I hereby certify that all the preceding information is true and correct to the best of my knowledge, information, and belief. I hereby request that a parent advocate attorney be assigned to represent me in Allegheny County Juvenile Court dependency proceedings concerning my child(ren). I understand my responsibility to report to my parent advocate attorney any changes in income or household composition that would affect my eligibility for free legal services. I understand my responsibility to immediately inform my parent advocate attorney of any change in my address or phone number. I understand that if I fire my parent advocate attorney, no other Juvenile Court Project parent advocate attorney will be provided to represent me. I understand that in the event I become incapacitated, the Juvenile Court Project will contact my family (adult children, parents, siblings) and any person(s) I have designated in writing, to notify them of the process of obtaining guardianship of my person. I understand that the Juvenile Court Project will file appeals on my behalf only when the Juvenile Court Project determines there is a meritorious legal basis for appealing. I understand that the Juvenile Court Project will retain my client case file for 5 years from the date of case closure and after such time my client case file will be destroyed and unavailable to me.