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13th Judicial Circuit - Local Forms
The 13th Judicial Circuit has promulgated a number of
forms which can be downloaded from this page. Other forms available on this
page were developed by the Office of the State Court Administrator, but
their use is required by the 13th Circuit. The forms are organized below in
the following categories:
Civil Practice
Family Law
Criminal Practice
Civil Practice
Filing Information Sheet - Non-Domestic Relations
- Revised 11/15/2010
PDF
(fillable)
Party Type Designations/Codes for Filing Information Sheet
- Revised 03/18/2010
PDF
Case Type Designations/Codes for Filing Information Sheet
- Revised 08/28/2009
PDF
Consent to Ruling
Word
PDF
Affidavit and Petition for Permission to Prosecute Cause
of Action as a Poor Person
Word
PDF
Affidavit in Support of Request to Proceed in Forma
Pauperis
Word
PDF
Authorization for Release of Institutional Account
Information
Word
PDF
Pattern Interrogatories (Local
Rule 32.2.F)
Word
Note: The Pattern Interrogatories make reference to a memo from the Centers
for Medicare & Medicaid Services.
Click here for that memo in
PDF format. The references are in the following questions:
Auto Wreck Case - Defendant - No. 18 Medical Negligence Case (Individual)
- Defendant - No. 15 Premises Case - Defendant - No. 16 Product
Liability Case - Defendant - No. 15 Medical Negligence Case (Wrongful
Death) - Defendant - No. 23
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Family Law
Filing Information Sheet - Domestic Relations -
Revised 11/15/2010
PDF
(fillable)
Filing Information Sheet - Abuse/Stalking Cases -
Revised 11/15/2010
PDF
(fillable)
Party Type Designations/Codes for Filing Information Sheet
- Revised 03/18/2010
PDF
Case Type Designations/Codes for Filing Information Sheet
- Revised 08/28/2009
PDF
Statement of Property
Word
PDF
Statement of Income and Expenses
Word
PDF
Parenting Plan Forms
The Missouri Supreme Court promulgated new Parenting Plan
forms effective August 28, 2009. They serve as guidelines and may be used in
non-pro se cases, but are required to be used in pro se cases
pursuant to Rule 88.09(b).
Custody - Word
Custody - PDF
Residential
Schedules - Word
Residential
Schedules - PDF Support -
Word Support - PDF
Form 15 (mediation in family law cases involving children)
Word
WordPerfect
Mediator Registration
Word
PDF
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Criminal Practice
Bond Assignment
Word
PDF
Bonding Agent Forms (see
Local Rule 67.1) - Word format
Bonding Agent
Questionnaire
Bonding
Agent General Affidavit of Qualifications
Bonding
Agent Monthly Affidavit of Qualifications
Written Entry of Appearance, Waiver of Personal
Appearance, and Plea of Not Guilty-Felony Cases-Associate Circuit Court (Local
Rule 67.5.2)
Word
Written Entry of Appearance, Waiver of Personal
Appearance, and Plea of Not Guilty-Felony Cases-Circuit Court (Local
Rule 67.5.2)
Word
Written Entry of Appearance, Waiver of Personal
Appearance, and Plea of Not Guilty-Misdemeanor Cases (Local
Rule 67.5.2)
Word
Petition for Work Release or Other Release from Jail
Word
PDF
Pre-Disposition Home Detention Application
Word
PDF
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