Petition For Emergency Special Relief (Family Court) Download Free Print-Only PDF OR Purchase Interactive PDF Version of this Form. Petition For Emergency Special Relief (Family Court) Form. This is a Pennsylvania form and can be use in Lackawanna Local County.. Line 3. Circle whether a custody complaint or petition to modify has or has not been filed along with this petition for special relief. Line 4. Fill in the child(ren) information on the Confidential Information Form first column. (204 Pa.Code § 213.81) Line 5. Describe the events and/or situation that you believe present immediate safety

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special permission. b. Directions on how to serve the other party are attached. (Pa. R.C.P. No. 440). 6. Have the other party's phone number with you to provide to the Court. 7. IN ADDITION TO THE EMERGENCY PETITION, YOU MUST ALSO FILE --- • a custody complaint if you DO NOT have an existing Custody order. PETITION FOR EMERGENCY RELIEF - CUSTODY 1. Petitioner (name) _____. Note: Pennsylvania's custody law does not use the word visitation. Partial physical custody,. educational and special needs of the child. (11) The proximity of the residences of the parties. (12) Each party's availability to care for the child or ability to make.