FORM 5.10B Emergency Petition for Special Relief

IN THE COURT OF COMMON PLEAS

OF __________________ COUNTY, PENNSYLVANIA

PLAINTIFF : No.

v. :

DEFENDANT

: IN CUSTODY

EMERGENCY PETITION FOR SPECIAL RELIEF

Plaintiff, by and through his/her attorney, __________________, Esquire, files this Emergency Petition for Special

Relief and avers as follows:

1. Plaintiff is __________________, [Mother/Father], who currently resides at __________________.

2. Defendant is __________________, [Mother/Father], who currently resides at __________________.

3. The parties hereto are the parents of the following minor [Child/Children], who currently reside(s) at

__________________.

4. On __________________, 20______, the Honorable __________________ __________________, entered an

Order of Custody in the Court of Common Pleas of __________________ County, Pennsylvania. A true and correct

copy of said Order of Court is marked Exhibit ``A,'' attached hereto and made a part hereof.

5. Pursuant to said Order of Court, the [Child/Children] is/are scheduled to spend __________________ with

[Mother/Father].

6. [Mother/Father] has informed [Mother/Father] that he/she does not intend to comply with said Order of Court,

and will not produce the [Child/Children] at [Mother's/Father's] scheduled time for physical custody.

WHEREFORE, Plaintiff respectfully requests that this Honorable Court order Defendant to produce the

[Child/Children] at __________________. M., on __________________, at __________________, in order for Plaintiff

to exercise his/her physical custody rights, or be subject to sanctions of this Court. Plaintiff further requests that this

Honorable Court order Defendant to pay Plaintiff's reasonable counsel fees and costs.

OR

5. Pursuant to said Order of Court, [Mother/Father] has joint legal custody of the [Child/Children].

6. [Mother/Father] is entitled to access to the [Child's/Children's] school records.

7. [Mother/Father] has refused to provide [Mother/Father] with copies of the [Child's/Children's] report cards and

has instructed the [Child's/Children's] school not to provide the report cards to [Mother/ Father].

8. [Mother/Father] is in willful violation of the __________________, 20______, Order of Court.

WHEREFORE, Plaintiff respectfully requests that this Honorable Court order Defendant to provide copies of the

[Child's/Children's] report cards to Defendant, and to instruct the [Child's/Children's] school that Defendant is entitled to

receive copies of the report cards. Plaintiff further requests that this Honorable Court order Defendant to pay Plaintiff's

reasonable counsel fees and costs.

Respectfully submitted,

__________________ __________________

, Your Name

[VERIFICATION]