Friday, April 19, 2024

 

Forms



Motion Cover Sheet   (Motion cover sheet should be attached to Exceptions and filed in the Domestic Relations Office, 4th floor)

 

Child Care Verification Form

Direct Deposit Form

Entry of Appearance as a Self-Represented Party

Medical Expense Reimbursement Form


                        Medical Expense Reimbursement Policy
                        SAMPLE Medical Expense Reimbursement  Form


Petition to Modify Support

Temporary Payment Coupon



All Forms must be downloaded, completed and mailed or presented to:

Lycoming County Courthouse
Domestic Relations Office
48 West Third Street, 4th Floor
Williamsport, PA 17701

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

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