See CCRCP 1905.A.(d): form req'd by CCRCP 1901.5.A.(e)
NOTICE OF HEARING TO DEFENDANT
(Name of Defendant)
You have been charged with Indirect Criminal Contempt for an alleged Violation of a Protection From Abuse Order. A hearing has been scheduled in the Chester County Justice Center, 201 West Market Street, West Chester, Pennsylvania, on the_______day of ______________, 20_____. The hearing will be held in Courtroom No. ______at 10:30 a.m. FAILURE TO APPEAR AT THIS HEARING WILL RESULT IN THE ISSUANCE OF A WARRANT FOR YOUR ARREST.
If you are found guilty of Indirect Criminal Contempt, you may be sentenced to prison for up to six (6) months and fined up to $1,000.00 for each offense. You should be represented by a lawyer at this hearing. If you do not have a lawyer you may call the Chester County Public Defender's Office at the Justice Center, 201 West Market St, second floor, West Chester, Pennsylvania, (610) 344-6940, any business day between 8:30 a.m. and 4:30 p.m. IF YOU WANT A PUBLIC DEFENDER, APPLY IMMEDIATELY UPON RECEIPT OF THIS NOTICE.
VERIFICATION
I, ________________________, of _________________________ (Dist. Ct./Police/other), do hereby verify that the above notice was served upon _________________________________________________________(Defendant) on the ____________ day of ________________, 20_____, at ____________(a.m./p.m.).
This service was made at _____________________________________________________________ (location of service)
________________________________________
(Signature and Title of Server)
Chest. Cnty. Ct. Comm. Plea. R., form 5