Jen and Dave Line Asked and Answered Updates Forms Administrative Office Opinions Unified Judicial System

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Forms

For Judges
Rule 703 Reporting Form

Expungement Request
Request for Expungement (Word)
Request for Expungement (Adobe PDF)

Record Retention
Record Retention & Disposition Schedule with Guidelines
UJS Scheduled Court Records Disposal Certification Request
UJS Disposal Log for Non-permanent Records (PDF)
UJS Disposal Log for Non-permanent Records (Word)

Search Warrant Forms for Criminal Justice Agencies with ORIs
The process for downloading forms has been updated and you may begin using the new web page immediately at the link below. Your ORI number is still required. You are now required to enter your Officer ID number instead of a phone number and e-mail entry. If you have the old website bookmarked or saved in your Favorites, we recommend that you delete it and add the new website. Please direct any questions to: ccform@pacourts.us

New site: Log-In Screen

Orphans' Court Forms

Dependency Forms

Civil Complaint
You need to have one copy of the civil complaint with original signature for the magisterial district judge office. You will be charged filing costs and service costs when the complaint is filed at the district court. No changes may be made to this form either in content or format.

MS Word Format
PDF Format

Authorization of Representative
MS Word Format
PDF Format

Landlord Complaint
The landlord complaint form is solely for landlords. Tenants wishing to sue landlords must use the civil complaint form. You need to have one copy of the landlord-tenant complaint with original signature for the magisterial district judge office. You will be charged filing costs and service costs when the complaint is filed at the district court. No changes may be made to this form either in content or format.
MS Word Format
PDF Format

Authorization of Representative
MS Word Format
PDF Format

Private Criminal Complaint
This form is to be used by private citizens when requesting criminal charges be filed against a defendant. Please note that Rule 506 of the Pennsylvania Rules of Criminal Procedure requires that when a private citizen completes this form, it must be submitted to the attorney for the Commonwealth's office for approval before it can be filed in a Pennsylvania magisterial district court. It may be filed ONLY in a Pennsylvania magisterial district court, and NOT in the Philadelphia Municipal Court. No changes may be made to this form, either in content or format, without the express written approval of the Administrative Office of Pennsylvania Courts. Effective date for use of this form is July 1, 1996.

MS Word Format
PDF Format

Police Criminal Complaint
The process for downloading forms has been updated and you may begin using the new web page immediately at the link below. Your ORI number is still required. You are now required to enter your Officer ID number instead of a phone number and e-mail entry. If you have the old website bookmarked or saved in your Favorites, we recommend that you delete it and add the new website. Please direct any questions to: ccform@pacourts.us

New site: Log-In Screen

Written Allegation
MS Word Format
PDF Format

Notice of Settlement/Withdrawal
MS Word Format
PDF Format

Notice of Assignment of Judgment
MS Word Format
PDF Format

Appeals/Objections
Notice of Appeal
Page 1 Page 2
MS Word Format MS Word Format
PDF Format PDF Format

Statement of Objection
MS Word Format
PDF Format

Tenant Affidavits
Supplemental Instructions for Obtaining a Stay of Eviction
Tenant Affidavit (Section 8)- Pa.R.C.P.M.D.J. No. 1008C(2) - (Word)
Tenant Affidavit (Section 8)- Pa.R.C.P.M.D.J. No. 1008C(2) - (PDF)
Tenant Affidavit (Non-Section 8)- Pa.R.C.P.M.D.J. No. 1008C(2) - (Word)
Tenant Affidavit (Non-Section 8)- Pa.R.C.P.M.D.J. No. 1008C(2) - (PDF)
Tenant Affidavit (Section 8)- Pa.R.C.P.M.D.J. No. 1013C(2) - (Word)
Tenant Affidavit (Section 8)- Pa.R.C.P.M.D.J. No. 1013C(2) - (PDF)
Tenant Affidavit (Non-Section 8)- Pa.R.C.P.M.D.J. No. 1013C(2) - (Word)
Tenant Affidavit (Non-Section 8)- Pa.R.C.P.M.D.J. No. 1013C(2) - (PDF)

Writ of Certiorari
MS Word Format
PDF Format

Request for Entry of Satisfaction Creditor
MS Word Format
PDF Format


Last updated 6-6-08 1410 by gle