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. Rule L-1143 Commencement of Consumer Credit or Mortgage Foreclosure Action (PDF)
  2. Request for Credit Conciliation Conference (PDF)
  3. Agreement to Revive (PDF)
  4. Appearance (PDF)
  5. Appearance and Withdrawal (PDF)
  6. Attorney Referral List (PDF)
  7. Butler County Civil Cover Sheet (PDF)
  8. CERTIFICATE OF COMPLIANCE (PDF)
  9. Civil Motions Court Cover Sheet (PDF)
  10. Confidential Document Form (PDF)
  1. Confidential Information Form (PDF)
  2. Drivers License Suspension Appeal (PDF)
  3. Join an Additional Defendant (PDF)
  4. How to Appeal From Magisterial District Court (PDF)
  5. Notice of Appeal from MDJ Judgment (PDF)
  6. Praecipe for Reference to Arbitrators (PDF)
  7. Praecipe for Re-Issue or Re-Instate (PDF)
  8. Praecipe for Writ of Execution (PDF)
  9. Praecipe for Writ of Revival (PDF)
  10. Praecipe for Writ of Summons (PDF)
  1. Praecipe to Discontinue (PDF)
  2. Praecipe to Satisfy (PDF)
  3. Pro Se Petition to Proceed Informa Pauperis (PDF)
  4. Request for Subpoena (PDF)
  5. Statement of Intention to Proceed (PDF)
  6. Supreme Court Cover Sheet (PDF)
  7. Withdrawal of appearance (PDF)
  8. Minor Name Change Form (PDF)
  9. Adult Name Change Form (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 personal service (PDF)
  5. Affidavit of Consent (PDF)
  1. Vital Statistics (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)
  1. Self-represented party entry of appearance/remove attorney (PDF)
  2. Confidential Document Form (PDF)
  3. Praecipe to Transmit Record (PDF)
  4. 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 Contempt (Self-Represented) (PDF)
  3. Custody Modification (Self-Represented) (PDF)
  4. Pro Se Petition to Proceed Informa Pauperis (PDF)
  1. Confidential Document Form (PDF)
  2. Confidential Information Form (PDF)
  3. Criminal Record Abuse History Verification Form (PDF)
  4. Affidavit of personal service (PDF)
  1. Family-Court-Motions Cover Sheet (PDF)
  2. Self-represented party entry of appearance/remove attorney (PDF)
  3. Evaluation Certification of Compliance (PDF)