Local Forms

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
Probate

Civil Practice

Filing Information Sheet – Non-Domestic Relations – Revised 11/15/2010

PDF (fillable)

Party Type Designations/Codes for Filing Information Sheet – Revised 07/05/2014

PDF

Case Type Designations/Codes for Filing Information Sheet – Revised 07/05/2014

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 07/05/2014

PDF

Case Type Designations/Codes for Filing Information Sheet – Revised 07/05/2014

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

Narrative – Explaining the programs

Word
PDF

Probate

Probate Court – List of Items Needed

PDF

Medical Affidavit for Guardianship/Conservatorship Petitions

Word
PDF

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