i have the authority to execute this form on behalf of the party and that i am. If you do not wish to be a party to the case, consider filing an informal complaint. A civil complaint form is what one issues to another person in the event that a type of wrong is committed. Complaint for a civil case alleging that the defendant owes the plaintiff a sum of money. Complete form 1, and follow filing instructions for your county. Pennsylvania for at least six 6 months immediately prior to the filing of this. These types of wrongdoings are usually the breaking of a personss civil rights, which must then be properly filed as a complaint or even a lawsuit. You may request a statement of complaint form by mail, by calling the professional compliance office hotline at 180082221 if you are calling from within pennsylvania or at 17177834854 if you are calling from outside pennsylvania. A divorce starts with a notice to defend and complaint. For more information, call an attorney at the pa safe law civil legal information. Uslf amends and updates the forms as is required by pennsylvania statutes and law. Pennsylvania public utility commission formal complaint filing this form begins a legal proceeding and you will be a party to the case.
Local rule of civil procedure eastern district of pennsylvania. This statement is made subject to the penalties of section 4904 of the crimes code 18 p a. The definition of divorce has been expanded to include civil unions. Plaintiff, hereby certifies that the complaint in divorce and notice to defend and. Please provide as much information and documentation as you can. This is an official form from the pennsylvania state court administration of the courts aoc, which complies with all applicable laws and statutes. Signature of plaintiff or authorized agent the plaintiffs attorney shall file an entry of appearance with the magisterial district court pursuant to pa. To complete this form, please type or print legibly in ink. Therefore, we ask that you complete this form and return it to the office listed on the reverse side of this page. Return the completed form to the professional compliance office at. Pennsylvania rules of civil procedure or the westmoreland county rules of civil procedure to. First judicial district of pennsylvania the philadelphia courts city. Notice to defend and divorce complaint pennsylvania court. I, verify that the facts set forth in this complaint are true and correct to the best of my knowledge, information, and belief.
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