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Arts & Culture
 Courthouse Use Form
Overview: Arts & Culture Form
Date: 6/7/2010

 Indemnification Agreement
Overview: Include with Courthouse Use Form
Date: 6/7/2010

Assessor's Office
 Commercial Appeal
Overview: Assessor's Office Form
Date: 3/31/2010

 Exemption Appeal
Overview: Assessor's Office Form
Date: 3/31/2010

 General Appeals Rules
Overview: Genereal Appeals Rules
Date: 1/1/2005

 Mailing Address Change Form
Overview: Notifies the County if you move.
Date: 1/1/2005

 Residential Appeal
Overview: Assessor's Office Form
Date: 3/31/2010

Clerk of Judicial Records
 Agreement to Revive
Overview: Clerk of Judicial Records Form
Date: 3/10/2008

 Application for Continuance
Overview: Clerk of Judicial Records Form
Date: 3/10/2008

 Certificate for Judgment Note
Overview: Clerk of Judical Records Form
Date: 6/29/2007

 Certificate of Motor Vehicle Judgment
Overview: Clerk of Judical Records Form
Date: 6/29/2007

 Certificate of Readiness Civil Trial Listing Action
Overview: Clerk of Judicial Records Form
Date: 3/10/2008

 Civil Cover Sheet
Overview: FAMILY COURT ONLY
Date: 6/29/2007

 New Statewide Civil Cover Sheet
Overview: NOT TO BE USED FOR FAMILY COURT
Date: 5/24/2010

 Notice for Demand of Jury Trial
Overview: Clerk of Judical Records Form
Date: 3/11/2008

 Notice of Appeal from Award of Board of Arbitrators
Overview: Clerk of Judicial Records Form
Date: 5/6/2008

 Notice to Retake Maiden Name
Overview: Clerk of Judicial Records Form
Date: 4/28/2008

 Petition for Appeal from Suspension of Motor Operating Privlege/Denial of Drivers License/Suspension of Motor Vehicle Registration
Overview: Clerk of Judicial Records Form
Date: 6/15/2009

 Petition for Certificate of Title to a Motor Vehicle
Overview: Clerk of Judical Records Form
Date: 6/15/2009

 Praecipe and Power of Attorney for Satisfaction and/or Termination
Overview: Clerk of Judicial Records Form
Date: 3/6/2008

 Praecipe for Assignment
Overview: Clerk of Judical Records Form
Date: 6/29/2007

 Praecipe for Summons
Overview: Clerk of Judicial Records Form
Date: 5/31/2007

 Praecipe For Writ of Execution (Money Judgments)
Overview: Clerk of Judicial Records Form
Date: 5/12/2010

 Praecipe for Writ of Execution (Mortgage Foreclosure)
Overview: Clerk of Judicial Records Form
Date: 5/31/2007

 Praecipe for Writ of Possession
Overview: Clerk of Judicial Records Form
Date: 5/31/2007

 Praecipe for Writ of Revival
Overview: Clerk of Judicial Records Form
Date: 5/31/2007

 Praecipe to Reissue/Reinstate for Writ and Writ of Summons/Complaint
Overview: Civil Judicial Form
Date: 3/4/2008

 Praecipe to Transmit Record
Overview: Clerk of Judicial Records Form
Date: 3/10/2008

 Vital Records
Overview: Clerk of Judical Records Form
Date: 6/29/2007

 Writ of Execution (Money Judgments)
Overview: Clerk of Judicial Records Form
Date: 6/29/2010

 Writ of Execution (Mortgage Foreclosure)
Overview: Clerk of Judicial Records Form
Date: 5/31/2007

 Writ of Possession
Overview: Clerk of Judicial Records Form
Date: 5/31/2007

Communications Office
 Right To Know Request Form
Overview: Communications Office Form
Date: 1/26/2010

Court Administrator's Office
 Petition For Name Change
Overview: Forms for Common Pleas Courts
Date: 3/17/2010

 Request for Transcript
Overview: For use by Court Reporters
Date: 3/19/2009

Emergency Services
 Article Worksheet
Overview: This form must be completed to report stolen property other than vehicles or guns into NCIC
Date: 2/10/2006

 Audio Recording Request Form
Overview: FOR OFFICIAL USE ONLY...Submit to receive audio recording of either radio transmission or telephone recording of a 911 call
Date: 2/9/2006

 CLEAN NCIC Criminal History Worksheet
Overview: This form must be completed to request a criminal history report
Date: 2/10/2006

 CLEAN Validation Report
Overview: For Police Officials only Must be completed and submitted to the dispatch center TAC Officer each month to VALIDATE (update) entered records of the Submitting Agency
Date: 2/9/2006

 Criminal History Request Log
Overview: For Police Officials only Must be completed kept on file at the requesting agency
Date: 2/9/2006

 Missing Person Declaration
Overview: For Police Officials only Must be completed and submitted to the dispatch center along with a MISSING PERSON CLEAN/NCIC ENTRY WORKSHEET prior to an entry of a missing person in to CLEAN/NCIC
Date: 2/9/2006

 Missing Person Entry Worksheet
Overview: For Police Officials only Must be completed and submitted to the dispatch center along with a MISSING PERSON DECLARATION prior to an entry of a missing person to CLEAN/NCIC
Date: 2/9/2006

 Run Card Worksheet
Overview: For Fire or EMS Officials only To be completed by Fire/EMS Agency Head for submitting changes or updating Response Information to be used in the Computer Aided Dispatch (CAD) System.
Date: 2/9/2006

 Stolen Gun Entry Worksheet
Overview: For Police Officials only Must be completed and submitted to the dispatch center prior to an entry into CLEAN/NCIC
Date: 2/9/2006

 Stolen Vehicle Entry Worksheet
Overview: For Police Officials onlyMust be completed and submitted to the dispatch center before entry into the CLEAN/NCIC System
Date: 2/9/2006

 Wanted Person Entry Worksheet
Overview: For Police Officials onlyMust be completed and submitted to dispatch center prior to any entry of a wanted person in to the CLEAN/NCIC System
Date: 2/9/2006

Family Court
 Application For Continuance For Family Court
Overview: Family Court Form
Date: 7/3/2008

 Forma Pauperis Petition
Overview: Family Court Form
Date: 7/7/2008

 Notice of Hearing and Order
Overview: Family Court Form
Date: 7/3/2008

 Petition For Contempt
Overview: Family Court Form
Date: 7/3/2008

 Petition For Custody
Overview: Family Court Form
Date: 7/3/2008

 Petition For Emergency Special Relief
Overview: Family Court Form
Date: 7/3/2008

 Praecipe For Assignment
Overview: Family Court Form
Date: 7/3/2008

Human Resources
 Employment Application
Overview: Use this form to apply for a job with Lackawanna County.
Date: 2/2/2009

Marriage License
 Application for birth and death records
Overview: Marriage License Form
Date: 5/17/2006

 Appostille request
Overview: Marriage License Form
Date: 5/17/2006

 District Judges
Overview: Marriage License Form
Date: 5/17/2006

 genealogy search
Overview: Marriage License Form
Date: 5/17/2006

 Request for Certified Copy of a Marriage License
Overview: Marriage License Form
Date: 5/17/2006

Orphans' Court
 2010 Orphans Court Calendar
Overview: Orphans' Court Form
Date: 7/1/2009

 2011 Orphans Court Calendar
Overview: Orphans' Court Form
Date: 7/1/2009

 Accounting/Audit Check List
Overview: Orphans' Court Form
Date: 7/6/2009

 Adoption Fee Waiver
Overview: Orphans' Court Form
Date: 7/6/2009

 Adoption Petition to Release Identifying Information
Overview: Orphans' Court Form
Date: 3/5/2010

 Adoption Petition to Release Non-Identifying or Limited Information
Overview: Orphans' Court Form
Date: 3/5/2010

 Adoption Report of Intermediary
Overview: Orphans' Court Form
Date: 7/13/2009

 Annual Report – Guardian of Estate
Overview: Orphans' Court Form
Date: 7/1/2009

 Annual Report – Guardian of Person
Overview: Orphans' Court Form
Date: 7/1/2009

 Consent to Adopt a Child Under the Age of Eighteen
Overview: Orphans' Court Form
Date: 7/13/2009

 Foreign Adoption Filing Instructions
Overview: Orphans' Court Form
Date: 7/1/2009

 Foreign Adoption Final Decree Declined
Overview: Orphans' Court Form
Date: 7/1/2009

 Foreign Adoption Final Decree Granted
Overview: Orphans' Court Form
Date: 7/1/2009

 Foreign Adoption Verification
Overview: Orphans' Court Form
Date: 7/1/2009

 Guardian’s Inventory
Overview: Orphans' Court Form
Date: 7/1/2009

 Important Notice: Citation with Notice
Overview: Orphans' Court Form
Date: 7/1/2009

 Instructions to Request Adoption Information
Overview: Orphans' Court Form
Date: 4/7/2010

 Notice of Charitable Gift
Overview: Orphans' Court Form
Date: 7/1/2009

 Notice of Claim
Overview: Orphans' Court Form
Date: 7/1/2009

 Notification of Mental Health Commitment
Overview: Orphans' Court Form
Date: 7/16/2009

 PA Child Abuse History Clearance Form
Overview: Orphans' Court Form
Date: 7/13/2009

 Petition for Adjudication - Guardian of Estate of Incapacitated Person
Overview: Orphans'' Court Form
Date: 7/1/2009

 Petition for Adjudication - Guardian of Estate of Minor
Overview: Orphans' Court Form
Date: 7/1/2009

 Petition for Adjudication – Decedent’s Estate
Overview: Orphans' Court Form
Date: 7/1/2009

 Petition for Adjudication – Principal’s Estate (Under Power of Attorney)
Overview: Orphans' Court Form
Date: 7/1/2009

 Petition for Adjudication – Trust
Overview: Orphans' Court Form
Date: 7/1/2009

 Petition for Adoption
Overview: Orphans' Court Form
Date: 7/6/2009

 Petition for Foreign Adoption Decree
Overview: Orphans' Court Form
Date: 7/1/2009

 Petition to Adopt a Child Under the Age of Eighteen
Overview: Orphans' Court Form
Date: 7/13/2009

 Register of Wills/Clerk of Orphans’ Court Fee Schedule – Effective December 8, 2009
Overview: Orphans' Court Form
Date: 12/8/2009

 Request for Criminal Record Check
Overview: Orphans' Court Form
Date: 7/14/2009

Recorder of Deeds
 Realty Transfer Tax Statement of Value
Overview: Recorder of Deeds Form
Date: 2/9/2009

Register of Wills
 Application for Birth/Death Records
Overview: Register of Wills Form
Date: 6/19/2008

 Application for Genealogy Search: Wills/Estates
Overview: Register of Wills Form
Date: 6/12/2008

 Application for Marriage License Search
Overview: Register of Wills Form
Date: 6/19/2008

 Certification of Notice Under Pa. O.C. Rule 5.6
Overview: Register of Wills Form
Date: 10/26/2007

 Commission Checklist
Overview: Register of Wills Form
Date: 1/13/2010

 Estate Information Sheet
Overview: Register of Wills Form
Date: 10/26/2007

 Genealogy Information Sheet
Overview: Register of Wills Form
Date: 2/6/2008

 Instructions for Probate
Overview: Register of Wills Form
Date: 2/4/2008

 Notice of Estate Administration
Overview: Register of Wills Form
Date: 8/11/2008

 Oath of Non-subscribing Witness
Overview: Register of Wills Form
Date: 10/26/2007

 Oath of Subscribing Witness
Overview: Register of Wills Form
Date: 10/26/2007

 Oath of Witness to Will Executed by MARK
Overview: Register of Wills Form
Date: 10/26/2007

 Pa. O.C. Rule 6.12 Status Report
Overview: Register of Wills Form
Date: 10/26/2007

 Petition for Probate, Grant of Letters and Oath of Personal Representative
Overview: Register of Wills Form
Date: 10/26/2007

 Pro-Se Affidavit
Overview: Register of Wills Form
Date: 7/1/2009

 Probate Packet
Overview: Register of Wills Forms Packet
Date: 12/9/2009

 Register of Wills/Clerk of Orphans’ Court Fee Schedule – Effective December 8, 2009
Overview: Register of Wills Form
Date: 12/8/2009

 Renunciation
Overview: Register of Wills Form
Date: 10/26/2007

 Timeline For Completion of Estate Administration
Overview: Register of Wills Form
Date: 2/4/2008

Treasurer's Office
 Lifetime Dog License Application and Permanent Identification Verification Form
Overview: Treasurer's Office Form
Date: 3/11/2008

Veterans' Affairs
 Application for Burial Expenses for a Deceased Service Veteran
Overview: Veterans' Affairs Form
Date: 3/28/2008

 Medical Statement for Consideration of Aid & Attendance
Overview: VDVA FORM 10
Date: 3/28/2008

 
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Forms By Department
 Arts & Culture
 Assessor's Office
 Clerk of Judicial Records
 Communications Office
 Court Administrator's Office
 Emergency Services
 Family Court
 Human Resources
 Marriage License
 Orphans' Court
 Recorder of Deeds
 Register of Wills
 Treasurer's Office
 Veterans' Affairs
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