Forms

The forms on this page are available to the public for downloading and/or printing. All completed forms should be filled out in        BLUE INK and returned to the Prothonotary’s Office for filing. Misuse or incorrect use of these forms is the sole responsibility of the person(s) filling them out. If you need assistance, contact the Prothonotary’s Office or an attorney.

CIVIL COURT:

  1. Adult Name Change Form (PDF)
  2. Agreement to Revive (PDF)
  3. Appearance (PDF)
  4. Appearance and Withdrawal (PDF)
  5. Attorney Referral List (PDF)
  6. Butler County Civil Cover Sheet (PDF)
  7. Civil Motions Court Cover Sheet (PDF)
  8. Confidential Document Form (PDF)
  9. Confidential Information Form (PDF)
  1. Drivers License Suspension Appeal (PDF)
  2. Join an Additional Defendant (PDF)
  3. Minor Name Change Form (PDF)
  4. Praecipe for Reference to Arbitrators (PDF)
  5. Praecipe for Re-Issue or Re-Instate (PDF)
  6. Praecipe for Writ of Execution (PDF)
  7. Praecipe for Writ of Revival (PDF)
  8. Praecipe for Writ of Summons (PDF)
  9. Praecipe to Discontinue (PDF)
  1. Praecipe to Satisfy (PDF)
  2. Pro Se Petition to Proceed Informa Pauperis (PDF)
  3. Request for Credit Conciliation Conference (PDF)
  4. Request for Subpoena (PDF)
  5. Rule L-1143 Commencement of Consumer Credit or Mortgage Foreclosure Action (PDF)
  6. Statement of Intention to Proceed (PDF)
  7. Supreme Court Cover Sheet (PDF)
  8. Withdrawal of appearance (PDF)

FAMILY COURT - DIVORCE:

  1. Divorce Packet Self-Represented (PDF)
  2. Pro Se Petition to Proceed Informa Pauperis (PDF)
  3. Acceptance of Service (PDF)
  4. Affidavit of Service Personal Service Divorce (PDF)
  5. Affidavit of Service by certified mail Divorce (PDF)
  6. Affidavit of Consent (PDF)
  1. Confidential Document Form (PDF)
  2. Confidential Information Form (PDF)
  3. Family Court Motions Practice (PDF)
  4. Family-Court-Motions Cover Sheet (PDF)
  5. Notice of Intention to Resume Prior Surname/Maiden Name (PDF)
  6. Praecipe to Reinstate Divorce Complaint (PDF)
  1. Praecipe to Transmit Record (PDF)
  2. Self-represented party entry of appearance/remove attorney (PDF)
  3. Statement of Intention to Proceed (PDF)
  4. Vital Statistics (PDF)
  5. Waiver of Notice of Intention to File the Praecipe to Transmit the Record (PDF)

FAMILY COURT - CUSTODY

  1. Custody Complaint (Self-Represented) (PDF)
  2. Custody Modification (Self-Represented) (PDF)
  3. Custody Contempt (Self-Represented) (PDF)
  4. Acceptance of Service - Custody (PDF)
  5. Affidavit of Service Personal Service Custody (PDF)
  1. Affidavit of Service by certified mail (PDF)
  2. Confidential Document Form (PDF)
  3. Confidential Information Form (PDF)
  4. Criminal Record Abuse History Verification Form (PDF)
  1. Evaluation Certification of Compliance (PDF)
  2. Family-Court-Motions Cover Sheet (PDF)
  3. Pro Se Petition to Proceed Informa Pauperis (PDF)
  4. Self-represented party entry of appearance/remove attorney (PDF)

MAGISTRATE JUDGMENT APPEALS and MDJ LANDLORD/TENANT APPEALS

  1. How to Appeal from Magisterial District Court from Neighborhood Legal Services (PDF)
  2. Landlord/Tenant Appeal Packet for Self-Represented Litigants (PDF)
  1. Money Judgment Appeal from MDJ decision packet for self-represented litigants (PDF)
  2. Notice of Appeal with Proof of Service form (PDF)
  1. Petition to Proceed In Forma Pauperis (PDF)