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. Affidavit AI Certification Fillable (PDF)
  3. Agreement to Revive (PDF)
  4. Appearance (PDF)
  5. Appearance and Withdrawal (PDF)
  6. Butler County Civil Cover Sheet (PDF)
  7. CERTIFICATE OF COMPLIANCE (PDF)
  8. Confidential Document Form (PDF)
  9. Confidential Information Form (PDF)
  10. Drivers License Suspension Appeal (PDF)
  1. Information and address update form (PDF)
  2. Join an Additional Defendant (PDF)
  3. Minor Name Change Form (PDF)
  4. Civil Motions Court Cover Sheet (PDF)
  5. Praecipe for Reference to Arbitrators (PDF)
  6. Praecipe for Re-Issue or Re-Instate (PDF)
  7. Praecipe for Writ of Execution (PDF)
  8. Praecipe for Writ of Revival (PDF)
  9. 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 Credit Conciliation Conference (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. Wage Attachment Residential Leasehold 2025 (PDF)
  9. 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 AI Certification Fillable (PDF)
  5. Affidavit of Service Personal Service Divorce (PDF)
  6. Affidavit of Service by certified mail Divorce (PDF)
  7. Affidavit of Consent (PDF)
  1. Confidential Document Form (PDF)
  2. Confidential Information Form (PDF)
  3. Family Court Motions Court Procedures 2026 (PDF)
  4. Family-Court-Motions Cover Sheet 2026 (PDF)
  5. Information and address update form (PDF)
  6. Notice of Intention to Resume Prior Surname/Maiden Name (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)
  6. Praecipe to Reinstate Divorce Complaint (PDF

FAMILY COURT - CUSTODY

  1. Custody Complaint packet (PDF)
  2. Custody Modification packet (PDF)
  3. Custody Contempt packet (PDF)
  4. Affidavit of Service Personal Service Custody (PDF)
  5. Affidavit of Service by certified mail (PDF)
  6. Confidential Document Form (PDF)
  7. Confidential Information Form (PDF)
  1. Criminal Record Affidavit (PDF)
  2. Counter-Affidavit Regarding Relocation (PDF)
  3. Evaluation Certification of Compliance (PDF)
  4. Family Court Motions Court Procedures 2026 (PDF)
  5. Family-Court-Motions Cover Sheet 2026 (PDF)
  6. Information and address update form (PDF)
  1. Motions Court Procedures - Family Court (PDF)
  2. Notice of Proposed Relocation WIthout Court Case (PDF)
  3. Pro Se Petition to Proceed Informa Pauperis (PDF)
  4. Self-represented party entry of appearance/remove attorney (PDF)
  5. Acceptance of Service - Custody (PDF)
  6. Affidavit AI Certification Fillable (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 from MDJ decision (PDF)
  1. Money Judgment appeal packet from MDJ decision (PDF)
  2. Notice of Appeal with Proof of Service form (PDF)
  1. Petition to Proceed In Forma Pauperis (PDF)
  2. Affidavit AI Certification Fillable (PDF)