Forms and Related Documents

Americans with Disabilities Act (ADA) Forms

  1. Americans with Disabilities Act (ADA) Grievance Procedure and Form (PDF)
  2. Americans with Disabilities Act (ADA) Accommodation Request Procedure and Form (PDF)

Language Access Plan & Interpreter Forms

  1. Interpreter Request Form - Civil
  2. Interpreter Request Form - Criminal
  3. Interpreter Request Form - MDJ
  4. Notice of Language Rights (PDF)
  5. Pennsylvania Courts Language Services Complaint Form
  6. Language Access Plan - Luzerne County 11th Judicial District

Additional English / Spanish Forms

  1. Application for Public Defenders Instruction Sheet and Form (PDF)
  2. Change of Address Form (PDF)

Pro Se Filing Forms

  1. Affidavit of Service by Personal Service
  2. Appeal Nunc Pro Tunc Form With Instructions (PDF)
  3. Emergency Petition for Special Relief in Custody
  4. Joint Case Management Plan (PDF)
  5. License Registration Suspension Appeal NUNC PRO TUNC
  6. Modify an Existing Custody Order - SPANISH
  7. Motion for Continuance - Family Court
  8. Motion and Order for Continuance - Civil
  9. Motion and Order For Continuance - CIVIL (SPANISH)
  10. Motion for Custody Relocation Trial
  11. Motion for Transcript and Proposed Order (PDF)
  12. Motor Vehicle Appeal With Instructions (PDF)
  13. Obtain a Court Order for Motor Vehicle Title Instructions (PDF)
  14. Petition and Notice for Relocation
  15. Petition for Adult Name Change With Instructions (PDF)
  16. Petition for Civil Contempt for Disobedience of a Custody Order
  17. Petition to Proceed in Forma Pauperis (PDF)
  18. Petition for Special Relief in Custody
  19. Request for Transcript or Copy Form - English (PDF)
  20. Request for Transcript or Copy Form - Spanish (PDF)
  21. Schedule Sheet (PDF)
  22. Start a Custody Action - SPANISH
  23. Request for Transcript from Master Hearing Form
  24. Start a Custody Action
  25. Modify an Existing Custody Order

Civil Case Protocol Procedures and Forms

  1. General and Pre-Trial Procedures (PDF)
  2. Jury Trial Management Order (PDF)
  3. Jury Trial Procedures (PDF)
  4. Non-Jury Trial Order (PDF)

Criminal Case Forms

  1. Luzerne County Pre-Sentence Investigation (PSI) Report Access Request Form (PDF)

Right To Know Law

  1. Right To Know Law Policy (PDF)
  2. Right To Know Request Form (PDF)

Protection From Abuse

Public Access Policy

  1. Confidential Document Form
  2. Confidential Information Form
  3. PAWG Limits Chart (Matrix)
  4. Protecting Confidential Documents Handout
  5. Protecting Confidential Information Poster
  6. Public Access Policy
  7. UJS Public Access Policy Certificate of Compliance
  8. UJS Public Access Policy Clerical Error Correction Form
  9. Written Request for Access to Case Records

More Forms

If you cannot find the form you are looking for on our website, your form may be available from the Unified Judicial System of Pennsylvania's website.