Forms Index (Fees, Fines Schedules, & Brochures)

Form Instructions, Costs, Accessibility & Other Important Information | Law Enforcement Forms (Authorization Required; for information, contact: District Court)

Notice to MDEC Filers Regarding Paper Submissions

General Forms

Form #	Title	Last Revised	Copies to Court
DC-001	Request, Order	10 / 2014	1
DC-002	Motion/Certificate of Service/Order	11 / 2014	1
DC-004S	Notice of Intent to Subpoena Medical Records	08 / 2013	1
CC-DC-008	Petition for Waiver of Costs/Order	05 / 2003	3
CC-DC-013	Petition for Emergency Evaluation [Instructions]	07 / 2014	1
CC-DC-014	Certification by Peace Officer, Physician, or Qualified Persons [Instructions]	07 / 2014	0
DC-017	Petition for Return of Served Property/Order/Return of Appraisal Online Only	10 / 2014	1
DC-024	Complaint: Application for Forfeiture of Contraband Money	10 / 2014	1
DC-028	Uniform Civil Citation - Sample	10 / 2014	-
DC-030	Request for Attorney Code/Address Change Online Only	08 / 2015	1
DC-034	Application to Inspect Public Records [Instructions]	06 / 2010	1
DC-034A	Addendum to Application to Inspect Public Records [Instructions]	06 / 2010	1
CC-DC-041 BLS	Request for Spoken Language Interpreter Solicitud para un Intérprete de Lengua Extranjera Do you need a Court Interpreter? ¿Necesita un intérprete para el tribunal?	07 / 2015	1
DC-046	Public Request for Records Stored at Maryland State Archives Online Only	12 / 2014	1
CC-DC-049	Request for Accommodation for Person with Disability	07 / 2015	1
CC-DC-050	Americans With Disabilities Act Grievance Form	08 / 2015	1
CC-DC-052	Request to Shield Information in a Case Record	02 / 2008	1
CC-DC-053	Motion to Seal or Otherwise Limit Inspection of a Case Record	10 / 2014	1
CC-DC-054	Motion to Permit Inspection	12 / 2014	1
DC-056	Affidavit of Equity Verification - Collateral Posted in Circuit Court	12 / 2014	1
DC-065	Address Change Request	12 / 2009	1
CC-DC-067	Certificate of Service - First Class Mail	11 / 2015	1
CC-DC-070	Motion for Postponement	02 / 2015	1
CC-DC-076	New/Revised Form Request	12 / 2009	1
CC-DC-077	General Waiver and Release	10 / 2014	1
CC-DC-084	Request for Entry of Appearance	02 / 2014	1
DC-085	Application for Appointed Attorney at Initial Appearance	07 / 27 / 2015	1
DC-086	Application for the Appointed Attorneys Program	06 / 2014	1
CC-DC-088	Statement in Support of Waiver of Prepaid Costs by Clerk	07 / 2015	1
CC-DC-089	Request for Waiver of Prepaid Costs	08 / 2015	1
CC-DC-090	Request for Final Waiver of Open Costs	07 / 2015	1
CC-DC-091	Request for Waiver of Prepaid Costs for Assembling the Record for an Appeal	08 / 2015	1
CC-DC-092	Request for Waiver of Prepaid Appellate Costs	08 / 2015	1
CC-DC-095	Acknowledgement of Scope of Limited Representation	07 / 2015	1
JPR-003	Professional Bondsman/Agent Information	06 / 2013	1
CC-DC-JPR-007	Special Officer Petition for Legal Fees	10 / 2015	1
CC-DC-JPR-008	Special Officer Final Report	10 / 2015	1

DCA-040	Purchase Order - Civil Forms	08 / 2010	1
DCA-040A	Purchase Order - Miscellaneous Forms	08 / 2010	4
DCA-102	Assignment of Bond [Instructions]	06 / 2003	1
DCA-107	Obtaining Civil Judgment and Satisfaction Data	08 / 2011	1
DCA-109	Cost Schedule	10 / 2015	-
DCA-109A	Guide to Appeal Fees	10 / 2015	-
DCA-119	Request for CD Recording/Transcript	11 / 2012	1
DCA-123	Appointed Attorney Invoice - Mileage Rate Increase - Use this version beginning 1/1/2015 Appointed Attorney Invoice - Mileage rate increase effective 1/1/2015 - Use this version through 12/31/14 only	01 / 2015 08 / 26 / 2014	1 1

Criminal Forms

Form #	Title	Last Revised	Copies to Court
CC-DC-CR-001S	Confidential Supplement	10 / 2015	1
CC-DC-CR-010	Affidavit of Bail Bondsman	07 / 2014	1
DC-CR-017	Notice of Appeal	05 / 2015	1
DC-CR-033	Petition for Determination of Eligibility for Counsel	07 / 2015	1
DC-CR-037	Petition to Strike Bond Forfeiture/Extend Period for Satisfaction/Order	01 / 2011	5
DC-CR-044	Application for Statement of Charges for Bad Checks Self-Help Webpage Available	04 / 2015	5
DC-CR-044A	Application for Statement of Charges for Bad Checks Cont. Sheet	05 / 2015	4
DC-CR-045	Uniform Criminal Citation - Sample	07 / 2014	-
DC-CR-071	Application for Expungement of Police Record	07 / 2015	1
CC-DC-CR-072	Petition for Expungement of Records [Instructions] Self-Help Brochure Available	11 / 2015	5
CC-DC-CR-072A	Guide to Expungement of Nuisance Crimes Self-Help Brochure Available	10 / 2015	-
CC-DC-CR-078	General Waiver and Release - for use with expungements	04 / 2015	5
DC-CR-090	Schedule of Preset Motor Vehicle Fines and/or Penalty Deposits	10 / 2015	-
CC-DC-CR-109	Consent to Treatment	09 / 2014	1
DC-CR-130	Affidavit of Uncompensated Surety	04 / 2015	1
DC-CR-135	Petition for Remission of Bond Forfeiture	05 / 2013	1
CC-DC-CR-148	Petition for Shielding Under MD Second Chance Act [Guide for Shielding of MD Second Chance Act Records]	10 / 2015	5
CC-DC-CR-151	Request for Access to Shielded Second Chance Act Record(s)	10 / 2015	3

Civil Forms

Form #	Title	Last Revised	Copies to Court
DC-CV-001	Complaint/Application and Affidavit in Support of Judgment Self-Help Brochure Available If you are filing a civil complaint for a company that purchased the consumer debt that was charged off by the original creditor, you must use the DC-CV-106 complaint, which can be found below in form number order. Important notice regarding service: If service is made by a Private Process Server, with each return of service, you MUST provide the court with the printed name, mailing address, and telephone number of the Private Process Server. If the Private Process Server name is unreadable, service will be considered unacceptable. See DC-CV-107.	9 / 2014	2 (plus 1 for each defendant)
DC-CV-004	Show Cause Order in Action of Replevin/Notice to Defendant/Order and Writ of Replevin [Instructions] Self-Help Brochure Available	08 / 2014	4
DC-CV-005	Request for an Order for the Issuance/Order Directing Issuance of a Writ of Attachment Before Judgment	10 / 2014	1
DC-CV-006	Plaintiff's Affidavit to Secure Service by Posting or Publication/Order of Court	08 / 2014	1
DC-CV-007	Notice of Publication-Attachment Before Judgment Online Only	08 / 2014	1
DC-CV-010	Request For Summons (Renewal)	10 / 2014	2
DC-CV-015	Request to File Foreign Judgment/Notice to Judgment Debtor of Filing of Foreign Judgment	10 / 2014	3
DC-CV-020	Property Damage Affidavit	10 / 2014	1
DC-CV-021	Notice of Dismissal	03 / 2014	1
DC-CV-023	Notice to Renew Judgment/Notice of Renewal of Judgment	10 / 2014	1
DC-CV-030	Motion and Order Compelling Answers to Interrogatories in Aid of Execution/Order Not Printable	01/ 2015	3
DC-CV-031	Order of Satisfaction/Notice of Satisfaction of Lien	09 / 2014	3
DC-CV-032	Request for Order Directing Defendant to Appear for Examination in Aid of Enforcement of Judgment/Order of Court Not Printable	10 / 2015	3
DC-CV-033	Request for Show Cause Order for Contempt/Show Cause Order for Contempt Not Printable	04 / 2015	1
DC-CV-034	Request for Transmittal of Judgment/Transmittal of Judgment/Receipt of Judgment	09 / 2014	1
DC-CV-035	Request to File Notice of Lien/Notice of Lien of Attachment Before Judgment/ Notice of Lien of Judgment/Notice of Modification of Renewal of Lien	10 / 2014	1
DC-CV-036	Motion for Release of Property From Levy/Garnishment or to Exempt Property from Execution/Certificate/Notice	08 / 2014	1
DC-CV-037	Civil Appeal/Request for Transcript/Certificate of Service	07 / 2015	1
DC-CV-039	Bond Online Only	09 / 2014	1
DC-CV-040	Request for Writ of Execution/Writ of Execution of Property Not Printable	09 / 2014	3
DC-CV-048	Request for Writ of Possession/Writ of Possession	09 / 2014	1
DC-CV-049	Claimant's Motion/Certificate of Service/Hearing on Motion	10 / 2014	1
DC-CV-051	Motion for Order Declaring Judgment Satisfied/Certificate of Service/Hearing/Order/Notice of Satisfaction of Lien	09 / 2014	1
DC-CV-052	Request/Order for Release of Wages or Other Debts Attached on a Confessed Judgment Online Only	09 / 2014	1
DC-CV-060	Request/Writ/Notice for Garnishment of Property Other Than Wages Not Printable Self-Help Brochure Available	12 / 2014	5
DC-CV-061	Garnishee's Confession of Assets of Property Other Than Wages	12 / 2014	1
DC-CV-062	Request for Judgment-Garnishment/Certificate of Service/Order of Court	12 / 2014	1
DC-CV-062A	Request for Trial-Garnishment/Certificate of Service/Order of Court	12 / 2014	1
DC-CV-065	Request for Garnishment on Wages/Writ of Garnishment on Wages Not Printable Self-Help Brochure Available	12 / 2014	3
DC-CV-066	Judgment Creditor's Monthly Report	07 / 2011	0
DC-CV-080	Complaint and Summons Against Tenant Holding Over/Summons Not Printable	11 / 2015	5
DC-CV-081	Petition for Warrant of Restitution Not Printable Efilers in Prince George's County - use form on efiling webpage	09 / 2014	5
DC-CV-082	Failure to Pay Rent/Landlord's Complaint for Repossession of Rented Property Not Printable Self-Help Brochure Available Efilers in Prince George's County - use form on efiling webpage	07 / 2014	5
DC-CV-082MH	Failure to Pay Park Owner's Complaint for Repossession of Rented Property Not Printable Efilers in Prince George's County - use form on efiling webpage	07 / 2014	5
DC-CV-083	Petition in Action of Rent Escrow/For Injunction/Writ of Summons/Order of Court	09 / 2014	1
DC-CV-085	Complaint and Summons Against Tenant in Breach of Lease Not Printable	09 / 2014	5
DC-CV-086	Petition for Levy in Distress/Show Cause Order/Order to Sheriff of Constable Levy in Distress	09 / 2014	1
DC-CV-087	Motion to Sell Distrained Goods/Order for Sale Online Only	09 / 2014	1
DC-CV-088	Motion for Order to Follow Goods Under Distress/Order of Court Online Only	09 / 2014	1
DC-CV-089	Complaint/Wrongful Detainer or Grantor in Possession Not Printable	03 / 2015	1
CC-DC-CV-090	Assignment of Judgment	09 / 2014	1
DC-CV-093	Agreement After Oral Exam	1 / 2015	1
DC-CV-094	Declaration of Trust of Real Estate To Secure Performance of a Bond	10 / 2014	1
DC-CV-104	Complaint and Affidavit for Judgment by Confession	12 / 18 / 2014	1
DC-CV-106	Complaint - Assigned Consumer Debt Not Printable	09 / 2014	2 (plus 1 for each defendant)
DC-CV-107	Important Notice Regarding Private Process Servers	10 / 2011	0

Domestic Violence / Protective Order Forms

Form #	Title	Last Revised	Copies to Court
CC-DC-DV-001 CC-DC-DV-001A DC-DV-PO-001C	Both forms (CC-DC-DV-001 & CC-DC-DV-001A) must be completed and filed with the clerk. Petition For Protection From Domestic Violence/Child Abuse/Vulnerable Adult Abuse [Instructions] Protective Order Addendum Self-Help Brochure Available Petition for Protection/Peace Order Continuation Sheet	10 / 2015 10 / 2015 10 / 2010	1 1
CC-DC-DV-001B	Dictionary (for Use With Petition For Protection from Domestic Violence, Child Abuse, and Vulnerable Adult Abuse)	10 / 2015	1
CC-DC-DV-004	Financial Statement	07 / 2003	1
CC-DC-DV-006	Petition To Modify/Rescind/Extend Protective Order	10 / 2014	1
CC-DC-DV-007	Petition For Contempt (Violation of Protective Order) Count I: Constructive Civil Contempt for Violation of Protective Order	11 / 2015	1
CC-DC-DV-016	Request to Register Out-of-State Order of Protection (Family Law §4-508.1)	11 / 2015	1
CC-DC-DV-018	Petition for Permanent Protection from Domestic Violence	10 / 2015	1
CC-DC-DV-019	Request for Waiver of Appearance	07 / 2015	1
CC-DC-DV-021A	Request to Shield Denied or Dismissed Protective Order Records	10 / 2014	1
CC-DC-DV-021B	Request to Shield Consented to Protective Order Records	10 / 2014	1
CC-DC-DV-025	Motion for Service by Clerk Concerning Request to Shield Protective Order Records	11 / 2015	1

Peace Order Forms

Form #	Title	Last Revised	Copies to Court
DC-PO-001 CC-DC-PO-001A DC-PO-001S DC-DV-PO-001C	All 3 forms (DC-PO-001, CC-DC-PO-001A, & DC-PO-001S) must be completed and filed with the clerk. Petition For Peace Order [Instructions] Addendum to Peace Order Petition Peace Order Supplement Self-Help Brochure Available Petition for Protection/Peace Order Continuation Sheet	10 / 2015 10 / 2015 02 / 2003 10 / 2010	1
CC-DC-PO-006	Petition To Modify/Rescind/Extend Peace Order	10 / 2014	1
DC-PO-007	Petition For Contempt (Peace Order)	10 / 2015	1
CC-DC-PO-016A	Request to Shield Denied or Dismissed Peace Order Records	10 / 2014	1
CC-DC-PO-016B	Request to Shield Consented to Peace Order Records	10 / 2014	1
CC-DC-PO-019	Motion for Service by Clerk Concerning Request to Shield Peace Order Records	11 / 2015	1
DC-PO-021	Request to Withhold Information from Public Access (Peace Order Petitioner - Courts and Judicial Proceedings § 3-1503)	10 / 2015	1

Fine Schedules

Form #	Title	Last Revised	Copies to Court
DC-CR-090	Schedule of Preset Motor Vehicle Fines and/or Penalty Deposits	10 / 2015	-
	Natural Resources Fine Schedule (the schedule effective 10/2015 will be posted as soon as it is received)	10 / 2014	-

Traffic Citations

Form #	Title	Last Revised	Copies to Court
DR-049	Maryland Uniform Complaint and Citation (Handwritten Version) - Effective July 1, 2014	08 / 2014	1
DR-049E	Maryland Unfiform Complaint and Citation (Electronic Version) - Effective July 1, 2014	07 / 2014	1
DR-049O	Maryland Uniform Complaint and Citation Option Form For traffic citations only. For other types of citations (speed monitoring, red light, school bus, and toll violations, please click here.)	04 / 2014	1

Legislation was passed that affects your options to satisfy a payable traffic citation. For any payable citation received on or after January 1, 2011, you will no longer receive an automatic trial date. Click here for more information and instructions in order to comply with HB 829 of the 2010 Legislative Session.