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
Case Type Designations/Codes for Filing Information Sheet – Revised 07/05/2014
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
Case Type Designations/Codes for Filing Information Sheet – Revised 07/05/2014
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
Medical Affidavit for Guardianship/Conservatorship Petitions
Word
PDF
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