AOC-858 Doc. Code: PBC Rev. 6-17 Page 1 of 1 Commonwealth of ... 2026

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  1. Click ‘Get Form’ to open it in the editor.
  2. Begin by entering the Court name and County in the designated fields at the top of the form.
  3. Fill in the Division and Case Number accurately, as this information is crucial for court records.
  4. In the Respondent/Defendant section, print their First, Middle, and Last names clearly.
  5. Provide any known aliases under 'Also known as' to ensure proper identification.
  6. Complete the address fields with both street and mailing addresses for effective communication.
  7. Fill out the Respondent's/Defendant's Identifiers including Sex, Race, Date of Birth, Height, Weight, Eye Color, Hair Color, Social Security Number, and Driver's License Number along with State.
  8. Review all entered information for accuracy before signing and dating the form at the bottom.

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