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WEST VIRGINIA JUDICIARY
COURT FORMS

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Appellate Court FormsDomestic Violence Forms (Spanish available.)
Personal Safety Forms (Spanish available.)Divorce Forms
Involuntary Commitment Forms (Spanish available.)Guardianship/Conservatorship Forms

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Form Title Topic Category Form Number
Certification of Completion/Filing of Appellate Transcript for Civil and Criminal Appeals Court Reporter Certification
ERO Appearance Fee Invoice/Supreme Court Administrative Order (2023) Court Reporter Fees AF-INV-ERO
ERO Appearance Fee Invoice/Supreme Court Administrative Order (2024) Court Reporter Fees AF-INV-ERO
Court Reporter Appearance Fee Invoice/Supreme Court Administrative Order (2023) Court Reporter Fees AF-INV-REP
Court Reporter Appearance Fee Invoice/Supreme Court Administrative Order (2024) Court Reporter Fees AF-INV-REP
Appellate Transcript Request Form Court Reporter Transcript
Monthly Report of Appellate Transcript Production Court Reporter Transcript Appendix I
ERO-Typist Transcript Pay Statement/Supreme Court Administrative Order Court Reporter Transcript TPS-INV-ERO
Transcript Pay Statement/Administrative Order - ERO - Page 2 Court Reporter Transcript TPS-INV-ERO-2
Court Reporter Transcript Pay Statement/Supreme Court Administrative Order Court Reporter Transcript TPS-INV-REP
Transcript Pay Statement/Administrative Order - REP - Page 2 Court Reporter Transcript TPS-INV-REP-2
Application to Proceed in Forma Pauperis and Affidavit (Appendix B - Post-Conviction Habeas Corpus Form) Notices, Docketing Statements Application
Notice of Appeal - Extra Sheet (Appendix A - Rules of Appellate Procedure) Notices, Docketing Statements Continuation Sheet
Workers' Compensation Appeals Docketing Statement (Appendix B - Rules of Appellate Procedure) Notices, Docketing Statements Docketing Statement
Petition for Writ of Habeas Corpus (Appendix A - Post-Conviction Habeas Corpus Form) Notices, Docketing Statements Docketing Statement
Administrative Appeal Docketing Statement Notices, Docketing Statements Docketing Statement
Notice of Appeal (Appendix A - Rules of Appellate Procedure) Notices, Docketing Statements Notice
Attorney Motion to Refer Form (.docx) Business Court Motion
Attorney Motion to Refer Form (.pdf) Business Court Motion
Judicial Motion to Refer Case to the Business Court (docx) Business Court Motion
Judicial Motion to Refer Case to the Business Court (pdf) Business Court Motion
Civil Case Information Statement (Civil Cases Other than Domestic Relations) Civil Information SCA-C-100
Civil Case Subpoena Civil Subpoena
Domestic Violence Appeal - Continuation Sheet Domestic Violence Continuation Sheet CDVCONT
Petition for Appeal of Circuit Court Order in Domestic Violence Appeal Domestic Violence Petition CDVAPFO
Instructions for Expungement of Records Petition Expungement Instructions SCA-C900
Motion for Expungement of Criminal Records Due to Acquittal or Dismissal for Reasons Other than Entry of a Plea Expungement Motion SCA-C903
Victim's Notice of Opposition to Petition for Criminal Offense Expungement Expungement Notice SCA-C912
Petition for Expungement of Misdemeanor Violations and Traffic Citations Expungement Petition SCA-C906
Petition for Expungement of Felony Violations Expungement Petition SCA-C907
Petition for Temporary Financial Exploitation Protective Order Civil Petition SCA-MC-FE101
Affidavit Eligibility for Appointed or Public Defender Counsel Criminal Affidavit SCA-C&M-101
Financial Affidavit: Payment Plan Application Criminal Affidavit SCA-C&M-700
Financial Affidavit and Application: Eligibility for Waiver of Fees, Costs, or Security in a Civil or Domestic Case for Costs Associated with Reuqired Polygraph Examination or Electronic Monitoring Fee Waiver Affidavit SCA-C&M201
Affidavit for Suggestee Execution Post-Judgment Affidavit SCA-C&M-640NP
Affidavit for Exemptions (on or after June 7, 2016) Post-Judgment Affidavit SCA-C&M-665
Expedited Modification of Child Support - Information Child Support/Custodial Responsibility Information SCA-FC-225
Modification of Child Support, Spousal Support, and Time Spent with the Children - Instructions and Forms Child Support/Custodial Responsibility Instructions SCA-FC-200
etition for Support and Allocation of Custodial Responsibility - Information Child Support/Custodial Responsibility Instructions SCA-FC-260
Motion for Temporary Relief Child Support/Custodial Responsibility Motion SCA-FC-112
Petition for Modification Child Support/Custodial Responsibility Petition SCA-FC-201
Petition for Expedited Modification of Child Support Child Support/Custodial Responsibility Petition SCA-FC-226
Petition for Support and/or Allocation of Custodial Responsibility Child Support/Custodial Responsibility Petition SCA-FC-261
Bureau for Child Support Enforcement - Application and Income Withholding Form Child Support/Custodial Responsibility Petitioner/Respondent FDVCSAP
Contempt Petition Instructions Contempt Instructions SCA-FC-250
Petition for Contempt Contempt Petition SCA-FC-251
West Virginia Petitioner's Divorce Packet Instructions Divorce Petitioner SCA-FC-100
Petition for Divorce Divorce Petitioner SCA-FC-101
Petitioner's Civil Case Information Statement Domestic Relations Cases (This form is required in all case filings.) Divorce Petitioner SCA-FC-103
Affidavit of Out-of-State or Unknown Residency Divorce Petitioner SCA-FC-110
Order of Publication Divorce Petitioner SCA-FC-111
Information Requested by Division of Vital Statistics Divorce Petitioner/Respondent SCA-FC-104
Acceptance of Service Divorce Petitioner/Respondent SCA-FC-105
Financial Statement Divorce Petitioner/Respondent SCA-FC-106
Servicemembers Civil Relief Act Waiver: Waiver of Rights to Request Stay of Proceedings Divorce Petitioner/Respondent SCA-FC-115
Certificate of Service Divorce Petitioner/Respondent SCA-FC-314
West Virginia Respondent's Divorce Answer Packet Instructions Divorce Respondent SCA-FC-100A
Answer to Divorce Petition Divorce Respondent SCA-FC-108
Respondent's Civil Case Information Statement - Domestic Relations Cases (This form is required in all case filings.) Divorce Respondent SCA-FC-114
Affidavit: Attempt at Service of Protective Order Domestic Violence Affidavit FDVATSV
Continuation Sheet for Domestic Violence Domestic Violence Continuation Sheet MDVCONT
Motion for Contempt Bond Forfeiture (Domestic Violence) Domestic Violence Motion FDVMOBF
Petición de confiscación de fianza por desacato (violencia doméstica) Domestic Violence Motion FDVMOBF
Motion to Continue Hearing Domestic Violence Motion FDVMTCH
Important Notice for Persons with Protective Orders Domestic Violence Notice FDVINOT
Petition for Appeal of Order Granting or Denying Domestic Violence Protective Order Domestic Violence Petition FDVPAOR
Petición de orden de comparecencia (desacato civil por violencia doméstica) Domestic Violence Petition FDVPCAU
Petition Seeking an Order to Show Cause (Domestic Violence Civil Contempt) Domestic Violence Petition FDVPCAU
Petition for Firearms Return Domestic Violence Petition FDVPFIR
Petition to Modify a Protective Order Domestic Violence Petition FDVPMOD
Petition to Terminate Protective Order Domestic Violence Petition FDVPTER
Request to Extend 90-Day or 180-Day Protective Order Domestic Violence Request FDVXREQ
Guardian Ad Litem Invoice Submission Requirements Guardian Ad Litem Instructions
Court Invoice for Guardian Ad Litem Guardian Ad Litem Invoice SCA-FC-405
Order Recommending Payment by Supreme Court: Appointed Guardian Ad Litem Guardian Ad Litem Order FCOAGSC
Bond for Minor Guardian Appointment (Surety Bond Form) Infant Guardianship Bond Form5
Bond for Minor Guardian Appointment (Personal Recognizance Bond Form) Infant Guardianship Bond Form6
Bond for Minor Guardian Appointment (Cash Bond Form) Infant Guardianship Bond Form7
Instructions for Minor Guardianship Infant Guardianship Instructions IG-Form00
Nomination for Appointment of Guardian Infant Guardianship Nomination IG-Form03
Notice of Bond Encumbrance Infant Guardianship Notice Form8
Release of Notice of Bond Encumbrance Infant Guardianship Notice Form9
Notice of Hearing Infant Guardianship Notice IG-Form02A
Petition for Appointment of Guardian for the Minor(s) and / or For the Estate of the Minor(s) Infant Guardianship Petition IG-FORM01
Petition for Appointment of Guardian for the Minor(s) Infant Guardianship Petition IG-FORM01A
Waiver of Guardian Appointment Infant Guardianship Waiver IG-FORM04
Application for Placement on Mediator List for Referrals from Family Court Mediation Application FMDRAPP
Uniform Sliding Scale for Mediation Fees Mediation Fees FMDFEES
Parenting Plan Mediation Process Mediation Information FMDREAD
Court-Funded Mediation Invoice Mediation Invoice FMDMINV
Motion to Continue Hearing Miscellaneous Motion FMGMTCH
Return of Service Miscellaneous Service SCA-FC-132
Checklist for Submitting Invoices to Family Court Services Parent Education Checklist FC-PE-610
Advanced Child-Focused Parent Education Presenter Invoice Parent Education Invoice FPEAINV
Parent Education Coordinator's Invoice Parent Education Invoice FPECINV
Parent Education Invoice for Security Guard Parent Education Invoice FPEGINV
Parent Education Presenter Invoice Parent Education Invoice FPEPINV
Advanced Child-Focused Parent Education Invoice for Security Guard Parent Education Invoice FPESINV
Advanced Child-Focused Parent Education Presenter Summary Sheet Parent Education Summary Sheet FPEPSUM
Parent Education Summary Sheet Parent Education Summary Sheet FPESUMM
Parental Relocation Petition and Notice Information Parental Relocation Instructions SCA-FC-130
Petition and Notice of Relocation Parental Relocation Petition SCA-FC-131
Parenting Plan Instructions Parenting Plan Instructions SCA-FC-120
Motion to Adopt Individual Proposed Parenting Plan Parenting Plan Motion SCA-FC-129
Parenting Plan Parenting Plan Parenting Plan SCA-FC-121
Worksheet for Individual Proposed Parenting Plan Parenting Plan Worksheet SCA-FC-128
Affidavit to Withhold Identifying Information Withholding Identification Affidavit SCA-FC-140
Request for Indirect Service on Person Permitted to Withhold Identifying Information Withholding Identification Request SCA-FC-142
Motion to Dismiss Traffic Citation Citation Motion SCA-M340NP
Affidavit of Due Diligence Civil Affidavit MCIAFFD
Affidavit: Default Judgment Civil Affidavit SCA-M429-2
Answer Civil Answer SCA-M225
Civil Complaint Civil Complaint SCA-M207
Civil Complaint - Commercial Creditor / Contract Action Civil Complaint SCA-M208-1
Civil Case Information Statement Financial Exploitation Civil Information SCA-MC-FE100
Information Sheet: Civil Case Plaintiff Civil Information SCA-MI-400
Information Sheet: Civil Case Defendant Civil Information SCA-MI-401NP
Information Sheet: Affidavit for Default Judgment Civil Information SCA-MI-402NP
Order of Publication Civil Order SCA-M45
Request for Appointment of Counsel Servicemembers Civil Relief Act Civil Request MCIRQDJ
Motion to Transfer to Circuit Court Criminal Motion SCA-M365NP
Bailpiece Request for Issuance Criminal Request MCRBLRI
Request for Deferral of DUI Conviction Criminal Request MCRRQDD
Request for a Refusal Review Hearing Criminal Request SCA-M901
Appeal: Denial of Petition for Emergency Protective Order/Temporary Emergency Protective Order Domestic Violence Appeal MDVDNYE
Continuation Sheet for Domestic Violence Domestic Violence Continuation Sheet MDVCONT
Domestic Violence Petition Domestic Violence Petition MDVPETN
Petición por violencia doméstica Domestic Violence Petition MDVPETN
Domestic Violence Emergency Protective Order - Person Who Witnesses or Reports Domestic Violence Petition MDVPWIT
Domestic Violence Petition for Temporary Emergency Protective Order Domestic Violence Petition MDVTPET
Answer: Wrongful Occupation of Residential Rental Property or Factory-Built Home Site Landlord-Tenant Answer MLTAWWO
Petition for Summary Relief Wrongful Occupation of Factory-Built Home Site Landlord-Tenant Petition MLTPTWF
Petition for Summary Relief Wrongful Occupation of Residential Rental Property Landlord-Tenant Petition MLTPTWR
Civil Summons: Wrongful Occupation of Residential Rental Property or Factory-Built Home Site Landlord-Tenant Summons MLTSMWO
Information Reguarding the Appeal Process from Magistrate Court to Circuit Court Miscellaneous Information SCA-M1250-1
Jury Election or Demand Miscellaneous Jury SCA-M1005NP
Motion Miscellaneous Motion MCRMOTN
Motion and Affidavit: Disqualification of Magistrate Miscellaneous Motion SCA-M1026
Petition for Appeal of Jury Verdict Miscellaneous Petition SCA-M110-2P
Petition for Appeal of Bench Trial Miscellaneous Petition SCA-M111-1P
Acknowlegement and Proof of Surrender of Firearms and Ammunition Personal Safety Acknowledgement MPSAKPF
Appeal: Denial of Petition for Personal Safety Order Personal Safety Appeal MPSALDY
Personal Safety Petition: Continuation Sheet Personal Safety Continuation Sheet MPSCNTS
Petition for Appeal: Continuation Sheet Personal Safety Continuation Sheet MPSPTAL
Civil Case Information Statement Personal Safety Cases Personal Safety Information MPSISCA
Peticion para aplazar la audiencia Personal Safety Motion MPSMOCH
Motion to Continue Final Personal Safety Order Hearing Personal Safety Motion MPSMOCH
Petition for Appeal of Order Granting or Denying Final Personal Safety Order Personal Safety Petition MPSPTFO
Petition for Firearms Return Personal Safety Petition MPSPTFR
Petition to Modify Personal Safety Order Personal Safety Petition MPSPTMO
Petición de orden de seguridad personal Personal Safety Petition MPSPTOR
Petition for Personal Safety Order Personal Safety Petition MPSPTOR
Petition to Terminate Personal Safety Order Personal Safety Petition MPSPTTO
Affidavit: Notice of Filing of Bankruptcy Petition Post-Judgment Affidavit SCA-M662NP
Information Sheet: Enforcement of Civil Judgments Post-Judgment Information SCA-MI-600
Release of Judgment Post-Judgment Release SCA-M657
Affidavit: Regarding Demand for Payment of Worthless Check Worthless Check Affidavit SCA-M336NP
Criminal Complaint: Worthless Check Worthless Check Complaint SCA-M333
Civil Complaint: Worthless Check Worthless Check Complaint SCA-M337
Accounting of Conservator Guardianship/Conservatorship Accounting GC30
Affidavit Certifying Completion of Mandated Education Guardianship/Conservatorship Affidavit GC11
Affidavit of Physician Guardianship/Conservatorship Affidavit GC5
Bond of Guardian and / or Conservator (Cash Bond and / or Surety Bond Form) Guardianship/Conservatorship Bond GC18
Designation of Resident Agent by Nonresident Guardian/Conservator Guardianship/Conservatorship Designation GC15
Instructions Appointed Attorney Voucher and Expense Statement Guardianship/Conservatorship Instructions GC35
Inventory of Conservator Guardianship/Conservatorship Inventory GC32
Motion for Leave to File Petition Without Evaluation Report Guardianship/Conservatorship Motion GC2
Oath of Appointment Guardianship/Conservatorship Oath GC14
Order Approving Payment - Attorney Fees - Estate Devoid Guardianship/Conservatorship Order GC34
Petition for the Appointment of a Guardian / Conservator Guardianship/Conservatorship Petition GC01
Petition for Permission to Resign as Guardian / Conservator Guardianship/Conservatorship Petition GC19
Petition for Removal of Guardian / Conservator Guardianship/Conservatorship Petition GC21
Petition for Termination, Revocation or Modification of Guardianship / Conservatorship Guardianship/Conservatorship Petition GC23
Petition for Approval of Compensation for the Guardian / Conservator Guardianship/Conservatorship Petition GC36
Petition for Permission to Sell or Mortgage Real Estate of a Protected Person Guardianship/Conservatorship Petition GC40
Periodic Report of Guardian Guardianship/Conservatorship Report GC31
Evaluation Report of Licensed Physician / Psychologist Guardianship/Conservatorship Report GC4
Appointed Attorney Hourly Rate and Fee Approval Request Guardianship/Conservatorship Request GC8A
Statement of Financial Resources (Summary Form) Guardianship/Conservatorship Statement GC6
Voluntary Treatment Agreement Involuntary Commitment Agreement INV14
Solicitud de custodia involuntaria para examen de salud mental Involuntary Commitment Application INV1
Application for Involuntary Custody for Mental Health Examination Involuntary Commitment Application INV1
Solicitud de custodia involuntaria para el examen de salud mental de un menor Involuntary Commitment Application INV1M
Application for Involuntary Custody for Mental Health Examination of Minor Involuntary Commitment Application INV1M
Application for Involuntary Custody for Mental Health Examination of Individual incarcerated in Jail, Prison, or Other Correctional Facility Involuntary Commitment Application INV2
Chief Medical Officer's Application for Final Commitment Involuntary Commitment Application INV26
Attestation of Physician: Ordering Involuntary Hospitalization Involuntary Commitment Attestation INV41
Certificado de examinador autorizado Involuntary Commitment Certificate INV10
Certificate of Licensed Examiner Involuntary Commitment Certificate INV10
Motion for Involuntary Hospitalization Due to Noncompliance with Voluntary Treatment Agreement Involuntary Commitment Motion INV16
Motion for Cancellation or Modification of Voluntary Treatment Agreement Involuntary Commitment Motion INV21
Motion to Withdraw Application For Involuntary Custody for Mental Health Examination Involuntary Commitment Motion INV8
Authorization and Order: To Return Escaped Patient to Mental Health Facility Involuntary Commitment Order INV39
Petition for Court Authorization to Perform Examinations for Probable Cause Proceedings for Involuntary Hospitalization Involuntary Commitment Petition EXAM1
Report of Discharge of Involuntarily Hospitalized Patient Involuntary Commitment Report INV40
Report / Request of Court Authorized Examiner Regarding Licensing or Certification Change Involuntary Commitment Request EXAM4
Affidavit for Voluntary Hospitalization Transport By Sheriff of Minor to and From Mental Health Facility Voluntary Hospitalization Transport Affidavit VOL1
American's With Disabililties Act (ADA) Written Grievance Form ADA Grievance SCA-ADA-03
Judicial Investigation Commission - Complaint Form Complaint Complaint
Acknowledgement and Proof of Surrender of Firearms and Ammunition Domestic Violence Acknowledgement ADVAFIR
Employment Packet Employment Application
Motion for Review: Eligibility for Waiver of Fees, Costs, or Security Fee Waiver Motion SCA-C&M202.03
Bomb Threat Checklist Security Checklist
Phone Threat Checklist Security Checklist
Security Incident Fact Sheet Security Security
Invoice for Interpreter Translation Service Translator/Interpreter Invoice ATRCOST
Oath or Affirmation of Interpreter Translator/Interpreter Oath ATROATH
Request for Sign or Oral Language Interpreter Translator/Interpreter Request ATRHEAR
Request for Foreign Language Interpreter/Translator Service Translator/Interpreter Request ATRIREQ