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Forms

The Local Forms on this page were modified to meet the requirements of the Western District of Pennsylvania.
Additionally, National Forms are approved for use in the absence of a Local Form.

Nationally approved forms to be used in court filings can be obtained from the Administrative Office of the U.S. Courts website.

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COVID-19 Local Forms
Motion for Sentencing Hearing by Video	April-20
Motion for Change of Plea Hearing by Video	April-20
Motion to Schedule Pre-Plea Presentence Investigation	April-20

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National Forms

http://www.uscourts.gov/services-forms/forms

Application to proceed in District Court without Repaying Fees of Costs (In Forma Pauperis)

Forms related to criminal cases may also be found on the Western District of Pa. Federal Public Defender's website:

http://paw.fd.org/cja-forms.htm

Local Forms

Approved for use in the District of Western Pennsylvania:

ADR Forms - Alternative Dispute Resolution
Notice of Appeal	Aug-09
Civil Cover Sheet (JS 44)  (Instructions included on page 3)	Oct-20
CJA In Court Hourly Worksheet	FPD
CJA Other Expenses Worksheet	FPD
CJA Out-of-Court Hourly Worksheet	FPD
W9	Jan-14
Consent to Jurisdiction by United States Magistrate Judge/District Judge Option    - filed individually by one party
Consent (Joint) to Jursidiction by United States Magistrate Judge/District Judge Option   - only to be used when ALL parties consent	Jun-16
Credit Card Refund ECF Filings	Feb-10
Disclosure Statement - Local Rules Appendix LCvR 7.1.A - Corporate Disclosure Statement	Nov-16
Motion for Sentencing Hearing by Video	April-20
Motion to Vacate, Set Aside or Correct the Sentence under 28 U.S.C. § 2255 By a Person In Federal Custody	Oct-07
Petition Under 28 U.S.C. § 2254 for a Writ of Habeas Corpus By a Person In State Custody	Oct-07
Petition for a Writ of Habeas Corpus Under 28 U.S.C. § 2241	Dec-11
Placeholder for HSD - Non-USAO Filers	Jan-21
Prisoner Civil Rights	Dec-20
Prisoner In Forma Pauperis - Motion and Declaration	Jul-09
Request Redaction of Specific Personal Data Identifiers -Notice of Intent
RICO Case Statement - Local Rules Appendix LCvR 7.1.B - PDF format	Nov-16
Report of the parties - Fed. R. Civ. P. 26(f) - Local Rules Appendix LCvR 16.1.A - PDF format - MS Word format	Nov-16
Report of the parties - Fed. R. Civ. P. 26(f) (CLASS ACTION) - Local Rules Appendix LCvR 23.E - PDF format	Nov-16
Standard Investment Order	Apr-17
Standard Investment Order-Minors' Fund	Apr-17
Standard Investment Order-Disputed Ownership Funds(DOF)	Apr-17
Summons in a Civil Action	Jun-12
Transcript Purchase Order  - For Third Circuit Court of Appeals	Aug-09
http://www.usmarshals.gov/process/usm285.htm	Sep-09
- US Marshal's Form 285
Waiver of Appearance for Arraignment	Sep-03
Writ of Execution (No Property)	Jul-09
Praecipe, Motion for Special Appointment, Claim for Exemption
Writ of Execution (Property)	Jul-09
Interrogatories to Garnishee - 2 pages, Praecipe, Motion for Special Appointment, Claim for Exemption