United States District Court

Western District of Virginia

United States District Court
Western District of Virginia
Honorable Michael F. Urbanski, Chief District Judge   |   Laura A. Austin, Clerk of Court   |   Jennifer K. Williams, Chief Probation Officer

Forms

Before filing any form with the District Court through CMECF please print the document to an Adobe PDF to remove the fillable form fields.  This can be accomplished through Adobe Acrobat by clicking on File, Print, and Print to Adobe PDF.

National Archive Forms (Request for Records/Copies)
Application for Refund of Fees Paid Electronically
Application to Proceed in District Court Without Prepaying Fees or Costs (Short Form) - AO240
Application to Proceed in District Court Without Prepaying Fees or Costs (Long Form) - AO239
Certificate of Sponsors - Attorney Admission
Civil Cover Sheet
Consent to Proceed by Video Conference
Consent to Proceed by Video Conference Spanish
Corporate Disclosure Statement
EEOC Complaint
Fingerprint Checklist
42 USC ยง1983 Prisoner Civil Rights Complaint
General Complaint
Magistrate Consent Notice
Motion to Vacate, Set Aside, or Correct a Sentence
     By a Person in Federal Custody - 2255

Petition for Relief from a Conviction or Sentence
     By a Person in State Custody - 2254

Petition for Writ of Habeas Corpus by a Person in State or
     Federal Custody - 2241

Redaction Request
Social Security Answer
Social Security Complaint
Subpoena in a Civil Case - AO88 - see link to Administrative Office National Forms
Subpoena in a Criminal Case - AO89 - Please contact the U.S.
    Clerks office for a Western District of Virgina signed
    subpoena with the seal affixed.
Summons in a Civil Action - AO440    (Instructions for Completing)
Summons in a Criminal Case - AO83
Subpoena to Produce Documents, Information, or Objects or to
     Permit Inspection of Premises in a Civil Action - AO88 - See
     link to Administrative Office National Forms
Subpoena to Testify at a Desposition in a Civil Case - AO88A -
     See link to Administrative Office National Forms
Subpoena to Produce Documents, Information, or Objects in a Criminal
     Case - AO89B - See link to Administrative Office National Forms
Transcript Order - AO435 Note: Do not use for cases on appeal.
     CHECK PACER BEFORE DOCKETING AO435 TO MAKE SURE
     TRANSCRIPT HAS NOT ALREADY BEEN PREPARED AND UNLOCKED
     FOR VIEWING.
Service of Process USM-285  Instructions for USM-285 (Marshal's Service)
Victim Address Change Form - AO140
Waiver of Re-Arraignment
Waiver of Right to be Present at Criminal Proceeding
Waiver of Speedy Trial
Writ of Execution with Instructions