(COVER SHEET WITH CAPTION)
Please set forth the general nature and reasons for the appeal.
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Are there any pending or anticipated preliminary objections or motions for judgment on the pleadings in this case? Yes ____ or No ____
If yes, please provide more detail:
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Set forth suggested dates for the following:
The parties shall state reasons, if any, why the case should not be submitted to a hearing officer.
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Beav. Cnty. Pa., form 8000.5A