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Motion to Revoke Communication Form
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Motion to Revoke Communications Form
Please fill out the form below to communicate with the Prosecuting Attorney about your case.
Address, City, State Zip
Contact by Text:
Date of Birth
Reply Email Address
This email will be the primary form of communication with the Prosecuting Attorney's Office.
Court Case Number or PA File Number
Any of the above numbers can be used.
Employment: I am currently employed
Street Address, City, State, Zip of Employer
Employer Phone Number
Make Your Request
I am not currently represented by an attorney and I do not presently intend to hire an attorney.
By discussing this case with the prosecutor, I am not waiving my right to an attorney.
I understand that the Prosecuting Attorney's Office is not trying to convince me either to have or not have an attorney.
I agree and understand that no communications between myself and the Prosecutor's Office will be admissible if this matter goes to trial.
I fully understand and agree to these terms.
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