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United States District Court
Eastern District of Pennsylvania
Honorable Mitchell S. Goldberg, Chief Judge | George V. Wylesol, Clerk of Court
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Documents
Forms
AO 133 - Bill of Costs
AO 213 - Vendor Information/TIN Certification
AO 398 - Notice of a Lawsuit and Request to Waive Service of a Summons
AO 399 - Waiver of the Service of Summons
AO 435 - Transcript Order (Orders placed after 3:00pm may take 1 business day)
AO 436 - Audio Recording Order
AO 440 - Summons in a Civil Action, Proof of Service
AO 78 - Application for Judicial Branch Federal Employment
AO 78B - Voluntary Race/Ethnicity, Gender & Disability Identification
Appearance Bond
Appellate Transcript Purchase Order
Application for Approval as a Mediator
Application for Certification as an Arbitrator
Application for Return of Cash Bail (when bail was posted by a third party)
Arbitration Award
Attorney Admission Application (Pro Hac Vice)
Authorization and Voucher for Payment of Transcript
Bail Bond Secured by Property or Real Estate Bond
Checklist for Filing a Social Security Case
Civil Cover Sheet
Complaint for Employment Discrimination
Complaint for Violation of a Prisoner’s Civil Rights under 42 U.S.C. § 1983 (state or local officials) or Bivens (federal officials)
Complaint to Appeal Denial of Social Security Benefits
Consent and Reference of a Civil Action to a Magistrate Judge (for non-Social Security cases only)
Consent or Declination of Consent to Arbitration Trial Proceeding by Videoconference
Consent to or Declination of Jurisdiction of a Magistrate Judge in Social Security Cases
Consent to Proceed Before a Single Arbitrator
Designation Form
Disclosure of Citizenship 7.1(a)(2)
Disclosure Statement Form
Electronic Payment Refund Application (for erroneous payments made through Pay.gov)
General Complaint
Habeas 28 U.S.C. § 2241 - Petition for Writ of Habeas Corpus by a Person in Custody
Habeas 28 U.S.C. § 2254 - Petition for Relief from a Conviction or Sentence by a Person in State Custody
Habeas 28 U.S.C. § 2254 and § 2255 - Cover Sheet in Death Penalty cases Pursuant to Local Civil Rule 9.4
Habeas 28 U.S.C. § 2255 - Motion to Vacate, Set Aside, or Correct Sentence by a Person in Federal Custody
Local Bankruptcy 1002-2A - Statement of Qualification As Complex Chapter 11 Case
Local Bankruptcy 1002-2B - Notice of Date of Expedited Hearing, Matters that Will Be Heard at the Expedited Hearing, and How to Respond
Local Bankruptcy 2016-2A - Short Form Application of Counsel for Debtor for Compensation and Reimbursement of Expenses in Chapter 13 Case Pursuant to L.B.R. 2016-2(a)
Local Bankruptcy 2016-2B - Long Form Application of Counsel for Debtor for Compensation and Reimbursement of Expenses in Chapter 13 Case
Local Bankruptcy 2016-2C - Supplemental Application of Counsel for Debtor for Compensation and Reimbursement of Expenses for Post Confirmation Services Payable by the Chapter 13 Trustee
Local Bankruptcy 2016-3 - Application for Compensation or Reimbursement of Expenses
Local Bankruptcy 2016-4 - Statement of Pro Se Debtor(s)
Local Bankruptcy 3007-1 - Notice of Objection to Claim and Hearing Date
Local Bankruptcy 4003-1 - Notice of Objection to Claim of Exemption and Hearing Date
Local Bankruptcy 5011-1 - Caption of Motion for Withdrawal
Local Bankruptcy 9014-3 - Notice of Motion, Response Deadline and Hearing Date
Motion for Compassionate Release
Motion for Counsel in Social Security Cases
Motion for Prisoners to Proceed In Forma Pauperis – Short Form (use if you are incarcerated at the time of filing)
Motion for Release of Passport
Motion for Release of Passport (Pro Se)
Motion to Proceed In Forma Pauperis – Long Form (use if you are not incarcerated at the time of filing)
Notice About Appointment of Counsel from Social Security Panel
Notice of Intent to Request Redaction
Notice Re: Arbitration Video Conference
Questionnaire for Prospective Interpreters
Redaction Request for Transcripts
Request for Payee Information and TIN Certification (AO-213P)
Sealed Petition for Victim Name Change (to request a name change of a criminal restitution victim)
Victim Address Change Form (to change the address of a criminal restitution victim)
Writ of Execution