Forms
Any questions related to the forms listed below can be addressed to the Court Administrator at (570) 517-3009.
AOPC Forms
Prothonotary Forms
Court Administration Forms
- Americans with Disabilities Reasonable Request Form (Fillable) (opens in a new window)
- Americans with Disabilities Grievance Form (Fillable) (opens in a new window)
- eCommunications Fillable Form (opens in a new window)
- Non-Discrimination & Equal Employment Opportunity Complaint Form (opens in a new window)
- Criminal Interpreter Request Form (opens in a new window)
- Civil Interpreter Request Form (opens in a new window)
- Family Court - Interpreter Request Form (opens in a new window)
- MDJ Interpreter Request Form (opens in a new window)
- MDJ Waiver Interpreter Request Form (opens in a new window)
- CCP Waiver Interpreter Request Form (opens in a new window)
- Financial Records Request Form (opens in a new window)
- Language Access Interpreter Complaint Form (English/Spanish) (opens in a new window)
Judicial Transcripts
Assessment Appeals - Mediation
- Mediation Information Statement (Residential) (opens in a new window)
- Mediation Information Statement (Commercial) (opens in a new window)
- Instructions for Assessment Appeals to the Court of Common Pleas (opens in a new window)
- Appeal Form Decision of the Monroe County Board of Assessment Revision (opens in a new window)
- Entry of a Appearance as a Self-Represented Party (opens in a new window)
- Certificate of Service (opens in a new window)
- Township & School District Contacts (opens in a new window)
Mortgage Foreclosure Forms
- Residential Mortgage Foreclosure Program (opens in a new window)
- A Written Proposal (opens in a new window)
- Budget Planner (opens in a new window)
- Certification of Participation (opens in a new window)
- Mortgage Cover Sheet (opens in a new window)
- Request for Modification & Affidavit (opens in a new window)
- Dodd Frank Certification (opens in a new window)
- IRS Form 4506-T (opens in a new window)
- Urgent Notice (opens in a new window)
- Urgent Notice - Spanish (opens in a new window)
Criminal Forms
- 43-105 General Waiver of Arraignment at Status Conference (opens in a new window)
- 43-105 General Waiver of Arraignment at Status Conference - Spanish (opens in a new window)
- Guilty Plea Form (opens in a new window)
- Guilty Plea Form - Spanish (opens in a new window)
- MDJ Memorandum Waiver of Appearance, ARD Application Petition Express with Proposed Order (opens in a new window)
- Petition for Expungement (Sample) (opens in a new window)
- Post Sentence Rights Form After Plea (opens in a new window)
- Post Sentence Rights Form After Trial (opens in a new window)
- Rule 600 Waiver - Right to a Speedy Trial (opens in a new window)
- Rule 600 Waiver - Right to a Speedy Trial - Spanish (opens in a new window)
- Waiver of Counsel (opens in a new window)
- Waiver of Counsel - Spanish (opens in a new window)
- eCommunications Enrollment Form (opens in a new window)
Civil Forms
- Praecipe for Entry of Appearance as a Self-Represented Party (opens in a new window)
- Petition for Name Change (opens in a new window)
- Petition for Certificate of Title (opens in a new window)
- Registration Suspension Appeal Petition (opens in a new window)
- License Suspension Appeal Form (opens in a new window)
- Praecipe for Arbitration (opens in a new window)
- Request for Replacement of Arbitrator (opens in a new window)
- Request for Additional Arbitration Hearing Date (opens in a new window)
Divorce Forms
- Divorce Stipulation (opens in a new window)
- Election to Retake Maiden Name (opens in a new window)
- Entry of Appearance Self-Represented Party (opens in a new window)
Custody Conciliation
- 2026 COPE Registration Form (English / Spanish) (opens in a new window)
- 2026 COPE Registration Form (English) (opens in a new window)
- 2026 COPE Registration Form (Spanish) (opens in a new window)
- Affidavit of Accountability (opens in a new window)
- Custody Complaint Form (opens in a new window)
- Form 3 - Criminal Abuse History Verification (opens in a new window)
- Form 4 - Petition for Modification of a Custody Order (opens in a new window)
- Form 5 – Scheduling Order (opens in a new window)
- Form 6 - Petition for Civil Contempt for Disobedience of Custody Order (opens in a new window)
- Form 7 - Notice and Order to Appear Form (opens in a new window)
- Form 8 - Notice of Proposed Relocation with Court Case (opens in a new window)
- Form 9 - Notice of Proposed Relocation Without Court Case (opens in a new window)
- Form 10 - Counter Affdavit Regarding Relocation (opens in a new window)
- Continuance or Dismissal Filing Packet (opens in a new window)
- Custody Praecipe to Expedite (opens in a new window)
- Service Document - Overall Explanation (opens in a new window)
- SVC Form 1 - Affidavit of Service of Original Process by Mail (opens in a new window)
- SVC Form 2 - Affidavit of Personal Service (opens in a new window)
- SVC- Form 3 - Acceptance of Service (opens in a new window)
- SVC Form 4 - Certificate of Servce of Legal Papers Other than Original Process (opens in a new window)
- Custody Parenting Plan (opens in a new window)
- Homestudy Custody Questionnaire (opens in a new window)
- Telephone Participation Motion (opens in a new window)
- Petition to Intervene (opens in a new window)