Note: In particular, the Court should be informed of the following:
(CAPTION)
Praecipe to Proceed in Forma Pauperis
To the Prothonotary: Kindly allow {Plaintiff's/Defendant's Name}, the Plaintiff/Defendant, to proceed In Forma Pauperis.
I, {Attorney's Name}, attorney for the party proceeding In Forma Pauperis, certify that I believe the party is unable to pay the costs and that I am providing free legal services or reduced-fee legal services to the party pursuant to the Reduced-Fee or Pro Bono Referral Programs of Neighborhood Legal Services Association. The party's Certificate of Eligibility prepared by Neighborhood Legal Services Association is attached hereto.
_________________ Name of Attorney for {Plaintiff/Defendant}
Address
Telephone Number
Supreme Court ID Number
(Caption)
Praecipe for Entry of Limited Appearance
To the Prothonotary: Kindly enter my Limited Appearance for {Plaintiff's/Defendant's Name}, the Plaintiff/Defendant, in the above-captioned matter. This Appearance is limited to providing representation {on the filed on behalf of this party/at the Custody Conference scheduled in this matter for [date of Conference]}.
_________________ Name of Attorney for {Plaintiff/Defendant}
Address
Telephone Number
Supreme Court ID Number
(Caption)
Praecipe for Withdrawal of Limited Appearance Pursuant to LR1915b
To the Prothonotary: Kindly withdraw my Limited Appearance for {Plaintiff's/Defendant's Name}, the Plaintiff/Defendant, in the above-captioned matter. All future notices should be sent directly to {Plaintiff's/Defendant's Name}, the Plaintiff/Defendant, at {set forth last-known address for this party}.
_________________ Name of Attorney for {Plaintiff/Defendant}
Address
Telephone Number
Supreme Court ID Number
Beav. Cnty. Pa. 1915