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Here is the text we could read:

1.

PLAINTIFF

First 

Plaintiff's Address: 

2.

DEFENDANT

First 

Defendant’s Address: 

employment. 

Filer's Name: 

PETITION FOR PROTECTION 
 FROM ABUSE 

IN THE COURT OF COMMON PLEAS OF

COUNTY, PENNSYLVANIA 

NO. 

Middle 

Last 

Suffix

 Plaintiff’s DOB 

 Plaintiff's address is confidential or 

 Plaintiff's address is: 

V. 

Middle 

Last 

DEFENDANT IDENTIFIERS 

CAUTION: 

DOB 
SEX 
RACE 
HAIR 
SSN 
DRIVERS 
 Weapon Involved
LICENSE # 
 Weapon Present on the Property                                                         EXP DATE 
 Weapon Requested Relinquished

Defendant's Place of employment is: 

 Check here if you have reason to believe that Defendant is a licensed firearms dealer, employed by a licensed firearms dealer or

manufacturer; employed as a writer, researcher, or technician in the firearms or hunting industry, or is required to carry a firearm as a condition of 

3.

I am filing this Petition on behalf of:

 Myself   or

Another Person 

If you checked "myself", please answer all questions referring to yourself as "Plaintiff". If you ONLY checked "another person", please answer 

all questions referring to that person as the "Plaintiff", and provide your name and address here, as filer, unless confidential. 

Suffix 

HEIGHT 
WEIGHT 
EYES 

STATE

Suffix 

First 

                       Middle

Last 

Filer’s Address is Confidential or 

       Filer’s address is:

If you checked "Another Person", indicate your relationship with Plaintiff:

parent of minor Plaintiff(s)

applicant for appointment as guardian ad litem of minor Plaintiff(s)

adult household member with minor Plaintiff(s)

court appointed guardian of incompetent Plaintiff(s)

4.

Name(s) of all persons, including minor child/ren, who seek protection from abuse:

5.

Indicate the relationship between Plaintiff and Defendant:

CHECK ALL THAT APPLY: 

spouse or former spouse of Defendant  
parent of a child with Defendant   
current or former sexual or intimate partner with Defendant   
child of Plaintiff   
child of Defendant   
family member related by blood (consanguinity) to Defendant 
family member related by marriage or affinity to Defendant   
sibling (person who shares parenthood) of Defendant   

Check here if Defendant is 17 years old or younger. 

6.

Have Plaintiff and Defendant been involved in any of the following court actions?

  Divorce 

  Custody 

  Support 

  Protection from Abuse 

If you checked any of the above, briefly indicate when and where the case was 

filed and the court number, if known:  

7.

Has Defendant been involved in any criminal court action?

If you answered Yes, is Defendant currently on probation?

Has Defendant been determined to be a perpetrator in a founded or

indicated report under the Child Protective Services Law, 23 Pa.C.S. §§ 6301 - 6386?

If you answered Yes, what county’s court or child protective services agency 

issued the founded or indicated report?

8.

Plaintiff and Defendant are the parents of the following minor child/ren:

Name(s) 

Age(s)  

who reside at (list address unless 
confidential) 

9.

If Plaintiff and Defendant are parents of any minor child/ren together, is there an

existing court order regarding their custody? 

If you answered "Yes," describe the terms of the order (e.g., primary, 

shared, legal or physical custody): 

If you answered "yes", in what county and state was the order issued? 

If you are now seeking an order of child custody as part of this petition, list the 

following information: 

(a) Where has each child resided during the past five years?

Child’s name 

Person(s) child 
lived with 

Address, unless 
confidential 

When 

(b)

List any other persons who are known to have or claim a right to custody

of each child listed above. 

Name  

Address 

Basis of Claim 

10.

The following other minor child/ren presently live with Plaintiff:

Name(s) 

Age(s)  

Plaintiff’s relationship to child/ren 

The facts of the most recent incident of abuse are as follows:

11.
Approximate Date:
Approximate Time:
Place:

Describe in detail what happened, including any physical or sexual abuse, threats, 
injury, incidents of stalking, medical treatment sought, or calls to law enforcement. 
(attach additional sheets of paper if necessary): 

If Defendant has committed prior acts of abuse against Plaintiff or the minor child/

12.
ren, describe these prior incidents, including any threats, injuries, or incidents of
stalking, and indicate approximately when such acts of abuse occurred (attach
additional sheets of paper if necessary):

(a) 

Has Defendant used or threatened to use any firearms or other weapons

13.
against Plaintiff or the minor child/ren?  If so, please describe the use or threatened use
below and list on Attachment A to Petition, which is incorporated by reference into this
petition, any firearms, other weapons, or ammunition Defendant used or threatened to
use against Plaintiff or the minor child/ren:

(b)

Other than the firearms, other weapons, or ammunition Defendant used or

threatened to use against Plaintiff or the minor child/ren, does Defendant, to the best of 
your knowledge or belief, own or possess any additional firearm, other weapon, 
ammunition, or any firearm license?                Yes              No

(c)

If the answer to (b) above is “yes,” list any additional firearm, other

weapon, or ammunition owned by or in the possession of Defendant on Attachment A to 
Petition, which is incorporated by reference into this petition. 

(d) 

Plaintiff (check one) 

 DOES 

 DOES NOT request that the court order 

Defendant to relinquish firearms, other weapons, or ammunition listed on Attachment A 
to Petition. If Plaintiff does seek relinquishment, identify on Attachment A to Petition the 
firearms, other weapons or ammunition Plaintiff requests the court to order Defendant to 
relinquish. 

Identify the sheriff, police department, or law enforcement agency in the area in

14.
which Plaintiff lives that should be provided with a copy of the protection order:

15.

There is an immediate and present danger of further abuse from Defendant.

CHECK THE FOLLOWING BOXES ONLY IF THEY APPLY TO YOUR CASE 

AND PROVIDE THE REQUESTED INFORMATION 

Plaintiff is asking the court to evict and exclude Defendant from the following 

residence:  

owned by (list owners, if known):   
rented by (list all names, if known):   
Defendant owes a duty of support to Plaintiff or the minor child/ren: 
Plaintiff has suffered out-of-pocket financial losses as a result of the abuse 

described above. Those losses are: 

FOR THE REASONS SET FORTH ABOVE, I REQUEST THAT THE COURT ENTER A 
TEMPORARY ORDER, AND AFTER HEARING, A FINAL ORDER THAT WOULD DO 
THE FOLLOWING (CHECK ALL FORMS OF RELIEF REQUESTED) 

A.

Restrain Defendant from abusing,harassing, stalking, threatening,

attempting or threatening to use physical force against Plaintiff or the minor child/ren in
any place where Plaintiff or the child/ren may be found. 

B.

Evict/exclude Defendant from Plaintiff's residence and prohibit Defendant

from attempting to enter any temporary or permanent residence of Plaintiff. 

C.

Require Defendant to provide Plaintiff or the minor child/ren with

other suitable housing. 

D.

Award Plaintiff temporary custody of the minor child/ren and place the

following restrictions on contact between Defendant and the child/ren: 

E.

Prohibit Defendant from having any contact with Plaintiff or the

minor child/ren, in person, by telephone, or in writing, personally or through third 
persons, including but not limited to any contact at Plaintiff's school, business, or 
place of employment, except as the court may find necessary with respect to partial 
custody with the minor child/ren. 

F.

Prohibit Defendant from having any contact with Plaintiff's relatives and
Plaintiff's children listed in this petition, except as the court may find necessary with 
respect to partial custody with the minor child/ren. The following persons are Plaintiff's 
relatives or family and household members that Plaintiff believes require protection 
from stalking and harassment by Defendant. 

Name 
Name 

Address (optional) 
Address (optional) 

Relationship to Plaintiff 
Relationship to Plaintiff 

G.
G.

Order Defendant to temporarily relinquish the firearms,
Order Defendant to temporarily relinquish the firearms,

other weapons, or ammunition listed on Attachment A to Petition, under 
other weapons, or ammunition listed on Attachment A to Petition, under 
Defendant’s control, or in Defendant’s possession, or any firearm license to the
Defendant’s control, or in Defendant’s possession, or any firearm license to the
sheriff or the appropriate law enforcement agency.
sheriff or the appropriate law enforcement agency.

Prohibit Defendant from acquiring or possessing firearms for the duration of
Prohibit Defendant from acquiring or possessing firearms for the duration of

I.
I.

Order Defendant to pay temporary support for Plaintiff or the minor child/ren,
Order Defendant to pay temporary support for Plaintiff or the minor child/ren,

including medical support and  payment of the rent or mortgage on the residence.
including medical support and  payment of the rent or mortgage on the residence.

J.
J.

Direct Defendant to pay Plaintiff for the reasonable financial losses.
Direct Defendant to pay Plaintiff for the reasonable financial losses.

K.

                
Order Defendant to pay the costs of this action, including filing and service

H.
H.
the order.
the order.

fees. 
fees. 

L.

Order Defendant to pay Plaintiff's reasonable attorney's fees.

M.

Order the following additional relief, not listed above:

N.

Grant such other relief as Plaintiff requests or the court deems appropriate

O.

Order the police, sheriff, or other law enforcement agency to serve

Defendant with a copy of this petition, any order issued, and the order for hearing.  
Plaintiff will inform the designated authority of any addresses, other than Defendant's

residence, where Defendant can be served.

P.

Direct the Pennsylvania State Police, the municipal police, or the sheriff to

accompany Plaintiff to his or her residence to retrieve personal belongings or accompany 

Plaintiff while the petition or order is served on Defendant, if Plaintiff has reason to 

believe his or her safety is at risk.   

VERIFICATION 

I verify that I am the petitioner as designated in the present action and that the facts and 
statements contained in the above Petition are true and correct to the best of my 
knowledge. I understand that any false statements are made subject to the penalties of 
18 Pa. C.S. § 4904, relating to unsworn falsification to authorities 

Signature 

Date 

ATTACHMENT A TO PETITION 
FIREARMS, OTHER WEAPONS, OR 
AMMUNITION INVENTORY 

I, 

, Plaintiff in this Protection from Abuse Action, hereby 

(a)

state that Defendant used or threatened to use the following firearms,

other weapons, or ammunition against Plaintiff or the minor child/ren
(include addresses or locations, if known, such as "front seat of blue truck", "gun 
cabinet," "bedroom closet," etc.) 

Firearm/Other Weapon/Ammunition 

Location 

(b)

state that Defendant, to the best of my knowledge or belief, owns or

possesses the following firearms, other weapons, or ammunition not set forth in (a) 
above (include addresses or locations if, known):  

Firearm/Other Weapon/Ammunition 

Location 

(c)

request that the court order Defendant to relinquish the following firearms,

other weapons, or ammunition (include addresses or locations, if known):

Firearm/Other Weapon/Ammunition 

Location 

1. 
2. 
3. 
4. 
5.

1. 
2. 
3. 
4. 
5. 

1. 
2. 
3. 
4. 
5.

□ All firearms, other weapons, or ammunition owned or possessed by
Defendant.
If more space is needed, more sheets may be attached to this document.

Name: 

Date: 

NOTICE: 

This attachment will be withheld from public inspection in 
accordance with 23 Pa. C.S. § 6108 (a)(7)(v).

(Untitled)

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): 9
Fields(s): 217
Average fields per page: 24
Reading Level: Grade 13
LIST Grouping(s): CO-00-00-00-00, CR-00-00-00-00, CO-07-00-00-00.

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.

def_dl was DefDL (0.54 conf)
defendant_add__1 was DefendantAdd3 (0.47 conf)
defendant_add__2 was DefendantAdd2 (0.47 conf)
defendant_add__3 was DefendantAdd1 (0.47 conf)
county_name was CountyName (0.36 conf)
control_number was ControlNumber (0.36 conf)
plaintiff_dob was PlaintiffDOB (0.43 conf)
plaintiff_address was PlaintiffAddress (0.45 conf)
cb_plaintiff_address was CBPlaintiffAddress (0.45 conf)
plaintiff_first_name was PlaintiffFirstName (0.50 conf)
plaintiff_mid_name was PlaintiffMidName (0.51 conf)
def_mid_name was DefMidName (0.39 conf)
plaintiff_last_name was PlaintiffLastName (0.50 conf)
def_last_name was DefLastName (0.37 conf)
plaintiff_suffix was PlaintiffSuffix (0.55 conf)
def_suffix was DefSuffix (0.39 conf)
defdob was DEFDOB (0.35 conf)
def_height was DefHeight (0.35 conf)
se_xof_defendant was SEXofDefendant (0.49 conf)
weight_defendant was Weight of Defendant (0.44 conf)
def_eye was DefEye (0.30 conf)
def_hair was DefHair (0.30 conf)
def_race was DefRace (0.30 conf)
def_ssn was DefSSN (0.35 conf)
def_dl_exp_date was DefDLExpDate (0.33 conf)
def_dl_stateof_issue was DefDLStateofIssue (0.38 conf)
def_employers_name was DefEmployersName (0.41 conf)
baintiff_address_confidential was CBaintiffAddressConfidential (0.38 conf)
cb_weapon_involved was CBWeaponInvolved (0.36 conf)
cb_weaponon_property was CBWeapononProperty (0.45 conf)
weaponon_requested_relinquished was CBWeapononRequestedRelinquished (0.43 conf)
defendant_first_name was DefendantFirstName (0.44 conf)
cb_filer was CBFiler (0.55 conf)
cb_filer_another_person was CBFilerIsAnotherPerson (0.48 conf)
filer_first_name was FilerFirstName (0.51 conf)
filer_mid_name was FilerMidName (0.46 conf)
filer_last_name was FilerLastName (0.51 conf)
filer_suffix_name was FilerSuffixName (0.42 conf)
cb_firearms_dealer_etc was CBFirearmsDealerEtc (0.41 conf)
filer_address was FilerAddress (0.47 conf)
cb_filer_address_list was CBFilerAddressList (0.45 conf)
filer_address_confidential was CBFilerAddressConfidential (0.44 conf)
cb_guardianadlitem was CBGuardianadlitem (0.35 conf)
cb_adult_household_member was CBAdultHouseholdMember (0.47 conf)
cb_parentof_minor was CBParentofMinor (0.40 conf)
item_persons_protected_line was Item4PersonsProtectedLine1 (0.35 conf)
item_persons_pretected_line was Item4PersonsPretectedLine2 (0.41 conf)
cb_court_appt_guardian was CBCourtApptGuardian (0.46 conf)
cb_pg__1 was CBPg251 (0.35 conf)
cb_pg__2 was CBPg253 (0.35 conf)
cb_pg__3 was CBPg252 (0.35 conf)
cb_pg__4 was CBPg254 (0.35 conf)
cb_pg__5 was CBPg255 (0.35 conf)
cb_pg__6 was CBPg256 (0.35 conf)
cb_pg__7 was CBPg257 (0.35 conf)
cb_pg__8 was CBPg258 (0.35 conf)
cb_pg__9 was CBPg259 (0.35 conf)
cb_pg__10 was CBPg26a (0.35 conf)
cb_pg_b__1 was CBPg26b (0.35 conf)
cb_pg_c__1 was CBPg26c (0.35 conf)
cb_pg__11 was CBPg26d (0.35 conf)
line_info was LineAboveInfoLine2 (0.47 conf)
infofrom_line was InfofromAboveLine1 (0.31 conf)
pg_yor_n__1 was Pg27YorN (0.43 conf)
pg_pprobation was Pg27IfYIsOnPprobation (0.41 conf)
pg_infounded_indited_report_yor_n was Pg27InfoundedInditedReportYorN (0.42 conf)
pg_name_county_court_issued was Pg27NameCountyCourtIssued (0.47 conf)
pg_conf_add__1 was Pg28ConfAdd1 (0.30 conf)
pg_conf_add__2 was Pg28ConfAdd2 (0.30 conf)
pg_conf_add__3 was Pg28ConfAdd3 (0.30 conf)
pg_conf_add__4 was Pg28ConfAdd4 (0.30 conf)
pg_age__1 was Pg28Age1 (0.35 conf)
pg_age__2 was Pg28Age2 (0.35 conf)
pg_age__3 was Pg28Age3 (0.35 conf)
pg_age__4 was Pg28Age4 (0.35 conf)
pg_name__1 was Pg28Name1 (0.35 conf)
pg_name__2 was Pg28Name2 (0.35 conf)
pg_name__3 was Pg28Name3 (0.35 conf)
pg_name__4 was Pg28Name4 (0.35 conf)
pg_yor_n__2 was Pg39YorN (0.43 conf)
pg_terms was Pg39Terms (0.36 conf)
pg_county_state was Pg39County/State (0.46 conf)
pg_child_name__1 was Pg3ChildName1 (0.38 conf)
pg_child_name__2 was Pg3ChildName2 (0.38 conf)
pg_child_name__3 was Pg3ChildName3 (0.38 conf)
pg_child_name__4 was Pg3ChildName4 (0.38 conf)
pg_date__1 was Pg3Date1 (0.35 conf)
pg_date__2 was Pg3Date2 (0.35 conf)
pg_date__3 was Pg3Date3 (0.35 conf)
pg_date__4 was Pg3Date4 (0.35 conf)
pg_child_add__1 was Pg3Child4Add (0.36 conf)
pg_child_add__2 was Pg3Child3Add (0.36 conf)
pg_child_add__3 was Pg3Child2Add (0.36 conf)
pg_child_add__4 was Pg3Child1Add (0.36 conf)
pg_personslivedwline__1 was Pg3Personslivedwline1 (0.35 conf)
pg_personslivedwline__2 was Pg3Personslivedwline2 (0.35 conf)
pg_personslivedwline__3 was Pg3Personslivedwline3 (0.35 conf)
pg_personslivedwline__4 was Pg3Personslivedwline4 (0.35 conf)
pg_right_name__1 was Pg3RightName1 (0.45 conf)
pg_right_name__2 was Pg3RightName2 (0.45 conf)
pg_right_name__3 was Pg3RightName3 (0.45 conf)
pg_right_name__4 was Pg3RightName4 (0.45 conf)
pg_right_basis__1 was Pg3RightBasis1 (0.45 conf)
pg_right_basis__2 was Pg3RightBasis2 (0.45 conf)
pg_right_basis__3 was Pg3RightBasis3 (0.45 conf)
pg_right_basis__4 was Pg3RightBasis4 (0.45 conf)
pg_right_address__1 was Pg3RightAddress4 (0.45 conf)
pg_right_address__2 was Pg3RightAddress3 (0.45 conf)
pg_right_address__3 was Pg3RightAddress2 (0.45 conf)
pg_right_address__4 was Pg3RightAddress1 (0.45 conf)
pg_name__5 was Pg310Name1 (0.35 conf)
pg_age__5 was Pg310Age1 (0.35 conf)
pg_name__6 was Pg310Name2 (0.35 conf)
pg_name__7 was Pg310Name3 (0.35 conf)
pg_name__8 was Pg310Name4 (0.35 conf)
pg_age__6 was Pg310Age2 (0.35 conf)
pg_age__7 was Pg310Age3 (0.35 conf)
pg_age__8 was Pg310Age4 (0.35 conf)
pg_relationshipto_child was Pg310RelationshiptoChild4 (0.35 conf)
pg_relationshipto_children__1 was Pg310RelationshiptoChildren3 (0.35 conf)
pg_relationshipto_children__2 was Pg310RelationshiptoChildren2 (0.35 conf)
pg_relationshipto_children__3 was Pg310RelationshiptoChildren1 (0.35 conf)
pg_approx_date_incid_abuse was Pg311ApproxDateIncidAbuse (0.35 conf)
pg_approx_time_recent_abuse was Pg311ApproxTimeRecentAbuse (0.30 conf)
pg_placeformostrecentindofabuse was Pg311Placeformostrecentindofabuse (0.35 conf)
pg_line__1 was Pg411Line3 (0.35 conf)
pg_line__2 was Pg411Line2 (0.36 conf)
pg_line__3 was Pg411Line1 (0.35 conf)
pg_describeline__1 was Pg412Describeline3 (0.35 conf)
pg_describeline__2 was Pg412Describeline2 (0.35 conf)
pg_describeline__3 was Pg412Describeline1 (0.35 conf)
pg_aline was Pg413aline1 (0.35 conf)
pg_describeline__4 was Pg413aDescribeline2 (0.35 conf)
pg_describeline__5 was Pg413aDescribeline3 (0.35 conf)
cb_pg_b__2 was CBPg413bNo (0.44 conf)
cb_pg_yes was CBPg413dYes (0.44 conf)
cbp_b was CBPB413dNo (0.42 conf)
pg_identifysheriffpolicedepartment__1 was Pg414Identifysheriffpolicedepartment1 (0.35 conf)
pg_identifysheriffpolicedepartment__2 was Pg414Identifysheriffpolicedepartment2 (0.35 conf)
cb_pg_b_yes was CBPg413bYes (0.44 conf)
pg_plaintiff_address was Pg5PlaintiffAskingforEvictictionFromAddress (0.41 conf)
address_eviction_take_place was Pg5OwnersofAddressWhereEvictionWillTakePlace (0.41 conf)
address_taking_place was Pg5RentersatAddressWhereEvictionisTakingPlace (0.29 conf)
cb_pg__12 was CBPg51 (0.35 conf)
cb_pg__13 was CBPg52 (0.35 conf)
cb_pg__14 was CBPg53 (0.35 conf)
cb_pg__15 was CBPg54 (0.35 conf)
pg_list_losses_sufferedas_resultof__1 was Pg5ListLossesSufferedasResultofAbove1 (0.42 conf)
pg_list_losses_sufferedas_resultof__2 was Pg5ListLossesSufferedasResultofAbove2 (0.42 conf)
cb_pg__16 was CBPg55 (0.35 conf)
cb_pg__17 was CBPg5A (0.36 conf)
cb_pg_b__3 was CBPg5B (0.35 conf)
cb_pg_c__2 was CBPg5C (0.35 conf)
cb_pg__18 was CBPg5D (0.25 conf)
pg_contact_line__1 was Pg5DRestrictionsonContact-Line1 (0.31 conf)
pg_contact_line__2 was Pg5DRestrictionsonContact-Line2 (0.37 conf)
cb_pg_e was CBPg5E (0.47 conf)
cb_pg_f was CBPg5F (0.35 conf)
cb_pg_g was CBPg6G (0.37 conf)
cb_pg_h was CBPg6H (0.25 conf)
cb_pg_j was CBPg6J (0.40 conf)
cb_pg__19 was CBPg6I (0.37 conf)
cb_pg_k was CBPg6K (0.50 conf)
cb_pg_l was CBPg6L (0.47 conf)
cb_pg__20 was CBPg6M (0.30 conf)
cb_pg_n was CBPg6N (0.39 conf)
cb_pg__21 was CBPg6O (0.48 conf)
order_following_relief__1 was OrderFollowingRelief1 (0.33 conf)
order_following_relief__2 was OrderFollowingRelief2 (0.33 conf)
order_following_relief__3 was OrderFollowingRelief3 (0.33 conf)
pg_f_name was Pg6FName1 (0.34 conf)
pg_f_address was Pg6FAddress1 (0.34 conf)
pg_f_relationship was Pg6FRelationship1 (0.34 conf)
pg_relationship__1 was Pg6Relationship2 (0.35 conf)
pg_relationship__2 was Pg6Relationship3 (0.35 conf)
pg_name__9 was Pg6Name2 (0.35 conf)
pg_name__10 was Pg6Name3 (0.35 conf)
pg_address__1 was Pg6Address2 (0.35 conf)
pg_address__2 was Pg6Address3 (0.35 conf)
cb_pg_p was CBPg6P (0.35 conf)
pg_date__5 was Pg7Date (0.42 conf)
pg_signature was Pg7Signature (0.36 conf)
pg_firearm__1 was Pg8Firearm2 (0.35 conf)
pg_firearm__2 was Pg8Firearm3 (0.35 conf)
pg_firearm__3 was Pg8Firearm4 (0.35 conf)
pg_firearm__4 was Pg8Firearm5 (0.35 conf)
pg_location__1 was Pg8Location2 (0.35 conf)
pg_location__2 was Pg8Location3 (0.35 conf)
pg_location__3 was Pg8Location4 (0.35 conf)
pg_location__4 was Pg8Location5 (0.35 conf)
pg_nameof_plaintiff was Pg8NameofPlaintiff (0.52 conf)
pg_firearm__5 was Pg8Firearm1 (0.35 conf)
pg_location__5 was Pg8Location1 (0.35 conf)
pg_b_location__1 was Pg8bLocation1 (0.35 conf)
pg_b_firearm__1 was Pg8bFirearm2 (0.35 conf)
pg_b_location__2 was Pg8bLocation2 (0.35 conf)
pg_b_firearm__2 was Pg8bFirearm3 (0.35 conf)
pg_b_location__3 was Pg8bLocation3 (0.35 conf)
pg_b_firearm__3 was Pg8bFirearm4 (0.35 conf)
pg_b_location__4 was Pg8bLocation4 (0.35 conf)
pg_b_firearm__4 was Pg8bFirearm5 (0.35 conf)
pg_b_firearm__5 was Pg8bFirearm1 (0.35 conf)
pg_b_location__5 was Pg8bLocation5 (0.35 conf)
pg_c_firearm__1 was Pg8cFirearm1 (0.35 conf)
pg_c_location__1 was Pg8cLocation1 (0.35 conf)
pg_c_firearm__2 was Pg8cFirearm2 (0.35 conf)
pg_c_location__2 was Pg8cLocation2 (0.35 conf)
pg_c_firearm__3 was Pg8cFirearm3 (0.35 conf)
pg_c_location__3 was Pg8cLocation3 (0.35 conf)
pg_c_firearm__4 was Pg8cFirearm4 (0.35 conf)
pg_c_firearm__5 was Pg8cFirearm5 (0.35 conf)
pg_c_location__4 was Pg8cLocation4 (0.35 conf)
pg_c_location__5 was Pg8cLocation5 (0.35 conf)
caption was Caption (0.41 conf)
pg_date__6 was Pg9Date (0.42 conf)
pg_name__11 was Pg9Name (0.43 conf)
cb_pg__22 was CBPg9 (0.35 conf)

We've done our best to group similar variables togther to avoid overwhelming the user.

Suggested Screen 0:

def_dl
defendant_add__1
defendant_add__2
defendant_add__3
county_name
control_number
plaintiff_dob
plaintiff_address
cb_plaintiff_address
plaintiff_first_name
plaintiff_mid_name
def_mid_name
plaintiff_last_name
def_last_name
plaintiff_suffix
def_suffix
defdob
def_height
se_xof_defendant
weight_defendant
def_eye
def_hair
def_race
def_ssn
def_dl_exp_date
def_dl_stateof_issue
def_employers_name
baintiff_address_confidential
cb_weapon_involved
cb_weaponon_property
weaponon_requested_relinquished
defendant_first_name
cb_filer
cb_filer_another_person
filer_first_name
filer_mid_name
filer_last_name
filer_suffix_name
cb_firearms_dealer_etc
filer_address
cb_filer_address_list
filer_address_confidential
cb_guardianadlitem
cb_adult_household_member
cb_parentof_minor
item_persons_protected_line
item_persons_pretected_line
cb_court_appt_guardian
cb_pg__1
cb_pg__2
cb_pg__3
cb_pg__4
cb_pg__5
cb_pg__6
cb_pg__7
cb_pg__8
cb_pg__9
cb_pg__10
cb_pg_b__1
cb_pg_c__1
cb_pg__11
line_info
infofrom_line
pg_yor_n__1
pg_pprobation
pg_infounded_indited_report_yor_n
pg_name_county_court_issued
pg_conf_add__1
pg_conf_add__2
pg_conf_add__3
pg_conf_add__4
pg_age__1
pg_age__2
pg_age__3
pg_age__4
pg_name__1
pg_name__2
pg_name__3
pg_name__4
pg_yor_n__2
pg_terms
pg_county_state
pg_child_name__1
pg_child_name__2
pg_child_name__3
pg_child_name__4
pg_date__1
pg_date__2
pg_date__3
pg_date__4
pg_child_add__1
pg_child_add__2
pg_child_add__3
pg_child_add__4
pg_personslivedwline__1
pg_personslivedwline__2
pg_personslivedwline__3
pg_personslivedwline__4
pg_right_name__1
pg_right_name__2
pg_right_name__3
pg_right_name__4
pg_right_basis__1
pg_right_basis__2
pg_right_basis__3
pg_right_basis__4
pg_right_address__1
pg_right_address__2
pg_right_address__3
pg_right_address__4
pg_name__5
pg_age__5
pg_name__6
pg_name__7
pg_name__8
pg_age__6
pg_age__7
pg_age__8
pg_relationshipto_child
pg_relationshipto_children__1
pg_relationshipto_children__2
pg_relationshipto_children__3
pg_approx_date_incid_abuse
pg_approx_time_recent_abuse
pg_placeformostrecentindofabuse
pg_line__1
pg_line__2
pg_line__3
pg_describeline__1
pg_describeline__2
pg_describeline__3
pg_aline
pg_describeline__4
pg_describeline__5
cb_pg_b__2
cb_pg_yes
cbp_b
pg_identifysheriffpolicedepartment__1
pg_identifysheriffpolicedepartment__2
cb_pg_b_yes
pg_plaintiff_address
address_eviction_take_place
address_taking_place
cb_pg__12
cb_pg__13
cb_pg__14
cb_pg__15
pg_list_losses_sufferedas_resultof__1
pg_list_losses_sufferedas_resultof__2
cb_pg__16
cb_pg__17
cb_pg_b__3
cb_pg_c__2
cb_pg__18
pg_contact_line__1
pg_contact_line__2
cb_pg_e
cb_pg_f
cb_pg_g
cb_pg_h
cb_pg_j
cb_pg__19
cb_pg_k
cb_pg_l
cb_pg__20
cb_pg_n
cb_pg__21
order_following_relief__1
order_following_relief__2
order_following_relief__3
pg_f_name
pg_f_address
pg_f_relationship
pg_relationship__1
pg_relationship__2
pg_name__9
pg_name__10
pg_address__1
pg_address__2
cb_pg_p
pg_date__5
pg_signature
pg_firearm__1
pg_firearm__2
pg_firearm__3
pg_firearm__4
pg_location__1
pg_location__2
pg_location__3
pg_location__4
pg_nameof_plaintiff
pg_firearm__5
pg_location__5
pg_b_location__1
pg_b_firearm__1
pg_b_location__2
pg_b_firearm__2
pg_b_location__3
pg_b_firearm__3
pg_b_location__4
pg_b_firearm__4
pg_b_firearm__5
pg_b_location__5
pg_c_firearm__1
pg_c_location__1
pg_c_firearm__2
pg_c_location__2
pg_c_firearm__3
pg_c_location__3
pg_c_firearm__4
pg_c_firearm__5
pg_c_location__4
pg_c_location__5
caption
pg_date__6
pg_name__11
cb_pg__22

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