Monroe County Courts

Forms

This is a list of all forms that relates to Court Administration processes. Any questions can be directed to the Court Administrator at (570) 517-3009.

Public Forms

Unified Judicial System of Pennsylvania Public Forms

Court Administration Forms

Americans with Disabilities Act Policy & Form
Americans with Disabilities Grievance Policy & Form
Non-Discrimination & Equal Employment Opportunity Complaint Form
Criminal Interpreter Request Form
Civil Interpreter Request Form
Civil Interpreter Family Request Form
MDJ Interpreter Request Form
MDJ Waiver Interpreter Request Form
CCP Waiver Interpreter Request Form
Financial Records Request Form
Pennsylvania Courts Language Complaint (English/Spanish)
Application for Certification as Arbitration Panelist

Judicial Transcripts

Form A: Notice of Completion of Transcript
Form B: Notice of Payment
Praecipe to Disburse Funds
Form in accordance with Pa.R.J.A. 4007(a): Request for Transcript or Copy

Criminal Forms

43-105 General Waiver of Arraignment at Status Conference
Criminal Trial Defendant's Motion Continuance Form
Guilty Plea Form
Guilty Plea Form - Spanish
MDJ Waiver of Arraignment Form
Petition for Expungement (Sample)
Post Sentence Rights Form After Plea
Post Sentence Rights Form After Trial
Rule 600 Waiver - Right to a Speedy Trial

Civil Forms

Name Change Scheduling Order - Adv. Waiver
Name Change Scheduling Order - Minor
Name Change Scheduling Order - Adult
Petition for Name Change - Minor
Petition for Name Change - Adult
Petition for Certificate of Title
Registration Suspension Appeal Petition
Registration Suspension Appeal Scheduling
License Suspension Appeal Form

Custody Conciliation

2021 COPE Registration Form (English)
2021 COPE Registration Form (Spanish)
Praecipe for Entry of Appearance as a Self-Represented Party
Form 1 Complaint for Custody Parents
Form 2 Complaint for Custody Grandparents
Form 3 Criminal Record Abuse History Verification
Form 4 Petition for Modification of A Custody Order
Form 5 Scheduling Order
Form 6 Petition for Civil Contempt for Disobedience of Custody Order
Form 7 Final Notice and Order to Appear Form
Form 8 Notice of Proposed Relocation with Court Case
Form 9 Notice of Proposed Relocation Without Court Case
Form 10 Counter Affidavit Regarding Relocation
Continuance or Dismissal Filing Packet
Custody Praecipe to Expedite
Service Document - Overall Explanation
SVC Form 1 - Affidavit of Personal Service
SVC Form 2 - Affidavit of Service of Original Process by Mail
SVC Form 3 - Acceptance of Service
SVC Form 4 - Certificate of Service of Legal Papers Other than Original Process
Custody Parenting Plan
Homestudy Custody Questionnaire
Telephone Participation Motion
Petition to Intervene

Custody forms updated on 07/17/2019

Jury Management

Juror Exit Questionnaire

Mortgage Foreclosure

Residential Mortgage Foreclosure Program
A Written Proposal
Budget Planner
Certification of Participation
Conciliation Case Management
Mortgage Cover Sheet
Request for Modification and Affidavit
Dodd Frank Certification
IRS Form 4506T
Urgent Notice
Urgent Notice in Spanish

Assessment Appeals - Instructions and Forms

Instructions for (Assessment) Appeals to the Court of Common Pleas
Civil Cover Sheet
Appeal Form Decision of the Monroe County Board of Assessment Revision
Entry of Appearance as a Self-Represented Party
Certificate of Service
Municipal and School District Solicitor Information

Assessment Appeals - Mediation

Mediation Information Statement (Residential)
Mediation Information Statement (Commercial)