Form II-30 COURT OF COMMON PLEAS OF ALLEGHENY COUNTY

COURT OF COMMON PLEAS OF ALLEGHENY COUNTY, PENNSYLVANIA
FAMILY DIVISION/ADULT SECTION
INSTRUCTIONS FOR FILING A PETITION TO CONTEST PROFESSIONAL
LICENSE SUSPENSION/REQUEST REINSTATEMENT
1)
If a litigant has contacted the Family Division to contest a professional
license suspension or to request reinstatement, the client may request a hearing
on the issue by preparing a Petition to Contest Professional License
Suspension/Request Reinstatement (“petition”). For assistance in completing
the petition, the client should appear at the 3rd Floor Walk-In Desk, Family Law
Facility, during screening hours (Monday – Thursday, 8:00 a.m. until 2:00 p.m.;
Friday, 8:00 a.m. until 1:00 p.m.; or Wednesday evenings, 4:30 p.m. until 7:00
p.m.) or at one of the Regional Offices (Monday – Friday, 8:00 a.m. until 2:00
p.m.).
2)
A Domestic Relations Officer (DRO) will assist the litigant with completing
the form petition and will obtain a hearing date which will be on the next
professional license hearing date, at least 14 days from the date of preparation of
the petition.
3)
Family Division will serve all parties.
4)
The DRO will make a copy of the Petition and personally serve the
Petitioner while present. The DRO will complete and sign the Notice of Hearing
and Certificate of Service.
5)
Additional copies will be made and distributed as follows:
(1) copy mailed to the plaintiff;
(1) copy to imaging.
6)
Original to be sent to the Docketing Office and a NOTE placed on
PACSES indicating service was made.
Form II-30
IN THE COURT OF COMMON PLEAS OF ALLEGHENY COUNTY, PENNSYLVANIA
FAMILY DIVISION/ADULT SECTION
PACSES CASE ID
Petitioner
vs.
FD#
Respondent
PETITION TO CONTEST
PROFESSIONAL LICENSE
SUSPENSION/REQUEST
REINSTATEMENT
FILED ON BEHALF OF:
NAME:
ADDRESS:
TELEPHONE #
ON THE DAY OF YOUR HEARING, ALL PARTIES MUST REPORT TO
ROOM 4050, FAMILY LAW FACILITY. BRING YOUR COPY OF THE
PETITION WITH YOU TO THE HEARING.
Form II-30
IN THE COURT OF COMMON PLEAS OF ALLEGHENY COUNTY, PENNSYLVANIA
FAMILY DIVISION/ADULT SECTION
PACSES CASE ID
Petitioner
vs.
FD#
Respondent
NOTICE OF HEARING
To: __________________________________________________
PLEASE TAKE NOTICE that Petitioner’s Petition To Contest Professional
License Suspension/Request Reinstatement will be heard by a Hearing Officer at the
Family Law Facility, 440 Ross Street, Pittsburgh, PA on the ________day
of________________________20_____at ____________o’clock __________M.
You should report to Room 4050 of the Family Law Facility to check in for
the hearing.
CERTIFICATE OF SERVICE
I hereby certify that a true and correct copy of the Petition and Notice of
Hearing was served on Plaintiff,
, by
depositing it in the U.S. Mail, first class, postage prepaid on the________day of
, 20______. Defendant was personally served.
Domestic Relations Officer
Form II-30
IN THE COURT OF COMMON PLEAS OF ALLEGHENY COUNTY, PENNSYLVANIA
FAMILY DIVISION/ADULT SECTION
PACSES CASES ID
Petitioner
vs.
FD#
Respondent
PETITION TO CONTEST PROFESSIONAL LICENSE
REVOCATION/REQUEST REINSTATEMENT
I, _____________________________________________ , a Petitioner not
represented by an attorney, request that my professional license not be suspended or
that my professional license be reinstated.
I believe that I am entitled to maintain my professional license because:
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
I verify that the statements made in the Petition are true and correct. I
understand that false statements herein are made subject to the penalties of 18 Pa.
C.S.A. §4904 relating to unsworn falsifications to authorities.
________________________________
Petitioner
Form II-30