Applying for a Public Defender (Domestics Division)
Delaware County, Pennsylvania
Hearing Type
*
PFA Violation
Child Support Contempt
Hearing Date
-
Month
-
Day
Year
Date
Name
*
First Name
Last Name
Date of Birth
-
Month
-
Day
Year
Date
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Email
*
Confirmation Email
Employment & Assets
Detail your employment, income and asset information.
Are you currently employed?
*
Yes
No
Employed By
Hours per Week
When was the last time you worked?
For whom?
Weekly Income
Do you receive:
Unemployment
Social Security
Cash Assistance
Food Stamps
Medical Assistance
Unemployment Amount
*
Social Security Amount
*
Cash Assistance Amount
*
Food Stamps Amount
*
Medical Assistance Amount
*
Do you own or rent?
Own
Rent
Monthly Mortgage
Monthly Rent
Do you own a car?
Yes
No
Vehicle Year
Vehicle Make
Other Assets
Monthly Bills
How much do you spend on the following:
Phone
Gas/Electric
Water
Other
Food
If you're not working, how do you pay bills?
PFA Order Issue Date
-
Month
-
Day
Year
Date
For How Long?
Relationship to person who filed PFA
Do you have criminal charges for this contempt?
Yes
No
If yes, when is your preliminary hearing date?
-
Month
-
Day
Year
Date
Judge
Please Select
Judge Burns
Judge Coleman
Judge Culp
Judge Davis
Judge Dawson
Judge DiPillo
Judge Duerr
Judge Forbes
Judge Gallard
Judge Garner
Judge Goldberg
Judge Griffin
Judge Grimes
Judge Holefelder
Judge Hopper
Judge Johns
Judge Karapalides
Judge Lang
Judge Mattox
Judge Merkins
Judge Micozzie-Aguirre
Judge Roberts
Judge Sandone
Judge Strohl
Judge Stone
Judge Vann
Judge Walker
Judge Williams
Affidavit
Read the affidavit carefully and sign below.
I understand the Public Defender provides free legal assistance to people who cannot afford an attorney with criminal charges against them in Delaware County.
*
Yes
No
I affirm that I cannot afford to hire an attorney to represent me in my criminal case.
*
Yes
No
Confirmation Signature
*
Please verify that you are human
*
Submit Application
Should be Empty: