Forms

Alternate Dispute Resolution Forms
Form Number Title Form Revision Date
ADR-01 Request: ADR Procedure Selection
04/2018
ADR-02 Stipulation Regarding Selection of Panel Mediator
01/2023
ADR-03 Mediation Report
10/2019
ADR-12 Order / Referral to ADR
04/2018
ADR-13 Notice of Mediation Date
01/2023
ADR-17 Mediation Confidentiality Agreement
01/2023
ADR-19 Mediation Panel Application Form
12/2022
ADR-20 Notice to Parties: ADA Disability Access Litigation
10/2016
ADR-21 Application For Stay and Early Mediation
10/2016
ADR-22 Order Granting Application For Stay and Early Mediation
11/2016
ADR-23 Request by Panel Mediator to Incur Costs in Excess of $50.00
07/2018
ADR-24 Request for Reimbursement of Out-of-Pocket Expenses Incurred by Panel Mediator
01/2023
AO Forms
Form Number Title Form Revision Date
AO-078 Application for Judicial Branch Federal Employment
12/2021
AO-088 Subpoena to Appear and Testify at a Hearing or Trial in a Civil Action Click Here
AO-088A Subpoena to Testify at a Deposition in a Civil Action Click Here
AO-088B Subpoena to Produce Documents, Information, or Objects or to Permit Inspection of Premises in a Civil Action Click Here
AO-110 Subpoena to Testify Before a Grand Jury Click Here
AO-120 Report on the Filing or Determination of an Action Regarding a Patent or Trademark Click Here
AO-121 Report On the Filing Or Determination of An Action Or Appeal Regarding A Copyright Click Here 06/2016
AO-133 Bill of Costs(Obsolete, see CV-59) Click Here 06/2010
AO-196A Acknowledgment of Gratuitous Services and Waiver
11/2010
AO-336 Voucher Attendance Court Reporters
09/1996
AO-436 Audio Recording Order
04/2013
AO-440 Summons in a Civil Action Click Here
AO-441 Summons on Third-Party Complaint Click Here
AO-443 Warrant for the Arrest of a Witness or Material Witness in a Pending Criminal Case Click Here
AO-451 Clerk’s Certification of a Judgment to be Registered in Another District Click Here
AO-455 Waiver of an Indictment Click Here
Appeals Forms
Form Number Title Form Revision Date
A-02 Notice of Appeal
01/2007
A-13 Ex Parte Application
01/2008
A-18 Motion and Affidavit For Leave To Appeal In Forma Pauperis
04/2010
Civil Forms
Form Number Title Form Revision Date
CV-001 Proof of Service of Summons (replaced by Form POS-010) Click Here
CV-001A Summons (replaced by Form AO-440) Click Here
CV-004A Ex Parte Right to Attach Order and Order for Issuance of Writ of Attachment (Resident) (Attachment)
05/2018
CV-004B Right to Attach Order After Hearing and Order for Issuance of Writ of Attachment (Attachment)
05/2018
CV-004C Notice of Attachment (Attachment)
05/2018
CV-004D Writ of Attachment (Attachment)
05/2018
CV-004E Ex Parte Right to Attach Order and Order for Issuance of Writ of Attachment (Nonresident) (Attachment)
05/2018
CV-004F Application for Right to Attach Order, Temporary Protective Order, etc. (Attachment)
05/2018
CV-004G Application for Set Aside Right to Attach Order and Release Attached Property, etc. (Attachment)
05/2018
CV-004H Application and Notice of Hearing for Order to Terminate, Modify or Vacate Temporary Protective Order (Attachment)
05/2018
CV-004I Notice of Application and Hearing for Right to Attach Order and Writ of Attachment (Attachment)
05/2018
CV-004J Order to Set Aside Attachment, to Substitute Undertaking, etc. (Attachment)
05/2018
CV-004K Notice of Opposition to Right to Attach Order and Claim of Exemption (Attachment)
05/2018
CV-004L Order to Terminate, Modify, or Vacate Temporary Protective Order (Attachment)
05/2018
CV-004M Temporary Protective Order (Attachment)
05/2018
CV-004N Undertaking by Personal Sureties (Attachment--Claim and Delivery)
05/2018
CV-004O Notice of Lien (Attachment--Enforcement of Judgment)
05/2018
CV-004P Application and Order for Appearance and Examination (Attachment-Enforcement of Judgment)
11/2023
CV-005 Application for Permission for Electronic Filing
02/2020
CV-009 Notice of Dismissal Pursuant To Federal Rules of Civil Procedure 41(a) or (c)
03/2010
CV-010 Warrant for Arrest in Action in Rem
06/2012
CV-011 Statement of Consent to Proceed Before Assigned United States Magistrate Judge Pursuant to Title 28 U.s.c. § 636(c) (For Use in Report and Recommendation Cases)
04/2021
CV-011B Consent To Proceed Before A United States Magistrate Judge (State/Federal Habeas Case)
01/2009
CV-011C Statement of Consent to Proceed Before a United States Magistrate Judge (Direct Assignment of Civil Cases to Magistrate Judges Program only)
05/2014
CV-011D Statement of Consent to Proceed Before a United States Magistrate Judge (Voluntary Consent List only)
01/2019
CV-021 Notice of Acknowledgment of Receipt of Summons and Complaint
02/2004
CV-023 Writ of Execution
06/2001
CV-024 Affidavit and Request for Issuance of Writ of Execution
06/2001
CV-027 Petition for Writ of Habeas Corpus by a Person in Federal Custody
05/2018

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