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Here is the text we could read:

IN THE COURT OF COMMON PLEAS OF ______________ COUNTY 
TRIBUNALE CIVILE DELLA CONTEA DI ______________  

LAINTIFF / ATTORE 

 
___________________________ 
 
                       VS. 
 
DEFENDANT / CONVENUTO 

_________________________ 

/  NUMERO  DI  RUOLO 

CASE  NO. 
__________________ 
 

PROTECTION FROM ABUSE / 
PROTEZIONE DA ABUSI 

PETITION FOR PROTECTION OF 
VICTIMS OF  
  SEXUAL VIOLENCE 
  SEXUAL VIOLENCE AGAINST A 

MINOR CHILD 
  INTIMIDATION 

RICORSO PER LA PROTEZIONE DI 
VITTIME DI  

  VIOLENZA SESSUALE 
  VIOLENZA SESSUALE  NEI 
CONFRONTI DI UN MINORE 

  MINACCE 

 

 

Plaintiff: 

1. 
__________________________________ 
First 

Last Name 

Middle  

 

 

Attore: 

1. 
__________________________________ 
Nome      Secondo nome 

    Cognome 

laintiff’s Address:  

__________________________________ 
 

ndirizzo dell’Attore: 
__________________________________ 
 

   Plaintiff’s  address 

is  confidential 

   L'indirizzo  dell’Attore  è  riservato  ai 

pursuant to 42 Pa.C.S. § 62A11. 

sensi della norma 42 Pa.C.S. § 62A11. 

laintiff’s Date of Birth:  

ata di nascita dell’Attore: 

__________________________________ 

__________________________________ 

 am filing this petition on behalf of  

 myself or 

 another person. 

Si sta presentando il presente ricorso per 
conto  proprio o  di  un'altra persona. 

f you checked “myself,” please answer all 
questions referring to yourself as “Plaintiff.”  
If you checked “another person,” please 

e ha contrassegnato la casella "proprio" 

la preghiamo di rispondere a tutte le 
domande riferendosi a se stesso/a come 

AOPC PSVI (Italian) 

Created: December 26, 2016 

 

 
 

    I

    D

   

    S

  P

  _

 

    P

    P

  I

    I

answer all questions referring to that 
person as “Plaintiff,” and provide your 
name and address below. 

"Attore".  Se ha contrassegnato "un'altra 
persona" la preghiamo di rispondere a 
tutte le domande riferendosi all'altra 
persona come "Attore" e fornendo il 
proprio nome e indirizzo di seguito. 

ame: ____________________________ 

ome: ____________________________ 

ddress: __________________________ 

ndirizzo: __________________________ 

f  you  checked  “another  person,”  indicate 
your relationship to the plaintiff: 

e ha indicato "un'altra persona", indichi la 

sua relazione con l’Attore: 

_________________________________ 

_________________________________ 

. 

Defendant: 

. 

Convenuto: 

_______________________________ 

First 

 

Middle  

Last Name 

_______________________________ 
    Cognome 

Nome      Secondo nome 

efendant’s Address: 

________________________________ 
________________________________ 

ndirizzo del Convenuto: 
________________________________ 
________________________________ 

DEFENDANT IDENTIFIERS 

DATI CONVENUTO 

DOB 

SEX 
RACE 

HAIR 

SSN 

DRIVERS 
LICENSE # 

EXP DATE 

 

 

 

 

 

 

 

HEIGHT 

WEIGHT 

EYES 

STATE 

 

 

 

 

NASCITA 
SESSO 
RAZZA 
CAPELLI 
COD FISC 

PATENTE 

SCAD 

 

 

 

 

 

 

 

ALTEZZA 
PESO 
OCCHI 

STATO 

 

 

 

 

. 

Name(s) 

designated 
person(s) under 42 Pa.C.S. § 62A07(b)(1): 

other 

of 

. 

Nome/i  dell’altra  persona  (o  delle 
altre  persone)  designata/e  ai  sensi  della 
norma 42 Pa.C.S. § 62A07(b)(1): 

_________________________________
__________________________________ 

_________________________________
__________________________________ 

      N

  A

  I

  _

    2

  _

  D

   

    3

    _

   

  N

  I

  S

  _

    2

  _

  I

   

    3

  _

   

 
 

AOPC PSVI (Italian) 

Created: December 26, 2016 

Is there a relationship between 
4.  
Plaintiff and Defendant? ________.   If 
yes, what is the relationship? 
__________________________________
__________________________________ 

Esiste una relazione tra Attore e 

4.  
Convenuto? ________.   Se sì, qual è la 
relazione? 
__________________________________
__________________________________ 

Have Plaintiff and Defendant been 

L’Attore e il Convenuto, sono stati 

involved in any other legal proceedings?  If 
so, state when and where the case was 
filed and the court docket number, if 
known:  
__________________________________
__________________________________ 
__________________________________
__________________________________ 

coinvolti in altri procedimenti legali? In 
caso affermativo, indichi quando e dove è 
stato presentato il caso e il numero di 
ruolo del tribunale, se conosciuto:  
__________________________________
__________________________________ 
__________________________________
__________________________________ 

Has Defendant been involved in 

Il Convenuto è stato coinvolto in 

any criminal proceedings?  
__________________________________
__________________________________ 

altri procedimenti penali?  
__________________________________
__________________________________ 

f you answered Yes, is Defendant 
currently on probation or parole?  

_________________________________
__________________________________ 

e ha risposto Sì, il Convenuto è 

attualmente in libertà vigilata o 
condizionale?  
__________________________________
__________________________________ 

.  

(a) 

The facts of the most recent 
incident of sexual violence are as follows:  

(a) 

I dettagli relativi al più 

recente episodio di violenza sessuale sono 
i seguenti:  

pproximate Date: 

ata approssimativa: 

__________________________________ 

__________________________________ 

pproximate Time: 

ra approssimativa: 

__________________________________ 

__________________________________ 

lace: 

uogo: 

__________________________________ 

__________________________________ 

escribe in detail what happened, 

escrivere dettagliatamente cosa è 

including any physical or sexual abuse, 
threats, injury, incidents of stalking, 

successo, compreso qualsiasi abuso fisico 
o sessuale, minacce, lesioni, casi di 

.  

  5

.  

  6

  I

  _

  7

    A

  A

  P

  D

.  

  5

.  

  6

  S

.  

  7

  D

  O

  L

  D

 
 

AOPC PSVI (Italian) 

Created: December 26, 2016 

medical treatment sought, and/or calls to 
law enforcement (attach additional sheets 
of paper if necessary):  
__________________________________
__________________________________ 
__________________________________
__________________________________ 
__________________________________
__________________________________ 

stalking, cure mediche richieste e/o 
chiamate alla polizia (aggiungere ulteriori 
fogli se necessario):  
__________________________________
__________________________________ 
__________________________________
__________________________________ 
__________________________________
__________________________________ 

(b) 

The facts of the most recent 

(b) 

I dettagli relativi al più 

incident of intimidation are as follows: 

recente caso di minacce sono i seguenti: 

pproximate Date: 

ata approssimativa: 

__________________________________ 

__________________________________ 

pproximate Time: 

ra approssimativa: 

__________________________________ 

__________________________________ 

lace: 

uogo: 

__________________________________ 

__________________________________ 

escribe in detail what happened, 

including medical treatment sought, and/or 
calls to law enforcement (attach additional 
sheets of paper if necessary):  
__________________________________
__________________________________ 
__________________________________
__________________________________ 
__________________________________
__________________________________ 

escrivere dettagliatamente cosa è 
successo, comprese le cure mediche 
richieste e/o le chiamate alla polizia 
(aggiungere ulteriori fogli se necessario):  
__________________________________
__________________________________ 
__________________________________
__________________________________ 
__________________________________
__________________________________ 

 If Defendant has committed prior 

Se il Convenuto ha commesso in 

acts of sexual violence or intimidation 
against Plaintiff, describe these prior 
incidents, and indicate approximately 
when such acts occurred (attach additional 
sheets of paper if necessary):  

_________________________________
__________________________________
__________________________________

precedenza degli atti di violenza sessuale 
o minaccia nei confronti dell’Attore, 
descrivere i casi precedenti e indicare in 
modo approssimativo quando si sono 
verificati (allegare ulteriori fogli di carta se 
necessario): 
__________________________________
__________________________________
__________________________________

   

  A

  A

  P

  D

. 

  8

  _

   

  D

  O

  L

  D

. 

  8

 
 

AOPC PSVI (Italian) 

Created: December 26, 2016 

.  

  9

  1

  P

   

__________________________________
__________________________________
__________________________________ 

__________________________________
__________________________________
__________________________________ 

.  

Identify the sheriff, police 
department, or other law enforcement 
agency in the area in which Plaintiff lives 
that should be provided with a copy of the 
protection order: 
__________________________________
__________________________________ 

Identificare lo sceriffo, il 

dipartimento di polizia o altra forza 
dell’ordine della zona in cui vive l’Attore cui 
deve essere inviata una copia dell'ordine 
di protezione: 
__________________________________
__________________________________ 

0.  

Is Plaintiff in immediate and present 

0.   Esiste un pericolo imminente e 

danger from Defendant?  If so, please 
describe: 

_________________________________
__________________________________ 

OR THE REASONS SET FORTH 

ABOVE, I REQUEST THAT THE COURT 
ENTER A TEMPORARY ORDER AND, 
AFTER A HEARING, A FINAL ORDER 
THAT WOULD INCLUDE ALL OF THE 
FOLLOWING RELIEF (CHECK ALL 
FORMS OF RELIEF REQUESTED):  

attuale per l’Attore da parte del 
Convenuto?  In caso affermativo, si prega 
di descriverlo: 
__________________________________
__________________________________ 

ER LE RAGIONI SOPRA INDICATE, SI 
RICHIEDE CHE IL TRIBUNALE EMETTA 
UN ORDINE DI PROTEZIONE 
TEMPORANEO E, ALL'ESITO DI 
UN’UDIENZA, UN ORDINE DEFINITIVO 
CHE INCLUDA TUTTI I SEGUENTI 
PROVVEDIMENTI (CONTRASSEGNARE 
TUTTI I PROVVEDIMENTI RICHIESTI):  

 A.  Restrain Defendant from having any 

contact with the victim, including, but not 
limited to, entering the victim’s residence, 
place of employment, business, or school.  

 A.  Vietare al Convenuto qualsiasi 
contatto con la vittima, compreso, a titolo 
esemplificativo e non esaustivo, l’accesso 
nel luogo di residenza, di lavoro, di affari 
della vittima o nella scuola da questi 
frequentata.  
 

 B.   Prohibit indirect contact through 

 B.   Proibire contatti indiretti tramite 

third parties. 
 

 C.  Prohibit direct or indirect contact 

with other designated persons. 

 C.  Proibire un contatto diretto o 
indiretto con altre persone designate. 

  9

  1

  _

  F

     

     

   

AOPC PSVI (Italian) 

Created: December 26, 2016 

terzi. 
 

   

 
 

 D.   Order Defendant to pay the fees of 

 D.   Ordinare al Convenuto di pagare le 

this action.  

spese della presente azione legale.  

 E.   Order the following additional relief, 

not listed above:  

_________________________________
__________________________________
__________________________________
__________________________________
__________________________________
__________________________________
__________________________________ 

 E.   Ordinare l’emissione dei seguenti 
provvedimenti aggiuntivi, non indicati in 
precedenza: 
__________________________________
__________________________________
__________________________________
__________________________________
__________________________________
__________________________________
__________________________________ 

 F.   Grant such other relief as the court 

deems appropriate, including, but not 
limited to, issuing an order under 42 
Pa.C.S. § 62A11(b) related to the 
non disclosure of the victim's address, 
telephone number, whereabouts or other 
demographic information.  

 F.   Emettere gli altri provvedimenti che 
il Tribunale ritenga appropriati, compresa, 
tra l'altro, l’emissione di un ordine ai sensi 
della norma 42 Pa.C.S. § 62A11(b) 
riguardante la non divulgazione 
dell'indirizzo, del numero di telefono, del 
domicilio o di altra informazione 
demografica della vittima.  
 

 G.   Order the police, sheriff or other law 

 G.   Ordinare alle forze di polizia, allo 

enforcement agency to serve the 
Defendant with a copy of this petition, any 
order issued, and the order for the hearing.  
Plaintiff will inform the designated authority 
of any addresses, other than Defendant’s 
residence, where Defendant can be 
served.  

sceriffo o ad altra forza dell’ordine di 
notificare al Convenuto una copia della 
presente istanza, di tutti gli ordini emessi e 
dell'ordinanza che fissa la data 
dell'udienza. L’Attore deve indicare alle 
autorità designate tutti gli indirizzi, diversi 
dalla residenza, dove può essere eseguita 
la notifica al Convenuto.   

   

  _

   

   

                   

   

   

                 

 
 

AOPC PSVI (Italian) 

Created: December 26, 2016 

VERIFICATION 

CONFERMA 

Confermo che le dichiarazioni 

contenute nella presente istanza sono 
vere e corrette, per quanto di mia 
conoscenza. Sono a conoscenza del fatto 
che le dichiarazioni non vere, sono 
assoggettabili alle sanzioni previste dalla 
norma 18 Pa.C.S. § 4904, in materia di 
false dichiarazioni ad autorità pubbliche. 
 

   

I verify that the statements made in 
this petition are true and correct to the best 
of my knowledge. I understand that false 
statements herein are made subject to the 
penalties of 18 Pa.C.S. § 4904, relating to 
unsworn falsification to authorities. 
 

____________________________________________________________________ 

____________________________________________________________________ 

   

  _

  _

Signature / Firma 

Date / Data 

AOPC PSVI (Italian) 

Created: December 26, 2016

Italian Notice of Hearing and Order, Petition, Temporary Order, Affidavit of Service and the Final Order

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): 7
Fields(s): 169
Average fields per page: 24
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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count was COUNTY_2 (0.37 conf)
plaintif_f_attor_e was PLAINTIFF ATTORE_2 (0.43 conf)
defendan_convenut was DEFENDANT CONVENUTO_2 (0.35 conf)
cas_e was CASE_2 (0.39 conf)
unknown__1 was 1 (0.38 conf)
1_2 was 1_2 (0.38 conf)
plaintiffs_address was Plaintiffs Address (0.42 conf)
indirizzo_dell_attore was Indirizzo dellAttore (0.47 conf)
plaintiffs_date_birth was Plaintiffs Date of Birth (0.44 conf)
data_di_nascita_dell_attore was Data di nascita dellAttore (0.48 conf)
check_box__1 was Check Box4 (0.37 conf)
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check_box__4 was Check Box7 (0.37 conf)
check_box__5 was Check Box8 (0.37 conf)
check_box__6 was Check Box9 (0.37 conf)
check_box__7 was Check Box10 (0.37 conf)
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check_box__11 was Check Box12 (0.37 conf)
check_box__12 was Check Box13 (0.37 conf)
users1_name was Name (1.00 conf)
proprio_nome_e_di_seguito was proprio nome e indirizzo di seguito (0.49 conf)
users1_address_line_one was Address (1.00 conf)
indirizzo was Indirizzo (0.35 conf)
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unknown__2 was 2 (0.38 conf)
2_2 was 2_2 (0.38 conf)
defendants_address__1 was Defendants Address 1 (0.31 conf)
defendants_address__2 was Defendants Address 2 (0.31 conf)
indirizzo_del_convenuto__1 was Indirizzo del Convenuto 1 (0.35 conf)
indirizzo_del_convenuto__2 was Indirizzo del Convenuto 2 (0.35 conf)
users1_birthdate was DOB (1.00 conf)
height was HEIGHT (0.36 conf)
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occhi was OCCHI (0.35 conf)
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patente was PATENTE (0.35 conf)
ex_p_date was EXP DATE (0.32 conf)
users1_address_state was STATE (1.00 conf)
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1_3 was 1_3 (0.38 conf)
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norma_pa_c_b__1 was norma 42 PaCS 62A07b1 1 (0.38 conf)
norma_pa_c_b__2 was norma 42 PaCS 62A07b1 2 (0.38 conf)
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place__1 was Place (0.32 conf)
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paper_necessary__3 was of paper if necessary 3 (0.32 conf)
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fogli_se_necessario__4 was fogli se necessario 4 (0.47 conf)
fogli_se_necessario__5 was fogli se necessario 5 (0.47 conf)
fogli_se_necessario__6 was fogli se necessario 6 (0.47 conf)
approximate_date__2 was Approximate Date_2 (0.36 conf)
data_approssimativa__2 was Data approssimativa_2 (0.22 conf)
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ora_approssimativa__2 was Ora approssimativa_2 (0.42 conf)
place__2 was Place_2 (0.39 conf)
luogo__2 was Luogo_2 (0.38 conf)
sheets_paper_necessary__1 was sheets of paper if necessary 1 (0.31 conf)
sheets_paper_necessary__2 was sheets of paper if necessary 2 (0.31 conf)
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sheets_paper_necessary__6 was sheets of paper if necessary 6 (0.31 conf)
aggiungere_ulteriori_necessario__1 was aggiungere ulteriori fogli se necessario 1 (0.47 conf)
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aggiungere_ulteriori_necessario__5 was aggiungere ulteriori fogli se necessario 5 (0.47 conf)
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sheets_paper_necessary__9 was sheets of paper if necessary 3_2 (0.29 conf)
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1_4 was 1_4 (0.38 conf)
2_4 was 2_4 (0.38 conf)
unknown__3 was 3 (0.38 conf)
1_5 was 1_5 (0.38 conf)
2_5 was 2_5 (0.38 conf)
3_2 was 3_2 (0.38 conf)
protection_order__1 was protection order 1 (0.34 conf)
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di_protezione__1 was di protezione 1 (0.39 conf)
di_protezione__2 was di protezione 2 (0.39 conf)
describe__1 was describe 1 (0.45 conf)
describe__2 was describe 2 (0.45 conf)
di_descriverlo__1 was di descriverlo 1 (0.39 conf)
di_descriverlo__2 was di descriverlo 2 (0.39 conf)
check_box__13 was Check Box14 (0.37 conf)
check_box__14 was Check Box15 (0.37 conf)
check_box__15 was Check Box16 (0.37 conf)
check_box__16 was Check Box17 (0.37 conf)
check_box__17 was Check Box18 (0.37 conf)
check_box__18 was Check Box19 (0.37 conf)
listed__1 was not listed above 1 (0.36 conf)
listed__2 was not listed above 2 (0.36 conf)
listed__3 was not listed above 3 (0.36 conf)
listed__4 was not listed above 4 (0.36 conf)
listed__5 was not listed above 5 (0.36 conf)
listed__6 was not listed above 6 (0.36 conf)
listed__7 was not listed above 7 (0.36 conf)
precedenza__1 was precedenza 1 (0.42 conf)
precedenza__2 was precedenza 2 (0.42 conf)
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precedenza__6 was precedenza 6 (0.42 conf)
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check_box__19 was Check Box20 (0.37 conf)
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check_box__24 was Check Box25 (0.37 conf)
check_box__25 was Check Box26 (0.37 conf)
check_box__26 was Check Box27 (0.37 conf)
date_data was Date Data_2 (0.27 conf)
text was Text12 (0.35 conf)

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

Suggested Screen 0:

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

Italian Notice of Hearing and Order, Petition, Temporary Order, Affidavit of Service and the Final Order

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