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National Forms
Current Official Bankruptcy and Procedural Forms are found on the United States Courts Bankruptcy Forms Page (http://www.uscourts.gov/FormsAndFees/BankruptcyForms.aspx). Click the link to be re-directed to this site.
The following are National Forms that have been modified, as permitted, for use by the Eastern District of Virginia:
The following are National Forms that have been modified for use by the Eastern District of Virginia, have been included with Local Forms, below, and should be used instead of the National Form:
Local Forms
Adversary Proceeding
| Form | Description |
|---|---|
| certsvc.pdf | Certificate of Service of Summons |
| apncert.pdf | Certification as to Good Faith Settlement and Mediation (Alexandria Division) |
| apninstr.pdf | Instructions to Plaintiff/Plaintiff’s Counsel (Alexandria Division) |
| cpownstm.pdf | Corporate Ownership Statement |
Amendment
| Form | Description |
|---|---|
| amendins.pdf | Instructions for Amendments to Petition, Lists, Statements, and Schedules |
| amendcs.pdf | Amendment Cover Sheet to Accompany Any Amendment Filed by the Debtor to the Original Lists, Statements and/or Schedules |
| ntctoadd.pdf | Notice to Creditor(s) (Re: Amendment) |
Appeal
| Form | Description |
|---|---|
| appinsa.pdf | Procedural Instructions on Appeals. Alexandria |
| appinsn.pdf | Procedural Instructions on Appeals. Norfolk and Newport News |
| appinsr.pdf | Procedural Instructions on Appeals. Richmond |
Archive
| Form | Description |
|---|---|
| frccopyr.pdf | Order for Copies of Bankruptcy Cases from National Archives & Records Administration |
| frcget.pdf | Request for File From Federal Records Center |
Attorney
| Form | Description |
|---|---|
| AttyAttest.pdf | Attorney-Employee-Contractor COVID-19 Attestation |
| prohac.pdf | Application to Qualify as a Foreign Attorney Under Local Bankruptcy Rule 2090-1(E)(3) |
| thirdyrl.pdf | Application to Qualify as a Third Year Law Student Permitted to Appear in the U.S. Bankruptcy Court for the Eastern District of Virginia |
| attyqual.pdf | Application to Qualify as an Attorney for the U.S. Bankruptcy Court for the Eastern District of Virginia |
| attycert.pdf | Attorney Certification [Chapter 7 Pro Bono Certification--RICHMOND, ONLY] |
| certwdva.pdf | Certificate of Member of Bar of Western District of VA |
| attyaffirm.pdf | Affirmation of Attorney Admission to Practice and Good Standing in the United States District Court for the Eastern District of Virginia |
| govtemploy.pdf | Certification of Qualifying Government Employment |
Case Filing – All Chapters
| Form | Description |
|---|---|
| waiver.pdf | Request for Waiver to File Conventionally |
| crditins.pdf | Instructions for Creditor Matrix Flash Drive (Revised 9/10] |
| cscredit.pdf | Cover Sheet for List of Creditors |
| crdwaiv.pdf | Request for Waiver re: Creditor Matrix Flash Drive |
| geovenu.pdf | Geographical Information Sheet — Cities and Counties in Eastern Eastern District of Virginia |
| cpownstm.pdf | Corporate Ownership Statement |
| prose.pdf | Filing For Bankruptcy Without An Attorney–Guidelines & Requirements to Assist Pro Se (Self-Filer) Debtors |
| 2090edva.pdf | Certification Under Local Bankruptcy Rule 2090-1 |
Case Administration – General
| Form | Description |
|---|---|
| UC App 1340edva.pdf | Application for Payment of Unclaimed Funds |
| DeBNReqForm.pdf | Debtor’s Electronic Noticing Request (DeBN) |
| copyreq.pdf | Copy Request Form for Online (Electronic) and Paper-based Case Files , Certified Copies, or Government Agency Photocopies in paper-based Case Files |
| certexph.pdf | Certification Regarding Request for Expedited Hearing |
| changead.pdf | Change of Address |
| form420a.pdf | Notice of Motion (or Objection) |
| form420b.pdf | Notice of Objection to Claim |
| 4272400ABALT.pdf | Cover Sheet for Reaffirmation and Reaffirmation Agreement |
| rsmdivid.pdf | Report of Deposit of Small Dividends |
| runclmfd.pdf | Report of Deposit of Unclaimed Funds |
| W-9.pdf | Payee Information Form: W-9 – Request for Taxpayer Identification Number and Certification |
| exhlist.pdf | Instructions for Preparing Exhibit List and Pre-Marking Exhibits |
Chapter 11 Small Business – Subchapter V
| Form | Description |
|---|---|
| nfhg11Vds.pdf | Notice of Combined Hearing on Final Approval of Disclosure Statement and Plan Confirmation, and Notice of Times Fixed for Filing Acceptances or Rejections of Plan and Objections to Disclosure Statement and Confirmation |
| nfhg11Vnds.pdf | Notice of Hearing on Confirmation, and Notice of Times Fixed for Filing Acceptances or Rejections of Plan and Objections to Confirmation |
Chapter 11
| Form | Description |
|---|---|
| 312edva.pdf | Notice of Hearing on Disclosure Statement |
| ntccnfhr.pdf | Notice of Hearing on Confirmation, Combined with Notice of Times for Filing Notice of Times for Filing Acceptances or Rejections to Plan and Objections to Confirmation |
| crt1141d.pdf | Debtor’s(s’) Certification of Compliance With 11 U.S.C. §1141(d)(5) (Does Not Apply to Subchapter V Cases) |
| nfhg11sb.pdf | Notice of Combined Hearing on Final Approval of Disclosure Statement & Confirmation of Plan – Small Business |
| Form 425A | Plan of Reorganization for Small Business Under Chapter 11 02/20. Effective February 19, 2020, this form must be adapted for use by all chapter 11 small business debtors who elect to proceed under subchapter V of chapter 11. |
Chapter 13
| Form | Description |
|---|---|
| ch13pln.pdf | Chapter 13 Plan and Related Motions |
| spcntc.pdf | Special Notice to Secured Creditor |
| crtrqcnf.pdf | Chapter 13 – Certification by Debtor(s) Requesting Confirmation of Plan and Compliance With Requirements of 11 U.S.C. Section 1325 [Richmond Division ONLY] |
| crtc1328.pdf | Debtor’s(s’) Certification of Compliance With 11 U.S.C. § 1328 [Use for All Chapter 13 Cases Filed On or After 10/17/05] |
| loanmod.pdf | Summary of Loan Modification (General Order 12-1)(Richmond) |
Compensation/Fees
| Form | Description |
|---|---|
| 2030edva.pdf | Disclosure of Compensation of Attorney for Debtor (for all cases other than Chapter 13) |
| 2030CH13EDVA.pdf | Disclosure of Compensation of Attorney for Debtor in a Chapter 13 Case |
| appcmp.pdf | Application for Compensation of Attorney For Debtor(s) |
| appsucmp.pdf | Application for Supplemental Compensation of Attorney For Debtor(s) |
| defercmp.pdf | Notice to Defer Payment of Certain Fees |
| finstmt.pdf | Financial Interest Disclosure Statement |
Garnishment
| Form | Description |
|---|---|
| garnproc.pdf | Procedures for Requesting a Garnishment |
| garnsugg.pdf | Suggestion for Summons in Garnishment, for Use When Pursuing Execution of a Judgment Rendered in Bankruptcy Court |
| garnishr.pdf | Garnishment Summons Form for Use when Pursuing Execution of a Judgment Rendered in Bankruptcy Court |
| garnexmt.pdf | Notice to Judgment Debtor; How to Claim Exemptions from Garnishment |
Hearing/Meeting
| Form | Description |
|---|---|
| RemoteAppRequest.pdf | Request for Authorization to Appear Remotely in the United States Bankruptcy Court for the Eastern District of Virginia |
| ntchrg.pdf | Notice of Hearing in a Bankruptcy Case |
| ntchrg2.pdf | Notice of Hearing in an Adversary Proceeding or Contested Matter |
| nrschrg.pdf | Notice of Rescheduled Hearing in a Bankruptcy Case |
| nrschrg2.pdf | Notice of Rescheduled Hearing in an Adversary Proceeding or Contested Matter |
| nrsch341.pdf | Notice of Rescheduled Meeting of Creditors |
| nrsctrl.pdf | Notice of Rescheduled Trial |
Order/Judgment
| Form | Description |
|---|---|
| odepinv.pdf | Order Directing Deposit of Funds into the Court Registry |
| odisb.pdf | Order Directing Disbursement of Funds in Court Registry |
| orsfmb.pdf | Order Granting Relief From Stay [SO No. 10-2, Form B] |
| jtadmino.pdf | Order for Joint Administration |
| ounclmfd.pdf | Order for Return of Unclaimed Funds |
| corsfma.pdf | Consent Order Modifying Automatic Stay [SO No. 10-2, Form A] |