Local Forms

The following local forms are available for download. These forms require Adobe Acrobat Reader software to view and complete.

Name Number Category Revision Date
Abstract of Judgment
PJR-002
Civil
4/5
Agreed Protective Order (LR Civ P 26.4)
 
Forms Referenced in the Local Rules
11/10
Application for Post–Judgment Remedies
PJR-015
Civil
2/12
Application to Proceed Without Prepayment of Fees and Costs (LR Civ P 3.5) 
 
Forms Referenced in the Local Rules
1/5
Arraignment Order and Standard Discovery Requests (LR Cr P 16.1) 
 
Attorney Forms
6/8
Attorney Registration Form for E-mail Notification Only
 
Attorney Forms
6/8
Certificate of Service (Documents Presented to the Clerk for Filing and Uploading to CM/ECF) 
CIV-010
Civil
4/5
Certificate of Service for Electronically Filed Documents 
CIV-011
Civil
4/5
Complaint for Review of the Decision of the Commissioner of Social Security (LR Civ P 9.2) 
CIV-013
Civil
3/13
Consent to Jurisdiction by a Magistrate Judge (LR Civ P 73.1)
ATTY-005
Forms Referenced in the Local Rules
7/5
Disclosure of Corporate Affiliations and Financial Interest
ATTY-010
Forms Referenced in the Local Rules
12/6
Electronic Case Filing System Attorney Registration Form
 
Attorney Forms
11/12
Electronic Case Filing System Attorney Registration Form (MDL)
 
Multidistrict Litigation
2/14
Exhibit List - Civil (LR Civ P 79.1) ;
CRT-001
Forms Referenced in the Local Rules
9/10
Exhibit List - Criminal (LR Civ P 55.1) 
CRT-002
Forms Referenced in the Local Rules
9/10
Form Seeking Advance Authorization for Investigative, Expert, or Other Services Exceeding $800 (CJA-002) 
CJA-002
Criminal Justice Act
2/12
MDL Video Conference Registration Form
 
Multidistrict Litigation
8/12
Notice of Appeal 
APP-001
Other Forms
11/7
Notice of Attorney Appearance and Counsel Contact Information Form (MDL)
 
Multidistrict Litigation
2/14
Notice of Certification for Use of Courtroom Technology (LR Civ P 7.1[a][10] or LR Cr P 12.1[e]) 
ATTY-009
Forms Referenced in the Local Rules
7/13
Notice of Change of Attorney Information
ATTY-006
Attorney Forms
4/9
Notice of Intent to Request Redaction of Personal Identifiers 
CIV-023
Civil
5/8
Notice of Nomination of Mediator (LR Civ P 16.6.2) 
MED-001
Civil
2/13
Notice of Request of Attorney to be Removed from the Court’s Service List Form (MDL)
 
Multidistrict Litigation
2/14
Notice of Service under Delayed Filing Agreement (MDL 2187)
 
Multidistrict Litigation
9/13
Notice of Service under Delayed Filing Agreement (MDL 2325)
 
Multidistrict Litigation
9/13
Notice of Service under Delayed Filing Agreement (MDL 2326)
 
Multidistrict Litigation
9/13
Notice of Service under Delayed Filing Agreement (MDL 2327)
 
Multidistrict Litigation
9/13
Order and Notice (LR Civ P 16.1) 
CRT-005
Forms Referenced in the Local Rules
8/6
Order Appointing Mediator (LR Civ P 16.6.3) 
MED-002
Forms Referenced in the Local Rules
12/9
Proposed Order and Notice Allowing the Plaintiff to Proceed Without Prepayment of Costs and Fees in a Social Security Case
CRT-007
Civil
3/13
Report of Parties' Planning Meeting 
ATTY-003
Forms Referenced in the Local Rules
2/7
Request for Redaction of Personal Identifiers 
CIV-021
Civil
10/10
Request for Transcript from an Electronic Recording or for Purchasing a Copy of an Audio Tape or CD 
ATTY-010
Criminal Justice Act Forms
1/12
Statement of Visiting Attorney and Designation of Local Counsel (LR Civ P 83.6 or LR Cr P 44.6)
ATTY-001
Forms Referenced in the Local Rules
3/11
Statement of Visiting Attorney and Designation of Local Counsel for Bankruptcy Matters
 
Other Forms
2/1
Summons in a Civil Action (for an Amended Complaint)
AO 440
Civil
12/9
Summons in a Social Security Case
CIV-009
Civil
6/12
Summons on an Amended Third-Party Complaint
AO 441
Civil
12/9
Worksheet for Report of Parties' Planning Meeting (LR Civ P 16.1) 
ATTY-004
Forms Referenced in the Local Rules
12/9
Writ of Execution
PJR-003
Civil
6/10
Writ of Possession
PJR-012
Civil
12/10