Cumberland County Notification System Consent Form

Cumberland County has implemented an electronic notification system designed to send out automatic electronic reminders of upcoming court dates. These reminders are sent via text message or email and are sent as a courtesy and will not be considered official notice of any upcoming court date. Participation in this system is completely voluntary. If you wish to have these electronic notifications sent to you, you may provide your email address and/or cell phone information. Standard message rates and data charges from your carrier may apply when receiving text messages.

Your cell phone number and personal email addresses are not available to the public.

Mobile number:

Email address:

Current Address

Address 1:

Address 2:

City:

State:

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Zip code:

Are you represented by counsel?

Yes

No

If YES, who is your attorney?

Do you need to receive notifications in a language other than English? If so, please indicate the language and/or dialect here:

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I consent to receipt of text and/or email notification of upcoming court events. This consent will continue for all Cumberland County Court of Common Pleas cases until revoked. You may opt out at any time.

Your name: