The following will be required: 1. A completed request form (see next page);. 2.It may take up to 12 weeks for your request to be completed. If approved, an invoice for payment will be issued. System of Pennsylvania that require filing confidential information and documents differently than nonconfidential information and documents. By signing this form, you allow us to share your protected health information (PHI) with the persons and organizations you put on this form. You will need one copy of the civil complaint with original signature for the magisterial district judge. These forms are provided in a fillable PDF format, which allows you to enter data directly into the form using your computer and Adobe Acrobat Reader. Step 2: Pay online -or- complete credit card authorization form. Note: Order forms include credit card authorization form.