The Legal Innovation & Technology Lab's Form Explorer ^Beta @ Suffolk Law School Last updated 2023-04-02

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Here is the text we could read:

In the Court of Common Pleas of ___________________ County 

 अफ कमन प्लियाज   ___________________ काउन्टी 
ट
र्
ो
क

ommonwealth of Pennsylvania 

 
 

 
 
 
 

कमनवेल्थ अफ  Pennsylvania   
 
 
 
 
 
 
Vs./बिरुद्द 
 
 
 
 
 
_________________________ 
Defendant 
 
 
प्र
िवादी 
ब
 

 

 

 
 
 
 
 
 
 
 

 

 
 
 
 
 
 
 

 

 
 
 

 
 
 
 

: 
: 
: 
:  
: 
: 
: 
: 

Case number: ________________ 
 संख्या: 
ा
द्द
ु
म

Interpreter Request Notice – Criminal 

 सेवा अनुरोध सूचना- फौजदारी 
े
ष
ा
भ
ो
द

nterpreter services are requested in the above 
captioned matter as follows: 

माबि उल्लिल्लिि बनम्न बववरण भएको मुद्दामा दोभाषे सेवाको 
अनुरोध गररएको छ: 

earing Date: __________________ Time: _________ Courtroom/Office: _____________________________ 
नवाइ बमबि: 
ु
स

      अदालि/कायाालय: 

समय:   

 

 

 

Address/Location: __________________________________________________________________________ 
ा
न
ा
ग
े
ठ
: 

roceeding type (Select all that apply): 

कारबाहीको प्रकार (लागू हुने सिैमा बिन्ह लगाउनुहोस्): 
 

 Jury trial 
 Bench trial 
 Preliminary Hearing 
 Plea 
 Sentencing 
 Motion 
 Status 
 Arraignment 
 ARD 
 VOP 
 PCRA 
 Private Criminal Complaint 
 Summary  
 Drug/Veteran's/Mental Health Court 
 Community Court 
 other: _______________________________ 

 जुरी ट्र ायल 
 िेन्च ट्र ायल 
 प्रारल्लिक सुनवाइ 
 िहस 
 सजायको फै सला 
 आवेदन 
 ल्लथिबि 
 अबभयोजन 
 ARD 
 VOP 
 PCRA 
 बनजी फौजदारी उजुरीt 
 सारांश  
 लागु औषधी/भुपु सैन्य/मानबसक स्वास्थ्य अदालि 
 सामुदाबयक अदालि 
 अन्य: _______________________________ 

 
Name of person (LEP) needing the interpreter: 
____________________________________________ 
 

 
दोभाषे सेवा िाबहने व्यप्लि (LEP) को नाम: 
___________________________________________ 
 

AOPC/ICP – 010 Rev. 4/21                                                                                                                                                                                                            
Interpreter Request Notice – Criminal (English/Nepali)-Translated on 6/22/2021 

  C

  I

    H

  P

 

LEP relationship to case:    

LEP को मुद्दासँगको सम्बन्ध:    

 Defendant 
 Complainant 
 Victim 
 Witness 
 Juvenile 
 Parent/Person in loco parentis 
 other: ___________________________ 

 
Language (Select foreign or sign language and 
provide all requested information):  
 
Foreign language:  

 Language spoken: ____________________  
Dialect (if applicable): _________________ 

 
Sign language:  

 American Sign Language 
 other non-ASL: ________________  
 Foreign sign language (country): 

 

 

___________________ 

 प्रबिवादी 
 वादी 
 पीबिि 
 साक्षी 
 नािाबलग 
 मािा वा बपिा/व्यक्ति in loco parentis 
 अन्य: ___________________________ 

 
भाषा (िाहेको भाषा वा सांकेबिक भाषा छान्नुहोस् र 
म
गएको सिै जानकारी बदनुहोस्):  
ब
ा
 
बवदेशी भाषा:  

 िोल्ने भाषा: ____________________  
भाबषका (छ भने): _________________ 

 
सांके बिक भाषा:  

 अमेररकी सांके बिक भाषा 
 अन्य गैर-ASL: ________________  
 बवदेशी सांके बिक भाषा (देश): 
___________________ 

 
Country of origin: ___________________________  मूल देश: ___________________________ 

 

Region/Province (if known): __________________ 
 
Does the LEP speak a second language?  Yes  No  LEP अको भाषा िोल्न सक्छन् ?  सक्छन्  सक्दैनन् 

ेत्र/राज्य (ज्ञाि छ भने): __________________ 

क्ष
 

Other language: _______________________ 
 
Please provide additional information about the 
communication preferences of the limited English 
speaker. 

अको भाषा: _______________________ 
 
क
भन्ने िारे मा िप जानकारी प्रदान गनु

ाहोस् । 

ृ पया अंग्रेजी कम जान्ने व्यल्लिसँग कसरी सञ्चार गररनु पछा  

________________________________ 
Print Requestor’s Name 
नवेदकको नाम  
ब

 

 

 

 

 

__________________ 
 
Date 
ि
ब
म
ब
 
 

 
 

 
 

______________________________ 
Phone 
लफोन 
े
ब
ट्

________________________________ 
Requestor’s Signature  
नवेदकको हस्ताक्षर 
ब
 

 
 

 
 

__________________ 
 
Title 
पद 
 

 
 

 
 

______________________________ 
E-mail 
इमेल 

AOPC/ICP – 010 Rev. 4/21                                                                                                                                                                                                            
Interpreter Request Notice – Criminal (English/Nepali)-Translated on 6/22/2021 

                _

  _

In the Court of Common Pleas of ___________________ County

This info page is part of the LIT Lab's Form Explorer project. It is not associated with the Pennsylvania state courts. To learn more about the project, check out our about page.

Downloads: You can download both the original form (last checked 2023-03) and the machine-processed form with normalized data fields.

About This Form:

Sourced from www.pacourts.us (2023-03)
Page(s): 2
Fields(s): 93
Average fields per page: 46
Reading Level: Grade 12
LIST Grouping(s): GO-00-00-00-00.

Use our Rate My PDF tool to learn more. Go beyond the above insights and learn more about this or any pdf form at RateMyPDF.com, includes: counts of difficult words used, passive voice decetion, and suggestions for how to make the form more usable.

Identified Data Fields:

We have done our best to automaticly identify and name form fields according to our naming conventions. When possible, we've used names tied to our question library. See e.g., user1_name. If we think we've found a match to a question in our library, it is highlighted in green. Novel names are auto generated. So, you will probably need to edit some of them if you're trying to stick to the convention.

Here are the fields we could identify.

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The Legal Innovation & Technology Lab's Form Explorer Beta @ Suffolk Law School Last updated 2023-04-02

In the Court of Common Pleas of ___________________ County

About This Form:

Identified Data Fields:

Create an Interactive Version of this Form:

The Legal Innovation & Technology Lab's Form Explorer ^Beta @ Suffolk Law School Last updated 2023-04-02